Casualty Care Certificate

Casualty Care Certificate is the only award recognised by the licensing agreement for the administration of drugs by team members.

Scottish Casualty Care Syllabus

National Casualty Care Assessments

These are open assessments available to all team members. In addition to these assessments some teams will organise a closed assessment course with the support of the SMR Training and Medical Officers.

See below for assessment criteria.


Dates and venues of assessments are advertised on the training section of our website.

Assessment Criteria

The candidate should:

•    Clearly demonstrate a primary survey and report it accurately. Key measurements during the ABCD primary survey include accurate pulse rate, respiratory rate, AVPU and presence of carotid and radial pulse. No other measurement or clinical examination eg listening to the chest is required. However if a skill is demonstrated it must be done accurately. An examiner may use a pulse oximeter for an accurate comparison to a candidates reported pulse rate.

•    Demonstrate knowledge of ANY drug mentioned in the casualty care drug list, even if their team does not carry that drug. Eg: if an candidate is presented with an asthmatic scenario they should expect to be questioned on salbutamol.

•    Demonstrate safe administration of an IM drug for injection (equipment and ampoule supplied by exam centre).

•    Demonstrate the safe treatment of anaphylaxis, including the use of IM adrenaline (ref: Resuscitation UK anaphylaxis guideline).

•    Safe use of medical gases (An awareness of issues surrounding COPD and MI is desired but currently not pass fail – oxygen saturation measurement is not currently required).  Please note the new British Thoracic Society (BTS) consensus guidelines 2014 will include guidance of oxygen saturation measurement for voluntary rescue organisation and titration of oxygen according to saturation ranges.

•    If a candidate requests other medical equipment and initiates other treatment this must be within the casualty care manual and must be completed to the standard set in the casualty care book. If they do not do something to the correct standard they require a retest, even if having not started that treatment they would have otherwise passed.

•    Candidates are not required to demonstrate any splint applications or casualty packaging although their knowledge of these subjects can be verbally tested and again if knowledge is lacking a retest could be requested.

•    Candidates are not required to demonstrate environmental protection except INITIAL SCENE SAFETY questions which is a pass fail point. Discussion about environmental protection particularly around insulating the casualty can be asked and if knowledge is lacking a retest can be requested.

Further information:-

CANDIDATES SHOULD BE ABLE TO DEMONSTRATE A KNOWLEDGE OF INDICATIONS AND CONTRAINDICATIONS OF ALL DRUGS COVERED BY THE CASUALTY CARE LIST, an aide memoire as would be used on the hill may be used to check drug doses prior to administration.

Use of the Casualty Care book or the recent booklet supplied by MREW are not acceptable as an aide memoire.

Scottish Mountain Rescue, formerly known as The Mountain Rescue Committee of Scotland, is a registered Scottish Charity – number SC045003