Blog Layout

Guest Blog - Rachel Smith

I was born in a tiny village in Northamptonshire but had a fairly nomadic childhood, eventually settling in the industrial town of St Helens in the north west. As a child I was horse mad, so boats never got a look in. Apparently ‘horse’ was the first word I said and despite the fact that we could never afford a horse, my dream was always to ride and work with horses. 

It’s perhaps an early indication of my goal-oriented side that I got a Saturday job as soon as I could. At the age of 13, I’d cycle a 12 mile round trip, twice a day, just to go and ‘muck out’ at a local farm where they bred Welsh ponies and Arab horses! There wasn’t even any riding.

Later, I found myself working for the family of a young girl who would go on to represent Great Britain in dressage at the Olympics. The work was physically hard and the standards high. No corners were cut and I learnt the skills I needed the old fashioned way. I got to travel all over the UK in the branded horsebox which was pretty exciting for a teenager. But I think I will always be grateful for the solid work ethic and sense of responsibility that this job instilled in me.

I always planned to leave school at 16 and go to ride racehorses. But I got quite reasonable exam results and a new degree course was announced in Equine Science and Business which changed the plan. So, after taking the required year out, when I worked in an eventing yard in Yorkshire, I started the 3 year course. For the two work placements, I opted to go abroad, to Italy and the USA, which supercharged my desire to travel.

I continued working in the equestrian world for a couple more years, but the poor pay and prospects, plus a dose of pneumonia pushed me onto a different path. I got a job in telemarketing for a bank, and after putting forward the idea of finance for horses, I found myself transferred to Marketing for 6 months. 16 years later, I was still there!

So, where do boats and maritime fit into this? Being quite outdoorsy, my first boat trips were holidays on the Norfolk Broads. I took up canoeing and kayaking in 6th Form, and this led to a 25 year career in Dragon Boat Racing where I represented Great Britain multiple times and won 25 World and European medals, plus 2 world records.


In the meantime, the bank I worked for had Marine and Shipping divisions and when I took over the marketing for them, there seemed to be a natural fit and I could understand and really get under the skin of the slightly fickle marine finance marketplace. Consequently, I looked after the business area for 12 years until I left.

Being ‘in the business’ proved quite handy too, after entering the Atlantic Rowing Race 2007 with my best friend. Together we rowed 3,000 miles from La Gomera to Antigua in 76 days, 11 hours and 12 minutes, in our 24 foot rowing boat, Barbara Ivy. We raised over £65,000 for Breast Cancer Care and hold 2 Guinness World Records. 


Life changed after the row. The credit crunch happened while we were at sea, so the job I came back to was very different to the one I left. I was eventually allowed to take voluntary redundancy in 2009 and headed off to work a 12 month contract at the UK Hydrographic Office for the MoD. I then had a few years of trying to decide what I wanted to do next and after a few contracts, I was asked to join a small team to create a $70 million start up company. But, I’d already decided that I wanted to become a Paramedic, so I took the job knowing that I wouldn’t be staying for too long. I also joined Cheshire Search and Rescue team in 2010 and have been a member ever since. 

My first sailing experience was a 330 mile delivery trip the summer after the row. Downsides: it was freezing and some of the time I wasn’t sure I was enjoying it. Upsides: I got to sleep for 4 hours at a time rather than 2, and on the last night, a solo stint on the helm, with the sun setting, convinced me that I wanted to do more. One of our sponsors for the row had offered to take us through our Day Skipper qualification so I took them up and went on to complete my Coastal Skipper and Powerboat Instructor too.


I spent 8 years working frontline for the Ambulance Service, right through the pandemic, and I left a year ago. I don’t regret it for a minute - though the more than 50% pay cut at first was a shock to the system. I learnt a huge amount about myself and humans in that time. I saw people at the best and worst times of their lives. I’ve delivered babies, been to fatal RTCs, fought to save lives, been a social worker and problem solver, talked someone down from a bridge, met war heroes, dealt with fear and grief, been punched in the face, experienced some weird and wonderful situations (often very funny!) and always tried to do the very best for every patient. I loved it. But it burnt me out and I decided that I wanted to make a change.

One of my previous managers always said, ‘if you don’t like it, you know where the door is’. I actually take this to be a positive statement - if you don’t like your current situation, then only you have the power to change it. 


