5.3.1 Terms of reference of the CMO (Chief Medical Officer):
The CMO:
-Is holder of the corresponding FIM official’s licence.
-Is appointed by the FMNR/Organiser.
-Should be the same throughout the event.
-Must be able to communicate in at least one of the FIM official languages, either English or French.
-Should be familiar with the FIM Medical Code and FIM Anti- Doping Code.
-Must be named in the event information.
-Must be a fully registered medical practitioner authorised to practice in the relevant country or state.
-Must have malpractice insurance appropriate to the relevant country or state, where the event is being held.
-Is responsible for the positioning of medical and paramedical personnel and vehicles under his control.
-Is responsible for the positioning of medical and paramedical personnel and vehicles under his control.
-Must brief the medical personnel prior to the start of the first practice session of the event, as well as debrief the staff after the event.
-Must provide the Medical Director with a circuit map showing the position of the medical personnel and vehicles.
-Must with the Medical Director and FIM Medical Observer (if present) inspect all medical services not less than 30 minutes before the start of practice and racing each day of the event to ensure that all services and staff are in their correct place and ready to function, including the Medical Centre.
-Must inform and update the Medical Director and the Race Director regarding the condition of injured riders who are in the hospital.
-Will prepare a list of injured riders (MEDICALLY UNFIT LIST) to be given to the Medical Director and FIM Medical Observer (if present).
-Shall ascertain that fallen riders during practice are medically fit to continue in competition. All riders injured during an event who avoid a Medical examination must be placed on the medically unfit list.
-Can recommend to the Race Director/Clerk of the Course that a race be stopped if:
--There is danger to life or of further injury to a rider or officials attending that rider if other riders continue to circulate.
--There is a risk of physiological damage to riders or of inability by riders to control their machines, due to extreme weather conditions.
--The Medical personnel is unable to reach or treat a rider for any reason.
-Must be stationed in race control, whenever bikes are on the track.
-Must complete the FIM CIRCUIT CMO QUESTIONNAIRE (Appendix F) and return it to the FIM at least 60 days prior to the event.
-Must contact, in writing, at least 60 days before the event, hospitals in the vicinity of the event that are able to provide the following specialist services:
--Trauma resuscitation
--Neurosurgery
--General surgery
--Vascular surgery
--Trauma and Orthopaedic surgery
--Cardio-Thoracic surgery
--Intensive Care
--Burns and plastic surgery
-Must send copies to the Medical Director and to the FIM at least 30 days before the event by FAX or E-MAIL of the letters they have written to the hospitals and copies of the letters of confirmation that every hospital to be used for treatment of injured persons is aware that the event is taking place and, is prepared to accept and treat injured riders with minimum delay. The letter of confirmation of every hospital must mention its equipment (x-ray, scanner etc..) the name (and telephone numbers) of the doctor in charge for each day and a map showing the shortest way from the circuit to the hospital.
Any change to the above mentioned information must be immediately forwarded to the Medical Director and to the FIM. An interpreter in English must be available in the hospital permanently when an injured rider is there. • Must make every effort to ensure that a rider may be released from the hospital when he wishes by signing an official self discharge form.
-May attend the meetings of the Event Management Committee.
5.3.8 Procedure in the event of an injured rider
The management of an injured rider is under the control of the CMO and should be the following:
A fallen rider must be reached by a Doctor or Paramedic who can begin treatment within 30 seconds of the rider coming to rest. If the rider is injured, the CMO must be informed by radio so that further procedures can be initiated. It is recommended that the CMO be stationed in Race Control with access to Closed Circuit Television to monitor the situation. Upon request by the CMO any Medical Vehicle can be dispatched to the scene of the incident, only the Race Director can authorize entry onto, or response via track. Similarly, interruption or cessation of racing or practice session can only be authorized by the Race Director. It is the responsibility of the CMO and Medical Director to advise the Race Director of incidences where access to a fallen rider(s) necessitates this.
Response Codes are:
Code 0 No medical intervention required Rider gets up unassisted
Code 1 Short Rescue Rider able to walk with assistance Rider will be cleared from track in less than 1 minute
Code 2 Long Rescue Rider requires stretcher Rider will be cleared from track in less than 2 minutes
Code 3 Prolonged Rescue Rider(s) seriously injured Rider (s) requires stretcher Rescue will take longer than 3 minutes Medical intervention required on track
Transfer to the Medical Centre
The injured rider will be transferred to the Medical Centre when his condition permits. The CMO shall decide the time and method of transfer. Rarely, at the discretion of the CMO only, a rider may be transferred to hospital directly from the trackside. The vehicle used to transfer the rider must be on scene of the accident with minimum delay following the order to intervene.
Medical Centre
At the Medical Centre, medical personnel will be available to treat the rider. The CMO remains responsible for the treatment of the rider. If the rider is unconscious, he will be treated by the Medical Centre staff under the responsibility of the CMO. The rider’s personal doctor may observe this treatment and may accompany the rider to hospital.
A rider who is conscious may choose the medical personnel by whom he wishes to be treated. A rider who does not wish to be treated by the Medical Centre staff against their advice must sign a “Competitor Self Discharge” Form.
Transfer to hospital
The CMO shall decide the time of transfer, the mode of transfer and the destination of an injured rider. Having made the decision, it is his/her responsibility to ensure that the receiving hospital and appropriate specialists are informed of the estimated time of arrival and the nature of injuries. It is also the responsibility of the CMO to ensure appropriately skilled and equipped staff accompany the rider.
