wrc trauma rules - lisbon 2015v2

© World Rescue Organisation WRO Trauma Guidelines 2015 v2 of 15

World Rescue Organisation

Trauma Guidelines – WRC 2015 - Portugal


Project:

WRO Documentation

Release:

May 2015

Date:

10th May 2015

Product Title:

Trauma Guidelines 2015 v2

Identifier:

Author:

WRO Committee

Owner:

WRO Executive

Client:

ANSD Portugal

Document Ref:

WRO/DOC2015/TG V2

Version No:

Two (2015)


WRO MOU History

WRO – TG – Generic

WRO – TG – v1 2014

WRO – TG – v1 2015

Document Location The source of the document will be found at – WRO Web site members Document Depository within the secretariat section follow link http://www.wrescue.org/Secretariat/Challenge-Documents

Revision History

Date of this revision: May 2015 Final revision date

Previous revision date

Summary of Changes Changes marked

May 2015 April 2015 See Previous Versions N/A

Date of next revision: To be instructed by WRO Committee following WRC 2015 Date of next approval: TBC

Revision date

Previous revision date

Summary of Changes Changes marked

Nov 2015 May 2015 TBC TBC

Approvals This document requires the following approvals. Signed approvals should accompany this document.

Organisation Signature Title Date of Issue Version

S Apter Chair 2

D Zinge Vice Chair 2

C Black Secretary 2

D Cassidy Treasurer 2

M Rogers Operations Director 2

http://www.wrescue.org/Secretariat/Challenge-Documents


Distribution This document has been distributed to the WRO Executive and WRO Committee as per the current mailing list. In addition each WRO member organisation has been provided with a copy as indicated below:

Organisation Title Date of Circulation Version

APRAT WRO Member Level 1 2

ARRO WRO Member Level 1 2

NAVRA WRO Member Level 1 2

ROI WRO Member Level 1 2

UKRO WRO Member Level 1 2

VFDU WRO Member Level 1 2

SAMRO WRO Member Level 1 2

LRO WRO Member Level 2 2

SMURD WRO Member Level 2 2

Ghana WRO Member Level 2 2

ANSD WRO Member Level 2 2

ABRES WRO Member Level 3 2

ASUREV WRO Member Level 3 2

TERC WRO Member Level 3 2

Sakhalin WRO Member Level 3 2

AVEA WRO Member Level 4 2

Trauma Challenge Guidelines


Contents

1. Introduction 3

2. The Mission 3

3. The Objectives 3

4. The Benchmarks 4

5. The Challenge 4

6. The Rules 5

7. Code of Conduct 6

8. Tools and Equipment 7

9. Health and Safety 8

10. Assessing and Scoring 8

11. Awards 9

12. Documentation 9



1. Introduction

Firefighters and Rescue workers are increasingly being asked to deal with more

challenging casualty related situations than ever before. Their skills in dealing with

casualties at incidents are constantly being challenged.

The objective of the World Rescue Organisation (WRO) Trauma Challenge (TC) is to

assist in the development of Trauma related skills of firefighters and rescue workers to

enable them to deal successfully with the vast range of casualty centered incidents.

Participating teams will be assessed on their “lifesaving” capabilities during a ten

minute, trauma based scenario.

The WRO TC will focus on developing and promoting life support skills of rescue

personnel, which will allow them to fill the therapeutic vacuum until further medical help

arrives.

2. The Mission

To provide a platform for rescue personnel from around the world to come together, in

order to enhance and develop competence levels in first responder trauma care.

3. The Objectives

To provide a means for rescue personnel to exhibit their trauma care techniques

through live casualty simulation

To provide a development program for rescue personnel

The term “organisers” hereafter will mean the WRO as the official organisers of the

world rescue challenge. The term “Host” hereafter will mean the agency(s) or

organisation(s) hosting any particular challenge.



4. The Benchmarks

Develop a Safety First attitude amongst all rescuers.

Emphasise patient, rescue personnel and scene safety.

Encourage higher and more proficient levels of first responder trauma care.

Create the broader spectrum of trauma principles and techniques.

5. The Challenge

The World Rescue Trauma Challenge will be open to all WRO regional members,

approved international Fire and Rescue Services, and agreed rescue based

organisations.

Each team will compete in two scenarios during the four days.

Each team will consist of two members and be assessed during two scenarios, a

standard ten minute scenario and a complex ten minute scenario.

Each team is allocated nine minutes for assessment and treatment and a further one

minute for patient handover.

The scores for both scenarios will be evaluated from which the challenge winner will be

identified.

The team will be assessed in the following areas:

Scene safety

Initial patient contact

Assessment of injuries and condition

Treatment of casualty

Patient handover

Each team will be afforded a ‘hot’ debrief immediately following their ‘run off’, with a

written critique post-Challenge on request. It must be noted that the assessors’ decision

is final and all participants are asked to respect that decision.

Marks will be awarded each day with all sets being collated together and the highest

combined score will determine the order of places.

NB. A copy of the assessment sheets to be used each year will be available to



every team, on the web site prior to the annual Challenge.

Scenario Descriptor:

Scenario

Team Objectives

Time

Complexity (Guidelines only)

Complex Trauma

To demonstrate casualty centered first responder care with a high level of regard for safety of all personnel.

10 min Up to FOUR live casualties requiring Triage, assessment and treatment. This may include the use of props. A comprehensive handover must be given to the Trauma assessor within the time allocated.

Standard Trauma

To demonstrate casualty centered first responder care with a high level of regard for safety of all personnel.

