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FIA Annual General Assembly Istanbul 2012

January 18, 2014
Posted by Matthew Mac Partlin on Wednesday, December 12, 2012

Last week I went to the FIA Annual General Assembly, which was held in Istanbul, Turkey. It ran for a week and the first day and a half were, for the first time, given over to medical and rescue aspects of motor sports, under the title of Medicine in Motor Sport. And it was pretty good.



Monday morning was a Chief Medical Officers' seminar, which consisted of a report from each of the major FIA categories (F1, WRC, WTCC and WEC) and a summary of the recently released amendments to Appendices H and L. These reports were followed by a series of presentations on a handful of topics relevant to modern motor sports medical and rescue practice, including my presentation on concussion assessment in motor sports which I will record and post on the site soon. For details of these reports and presentations go to the Chief Medical Officers seminar blog post, which I'll post over the next few days.



Monday afternoon was run under the title of the Medicine in Motor Sport Summit, but it was essentially a continuation of the CMO seminar. The theme of the summit was "Pathways of Care" and was kicked off with two interesting addresses from representatives of each of the International Olympic Committee and the the Fédération Internationale de Motocyclisme (FIM).

Dr. Patrick Schamash (the IOC Medical and Scientific  Director) spoke about the Olympic Games Pathways of Care, which was impressive in terms of the sheer scale of medical resources and logistics required to support the duration of competition. Using the Bejing Olympics as an example, his presentation included numbers such as 3,000 medical volunteers, 219 medical stations and 235 ambulances. He outlined some of the issues they had to cope with, such as anti-doping strategies, dealing with sport-specific retrieval and injury management, ensuring staff comfort and health and managing competitors from resource-poor countries that used the Olympics medical facilities to get basic medical and dental health care.

Dr. David McManus (Director of the FIM Medical Commission) presented FIM's Pathways of Care and discussed areas where motorcar and motorbike care needs overlapped and differed. His talk  including an outline of the expected response to injured riders, safety developments and issues of regulation. It certainly seemed, as you would expect, that many of the issues faced by motorcycle rescue and medical teams mirror those in motor car racing and David finished by suggesting that both the FIM and FIA might benefit from a greater degree of collaboration.

These two addresses were then followed by two round table sessions on FIA pathways of care and work being conducted by the Serious Accident Study Group. The topics included biomechanics of motor sport injuries, extrication, first on scene strategies, research, data collection and training. If you want to read more about these, go to the Medicine in Motor Sport Summit blog post, which I'll post soon.



Tuesday morning was taken up with 4 workshops:

  • Serious accident
  • Resuscitation
  • Extrication
  • Burns and Hazards at Motor Sports

With about 40 delegates attending each one, it was a bit unwieldy, as Ian, Carl and I found out while running the Resuscitation workshop. But I think it went well and there was some positive feedback afterwards.

The Medicine in Motor Sport summit concluded with an extrication demonstration by members of the Istanbul Circuit extrication team.

Running alongside the medical component of the AGA and continuing on to the end of the week were meetings about the various technical, regulatory and financial aspects of FIA sanctioned events. These sessions were invitation-only meetings. The week ended with the FIA Prize Giving Ceremony, honouring both competitors and officials. You can check out the full list of prize winners here.



The whole week was hosted at the Ciragan Palace on the banks of the Bosphorous, which provided some fairly stunning scenery. Thankfully the FIA made use of this and put on a good social program that included a tour of the magnificent Topkapi Palace (well worth going if you get the chance), a visit to the famous Vakko textile factory and museum along with som fun stuff like a Turkish cuisine workshop and a belly-dancing workshop (nope, I skipped these two). Istanbul itself is a pretty spectacular city and it was great to have some time to wander through the Grand Bazaar, see the Basilica Cistern and amble along the streets. I'd definitely go back. And I'd probably go to another FIA AGA.



Highlights of the week: Meeting people like Hugh Scully, Steve Olvey and Patrick Schamash, walking through the Topkapi Palace Harem, seeing the Rod of Moses and John the Baptisit's arm in the Topkapi Palace Treasury and visiting the Basilica Cistern.

Awkward moment of the week: A brief chat with Bernie Ecclestone in the elevator on the way to the outdoor infinity swimming pool, wearing only shorts and a bath robe (me, not him). Oh well!



Over the coming days, I'll post summaries of the medical summit presentations and round table talks, but that's it for now.
 

Pre-hospital intubation using ultrasound - What, huh?

