Pre-Hospital Emergency Medicine (PHEM) training provides experienced doctors with the chance to shadow the aircrew in the pre-hospital environment, predominantly from the RAF Cosford airbase in Shropshire.
All PHEM doctors are NHS consultants or senior training doctors with a background in anaesthesia, critical care or emergency medicine. As well as being trained in their core specialities, they have all undertaken extensive pre-hospital training and can provide the following advanced skills:
- Pre-hospital anaesthesia
- Advanced analgesia and procedural sedation
- Resuscitative thoracotomy
- Finger and tube thoracostomy
- Surgical cricothyroidotomy
- Limb amputation
- Major incident command and control
- Advanced extrication support and management
MAAC operates two types of teams within the organisation:
Medical Emergency Response Incident Team (MERIT ) – a commissioned team operating 24/7 to serve the West Midlands Ambulance Service (WMAS) catchment area. This team provides on-scene advanced medical care and facilitates hyper-acute transfers from Trauma Units to Major Trauma Centres as part of the regional major trauma programme.
The MERIT team consists of a Specialist Trauma Paramedic (STP) and a pre-hospital emergency medicine (PHEM) doctor.
The MERIT team operates during the day (0700-1900) from the helicopter based at RAF Cosford, call sign HMED03, and by car at night (1900-0700), call sign MD098, which operates from a base in Oldbury, Birmingham.
MAAC – The helicopters located at our further two airbases (Strensham Services on the M5 in Worcestershire and Tatenhill airfield, near Burton-on-Trent in Staffordshire) operate primarily as a dual Critical Care Paramedic (CCP) flight crew, although on occasion operate with a CCP and PHEM doctor.