In this episode we dive deep into the extraordinary experiences of Marc-David Munk, an emergency doctor who served as a flight surgeon in 11 East African countries. We explore his newly published book, Urgent Calls from Distant Places, which documents his time in Africa and the challenges he faced in providing healthcare amidst severe trauma, disease, and diverse pathology. Marc shares his journey from an uncertain university student to becoming a doctor, and ultimately finding his purpose in serving the medical needs of African communities. We unpack the themes of empathy, self-discovery, and the "hero's journey" within the context of extreme medicine. Join us to gain insights into Marc's compelling narrative and the profound impact of his experiences. You can order Urgent Calls from Distant Places January 30, 2024, There'll be a Kindle version on Amazon.

On this episode we have the pleasure of speaking with Gemma Aldridge, whose expertise as a practice development nurse and mountain leader fuels our conversation. Gemma brings to the table a unique blend of experience with young people, and an unyielding passion for expedition medicine. We're going to explore the multifaceted benefits of bringing young people into the great outdoors, where they can push their boundaries, develop essential life skills, and discover an inner resilience they may have never known they had. However, no adventure comes without its challenges. From adjusting to different diets and living in close quarters to the necessity of proper equipment and ensuring safety, Gemma will share her strategies for effectively managing these aspects, as well as her insights on the differences in adaptability between children raised in urban and outdoor environments. The importance of communication is also on the agenda. Our conversation with Gemma will uncover how she uses innovative devices and tactics to stay connected with her loved ones during her extended periods away, striking a balance between her adventurous spirit and her family commitments. Throughout the episode, we will touch upon serious topics such as managing disruptive behaviours and caring for ions serve not only as a path to growth for young people but also as a restorative escape for those who spend their lives helping others. We discuss the transformative power of nature, the sense of community on the trail, and those fireside chats that can change a life.

In this episode prepare to embark on a journey through John's vast experiences, from the intense heat of desert operations to the cruel cold of high-altitude rescues. Learn why a simple survival blanket or a strip of duct tape can make the difference between life and death. John will bring us into the heart of collaboration efforts with the Anchorage Fire Department, to save lives amidst the perils of Cook Inlet. John will enlighten us with his awe-inspiring sightings of the Northern Lights from plane altitudes and discuss mysterious unidentified flying objects. Dive deep into the physiological challenges faced during rescues on the world's highest peaks, reflecting on the striking difference between Denali and Everest. Listen in as we cover harrowing tales, like the 2010 plane crash involving Senator Stevens, intense weather conditions in western Alaska, and gruelling 18-hour high-altitude operations. We’ll also delve into the remarkable transitions John experienced throughout his career, his vital role as a Pararescueman in Afghanistan, and the mental resilience required to cope with PTSD and traumatic stress injuries. As we talk about shifts in military practices and the brave response to a bear mauling in Alaska, John will also impart invaluable advice for those aspiring to follow in his footsteps, emphasising commitment, teamwork, and a relentless drive to improve.

In this episode our host Kevin Grange, speaks to Jon Politis, a veteran in emergency medical services, a backbone of EMS education, and a leader who's seen the evolution of the field from the ground up. From Jon’s early days of being mesmerised by fire trucks and ambulances to the respected positions he's held as the retired chief of the Colony EMS Department and an educator with the Jenny Lake Rangers, we'll delve into a journey that defines a lifetime commitment to service. With stories rich in learning and crucial tidbits on how to sustain a long and fulfilling career in emergency medicine, Jon's tales are not just reflective but packed with actionable advice. Jon shares the heartfelt and challenging aspects of leadership, the essence of being a good follower, and the profound experiences that have shaped his approach to wilderness medicine. Whether discussing his personal experiences with backcountry rescues or how mentoring has influenced his path, Jon's narrative will bring to life the trials and triumphs of emergency response. Listen as we unpack these insights and learn how resilience, integrity, and the support of loved ones play pivotal roles in not just surviving but thriving in the demanding world of extreme medicine. Let's get started.

In this episode we're thrilled to have two key figures in the field of extreme medicine join our host Sarah Spelsberg: Dr Chris Imray and Dr Nat Taylor. Dr. Imray, a seasoned vascular and renal transplant surgeon, and world leading frostbite expert, and Dr. Taylor, not only a GP for the British army but also an active member in the Girl Guide movement, will deep dive into the world of biometric monitoring in extreme environments. How do devices perform in these environments compared to everyday use? What measures can be taken to improve their longevity and accuracy? We’ll be tackling these questions and others concerning the future of technology in extreme medicine. From real-time data feedback influencing personal behaviour, to the chilling effects of cold weather on electronic devices, we'll cover a broad spectrum of topics related to this fascinating field. Not only will we explore the technological side of things, but we will also discuss the experiences, trade-offs, and advice from Chris and Nat. Stay tuned for a rich discussion about the intersection of medicine, technology, and extreme environments. If you've ever wondered how healthcare, research, monitoring devices, and extreme environments all come together, this episode is for you.

