The INSARAG Technical Guidance Notes provide non-binding guidance to USAR teams beyond what is specified as minimum requirements by the INSARAG Guidelines. These Technical Guidance Notes are prepared by the INSARAG working groups and then endorsed by the INSARAG Steering Group. Please note that these Technical Guidance Notes are not parts of the INSARAG Guidelines, they are only good practices and recommendations. They are not the expectations from INSARAG member USAR teams or those USAR teams that undergo the INSARAG External Classification (IEC) process.

Medical Guidance Notes:

  1. Amputations and Dismemberment Link – endorsed in 2023
  2. Identification of USAR Medical PersonnelLink – endorsed in 2011
  3. Post Mission Medical ReportingLink – endorsed in 2011
  4. Provision of Medical Care in an Austere Environment Specifically in a Confined Space Link – endorsed in 2011
  5. Recovery of Deceased During USAR Operations – Link – endorsed in 2011
  6. The Donation of Medical Supplies and Equipment Prior to DemobilisationLink – endorsed in 2011
  7. The Medical Management of the Entrapped Patient with Crush SyndromeLink – endorsed in 2023
  8. Patient Treatment RecordLink – endorsed in 2012
  9. Urban Search and Rescue in Extreme Environmental ConditionsLink – endorsed in 2014
  10. INSARAG Injury and Illness LogLink – endorsed in 2019
  11. Template Letter requesting Ability to Practice USAR MedicineLink – endorsed in 2019
  12. INSARAG Patient Treatment FormLink – endorsed in October 2019

Medical Guidance Note – Defining USAR MedicineLink

MWG Covid-19 USAR Response Technical Reference NoteLink

The INSARAG Guidelines remain a living document and will be subject to an ongoing process of development to improve and document the way we respond to save lives in major natural disasters like earthquakes, or building collapses in other disasters.

This is achieved through a regular five-year review cycle led by the INSARAG Guidelines Review Group (GRG), which aims to facilitate continuous improvement in classified teams. The INSARAG Steering Group (ISG) recognizes the importance of maintaining knowledge and process continuity between the 5-yearly GRG reviews.

The 2023 GRG is co-chaired by John Cawcutt (Australia) and Martin Evers (the Netherlands).

Guidelines Review Group 2023-2025
  Name CountryRegionPositionEmail
3Li LiChinaAsia-PacificMember
4Safrizan Bin SuhainiMalaysiaAsia-PacificMember
5Wee Keong LokSingaporeAsia-PacificMember;
6Sara RathbunUSAAmericasMember
7Patricio FuentesChileAmericasMember
8Martin PavekCzech RepublicAEMEMember 
9Emmanuel ChapeauFranceAEMEMember
10Yvonne GutmannGermanyAEMEMember
11Ciro BologneseItalyAEMEMember
12Fahad SultanQatarAEMEMember
13Ove SislakNorwayAEMEMember
14Belit TasdemirTurkiyeAEMEMember
 15Peter WolffGermanyAEMERepresentative of

Link to Draft Terms of Reference, to be endorsed by the ISG in April 2023

Guidelines Review Group 2023 – 2025 – Online Meeting

Minutes Online Meeting – 3 May 2023

After Cyclone Idai ripped through Mozambique, entire communities were surrounded by water. Humanitarians did everything they could to save lives and provide vital assistance. Link