So, I put it out to the universe that I’d love a job that involved Marketing, Medicine and Marine. But those jobs don’t exist. I did contact a couple of well known companies, but we were in lockdown and no one even replied.


A chance conversation during lockdown led to me being introduced to Liz and Red Square Medical. I did some teaching, wrote a mini marketing plan… and it led to a 2 days a month retainer while I still worked full time frontline. But the marketing worked and 12 months ago, we were in a position for me to go part time with the NHS and work 2 days a week for Red Square Medical. This increases to 3 days a week in 2024.


But it wasn’t that simple and my Trust and I couldn’t agree on how the part time Ambulance work would look. Then an unexpected meeting with Outreach Rescue solved the problem and meant that I could leave the NHS altogether. Now when I’m not working with Red Square Medical, I’m generally found halfway up a mountain in Snowdonia, teaching first aid and medical training up to Paramedic level, and for a number of Search and Rescue organisations globally.


My job title for Red Square Medical is Medical Operations Manager and it happily combines my rather unusual skill set of Marketing, Medical and Marine! Who would have thought that my dream of 4 years ago would turn into reality!


Previously I’ve worked on and around a wide range of power and sail boats, and now I can include Superyachts, cruise and expedition ships on the list. 


A typical day will depend on where I am. I could be teaching for one of our clients - this year students have ranged from leisure sailors to solo ocean racers, chefs to captains and everyone in between. I carry out the medical audits for some of our clients, which involves being onboard for a few days, going through the medical facility from top to bottom and making sure the high standards are met and maintained.

If I’m working in the office, I generally start quite early to get to grips with emails, then I could be booking in courses and instructors, developing or reviewing courses, creating marketing content and writing blogs, interviewing guest bloggers, managing the regular reports that come in from the ships we look after, writing processes or policies, and managing the many client and supplier relationships that make it all happen. 


I truly love what I do, so it’s hard to pick on a least favourite part of the job. I guess it would be the stress caused if an instructor lets us down at the last minute and I have to start scavenging around to find someone suitable for. It’s incredibly hard to find reliable instructors that work at the level we require, and have relevant offshore experience. 


I love the fact that this is a job where all of my weird and wonderful skill set is used and challenged, and that I work for a company that appreciates me. I love taking a group of students through a course and seeing the difference in their confidence and skills from start to finish. I love seeing the results of the marketing and knowing that it’s working. And of course, I love my time onboard vessels out at sea.


My 2 days a week is variable and not always 2 full days, but may be split into a few hours over several days. I probably spend 75% of my time in the office and 25% with clients, though that changes month by month!


Having worked frontline means you really do get to see everything and Paramedics are a pretty unshockable bunch! Even on land people get themselves into all sorts of problems and being the smallest, inevitably it was me who had to crawl under the sink, into the car wreck, or climb through the window I’d just smashed open. In a frontline role you can experience anything from birth to death from one job to the next and you never know what’s coming. In my last shift on the road I went to a cardiac arrest, a child having a seizure, chest pain, critically low and unstable blood pressure, amongst other jobs. You literally have to be ready for any medical emergency at any time.


Playing midwife was my most feared job and I know I’m not alone. Paramedics have limited training in delivering babies and until the baby is out and you’re sure that baby and Mum are OK, it’s the worst job in the world. Of course once it’s born, breathing and healthy, it’s the best job in the world! 


Sometimes it’s not just the medical side of the job that gets you. Dealing with the aftermath of a suicide is tough. Dealing with end of life patients. Or taking someone to hospital and leaving their husband or wife of 60 years at home, knowing that’s probably their last goodbye. Or fighting to save someone and not being able to. That’s tough, but it's all part of the job. 


There are too many funny incidents to mention, and of course many were probably only funny at the time - Paramedics are known for their dark sense of humour! As Liz said in her guest blog, Morphine can act like a truth serum with hysterical results! Then there was the guy who cut the tube of his catheter and wondered why he couldn’t stop peeing! And the lady who had an alien spaceship over her house!  The list goes on…


For anyone interested in this line of work, being a Paramedic can be frustrating and rewarding in equal (sometimes unequal) measure. But now is a great time to be a Paramedic because the medical world is starting to understand the place of these strange creatures. There are still several routes into the job: a 3 year university degree, an ‘on the job’ training program offered by several Trusts, or completing modules with an organisation such as Outreach Rescue to gain an equivalent qualification and apply for registration. Relevant experience helps - so first aid, customer service, or care work can help you to stand out from the crowd, and a bit of life experience helps. 