In this episode, we sit down with Jen Dorwood, a fascinating guest who takes us on a journey through her experiences as an Advanced Nurse Practitioner and a reality TV star. Jen shares insights into her time on the show 007: Road to a Million, where she and her partner Beth underwent intense challenges and high-stakes pressure. From her military background to her resilience in the face of health challenges, Jen's story is one of inspiration and determination. Join us as we delve into Jen's incredible journey and learn about the life-changing impact she hopes to have on others facing similar obstacles. Jen became a Nurse Practitioner to work towards her goal of being involved in expeditions, but after she finished studying, the Pandemic put all that on hold until she went to work in Guyana for International SOS.  Jen is currently working part time as an Advanced Nurse Practitioner in Urgent Care in a GP surgery, and also in Minor Injury Units and remotely for out of hours service, doing phone consultations. Jen is enjoying a little downtime before she finds another adventure. Jen's career has largely been Primary Care based with Urgent Care, having worked in several roles with limited access to resources in emergencies - Prisons, Asylum Seeker Detention Centres, Christmas Island, in Afghanistan and on various aircraft doing Aeromed transfers. This is where Jen is at her best, having to think on your feet and deal with a situation with what resources you have available.  You can connect with Jen @jen007roadtoamillion

In today's episode, we have a fascinating discussion with Dr. Barry McKenna. We will be delving into his epic Inside Passage charity kayak expedition. He'll fill us in on the preparation, challenges, and life-changing experiences they faced during this daunting, yet rewarding journey. Barry highlights the role and pressure of being the medic on the team and the divide it sometimes creates, all while navigating logistical challenges, cold water temperatures, physical exertion, shifting group dynamics, and medical emergencies. We'll also explore the importance of well-thought-out medical planning; Barry and Nikki McLeary developed an extensive 60-page document that covered all aspects of their adventure. As we navigate the thrilling journey through the Inside Passage, we'll also address some personal aspects: what motivates someone to embark on such expeditions, the balance between professional and personal identities, and the internal struggles and mental health revelations that come to light during prolonged, extreme challenges. Join us as we journey through the North Pacific and Bering Sea, witnessing the incredible transformations experienced during such an expedition, both physically and professionally. The hurdles faced had transformative effects on Barry, changing his approach towards his personal and professional life, particularly his medical practice. Finally, we'll delve into how these experiences have shaped Barry's perspective on future expeditions.

Puneet Gupta is a seasoned professional in the niche but vital field of tactical and search and rescue medicine, a journey that started in the diverse landscapes of Michigan. His hands-on approach saw him diving into waters with search teams, equipped with dry suit training to ensure readiness for any situation. In the intense realm of tactical medicine, Gupta was side-by-side with SWAT teams, navigating the high-stakes environment to provide immediate medical support. Transitioning to Louisiana brought a new perspective for Dr. Gupta, where specialised professionals dedicate their lives to these critical roles. Despite his extensive experience, a recent confined space training drill reminded him of the constant risks; emerging from a tight spot, a respected trainer half-joked that should a real situation arise, Dr. Gupta's skills would be best utilised outside such precarious confines. Nonetheless, his commitment to the field is unwavering, reflecting the dedication and bravery at the core of his profession.

Today, we're diving deep into the experiences of Dr. Matthew Jones, who courageously spent ten intense months offering medical services in South Sudan, the world's youngest nation. We'll explore the concept of delivering medical aid in hard-to-reach, resource-poor regions, the gratifying yet challenging experiences of tightening the bolts of the healthcare systems there, and the inspiring stories of training new healthcare staff under extreme conditions. Matthew will also share his heart-touching experiences managing a pediatric ward, undertaking heroic medical interventions, and the human aspect of handling patients' expectations. Listen in on the high and low points of his experience in this remote part of the world—the struggles with loss, the satisfaction of teaching, and his brave confrontation with the harsh realities of practicing healthcare in challenging contexts. Matthew also discusses his upcoming venture to Ukraine and how the experiences might differ from those in the sub-Saharan African nation. So stay tuned—for there are myriad lessons and profound reflections that everyday heroes like Dr. Jones can infuse into our perspectives.

In this episode we're diving into the immense challenges and nuances of desert medicine with none other than Taryn Anderson, an experienced nurse and humanitarian, who has faced the front lines of natural disasters and global health crises, such as the Ebola outbreak in Sierra Leone. Taryn brings with her a wealth of knowledge from her time coordinating the Desert Medicine course for World Extreme Medicine. From the logistics of water supply to the functionality of camels and vehicles in medical support, Taryn will share her indispensable insights. We'll learn how to handle everything from the scorching heat to traveler's diarrhoea, and from heat exhaustion amongst our teammates to preventing sunburn and eye infections. Taryn's mantra, "hydrate or die," underscores the absolute importance of staying hydrated and monitoring our health cues while trekking under the unforgiving desert sun.

