Isle of Man TT Course Immediate Care Cases
The following information is taken from the 18th 2009 edition of the "TT Course Incident Management Green Book" produced by Isle of Man Motorsport Medical Services for the information of doctors, paramedics, marshals and other officials at the event.
There are over 100 Immediate Care Cases placed at secure sites around the TT Course. The case provides all the BASIC FIRST AID items listed in the year 2009 MSA blue book and Advanced Life Support equipment to perform the following:
Ventilation
- Pocket resuscitation mask with valve
- Oropharyngeal airways [sizes 3 and 4]
- A ventilation bag, adult face mask, and one way valve
- 2 nasopharyngeal tubes [sizes 6 and 8]
Suction
- A Vitalograph hand operated aspirator
- Yellow tube mount and 9mm suction tube
- An adult Yankauer suction tube
- A 60cm suction catheter - CH14
Intubation
- Adult laryngoscope with 2 spare batteries
- Portex cuffed endotracheal tubes - size 7 and size 9
- Laryngeal mask airways - N0s 4 and 5
- An ETT balloon 10ml. syringe and a 50ml LMA syringe
- A Portex ETT swivel connector
Wound Management
- Sterile lint ambulance dressings - 2 x No. 4
- Sterile lint ambulance dressings - 2 x No. 3
- Sterile lint ambulance dressing - 1 x No. 2
- Anti-bacterial wipes- 4 sachets
- A box of assorted plasters
- Tisept antiseptic fluid - 25mls
- Gauze swabs - 4 packs of 5
- A roll of Transpore adhesive tape. - 2.5cms
- Conforming bandages - 2 x 10cms
- Release non-adherent absorbent dressings - 2 - 10cms x 10cms
- 1 Burnshield Hydrogel dressing - 20cms x 20cms
Splintage
- Stifnek select collar
- Crepe bandages - 2 x 10cms
- Triangular bandages - 6
- Quick release patient restraint strap for the scoop stretcher - 1
- New for 2010 a 36inch SAM Splint. - 1
Infusion
- Pre-injection wipes
- A tourniquet
- 500mls of normal saline
- A Baxter's I.V. solution administration set.
- A size 14G, 16G and 18G I.V. cannula
Injection
- 3 X 2mls and 1 X 5mls syringes
- 2 X 18G, 2 X 21g and 2 X 23G needles
Eye Care
- A blue eye bath
- 25 mls Normasol sachets
- No. 16 eye dressing
Miscellaneous
- Latex free gloves - 2 pair large.
- Small yellow sharps box
- Tuf cut scissors
- 2 space blankets - adult
- 1 Instant cold pack for use on soft tissue injuries
- Assorted safety pins
- 3 yellow immediate care report cards and a pen
- 1 yellow clinical waste plastic bag
There are NO DRUGS in the orange cases in order to comply with 2010 MSA blue book, Regulations, Section F
6.5.2:- "A comprehensive list of drugs is not listed, however the individual Doctor is expected to carry those drugs that they feel are necessary and a supply of analgesic drugs for parenteral and oral administration."
6.5.3:- "Any further drugs and equipment that may be deemed to be appropriate by way of specialist expertise are the responsibility of the individual doctor.
However NEW FOR 2009, a green drugs pouch will be issued on request to doctors and paramedics who wish to have one for the period they are providing cover. These will be signed out at The Hoggery to a named individual who is totally responsible for their correct use and safe signed return.
Each pouch contains 2 x 10mgs vials of morphine, 2 x 10mgs vials of metoclopromide and 2 x 400microgram vials of narcan.
The orange cases have been individually checked and sealed with a yellow plastic security tag. If this is broken then it will indicate that the contents need to be checked against the list on the outside lid of the case. The cases should only be opened if required and should never be left unsealed. There is a plastic bag of replacement yellow seals in the top tray of the case.
Please remember that the contents of the case were packed to make maximum use of the small space available. Whilst every item can be removed and used in seconds, repacking takes time and patience.
If you use part of the case in treating a casualty then exchange it for a full sealed unit from the helicopter ambulance when it arrives to evacuate the casualty or request the specific item used from the helicopter medics.
