HAR6109: Pre-Hospital Emergency Medicine, Event and Expedition Medicine (online)


The module introduces candidates to the core principles and concepts in pre-hospital, event and expedition medicine. The medical needs of the acutely ill or injured patient start long before arrival at hospital. Appropriate knowledge and delivery of immediate care is key to survival and optimal outcome from subsequent hospital care. This module extends beyond the scope of medical knowledge addressing key concepts of current practice, developments in pre-hospital care and application to the many challenging situations in which patients may require rescue and treatment – including some of the practical competencies required. It will provide understanding of emergency services’ roles, developments in paramedic and physician-based systems and explore the planning and considerations required for event and expedition medicine.

The module is delivered completely online but is aimed at practitioners with some pre-hospital experience. Students will be expected to arrange to participate in exercises and educational opportunities with their own local pre-hospital providers and reflect critically on their experiences.


This unit aims to develop a detailed understanding of the specific medical knowledge and treatment strategies relevant to pre-hospital care. It also teaches the application of clinical management principles and subsequent benefits to individual patients as well as the multiple facets of overall incident management and the need for close inter-agency liaison in order to render these effective.

Learning Outcomes

The student will be able to demonstrate the ability to:

  1. Demonstrate a safe approach to the management of an incident scene and identify associated hazards and consideration
  2. Show competence in the structured assessment of the ill- or injured patient within the limitations of the pre-hospital setting and apply the treatment principles systematically in a simulated setting
  3. Demonstrate an understanding of the roles and responsibilities of all agencies involved in the management of an incident, including limitations and constraints, and appreciate the benefits to the patient of a continuum of care and close emergency services’ liaison
  4. Critically appraise the pre-hospital literature and evidence base and show appreciation of the limitations of research in this field
  5. Appreciate the need for governance, appraisal and audit in this field with particular emphasis on patient outcomes
  6. Show an understanding of the planning and legislation required for the safe delivery of event medical cover and of specific issues in relation to practice in the remote environment and on expedition

Teaching Methods

The teaching methods include online lectures to impart factual knowledge and insight into current developments and principles of pre-hospital emergency care.

Scenario-based online seminars will be run to bring together students’ learning and demonstrate some of these concepts.

Students will be expected to arrange to participate in exercises and educational opportunities with their own local pre-hospital providers and reflect critically on their experiences.

Assessment methods

Assessment component Weighting
Online Simulated Exercise 30%
Incident Scenario Response essay (3000 words) 70%

(30%) An online simulated exercise will assess the students’ ability to participate in various roles in a simulated incident situation, and reflect on it. Where numbers permit, students will be allowed to work in groups to complete this exercise.

(70%) Students will also be required to individually submit a written response to an incident scenario and allow student choice to focus on one aspect of the incident or medical management. This work will assess the student’s understanding of the principles of pre-hospital management, knowledge of incident situations and associated hazards, dilemmas, issues of consent and legislation and relate it to a scenario.

Students are expected to achieve an overall pass (50%) across all module assignments, with an expectation of at least 40% for each component. Students who achieve less than 40% on any one assignment will be expected to repeat this assignment with the resubmission capped at 50%.