In this episode we have a captivating conversation with James Dyer, a renowned adventurer, and expedition leader. With an extensive background spanning over 50 expeditions and numerous remote locations around the world, James has a wealth of knowledge to share about leadership, decision-making, and the vital importance of competence, currency, and credibility. We will delve into topics such as the dynamics between the expedition leader and the medic, the key challenges faced in expeditions, and the exploration of leadership in addressing wicked, tame, and critical problems. Notably, James will also be discussing the intriguing concept of polymathic leadership, drawn from his extensive research focused on improving training and development in expedition leadership. Furthermore, hear him speak about his experiences working with diverse groups, dealing with high net worth individuals and young people faced with life's disadvantage. This episode promises to share valuable insights about leadership based on real-life experiences and research findings, emphasising outdoor education, personal growth, and sustainability. Join us in exploring the exciting journeys of expeditions set in various locations, including the harsh climates of the Arctic and the exotic terrains of Southeast Asia and Africa. Expect to learn a great deal about James' principles of leadership, his upcoming exciting expedition in Nepal, his passion for environmental conservation and social change, and much more. Stay tuned for an enlightening journey as we navigate through the complexities and thrills of expedition leadership with James Dyer

Joining us today are podcast host Dr Shawna Pandya, Dr Erik Antonsen, and Dr Dana Levin, pioneers in the field of space medicine, to dissect the current state of aerospace medicine residency funding, the imperative of global collaboration, and the philosophical shifts shaping the next generation of spacefarers. They'll delve into the waters of international cooperation against the backdrop of a burgeoning commercial spaceflight industry and the challenges of keeping astronauts safe, healthy, and thriving. Our experts will also lay out the seven major competencies vital for an adept space medicine physician, the implications of physicians as integral cogs in the conceptual machinery of space systems, and the necessity of a hands-on approach to medical care, tailored for the unique challenges space presents. Erik Antonsen is an Associate Professor of Emergency Medicine with a co-appointment as an Associate Professor of Space Medicine at the Center for Space Medicine, both at Baylor College of Medicine in Houston Texas. Dana Levin MD MPH is a board certified Aerospace and Emergency Medicine Physician with more than a decade of experience working to ensure human health in Space and other extreme environments. He is the cofounder and Assistant Program Director for the joint Baylor College of Medicine Space Medicine - Massachusetts General Hospital Space Medicine Fellowship and a Physician for NASA under the Human Health and Performance Contract. He is also the director of the independent research and consulting company Exploration Medicine.He has supported expeditions and travelled to every continent on Earth and has worked in every aspect of Space Medicine from Engineering Systems Design to Spaceflight Operations to Clinical Research to Education.His research and consulting projects include artificial intelligence applications for Clinical Decision Support, extreme environment clinical medicine, and regenerable, on demand resources and pharmaceuticals for autonomous medical systems.Dana is also a Scientific Diver, Private Pilot, Percussionist, Rock Climber, Sailboat Captain, and an avid Science Fiction fan.

Today we are joined by Dr. Gaby Nell, who has conquered not only insurmountable peaks but also the boundaries of human resilience and courage. An empowering tale of survival, courage and determination awaits you as Gaby, the youngest South African woman and doctor to summit Everest, shares her breathtaking recollections from Everest's death zone. With frostbitten fingers and trekking through the notorious Himalayan weather, Gaby braved near-death experiences and made life-altering decisions at nearly 30,000 feet. Adventuring and medicine, the two very separate entities that somehow merge into a symbiosis of passion in her life. From doing outreach work in rural clinics of Tanzania, volunteering in disability centres in Cambodia to working on the frontline in South Africa during the Covid pandemic; Gaby has always taken every opportunity to explore our world and contribute in any capacity she can. Growing up in South Africa with her youth spent running around like a wild child in the African bush, her love for exploring began. This continued into her adult life and after graduating from the University of Western Australia, she endeavoured to take every opportunity to provide medical assistance wherever needed alongside her adventures which simply grew more extreme. Alongside her love for emergency medicine and surgery, mountaineering became her interest area. From Kilimanjaro to Everest she continues to challenge herself and live by the motto “climb your own climb" Starred with moments challenging her professional obligation as a doctor and being a climber up against the odds of Everest, Gaby’s story is as riveting as it is inspiring. Navigating through the treacherous complications of frostbite, altitude sickness, and climbing setbacks, she emerged a survivor and a beacon of human spirit. So, brace yourselves as we delve into her journey, from comforting her family miles away, to being rescued and her subsequent recovery journey, featuring experiences that transformed her views on life, her career and the mountains. Welcome to a journey of ascents, descents, survival, and the immersive odyssey of Everest with Gaby Nell.

