Mellor Adrian, Dodds Naomi, Joshi Raj, Hall John, Dhillon Sundeep, Hollis Sarah, Davis Pete, Hillebrandt David, Howard Eva, Wilkes Matthew, Langdana Burjor, Lee David, Hinson Nigel, Williams Thomas Harcourt, Rowles Joe, Pynn Harvey
Academic Department of Military Anaesthesia and Critical Care, RCDM, Birmingham, UK ; Cardiothoracic Anaesthesia, James Cook University Hospital, Middlesbrough, TS4 3BW UK ; Carnegie Institute for Sport and Human Performance, Leeds Beckett University, Leeds, UK.
Academic Critical Care Foundation Doctor, Aberdeen Royal Infirmary, Aberdeen, UK.
Extrem Physiol Med. 2015 Dec 1;4:22. doi: 10.1186/s13728-015-0041-x. eCollection 2015.
To support leaders and those involved in providing medical care on expeditions in wilderness environments, the Faculty of Pre-Hospital Care (FPHC) of The Royal College of Surgeons of Edinburgh convened an expert panel of leading healthcare professionals and expedition providers. The aims of this panel were to: (1) provide guidance to ensure the best possible medical care for patients within the geographical, logistical and human factor constraints of an expedition environment. (2) Give aspiring and established expedition medics a 'benchmark' of skills they should meet. (3) Facilitate expedition organisers in selecting the most appropriate medical cover and provider for their planned activity. A system of medical planning is suggested to enable expedition leaders to identify the potential medical risks and their mitigation. It was recognised that the scope of practice for wilderness medicine covers elements of primary healthcare, pre-hospital emergency medicine and preventative medicine. Some unique competencies were also identified. Further to this, the panel recommends the use of a matrix and advisory expedition medic competencies relating to the remoteness and medical threat of the expedition. This advice is aimed at all levels of expedition medic, leader and organiser who may be responsible for delivering or managing the delivery of remote medical care for participants. The expedition medic should be someone equipped with the appropriate medical competencies, scope of practice and capabilities in the expedition environment and need not necessarily be a qualified doctor. In addition to providing guidance regarding the clinical competencies required of the expedition medic, the document provides generic guidance and signposting to the more pertinent aspects of the role of expedition medic.
为了支持在野外环境中进行探险活动的领导者及参与医疗护理工作的人员，爱丁堡皇家外科医学院院前护理学院（FPHC）召集了一个由顶尖医疗保健专业人员和探险活动供应商组成的专家小组。该小组的目标是：（1）提供指导，以确保在探险环境的地理、后勤和人为因素限制范围内，为患者提供尽可能最佳的医疗护理。（2）为有抱负的和经验丰富的探险医护人员提供他们应达到的技能“基准”。（3）帮助探险活动组织者为其计划的活动选择最合适的医疗保障和供应商。建议采用一种医疗规划系统，使探险活动领导者能够识别潜在的医疗风险及其缓解措施。人们认识到，野外医学的实践范围涵盖了初级医疗保健、院前急救医学和预防医学的要素。还确定了一些独特的能力。除此之外，该小组建议使用一个矩阵以及与探险活动的偏远程度和医疗威胁相关的探险医护人员能力咨询意见。此建议针对所有可能负责为参与者提供或管理远程医疗护理的各级探险医护人员、领导者和组织者。探险医护人员应是在探险环境中具备适当医疗能力、实践范围和技能的人，不一定非得是合格的医生。除了提供有关探险医护人员所需临床能力的指导外，该文件还提供了一般性指导，并指出了探险医护人员角色中更相关的方面。