A doctor of the Clinica Mobile will accompany the rider.
The CMO:
-Is holder of the corresponding FIM official’s licence.
-Is appointed by the FMNR/Organiser.
-Should be the same throughout the event.
-Must be able to communicate in at least one of the FIM official languages, either English or French.
-Should be familiar with the FIM Medical Code and FIM Anti- Doping Code.
-Must be named in the event information.
-Must be a fully registered medical practitioner authorised to practice in the relevant country or state.
-Must have malpractice insurance appropriate to the relevant country or state, where the event is being held.
-Is responsible for the positioning of medical and paramedical personnel and vehicles under his control.
-Is responsible for the positioning of medical and paramedical personnel and vehicles under his control.
-Must brief the medical personnel prior to the start of the first practice session of the event, as well as debrief the staff after the event.
-Must provide the Medical Director with a circuit map showing the position of the medical personnel and vehicles.
-Must with the Medical Director and FIM Medical Observer (if present) inspect all medical services not less than 30 minutes before the start of practice and racing each day of the event to ensure that all services and staff are in their correct place and ready to function, including the Medical Centre.
-Must inform and update the Medical Director and the Race Director regarding the condition of injured riders who are in the hospital.
-Will prepare a list of injured riders (MEDICALLY UNFIT LIST) to be given to the Medical Director and FIM Medical Observer (if present).
-Shall ascertain that fallen riders during practice are medically fit to continue in competition. All riders injured during an event who avoid a Medical examination must be placed on the medically unfit list.
-Can recommend to the Race Director/Clerk of the Course that a race be stopped if:
--There is danger to life or of further injury to a rider or officials attending that rider if other riders continue to circulate.
--There is a risk of physiological damage to riders or of inability by riders to control their machines, due to extreme weather conditions.
--The Medical personnel is unable to reach or treat a rider for any reason.
-Must be stationed in race control, whenever bikes are on the track.
-Must complete the FIM CIRCUIT CMO QUESTIONNAIRE (Appendix F) and return it to the FIM at least 60 days prior to the event.
-Must contact, in writing, at least 60 days before the event, hospitals in the vicinity of the event that are able to provide the following specialist services:
--Trauma resuscitation
--Neurosurgery
--General surgery
--Vascular surgery
--Trauma and Orthopaedic surgery
--Cardio-Thoracic surgery
--Intensive Care
--Burns and plastic surgery
-Must send copies to the Medical Director and to the FIM at least 30 days before the event by FAX or E-MAIL of the letters they have written to the hospitals and copies of the letters of confirmation that every hospital to be used for treatment of injured persons is aware that the event is taking place and, is prepared to accept and treat injured riders with minimum delay. The letter of confirmation of every hospital must mention its equipment (x-ray, scanner etc..) the name (and telephone numbers) of the doctor in charge for each day and a map showing the shortest way from the circuit to the hospital.
Any change to the above mentioned information must be immediately forwarded to the Medical Director and to the FIM. An interpreter in English must be available in the hospital permanently when an injured rider is there. • Must make every effort to ensure that a rider may be released from the hospital when he wishes by signing an official self discharge form.
-May attend the meetings of the Event Management Committee.
5.3.8 Procedure in the event of an injured rider
The management of an injured rider is under the control of the CMO and should be the following:
A fallen rider must be reached by a Doctor or Paramedic who can begin treatment within 30 seconds of the rider coming to rest. If the rider is injured, the CMO must be informed by radio so that further procedures can be initiated. It is recommended that the CMO be stationed in Race Control with access to Closed Circuit Television to monitor the situation. Upon request by the CMO any Medical Vehicle can be dispatched to the scene of the incident, only the Race Director can authorize entry onto, or response via track. Similarly, interruption or cessation of racing or practice session can only be authorized by the Race Director. It is the responsibility of the CMO and Medical Director to advise the Race Director of incidences where access to a fallen rider(s) necessitates this.
Response Codes are:
Code 0 No medical intervention required Rider gets up unassisted
Code 1 Short Rescue Rider able to walk with assistance Rider will be cleared from track in less than 1 minute
Code 2 Long Rescue Rider requires stretcher Rider will be cleared from track in less than 2 minutes
Code 3 Prolonged Rescue Rider(s) seriously injured Rider (s) requires stretcher Rescue will take longer than 3 minutes Medical intervention required on track
Transfer to the Medical Centre
The injured rider will be transferred to the Medical Centre when his condition permits. The CMO shall decide the time and method of transfer. Rarely, at the discretion of the CMO only, a rider may be transferred to hospital directly from the trackside. The vehicle used to transfer the rider must be on scene of the accident with minimum delay following the order to intervene.
Medical Centre
At the Medical Centre, medical personnel will be available to treat the rider. The CMO remains responsible for the treatment of the rider. If the rider is unconscious, he will be treated by the Medical Centre staff under the responsibility of the CMO. The rider’s personal doctor may observe this treatment and may accompany the rider to hospital.
A rider who is conscious may choose the medical personnel by whom he wishes to be treated. A rider who does not wish to be treated by the Medical Centre staff against their advice must sign a “Competitor Self Discharge” Form.
Transfer to hospital
The CMO shall decide the time of transfer, the mode of transfer and the destination of an injured rider. Having made the decision, it is his/her responsibility to ensure that the receiving hospital and appropriate specialists are informed of the estimated time of arrival and the nature of injuries. It is also the responsibility of the CMO to ensure appropriately skilled and equipped staff accompany the rider.
A doctor of the Clinica Mobile will accompany the rider.
