The Medical Emergency Response Incident Team (MERIT) provides senior medical advisory support to the Ambulance Service during major, critical, and complex incidents. This is a strategic and operational advisory role, not a frontline intervention post. MERIT doctors support command decision‑making by providing expert medico‑legal and clinical advice to Tactical and Operational Commanders, ensuring safe, effective, and coordinated casualty management across the system.
Responsibilities
1. Provide on‑call medical advisory support (24/7 rota) to NWAS command structures.
2. Undertake roles including:
o Tactical Medical Advisor (TMA)
o Operational Medical Advisor (OMA)
o Casualty Clearing Station Medical Lead (CCSML)
3. Advise on:
o Triage strategies (e.g. TST, MITT)
o Casualty management and flow
o Use of specialist clinical resources (e.g. HEMS, BASICS, SORT)
o Clinical risk, ethics, and medico‑legal considerations
4. Support multi‑agency interoperability in line with JESIP principles.
5. Maintain clear documentation, communication, and escalation within command structures.
6. Contribute to post‑incident learning, debriefs, and system improvement.
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