Frontline work is where you earn your stripes and develop that fantastic foundation. Then, the world is your oyster as more and more jobs are opening up for Paramedics in primary care, hospitals, training, prisons, TV and film, mental health, offshore and cruise, expedition, remote and humanitarian. It’s a good time to be a Paramedic.


But be realistic. It’s not all blood, guts and trauma. Frontline, much of your time is spent dealing with the elderly (falls, UTIs, dementia) and mental health of varying severity. You may have to treat those who you have very different morals, ethics, politics and opinions to you, or those who come from backgrounds, races and religions that you don’t understand. You will go to thousands of calls that do not need an ambulance. It can be stressful, frustrating beyond belief, emotional, exhausting, and the shifts are brutal. But just occasionally there’s a great job, or a special patient, and you’ll remember them forever. You need to be curious and a people person.


But, you never know where it might take you! I had no idea 5 years ago that I would be sitting here, writing about how my dream of combining Marketing, Medical and Marine might just come true!

Teaching helps to keep me up to date as I always have to be a step ahead of my Paramedic and SAR students. I also do some event work to help keep my clinical skills current. This year I’ve completed ACLS, PALS and PHTLS instructor courses and completed a Difficult Airway course. I attended the WEM conference and have started to listen to podcasts.  I already have a list of courses to choose from for 2024 and I will be going out to Antigua to volunteer with the Search and Rescue team for a couple of weeks. 


By the time you read this, my hours with Red Square Medical will have increased and I hope to be working on implementing the amazing ideas that came from our strategy days last year. 


I do a variety of things to help stay sane (some may argue that point). Of course I love any watersports and we have a garage full of kayaks, a canoe, paddle boards and surfboards which we plan to use more. I enjoy a good walk, swimming and the gym, and going out for dinner with friends. I even did an oil painting workshop recently and found it totally absorbing!


My best advice to go to sea is to have a contingency for everything. Prepare, then prepare some more. Have back ups for your back ups. The ocean can be a formidable foe or the most fabulous friend. 


Finally, something you might not know about me is that I once went on Ready, Steady, Cook and won! Green Peppers rule!!!


Why not share this with someone that you know who is looking for a change in direction....loads of top tips!