10 min One live casualty requiring assessment and treatment This may include the use of props. A comprehensive handover must be given to the Trauma assessor within the time allocated.

6. The Rules

To participate Teams require authorisation from their service and peak body WRO

member.

Each team will consist of two members.

Only approved service/organisation issue full Personal Protective Equipment (PPE) will

be worn by all team members.

Live casualties will be used in the Challenge and will award marks on ‘Casualty

Handling’.

Basic packaging of the patient will be evaluated using the ABC and S protocols, with

care and safety being of prime importance.

The decision of the Head Assessor concerning any assessment or conduct will be

deemed to be final

The organisers, with the host, will supply a comprehensive selection of equipment.

N.B: All competitors are responsible for providing their own full PPE, including



medical gloves and eye protection.

Teams will present themselves to the ‘Team Registration’ area, twenty minutes prior to

their designated run off time.

The organisers may substitute another team, in the event of a team ‘No Show’.

There will be a briefing of all participants at a time indicated by the event organisers; this

normally takes place immediately following the opening ceremony.

N.B: It is mandatory that all team leaders or their designated deputies attend this

briefing

The organisers and the host will not be responsible for any damage or loss of any

equipment as a result of participating in this event.

Workers’ Compensation, Insurance etc. for the protection of the team members shall be

sole responsibility of the participants in the event. The host organisation shall supply

third party liability insurance.



7. Code of Conduct

All participants are reminded that they are not only representatives of their own Service

but they also represent the Rescues Services as a whole, and are to conduct

themselves accordingly.

Both the Opening and Closing ceremonies are formal functions and appropriate uniform

is to be worn. Dress may be relaxed at the discretion of the organisers and due notice

will be given.

Participants are expected to be smartly dressed whilst in the Challenge venue, it is

preferred that working rig be worn to tour the site, however this can be relaxed to casual

wear, so long as it is smart and approved by the team manager.

Full protective clothing will be worn in the Challenge area, this may be relaxed during

’preparation and make up’ at the discretion of the head assessor.

It is accepted that the evenings events perform an important part of the socialising

aspect of the Challenge, participants are again reminded to behave in a manner befitting

their Service and have due regard to non-service persons who may share the same

facilities.



8. Tools and Equipment

Teams may select appropriate equipment from the Trauma kit bags supplied.

Trauma Equipment

1 x Pocket Mask

1 x Disposable Bag and Mask

1 x Set Of 6 Oropharyngeal Airways

1 x 7mm Nasopharyngeal Airway

1 x 8mm Nasopharyngeal Airway

1 x Vitalograph Aspirator

1 x Tuf Cut Shears

2 x 99% - 100% Non-Rebreathing Disposable Adult Mask

1 x 99% - 100% Non-Rebreathing Disposable Child Mask

1 x Small First Aid Kit

4 x Disposable Non Sterile Gloves

1 x Body Fluid Spillage Kit

1 x Stethoscope

1 x Asherman Chest Seal or equivalent

Medical Equipment

1 x Longboard

1 x Scoop stretcher

1 x Medical collars (set)

1 x Resuscitator/ O2 therapy unit and O2 Cylinder

1 x Blanket

2 x Trauma splints

1 x Defibrillator



Allowed Personal Equipment

1 x Stethoscope

1 x Pupil Lamp

1 x Scissors

1 x Pen

1 x Adhesive Tape



9. Health and Safety

A risk assessment will be conducted prior to each evolution to ensure the safety of both

participants and spectators. Dynamic risk assessment will occur throughout the

evolution, not only by the team involved but also by the assessors. Any unsafe or

potentially unsafe practice will be stopped immediately.

Should any item of the casualty’s personal protective equipment, be removed by a team

member, for any reason, it must be replaced before work can recommence.

10. Assessing and Scoring

Each team will be evaluated in the following areas:

• Scene safety

• Initial patient contact

• Assessment of injuries and condition

• Treatment of casualty

• Patient handover

Copies of all the assessment sheets in use each year will be provided to each accepted

team prior to the event.

Points awarded per sub-section will be totaled up and each sub-section added together

to give an overall score for that particular criteria.

Scores for the standard and complex will be added together to give an overall score and

the “Best Overall Team” will be that achieving the highest score.

In the event of two teams being tied overall a ‘Count Back’ process will be undertaken to

establish the final overall ranking. The ‘Count Back’ process will be conducted as

follows:

The highest complex score will be declared the winner

If still tied then the highest standard score will be declared the winner

If still tied then the WRC Trauma Challenge will be declared a ‘dead heat’ and

both teams will be awarded the same recognition.

Every team will be afforded a ‘Hot Debrief’ immediately following their performance, with

a follow-up written critique ‘post Challenge’ on request, via the Trauma Lead.

It must be noted that the Assessors’ decision is final and all participants are asked to

respect that decision.



11. Awards

Each year the World Rescue Organisation Committee recognises the performances of

the teams that compete. The effort and dedication that has been put in by team

members and supporters towards this Challenge over many months, shows the value of

just such an event as this.

Awards will be made to the teams in the following categories of the Challenge

World Trauma Challenge Champions - Top Overall Team

2nd Place Team

3rd Place Team

12. Documentation

Documentation will be provided by the host on receipt of notification of interest to

participate. Documents must be completed and returned, together with the full entrance

fee, to Fire Service College.

The entrance fee must be received before your team can be accepted as a participant in

the World Trauma Challenge.

wrc trauma rules - lisbon 2015v2

Documents

wro member organisation

ansd wro member level

vfdu wro member level

ukro wro member level

samro wro member level

roi wro member level

lro wro member level

navra wro member level