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Prehospital Emergency Medicine Crew Course - PHEMCC

Prehospital Emergency Medicine Crew Course - PHEMCC

Prehospital Emergency Medicine Crew Course - PHEMCC

"Doctors & paramedics, training together, working as one... "

"Doctors & paramedics, training together, working as one... "


Although Prehospital Emergency Medicine is one of the newer medical sub-specialties, (GMC sub-specialty and commencement of a formalised training program began in 2012) doctors and paramedics began working together to deliver enhanced care at the scene of an accident in the 1990s.  


The role of doctors in Prehospital care was initially unclear and not without controversy, but GNAAS recognised the improvements in care that the doctor paramedic model offered, being one of the first providers outside of London to formalise this team model. The fact that teams were being transported in a helicopter to critically injured patients (rather than the patient being brought to them) meant there was an ongoing need to upskill new doctors and paramedics so they had both the skills and knowledge they needed to operate effectively in this environment.  


GNAAS worked with London's Air Ambulance to develop a course that provided clinicians with both the clinical and non-clinical skills that were required as HEMS (now PHEM) clinicians. The course became known as the 'HEMS Crew Course' and was delivered annually in one form or other from around 2008. 


2014 saw the beginning of a new direction for both the course and GNAAS as a training organisation. New directorship and the formation of partnerships with County Durham Darlington Fire Rescue Service and Northumbria University, brought a series of changes, placing the current course at the forefront of training in prehospital care internationally. The course was re-branded as the 'Prehospital Emergency Medicine Crew Course (PHEMCC) in 2015. 


"Complex course, run brilliantly. Hard work but massively rewarding, cementing together practitioners from multiple backgrounds into a well-drilled future HEMS team." 

About the course

The aims of the course are quite clear. Provide accessible and up to date package of training that gives both doctors and paramedics the skills needed to operate safely and with competence in the prehospital environment.  


We believe we are the only 'one stop shop' for external applicants to come and receive this full package of training (outside of local introductory programs). Training encompasses all components of safe and high quality prehospital care including; human factors / non-technical skills, clinical skills, technical (including surgical skills), aviation & retrieval medicine theory, water rescue training, aircrew smoke & fire training, aircrew ground school, flying time & navigation practice, aviation CRM and more... phew! 


Much of the content (particularly clinical knowledge) is delivered through an 'inverse classroom' model. Candidates are expected to arrive with a reasonable level of experience and knowledge and we supplement this prior to the start of the course with a 200-page (and ICBTPHEM curriculum mapped)  course manual. In addition to this, national PHEM trainees can use the course for sign off of relevant ICBTPHEM WBAs. For 2017 many of these will be pre-populated with known learning outcomes. 


The current faculty team have worked hard to ensure what is being taught is both current and relevant. Whilst some teaching is delivered didactically through focused tutorials most candidates find that the real strength of the course is it's ability to allow knowledge and skill consolidation through high fidelity moulage with real life experience and guidance being passed down through a skilled and knowledgeable faculty. 


- 200 page course manual as pre-reading

- Faculty of senior PHEM / HEMS clinicians (consultants + senior air crew paramedics)

- Essential clinical & surgical skills

- Focused tutorials

- High fidelity moulage

- SWIFT Water rescue training

- Air crew smoke & fire training

- Media training

- Fire arms awareness

- HEMS aircrew certification (EASA compliant)

- Crew resource management (EASA compliant)

- Optional university accreditation (20 / 40 credits at degree level with Northumbria University)

Is PHEMCC for me?

The course is aimed at both Paramedics looking to expand their current skill set (including the ability to function as HEMS / PHEM crew) and also at Doctors who are beginning their careers in prehospital care (recommended ST3/4+ in Anesthesia or Emergency Medicine). 


We believe one of our 'unique selling points' is that we are one of the only courses offering side by side training for these professions. It is quite clear that both specialties have their own strengths when it comes to managing a critically ill patient at the roadside. We deliberately emphasise this throughout the course and candidates soon find that they are learning as much from each other as they are from the faculty – double win! 


Due to the high level of medical care required as part of the course, we recommend candidates have at least some experience of delivering prehospital anaesthesia (or to have completed the GNAAS prehospital anaesthesia course prior to attending PHEMCC ) 

Dates for 2018

Please note we will be accepting applications from the 1st January 2018. 

Clinical week 1 =  10th Sept 2018 

Clinical week 2 = 17th Sept 2018

Aviation module = 24h Sept 2018 (Saturday 29th September may be required if weather prevents adequate flying hours during the week)

Applications are now closed. Pleased check back for more dates.

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