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Medical Services in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

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Page 1: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

Medical Services in Rallies

Cem Boneval, MDFIA Medical Commission MemberChief Medical Officer F1 Turkish GP, WRC Rally of Turkey

Page 2: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

CONTENTS• Special circumstances, risk

factors & definition of the problem

• Preventive safety features• Principal elements of medical

support, tasks & providers• Organization before, during &

after the event• Questions & comments

Page 3: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 4: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 5: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 6: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 7: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 8: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Motorsport is Dangerous• Performance vehicles optimized for speed• High top speeds, cornering speeds, G forces• Slippery, rough and difficult terrain• Changing circumstances due to weather &

weather related conditions: Heat exhaustion, impaired visibility in rain, snow, fog

• Ambitious drivers determined to win• High adrenalin levels during competition -

“superman” effect• Effect of revenues!?

Page 9: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

What to Do

• Make the racing environment safer– Stages– Race car– Driver outfit

• Provide adequate/efficient medical support• Attitude (wishful thinking?):

Safety comes before performance !!!

Page 10: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Stage safety

???

Page 11: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Racing car safety

• Roll cages• Special seats• 6 point seat belts• Fire extinguishing systems• Remote monitoring and

telecommunications

Page 12: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Driver safety

• Fire proof outfit• Helmet• Head and Neck Restraint

System (HANS)• Top physical condition

Page 13: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

FACT:Despite all precautions and safety measures accidents happen with

morbidity & mortality

Page 14: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Fatal WRC Accidents

Page 15: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

What now?

Medical support, on site, now!

Page 16: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical support guidelines are outlined in

International Sporting CodeAppendix H

www.fia.com Sport Regulations Medical

Page 17: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Page 18: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Page 19: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

“Medicine in Motor Sport” – The BookExcellent Reference for Physicians

http://medicineinmotersport.fiainstitute.com/

Page 20: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

• Approved by the ASN, under the authority of the CoC• Name must appear in the Supplementary Regulations• Responsible for the recruitment, implementation, operation and

running of the medical services and evacuation. • All the medical and paramedical personnel, including those

recruited by the ASN, are concerned by his decisions. • Remains at rally control in dialogue and collaboration with the CoC

in the event of an accident. • It should be always possible to contact him. • The organisers are obliged to provide him with all the material

and administrative means necessary for the performance of his duties.

Page 21: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

Before the event: • Medical Safety Plan, with the CoC and the Safety Officer.• Check all special stages well ahead of the rally, with the Safety

Officer and/or the Clerk of the Course, in a car similar to the medical intervention car to establish the right position for the start and intermediate points

• Ensure the viability and quality of the ambulances, the medical helicopter and fire vehicles.

• Ensure that the equipment and supplies in the medical and rescue cars are in perfect working order.

• He is responsible for the capacity and the quality of the hospitals designated to cover the rally.

Page 22: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

During the event: • Each evening he must examine all drivers and co-drivers who had an

accident during the day, even if no medical intervention was necessary, to be sure that they can start the next day

After the event: • During the two weeks following the rally, he must send the FIA, for

the attention of the Medical Delegate and the Medical Commission, a report on all the medical interventions on drivers, officials and spectators. This report must explain the circumstances of the incident or accident, the timing of the interventions, the initial medical status, the treatment and the medical follow-up.

Page 23: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

Page 24: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

Chief Safety Officer

Clerk of the Course

Page 25: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

Chief Safety Officer

Clerk of the Course

Extrication/Rescue Team

Medical Intervention Vehicle (MIV)

Service Park Medical Unit

Resuscitation Ambulances

Ambulance Helicopter

Page 26: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Medical Support - Principal ElementsChief Medical Officer (CMO)

Chief Safety Officer

Clerk of the Course

Extrication/Rescue Team

Medical Intervention Vehicle (MIV)

Service Park Medical Unit

Resuscitation Ambulances

Referral Hospital

Ambulance Helicopter

Page 27: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Running of the event

Page 28: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Pre-event preparations• Drive through the stages with the safety officer• Evaluate and prepare the medical plan

– Points of placement for medical cars– Efficiency of radio contact– Evacuation roads– Helicopter landing points– Porperties of terrain for selection of proper vehicles– Referral hospitals in the area

• Implement the medical plan into the safety plan• Collect & train his medical team

Page 29: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Medical Intervention Vehicle/Team• Doctor and/or paramedic competent in ATLS

(Advanced Trauma Life Support) and pre-hospital trauma care

• Highly skilled driver with rally experience• All necessary equipment for ATLS and field

intervention (App H Suppl 3)• On standby at road side at stage starts and at

midpoints for stages exceeding 15 kms• Targeted approach time <10 min on rally stages• May be combined medical + rescue• Light desincarceration equipment if solely medical

Page 30: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Stage Setup at Rallies

Page 31: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Stage Setup at Rallies

Page 32: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Stage Setup at Rallies

Page 33: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Medical Intervention Vehicle/Team• Approach and evaluate the scene• The team is responsible for the safety of:

1st - themselves2nd - the scene3rd - the patient(s)

• Evaluate the victim• Begin care immediately – in car if necessary• Take the victim out of the car…• CAVEAT: Spinal injuries are not rare and preventive

immobilization is of outmost importance.

