1. 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

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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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}