January 18, 2014
Posted by Matthew Mac Partlin on Friday, November 16, 2012

OK, so we all love ultrasound; who doesn't? I remember a time when ultrasound was a diagnostic utility that gave medical school physics lecturers something to talk about and later on, a modality that lived somewhere at the back of a dark corner of the radiology department, crooned over by pale-faced, moon-eyed individuals. In the past couple of years, it is a modality that has arisen phoenix-like and has become almost the next Seldinge...
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Rollcage Medic gets Twitterlicious!

January 18, 2014
Posted by Matthew Mac Partlin on Sunday, October 14, 2012

Sorry about the long gaps between posts. I've been working on some collaborative projects that have taken up time usually put aside for motor sport medicine. They've been mostly centred around the other site that I'm involved in, the Intensive Care Network, along with an emerging online medical education movement called FOAM (Free Open Access Meducation), which I'll do a separate post about. If you can't wait, you can find out more by d...
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The truth about Permissive Hypotension in Trauma

January 18, 2014
Posted by Matthew Mac Partlin on Monday, September 10, 2012

Trauma is a diaphenous beast, simultaneously simple and complex. The priciples that underpin it are apparently straight-forward enough and yet some of the concepts and management strategies generate intense controversy and debate. If you read much trauma literature, there are a couple of names that recur routinely; one of those is London-based Trauma and Vascular surgeon, Dr. Karim Brohi, who is the driving force behind the Trauma.org...
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Clinical logistics: A key pillar for efficient provision of acute care

January 18, 2014
Posted by Matthew Mac Partlin on Monday, September 10, 2012

One of the many nice things about working as a medic at motorsports events, apart from the cars, the racing and the atmosphere, is the chance to work alongside a focused group who share the same goals and work co-operatively to a purpose. Everyone brings something to the playing field and a lot of traditional barriers come down. This probably explains in part why managing a trauma victim in a hazardous, resource-limited, potentially h...
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Trauma coagulopathy & Head and Spinal injury prediction

January 18, 2014
Posted by Matthew Mac Partlin on Wednesday, August 1, 2012

If you keep an eye on some of the great critical care blog sites, at some point you will have come accross Cliff Reid's Resus M.E. site. Recently he has put up 2 great posts that should be of interest to all of us who practice medicine and rescue in motor sports.

The first is a presentation given by HEMS doctor, Pete Sherren, on the bleeding trauma patient. He outlines an illustrative pre-hospital case and follows through to the ICU ad...
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Ketamine in trauma and pre-hospital medicine

January 18, 2014
Posted by Matthew Mac Partlin on Sunday, July 22, 2012

Ketamine seems to be one of those divisive drugs that some practicioners really love using (professionally of course), some seem to despise and some are put off by the scare stories that permeate the textbooks. The preservation of airway reflexes and comparative haemodynamic stability draws favour, while the age-associated emergence phenomenon, increase in ICP and incidence of laryngospasm draws fire.

From a practical point of view, it is a...
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Pre-hospital practice and motor sports medicine on PHARM

January 18, 2014
Posted by Matthew Mac Partlin on Thursday, June 21, 2012

There's a lot to be learned from the guys who practice pre-hospital acute medicine that can be adapted to motor sports medicine. Minh Le Cong is a retrievalist working with Queensland RFDS who has created a great blog (PHARM) that covers tricky topics and offers pearls in pre-hospital medicine.

He interviews individuals who have particular expertise or experience that may be of benefit to practicioners and this week (Lord knows why) he in...
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Gareth Roberts

January 18, 2014
Posted by Matthew Mac Partlin on Sunday, June 17, 2012

Motor sports has lost another rising talent. This weekend past the IRC ran the Targa Florio in Sicily. On SS8, Craig Breen and co-driver Gareth Roberts crash and Roberts was killed. Fortunately Breen escaped unharmed. It looks like an accident not too dissimilar to the type in which Robert Kubica sustained a hand injury that put him out of the 2011 F1GP season, but the full details have not been released. There is media available, but its ...
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Concussion and the 'Second Impact Syndrome'

January 18, 2014
Posted by Matthew Mac Partlin on Friday, June 8, 2012

I've been working away on a project for concussion in motorsport and it seems that, much like the rest of medicine, the more we examine what we think we know, the less we find we really do.

Concussion is a problematic injury in sports in general. It's easy to miss and has the potential to do further harm. Watching a rugby player stumble around the field after a blow to his head makes it easy to see how he could fall over and dislocate a sho...
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