by Rachel Smith 24 Apr, 2024
At Red Square Medical, we’re fascinated by the learning process - it’s key to our business after all. But we often wonder what happens when our students leave the classroom. Do they remember what they’ve learnt? What if they’re faced with a real emergency, will they know what to do? Is there a lightbulb moment when it all clicks into place? Skill fade is a very real issue, as we wrote about in this blog , and we know that setting up drills and practice scenarios when you’re back in your environment, with your kit and crew, can make a massive difference. It’s great to get some feedback from our students too. Last year, we received photos from the Southern Ocean from a solo round the world sailor who was able to successfully steri-strip a cut eyebrow closed. Or the Captain who recognised a heart attack in a crew member because they looked just like the guy he saw in the video on one of our courses.
by Rachel Smith 03 Apr, 2024
You might wonder about the title of this month’s guest blog, as Worse Things Happen at Sea is also the name of our monthly newsletter. But this month, we’re delighted to introduce Andrew Edwards as our Guest Blogger, and we felt his amazing story about life at sea really deserved a dramatic headline… Dysentery... In the summer of 1966, I was a cadet on a cargo ship that loaded in the UK for 9 ports in West, South and East Africa. Our first port of call was Luanda, the capital of Angola – which was then a colony of Portugal. Next, 300 miles down the coast we called in to Lobito – also in Angola. In Lobito two of the ship's company contracted dysentery; myself and a big Irishman called Reg. The shoreside Doctor we saw simply diagnosed the condition (amoebic dysentery) and said, ‘sorry but I have no antibiotics for this!’. Thankfully the ship’s purser stood our corner and demanded that the Doctor find some. The following day the antibiotics were flown in from the Belgian Congo. The Doctor gave us no advice as to how to deal with the condition, not a word about how contagious it was, not a word as to the importance of thoroughly washing our hands and maintaining scrupulous personal hygiene. Thankfully both Reg and I were quartered just a short sprint from the heads, and we were left to get on with it by our shipmates. It took about a week to get over the dysentery, by which time I had lost several stone in weight and was as weak as a kitten. By the time we arrived in Walvis Bay, South West Africa (now known as Namibia), a further 1000 miles south, I was just about fit enough to play football for the ship against a local team. Their football ground had a main road going right through the middle of it which made for some challenging moments, but they still beat us comfortably and they were playing in bare feet!
by Rachel Smith 20 Mar, 2024
As it’s Easter, we thought that it would be a very appropriate time, what with all that chocolate around, to take a closer look at the subject of Diabetes and why it’s such a huge problem in the UK and across the world. The Easter Bunny always looks so cute and cuddly, but is he a diabetes case waiting to happen? Or does his diet of grass and all that hopping around for the rest of the year make an important difference? According to the WHO, diabetes is a chronic, metabolic disease which is characterised by elevated levels of blood glucose (or blood sugar). Over time, this leads to serious damage to the heart, blood vessels, eyes, kidneys and nerves. The most common is type 2 diabetes, and it usually develops with a late onset in adults. It occurs when the body becomes resistant to insulin or doesn't make enough insulin. Worryingly, in the past 3 decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels and is closely linked to obesity, poor diet, and an unhealthy lifestyle. Symptoms for type 2 diabetes are generally similar to those of type 1 diabetes (need to urinate often, thirst, constant hunger, weight loss, vision changes and fatigue), but are often less marked. As a result, the disease may be diagnosed several years after onset, after complications have already arisen. For this reason, it is important to be aware of risk factors. Effective approaches are available to prevent type 2 diabetes and to prevent the complications and premature death that can result from all types of diabetes. These include policies and practices across whole populations and within specific settings (school, home, workplace) that contribute to good health for everyone, regardless of whether they have diabetes, such as exercising regularly, eating healthily, avoiding smoking, and controlling blood pressure and lipids. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin by itself. Normal onset is in younger people, but can also be in adults. Symptoms of type 1 diabetes include the need to urinate often, thirst, constant hunger, weight loss, vision changes and fatigue. These symptoms may occur suddenly. Type 1 diabetes cannot currently be prevented. It’s thought to be caused by an autoimmune reaction which destroys the cells in the pancreas that make insulin. It can also be caused by genetics, viruses, trauma, tumours, removal of the pancreas or other damage to the pancreas. About 422 million people worldwide have diabetes, the majority living in low-and middle-income countries, and 1.5 million deaths are directly attributed to diabetes each year. But the number of cases and the prevalence of diabetes have been steadily increasing over the past few decades. The starting point for living well with type one or type 2 diabetes is an early diagnosis – the longer a person lives with undiagnosed and untreated diabetes, the worse their health outcomes are likely to be. Easy access to basic diagnostics, such as blood glucose testing, should therefore be available in primary health care settings. Patients will need periodic specialist assessment or treatment for complications. A series of cost-effective interventions can improve patient outcomes, regardless of what type of diabetes they may have. These interventions include blood glucose control through a combination of diet, physical activity and, if necessary, medication; control of blood pressure and lipids to reduce cardiovascular risk and other complications; and regular screening for damage to the eyes, kidneys and feet to facilitate early treatment.
by Rachel Smith 21 Feb, 2024
Well, we’ve made it to February! How are your goals for the year going so far? As you’ll know, we do love a bit of goal setting at Red Square Medical HQ. But, we also understand the importance of Reflective Practice too. Especially in relation to setting goals. Want to know more? Please read on…
by Rachel Smith 07 Feb, 2024
