RTACC

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Medical Rescue Team

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Rescue Trauma and Critical Care (RTACC)

The ATACC course has drawn considerable interest from paramedical groups. In addition, through the
pre-hospital and extrication training, we have developed close links with Lancashire Fire and Rescue Service. As a result, the concept of a less intensive version of ATACC developed and the RTACC concept was born. The course allows candidates to develop Trauma and Rescue skills, which they can apply and practice in 'real' situations.

ATACC instructors Emma Durmaz and Ian Johnston have worked closely with the Fire Brigade Instructors at Washington Hall International Fire and Rescue Training Centre to intergrate more advanced trauma and critical care training into their existing programme.

The RTACC instructors consist of Consultants, Registrars, ODA's and Fire and Rescue Personnel (all are ATACC Instructors).

The first course ran in October 2001 and appears to have been a huge success, with excellent feedback from the enthusiastic candidate groups. The course consists of two days of Immediate Life Support training, including basic and advanced airway skills such as bag and mask, use of airways, laryngeal mask and supplementary oxygen therapy. A standard format was followed consisting of short lectures, demonstrations and skill stations.

The week continues with the Trauma module which runs over three days and includes a basic groundwork in all types of trauma and how to establish appropriate care. Practical skills are taught on various training aids and then reinforced during the trauma moulages and in the in-hospital part of the course.

The moulages involve 'real' scenarios on the RTA pad and the other accident simulation sites at Washington Hall which allows the candidates to practice both extrication and medical skills simultaneously, whilst continually monitored and supported by RTACC instructors.

Following the one week training course, over subsequent weeks, the candidates will visit the operating theatres at Preston Royal Infirmary and other local hospitals, to practice cannulation and airway skills, under the close supervision of senior anaesthetists.

In 2002 we plan to move this course considerably further forward and it will have an even greater medical input, more complex scenarios and the introduction of Sim-Man®, the latest state of the art training aid from Laerdal. This will move the course into a whole new dimension of 'realism', which is essential to produce the highest quality of training available. ATACC and RTACC are one of the few if only such courses currently utilising Sim-Man® for such training.

We will be working closely with Lancashire Fire and Rescue Service to develop and modify RTACC, with specific additional modules, for other emergency services and the military. This course would be ideal for Paramedics, Police Armed Response Units, Lifeboat crews, Mountain Rescue Teams and many other specialist groups involved with immediate care.