This area contains facilitator-only resources including session plans, simulation scenarios, debrief tools, and expedition logistics. Access is restricted to OffChartCPD faculty and invited co-facilitators.
Session plans, simulation scenarios, debrief frameworks, pre-reading, logistics, assessment tools, and CPD logging. For OffChartCPD faculty and invited co-facilitators only.
Kyrgyzstan — Jyrgalan Valley · March 2027
Participant group: FACEMs and intensive care paramedics. 7-day expedition with ski touring days alternating with CPD sessions. All session materials below are specific to this expedition's programme structure and participant level.
Facilitator guide, learning objectives, discussion prompts, and timing. Includes avalanche decision-making lens.
Structured case presentation framework, facilitator prompts, and assessment criteria for participant-led cases.
Selected papers, facilitator summary notes, and discussion framework. Covers current wilderness and prehospital literature.
Scenario selection guide, facilitator setup notes, equipment list, and debrief structure. Links to scenario bank below.
Facilitator guide for structured reflection, PDP template walkthrough, and ACEM/RCEM/HCPC mapping reference.
Brief guide for facilitating participant-delivered 10-minute presentations. Marking criteria and peer feedback sheet.
Day-by-day schedule, session sequencing rationale, and contingency plan for weather-impacted days.
Scenarios are designed for FACEM and ICU paramedic level participants in a backcountry ski touring environment. Each includes full facilitator notes, adaptive injects, and a debrief guide focused on human factors. Select 1–2 scenarios per simulation session.
Injured skier with suspected hip fracture. Team disagrees on evacuation urgency vs. weather window. Authority gradients and fixation error in play.
Participant develops headache, ataxia, and altered cognition at 3,800 m. Facilitator can inject HAPE features. Group must manage with limited kit and no immediate descent option.
Two-person burial following serac collapse. One partially buried and responsive, one fully buried. Team must prioritise, excavate, and manage traumatic arrest with suspected hypothermia.
55-year-old male participant with exertional chest pain and diaphoresis on Day 3. Dual diagnostic challenge: ACS vs HAPE. Satellite comms and evacuation logistics are key injects.
Experienced participant becomes progressively withdrawn and disengaged. Group must identify the behavioural change, address psychological safety, and manage evacuation request sensitively.
Three participants return with varying degrees of cold injury after an unplanned bivouac. Team must assess, prioritise, and manage — including the rewarming decision with evacuation >12 hours away.
Participant collapses 4 km from the hut. Unknown allergen exposure. Adrenaline administered but second-phase reaction develops 45 minutes later. Comms failure inject available.
Session attendance and participation record for all 11 CPD activities (7 evenings + 4 field simulations). 22 CPD hours. ACEM-mapped. Print one copy per participant — collect signatures at close of each session.
All 7 wilderness CRM scenarios in full: facilitator notes, casualty setup, simulated observations, adaptive injects, and structured debrief guides. For facilitator use only — do not share with participants in advance.
Participant profiles, medical declarations summary, known conditions, group dynamics notes, and pre-departure facilitator call agenda.
Full group medical kit contents, drug doses, expiry check dates, and storage notes. Includes emergency protocol cards.
InReach contact tree, local emergency numbers, nearest definitive care (Bishkek), helicopter evacuation procedure, and insurance reference numbers.
One-page checklist for morning briefings covering weather, terrain, group fitness status, avalanche forecast, and communication check.
Structured template for documenting any medical, safety, or near-miss incident during the expedition. Required for insurance and post-expedition review.
The following are recommended reading for facilitators before the expedition. Familiarity with this material will allow confident facilitation of discussions and debrief of simulation scenarios at FACEM level.
Current evidence-based guidelines for AMS, HACE, and HAPE management. Essential for scenario facilitation.
Diagnostic criteria, field rewarming decisions, and definitive care pathway. Direct relevance to Kyrgyzstan winter conditions.
Structured debrief model used across all simulation sessions. Facilitators should be fluent in this before arrival.
Curated reading list covering CRM principles, cognitive bias, authority gradient, and situational awareness in high-stakes environments.
Generic Resources — these materials are not expedition-specific and can be adapted for any OffChartCPD programme across all activity types and locations.
Full facilitation guide for the Promoting Excellence and Reflective Learning in Simulation (PEARLS) model. Covers healthcare advocacy–inquiry approach, scripted prompts, and timing guidance.
Single-page field card version for use during simulation days. Laminate and carry.
Summary of key cognitive biases relevant to emergency and expedition medicine. For use in human factors sessions and simulation debrief.
Structured post-session review form for facilitators. Captures what went well, what could be improved, and changes for next iteration.
Structured tool for observing and noting individual participation across sessions. Not a formal assessment — for facilitator awareness and personalised feedback.
Non-technical skills (NTS) and technical skills observation framework adapted for expedition medicine contexts. Includes human factors domains mapped to ANTS.
Structured evaluation form covering programme quality, facilitator performance, logistics, and net promoter question. For distribution on final evening.
Reflective evaluation for co-facilitators to complete post-expedition. Feeds into programme quality review and CPD documentation.
Log your CPD hours as a facilitator. This form submits to OffChartCPD and will be returned to you as a formatted CPD record for your ACEM, RCEM, or HCPC portfolio. Allow 5–7 days for your certificate to be issued.