Peak Medical and Rescue

03/08/2026

23/05/2026

Can your medical team reach this casualty?

Not on a flat field.
Not beside a road.
Not in daylight with vehicle access.

This casualty.

In the dark.
Off the trail.
On steep ground.

We can.

Where extraction is part of the emergency — not a separate problem handed off to someone else.

Most event medical plans are written around treatment.
Very few are built around access.

At Peak Medical & Rescue, we plan for the reality that critically unwell or injured patients don’t choose convenient locations.

Technical rescue capability.
Remote environment clinicians.
Night operations.
Integrated extraction and medical care.

Because in remote events, the biggest risk is often not the injury itself.
It’s whether your medical team can actually get there.

27/04/2026

Please consider signing up, it’s a fantastic event and with us involved your safety is a key priority.

16/04/2026

Lots of changes to digest!

Huge JRCALC updates:

Yesterday there were some significant updates to the JRCALC and the termination of resuscitation guidelines. Here we’ve put some of the key points.

As always, different organisations and Trusts may follow different guidelines, always ensure you keep up to date with your organisations’ guidelines and always work within your scope of practice:

Key points for resuscitation an termination:
• Resuscitation time has been extended to 45 minutes
• Cardiac arrest confirmed by first Ambulance resource on scene
• If resuscitation is started, the first monitored rhythm will determine termination outcome where no ROSC is achieved
• These outcomes vary depending on specific rhythm outcomes following 45 minutes, please ensure to read your guidelines to fully understand
• Best interest decision making now has a larger impact on the overall decision of resuscitation and termination
• Termination of resuscitation and Verification of death are two distinct times
• Time of death can only be confirmed following 5 minutes of continuous asystole
Overview of all updates:
• Guidance revised in termination of resus in adults and children, verification of death in adults and children
• Advanced life support fully revised and updated in line with 2025 ERC and RCUK updates
• Basic life support minor updates in line with 2025 ERC and RCUK updates
• ROSC management updates with further wording around ventilation and fluid management for different arrests aetiologies
• Updated foreign body airway obstruction section
• Fully revised guidelines for emergency tracheostomy and laryngectomy pre-hospital management
• Newborn life support fully updated
• Cardiac arrest during pregnancy fully updated
• New dental emergencies guidance
• New diving emergencies guidance
• Limb trauma guidance updated
• Paracetamol oral presentation updated to new medicines standardization format
• New paragraph added to drowning section around the identification and management of immersion pulmonary oedema
• Bradycardia algorithm updated to include Adrenaline 1:10000 use
• Labour and imminent birth update
• Page for age at birth and post birth to 1 month updated

13/04/2026

Great to be back out supporting at the Peaks Enduro in the Peak District 🙌

A brilliant event and an exciting new series that’s set to deliver big things. Looking forward to what’s next 👊

04/04/2026

Most event medical plans work well — until the environment changes.

That’s the uncomfortable truth.

In straightforward settings, access is easy, evacuation is quick and communications are reliable. In those conditions, many providers appear broadly similar.

But move an event into remote terrain, exposed ground or distributed courses, and the problem changes completely.

Response becomes slower.
Extraction becomes more complex.
And the consequences of delay increase.

At that point, the question is no longer just clinical.

It’s operational.

How quickly can you reach the casualty?
How safely can you move them?
What happens if external rescue is delayed?

This is where most event medical models start to break down.

It’s also where planning, capability and equipment start to matter far more than simply having a visible presence.

Peak Medical and Rescue was built around these environments from the outset.

Not adapted to them — designed for them.

If you’re planning an event where terrain, access or delay could materially affect outcome, it’s worth asking a simple question:

Is your medical model built for that reality?

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