PHARM Podcast 22 – RollCage Medic and MotorSports medicine with Dr Mathew MacPartlin

Revheads tune in and listen up. Mathew and I discuss prehospital scene safety and vehicular extrication

Hi folks!

Last week I had to pull someone out of a crumpled 4WD on a remote road as part of my prehospital retrieval shift and it got me thinking about writing this episode. I immediately thought of a Twitter colleague, @rollcagemedic aka Dr Mathew MacPartlin, intensivist from Wollongong, New South Wales. We tweeted about car crashes and prehospital issues such as  scene safety and extrication.

So today we had a nice old chat and go through a few things such as :

1.Motorsports doctoring

2.Prehospital issues of attending car crashes, key lessons and pearls

3. Basic principles of safe extrication

4. Differences in civilian vs professional racing cars

Mathew kindly provided these weblinks and references for your interest, along with the images of professional race cars.

Rollcagemedic site: -> Clnical and technical information along with links for motor sport rescue agencies if you want to get involved
Twitter feed: @rollcagemedic

Confederation of Australian Motor Sports – -> The regulatory body for motor sports in Australia. Also supports the Australian Institute for Motor Sport Safety (

Federation Internationale de l’Automobile – -> The world regulatory body for motor sports for most major motor sports categories. Houses the FIA Institute ( which conducts research into motor sport safety developments and event sustainability.

I promised a photo of my brother, Thien, at the Clipsal 500 race in Adelaide as a race side doctor. Tough gig, right?

Mathew mentioned the HANS safety device and here is a picture of one

Mathew talks about a rally car crash and the fact both driver and navigator were able to walk away from it. Here is that rally car!

Here is an example of defensive parking at a crash scene at LeMans 24

We talk about the limited access when trying to assess and treat a patient inside a car and here are images to illustrate this in a V8 race car

Now here are two pictures from the scene of the remote car crash I attended.

Access is not too bad in this case, into the cabin

This picture demonstrates scene safety two ways : clearing the ground and preparing a patient treatment area. And the vehicle in the distance, providing marshalling of approaching cars




Stay safe and enjoy the interview


Now on to the Podcast

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4 thoughts on “PHARM Podcast 22 – RollCage Medic and MotorSports medicine with Dr Mathew MacPartlin

  1. Awesome podcast!

    I’ll send some videos back along that support the concept of ventilating patients in non-standard positions and circumstances (e.g., moderate to deep sedation in a morbidly obese patient receiving TEE, with heart failure (EF<20%)–use of a pediatric mask to seal to the nose).

    This applies to ventilation through a helmet with limited access to the face.

    I do carry an Oxylator in my car (fiberglas small O2 tank) with complete set of Air-Q's and an extra Levitan stylet bent to work through the Air-Q. A couple syringes, vial of epinephrine (think therapy for anaphylaxis) and I'm set.

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