Page 34: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

All elements of safety are also an obstacle for the medical team!

Nonremovable steering wheel

Position of seat vs. B pillar

Seat head supportSeat shapeBars of the roll-cage

How shall we get the victim out?

Page 35: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Extrication• Extrication is the procedure of removing the victim

from the racing vehicle • The goals of extrication are:

– to remove the victim from the vehicle as rapidly as his or her condition allows

– to allow care to continue– to avoid creating or aggravating injuries - mainly, but not

only, to the spine

• Extrication is an important step of the flow of medical care, never consider extrication to be an aim in itself!

Page 36: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Extrication• Types of extrication:

– Emergency– Urgent/Rapid– Elective

Page 37: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Emergency Extrication• First choice when victim is in a life threatening

situation (e.g. CP arrest or presence of fire etc)“Take him out or let him die"

• Fast manual extrication with bare hands• Mostly without any time for immobilization• Beware:

Trauma to the spine may be aggravated and the rescuer has to deal with this responsibility

• Very rarely used• A quick modified Rautek maneuver may be

applied if the chassis does permit it

Page 38: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Emergency Extrication

Page 39: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Emergency Extrication

Page 40: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Emergency Extrication

Page 41: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Elective Extrication• Victim is in relatively stable condition• Several options of spinal immobilization and

desincarceration:– KED, – with seat, – with back of seat removed, – from the back,– from the top,– ……????

• The chassis may be cut clean

Page 42: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Elective ExtricationKendrick’s Extrication Device

Page 43: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Elective Extrication

Page 44: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Elective Extrication

Page 45: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Urgent Extrication• Somewhere in between the preceeding two

modalities• The victim is stable at first sight but

shows rapid detoriation• Time has to be used as effective as possible:

–Manual inline immobilization,–Removal of helmet & HANS, –Rapid application of a cervical collar –Take-out on a spinal board

Page 46: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Urgent Extrication

Page 47: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Urgent Extrication

Page 48: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Extrication• Video excerpts form FIA Extrication Training Seminar

performed in Zlín with the Medical Rescue service of Zlín Region

• Comprehensive Booklet available athttp://www.rally-safety.com/files/extrication_guide_web.pdf

Page 49: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

After Extrication• Stabilize patient(s)• Call-in ambulance (air/road)• Refer to hospital

– using ambulance on evacuation roads– using helicopter– using both

Page 50: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Ambulances

Page 51: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Ambulances• Medically equipped to treat vital distress• Able to provide intensive care standarts during

transport either by air or land.

Page 52: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

Principal Elements of Medical Support

Referral Hospital

• Trauma Management Center

• Reserved ICU Beds• Trauma Team on standby• Easy access by road/air

(Heliport)• Familiar to media

management protocols

Page 53: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• Vehicle Tracking System

Principal Elements of Medical Support

Rally Control - WRC

Page 54: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Principal Elements of Medical Support

Rally Control - WRC

Clerk of the CourseChief Safety OfficerChief Medical Officer

Radio contact with all teams

on the field(((((((

Page 55: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• Up to 10 min arrival time• Difficult terrain, delay in approach inevitable

Principal Elements of Medical Support

Problems & Shortcomings

Page 56: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• Many/long stages = Many Teams• Every team consists of only 2-3 persons

(driver, doctor, paramedic)• Difficulties in management, especially during

extrication• Close collaboration with rescue teams is

needed – use of disincarceration equipment• Training (Accreditation of Extrication Teams?)

– Coordinated extrication in cooperation w/rescue teams & Marshalls

Principal Elements of Medical Support

Problems & Shortcomings

Page 57: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• High-tech safety cars, great obstacle for intervention

Principal Elements of Medical Support

Problems & Shortcomings

Page 58: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• Recruitement– Many teams– Up to 4 days– Inadequate payment?

• Liability issues– Malpractice not defined– Professional liability insurance

• Who• How

Principal Elements of Medical Support

Problems & Shortcomings

Page 59: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

• Coverage of crowded spectator areas• Mass casualities –colloboration with local

authorities• Normal stages (spectator rally!)

Principal Elements of Medical Support

Problems & Shortcomings

Page 60: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Consider: • Who is first at accident site?• The following rally car• Train rally teams for emergency extrication

and basic life support• Basic Life Support Training for Marshalls???

Principal Elements of Medical Support

Problems & Shortcomings

Page 61: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

UniversalMedical

Questionnaire

Page 62: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey
Page 63: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey
Page 64: Medical S ervices in Rallies Cem Boneval, MD FIA Medical Commission Member Chief Medical Officer F1 Turkish GP, WRC Rally of Turkey

European Rally Safety Seminar – Istanbul, 24-26.01.2014

Thank You for Your AttentionQuestions?Comments?