Responsibilities of a CMO/Medical Director in Motorsport Hugh E Scully,MD,MSc,FRCS[C],FACS Professor of Surgery & Health Policy University of Toronto Member, FIA Medical Commission and FIA Institute Chairman-Emeritus, ICMS CMO: F-1 & Indycar, Canada Chairman. Canadian Motorsport Hall of Fame ICMS AGM Indianapolis : December 10, 2015

Responsibilities of a CMO / Medical Director in Motorsport *Conflict of Interest: NO DISCLOSURES

CMO/Medical Director Qualifications Qualified Trauma Specialist: ER, ICU, OR Active appointment at a Major Trauma Center +/- University Medical Faculty Appointment Experienced Race Physician -Race Medical Center -Race circuit -Race Planning & Management *Member, Event Safety Committee & Command Unit * Location: Race Control

CMO/Medical Director Communication Fluent in local language AND English Series Medical Delegate{s} Race Director{s} / Chief Steward{s} Race Rescue dispatcher[s] Race Medical Center & Director Race Medical / Rescue Vehicles& Crews Race Air Ambulance Team

CMO/Medical Director Communication Race Medical Center: secure hard line Command Center: secure hard line - EMS, Police, Fire, Management Referral Trauma Centers: hard line{s} Protected medical/rescue triage line Coroner / Regional Medical Officer {mobile} Regional / State/ Provincial/ National Medical Authority

CMO/Medical Director Communication Regional/ Designated Trauma center and other referral hospitals : - Chiefs of staff, ER ,Orthopedic and General Surgery ,Neurosurgery, ICU ,Burn Center,{ Pediatrics}. - Surgeon-in-Chief and Physician- in-Chief - President and CEO - Nurse triage in ER - Offices of Public Affairs

CMO/Medical Director REPORT CONTENT – Confidential !!! Names, qualifications, addresses, emergency contacts, blood groups of ALL medical, nursing and rescue personnel Duty schedules/ assignments of all medical/nursing/rescue personnel throughout the event. Duty schedules of referral hospital ER personnel throughout the event. Detailed description of facilities and equipment : race medical center, race rescue/medical vehicles, and race road and air ambulances{“real travel times”} Maps / Dedicated ambulance routes Transfer of Responsibility to City/Regional Emergency Plan

CMO/Medical Director REPORT Emergency Medical Response Plan Distribution: - Series Medical Delegates - Promoter - ASN - Referral Trauma Center and other referral hospitals - EMR, Police, Fire - Event Insurer - Coroner / Regional Medical Officer - Regional, Provincial/State, National Medical authority

CMO/ Medical Director Communication *Px : Any medical bulletin about a casualty will be announced ONLY by the CMO in consultation with the Series Medical Delegate

Race Medical Center Secure location…accessible from the circuit, pits and the paddock Reception area – nurse triage// Documentation Separate ambulance access Driver / Crew / Official triage { separate } Spectator triage { separate } “Crash room” capability Observation area Anti-Doping facility Adjacent to Air Ambulance paddock “Courtesy” vehicle for families

Race Medical Center Personnel: - Medical Director - trauma physicians { neurological, orthopedic, burn, anesthesia, general and CT sugical qualifications }. - nurses: ICU, ER, OR - other support staff: clerical, “ go-fors” ** Px: Major injury / illness – resuscitate, stabilize, prepare for transport to designated Trauma Center Minor injury / illness – treat and release

Race Medical Center - Communication TV Monitor of the Circuit * - CMO {Race Control} - Race rescue / medical crews - Air ambulance crew[s] - Road ambulance crew[s] * Post-traumatic Stress Counsellors { through EMS}