Today we start the first in a series of blogs in conjunction with our friends at the Maritime Skills Academy, and kicking it all off is a Guest Blog from MSAs Head of Training, Sam Kelly. Sam is 37 and lives in southeast Kent, in the quaint seaside town of Deal with with his wife, two children and a ‘Golden Doodle’ called Pringle. He has lived in the area ever since his father, a serving Royal Marine at the Deal Depot, and mother decided this was the place to raise their family. And it is, quite frankly, an excellent place to live. Here is his story… I’m the Head of Training for the Maritime Skills Academy, based in our head office in Dover. I oversee a team of Maritime Safety Instructors who deliver all STCW training for seafarers. Outside the Dover base, we have MSA Gibraltar. This location is operated in partnership with the University of Gibraltar and delivers Basic Safety Training and most recently Operational Firefighting, We are actually in the process of building a state-of-the-art Fire Training Module on ‘the Rock’.
by Rachel Smith 17 Jan, 2024
So Christmas seems like years ago, and we’re all well into the New Year now. Did you make any resolutions? Some love to, some don’t. At Red Square Medical HQ, we love a goal or two and think the turn of the years can be a good prompt to make some positive changes. But, it’s well known that New Year resolutions don’t last. Forbes magazine tells us that 21% don’t make their resolution stick for even a month. While 34% state that it lasted for between one and three months. Is that a failure though? Or could it be all it takes to make some small changes that have a lasting impact? We thought it would be good to take a closer look at one of the most popular resolutions… Dry January! Now, let’s get one thing straight, the Red Square Medical team are not averse to a tipple or two! But as medics, we’re very aware of the short and long term benefits of giving our livers a little breather every so often. Of course, everyone responds differently to stopping drinking for a month, so the timeline below is just a guide. But it might help you to decide whether it’s a good idea to give the booze a break for a while, or work towards reducing your intake - we know it’s easy for it to creep up over time!
by Rachel Smith 03 Jan, 2024
What I miss most about the Ambulance Service… It’s been 12 months since I left the Ambulance service after 8 years of working frontline, and to be honest it’s flown by. A few weeks ago the team at Red Square Medical HQ were chatting about how life has changed in that time and what, if anything, I was missing from my former life! The list might just surprise you… Most of all, I miss my old colleagues and I definitely miss the patient contact. And driving on blue lights… that was one of the best parts of the job! Working in the ambulance service with regular partners who you get on well with really does create friendships for life. Or even doing a tricky job with someone you don’t know well provides a common bond forever. Every day you’re facing stressful situations and sometimes split second, life changing decisions. You rely on each other totally and make sure you keep each other safe in some difficult and challenging situations. I worked with 3 very different partners most of the time for my last few years and I miss them all. Happily though, I have some great new colleagues at Red Square Medical and Outreach Rescue, the other company that I work for.
by Rachel Smith 20 Dec, 2023
Christmas is coming and the season of parties is upon us. Of course this means that most of us will overindulge in large amounts of luscious food and, of course, a tipple or two. At Red Square Medical HQ, we have a method of categorising drunk people. During our combined careers, we’ve dealt with more drunks than we can remember; it’s easily running into several hundred. What we’ve learnt, amongst other things, is that most people who are drunk fall into one of these categories. Now please don’t judge as it is purely observation and also makes for an interesting chat when delivering the STCW Medical training, because we all know at least one person from each category and sometimes… a person can be in multiple categories depending on many other factors, or, we might even have been there ourselves! Once we have established these categories there is a serious note to this blog so please do keep reading.
by Rachel Smith 06 Dec, 2023
We’re finishing the year off with what we think is one of our very best guest blogs. You may have seen this month's guest before - in the world of social media, or at one of the Superyacht shows. But one thing is for sure, you will have been inspired by her down to earth attitude and love of her work and the crew around her. A true team player, welcome to the Red Square Medical guest blog, Captain Kelly Gordon! Hi everyone, I’m Captain Kelly Gordon and it might surprise you to hear that I grew up inland in the state of Indiana, where the only coastline is a tiny little bit of Lake Michigan! I didn’t really set out to become a Superyacht Captain, and prior to taking this path, I was actually a Chemistry Professor and it was completely by accident that I was introduced to the industry! But the literal minute that I stepped onto a yacht, I just knew! I double dipped for a while, with yachting and teaching, as the boat that I was working on wes in the same town that I taught from. As time went on, I got more and more obsessed with yachting and realised that I wasn’t getting the intrinsic reward that I needed from teaching anymore. I am very, very adamant that if you are educating the future leaders of our communities and world, you darn well need to be passionate about it! So, when I started to lose that passion, I knew it was time to leave the task to someone else. Yachting ticks all the boxes for me, both personally and professionally. What’s funny though, is that I quickly missed teaching and found myself teaching onboard all the time. Then came ‘The Captain’s Classroom’!
by Rachel Smith 15 Nov, 2023
A few months ago, we asked our community of LinkedIn followers for some case studies, focused on the kind of situations that are difficult to manage, especially in the middle of the ocean. One of the suggestions was for this situation from Neil McGowan: An engineer has amputated his finger during a repair task onboard. The vessel is 5 days from the nearest trauma centre. You are the only medic and you have limited resources. What is your plan? There are going to be lots of variables here, including whether any other injuries were sustained, whether you have telemedicine support, and what your ‘limited resources’ consist of?
More posts
Share by: