Beyond the Ward: Life as a TrailMed UK Event Medic
The transition can feel surreal. One week, you're navigating the familiar corridors of an NHS trust; the next, you're part of a vibrant, multidisciplinary team pitched against the stunning backdrop of the British countryside. Doctors, paramedics, technicians, first responders, nurses – a melting pot of backgrounds, interests, and specialities, all converging with a shared purpose: to support the incredible adventures of others. This shift isn't just a change of scenery; it's an immersion into a dynamic environment where your clinical skills meet the raw energy of human endurance, and the sense of camaraderie is palpable.
### Pre-Event Buzz
The ping of an email. Yes! The deployment comms from TrailMed have landed, and you're on the event you were hoping for. A little fist pump of excitement is usually in order. The next step is diving into the event comms groups, a digital space where the team starts to coalesce. TrailMed's onboarding materials are comprehensive, ensuring everyone is on the same page regarding protocols and expectations. It's also the perfect opportunity to meet your fellow medics virtually, with a quick "hello" and an introduction, often breaking the ice before you even set foot on site.
Then comes the practical side. Dusting off the trusty tent – your home away from home for the duration. Packing layers is crucial in the unpredictable British weather, from sunshine to sudden downpours. And, of course, the absolute essential: the AeroPress. Ensuring a reliable supply of quality coffee is paramount to staving off any pre-shift grumpiness. It's a blend of logistical preparation and growing anticipation for the event ahead.
“Always drink sufficient electrolytes and water before the event starts. Hydration begins early! Remember, proper hydration and nutrition are not just for the participants but for you and your team. Being well-prepared in this aspect is key to a successful event.”
### Morning Arrival
The 'rest stop' emerges from the landscape, often a welcoming tent amidst a more rugged setting. It's a hub of activity, with porta-loos standing sentinel nearby and tables laden with a variety of snacks and drinks. This is where you physically meet your colleagues, and the online introductions now translate into face-to-face interactions. There's a quick but crucial briefing: reviewing the available equipment and medications, discussing potential incident management strategies, and ensuring everyone knows their role.
The atmosphere is electric. The race crew buzzes with activity, music often pulses in the background, and the first wave of runners starts to stream past, a testament to months of training. You might offer a quick squirt of sun cream here and hand out some electrolyte tablets there. It's a gentle introduction to the day, a chance to observe the flow of participants and get a feel for the event's rhythm.
“Don’t just focus on the participants; take a moment to ensure you and your team have easy access to water and snacks throughout the day. Team well-being is paramount.”
### Mid-Morning Flow
The initial trickle of runners evolves into a steady flow of joggers and walkers. This is often when the more minor ailments start to present. Blisters are a common complaint, the repetitive motion and varying terrain taking their toll. Knee pain flares up, and the occasional upset stomach makes an appearance. It's often the classic scenario: someone who has never used energy gels decides that race day is the perfect time to experiment. Cue the predictable gastrointestinal distress. Patient education becomes a key part of your role, offering advice and practical solutions to keep people moving safely.
“Keep on top of your paperwork, and don’t be intimidated by the queue. As long as it’s just minor presentations, you should be able to work through each documentation after each patient rather than writing notes and then catching up.”
### Lunchtime Hubbub
The rest stop transforms into a vibrant hub of activity. Faces are sweaty, but the overwhelming feeling is one of exhilaration. Having poured their heart and soul into training, participants are now experiencing the thrill of race day. You circulate amongst them, not just as a medic, but as someone interested in their journey. Hearing their stories, offering encouragement to keep fueling, and suggesting a variety of snacks help build rapport and allow you to subtly assess their well-being.
Taking your own break becomes essential. Soaking up the atmosphere, you grab some food, acutely aware that the busiest part of the day is likely still to come. Having a good lunch ensures you're energised and ready for whatever the afternoon might bring.
“Pack an array of easy snacks (like energy bars and fruit) *and* more substantial food (like sandwiches). This variety helps prevent food fatigue during long shifts, ensures you have sustained energy and keeps morale high with your new colleagues!”
### Afternoon Intensification
As the main body of participants passes through, the nature of the presentations shifts. Blisters, knee, ankle, and shoulder issues persist, but now you start to see more gastrointestinal problems, the consequences of inconsistent fueling or dehydration. Electrolyte imbalances become more apparent, and the early signs of dehydration emerge in those who haven't been diligent with their fluid intake. You might encounter individuals who, having neglected nutrition for a significant portion of the race, suddenly consume a large amount of food, only to feel dizzy and faint shortly after. Proactive engagement becomes even more critical, gently reminding participants about pacing their intake and looking for early warning signs.
“Pace yourself when working, and don’t forget about yourself and your colleagues. You’re here to work, yes, but enjoy it and leverage the experience of your peers to gain valuable CPD as well.”
### Evening Retreat
The shift winds down, and the welcome sight of your tent awaits. Slipping into your sleeping bag is a small victory after a long but rewarding 12 hours. Even with the distant thrum of music from the event village, the promise of sleep is enticing. Eye masks and earplugs become your best friends. Then, the 2 am alarm jolts you awake. The temperature has plummeted – a stark contrast to the daytime warmth. Layering up is essential before reaching for the life-saving AeroPress to prepare for the night shift ahead. Remember, your well-being is paramount, so always ensure you're adequately prepared for the night shift.
“Always carry an insulative jacket, regardless of the daytime weather forecast. That cold overnight drop can be surprisingly significant, and staying warm is crucial for your well-being and ability to care for others.”
### Night Watch
The flow of participants slows, but the stories continue. Many of those coming through now are the determined "type 2 fun walkers," their resilience shining through their fatigue. The presentations have evolved. Individuals who sweated profusely during the day have cooled down rapidly in the evening, often wrapped in foil blankets and borrowed fleece, seeking warmth. The rest stop might resemble a makeshift dormitory, with tired participants grabbing short power naps wherever possible. Your role involves tiptoeing amongst them, checking in, and offering comfort measures like hot water bottles to combat the cold and boost morale.
As dawn begins to paint the sky, a final flurry of activity often ensues – the "foot clinic" is open for business. Applying K-tape, padding blisters, and offering words of encouragement to those determined to reach the finish line becomes the focus.
“The calm before the storm, especially when everyone is shattered, is where the AeroPress comes out for many, but think about your personal pickup to keep you feeling like yourself.”
### The End and Beyond
Returning to your tent as the event winds down brings a mix of exhaustion and exhilaration. You reflect on the day – the camaraderie forged with fellow medics, the inspiring stories shared by participants, and the opportunity to utilise your skills in a unique and challenging environment. You've practised and honed your clinical judgment in a setting far removed from the familiar hospital or clinic. Tired but deeply satisfied, you find yourself already looking forward to the next TrailMed adventure.
“Event medicine might not be for everyone, but for those who love adventure, thrive in dynamic environments, and enjoy connecting with people pushing their limits, it’s the perfect experience.”
Authors Note
Drawing upon feedback, conversations, and contributions from across TrailMed's Event Medical Team, this blog offers a multifaceted view of the role. For the purposes of confidentiality, specific references to events, occurrences, or individuals have been altered.