On today's episode we have an emergency medicine doctor, Dr. Luke Mueller, sharing his harrowing story of survival following a mountaineering accident on the Isle of Skye. He recalls the day he set out on the Dew Bridge Scramble alone, subsequently leading to a big void in his memory and awakening to a painful reality weeks later in a hospital. Dr. Luke will dive deep into the details of his rehabilitation, traumatic brain injury impacts, and his continuing journey on balancing his love for outdoor activities and his medicinal career. You'll hear his thoughts on patience as a virtue during recovery, the importance of having a strong support system, and how returning to work post-recovery drastically changed his perspective on patient care. See the details of his gripping experience and more, brought to you by his former partner, who experienced a trauma of her own when she had to report him missing. A story of strength, resilience, and gratitude, stay tuned for an inspiring conversation. Luke Mueller is a Junior Doctor based in North Wales with a background and interest in Emergency Medicine. He has a passion for Mountain medicine and anything that maximises his time outdoors. He is currently studying the diploma in mountain medicine, hoping that this prepares him for future opportunities for expedition and mountain medicine work. In August 2020 Luke was very fortunate to survive a traumatic mountaineering accident on the Isle of Skye . This led to a challenging rescue by the Skye MRT and a subsequent 7 week hospital stay which included a 10 day ICU stay . Since surviving this and being left with his associated traumatic injuries he gives his unique insights into his rehab process physically and mentally thus far and his journey getting back into working as a Doctor whilst keeping up with enjoying his outdoor passions. 

In this conversation, we will examine some of the current reflections on the Ukraine crisis with David and Shawn. We will examine what it is currently like on the ground, some of the emerging needs and how David and Shawn believe they can be met. We dig into David and Shawn’s background in Ukraine and how this has evolved over time. We will look at our guest's anecdotal reflections on the conflict currently and some of the main factors that have changed and some that have remained over time such as the Ukrainian resiliency and mindset. David is a special rescue paramedic who specialises in austere environments and low-resource medicine. Often working solo in international theatres, David doubles as a REMS team leader and team barista. In addition to his operational work, David is a professor of prehospital medicine teaching paramedicine, crisis and crew resource management and human factors. When not working you can usually find him with a book, classic cocktail and cigar. Shawn Brodzik has over nine years of experience in prehospital and emergency medicine. He has a passion for wilderness medicine, having started his career in Wyoming and Buffalo, New York. In addition to his wilderness experience, Shawn has spent six years serving communities in need around the world, providing capacity building, support to diplomatic missions and performing medevacs for critically ill patients in conflict zones. With his experience in critical care, tactical and austere medicine, Shawn has a wealth of knowledge and expertise to offer. His deep commitment to helping others and providing quality medical care in the most challenging of circumstances has earned him a reputation as a compassionate and skilled medic.

In this episode we will look at the recent changes to the newly revised second edition of ABC of Prehospital Emergency Medicine. We will examine some of the updates to PHEM covered in the book and the recent evidence-based practice and expert opinion that encompasses the PHEM training curriculum. We will examine the three main domains that the updated edition addresses which are operational, clinical and system considerations of PHEM. Other aspects of the conversation will cover updates to monitoring and ultrasound, recent changes to prehospital management of medical, trauma and psychiatric emergencies. We will also examine changes to the considerations in mass casualty and chemical, biological, radiation, and nuclear incidents. Clare Bosanko is a PHEM consultant with Devon’s Air Ambulance and trained in the Midlands. Clare also works as an Emergency Medicine consultant at University Hospitals Plymouth. She is also a co-host of the PHEM-Cast podcast and a contributor to the new edition.

Our host Kevin Grange is joined by Mike Lauria. Mike is not just an emergency medicine physician, but also served in the US Air Force as a pararescueman. From ski patrolling to firefighting, to working with various special operations organisations, his career span is as diverse as it gets. Today, Mike will be sharing his insights on dealing with high-stress situations in medicine, rooted in his multi-faceted background. We'll be talking about his Btsf (Beat the Stress Fool) method and how it employs breathing, self-talk, seeing, and focusing to manage stress. Plus, we'll get a closer look at the use of Emergency Reflex Action Drills (erad) in high-pressure medical environments. So, whether you're an emergency medical professional, a firefighter on the front lines, or anyone interested in enhancing your focus and calm in high-stress situations, you're guaranteed to walk away with a handful of useful strategies. Mike Lauria was a Pararescueman (PJ) in the US Air Force and Critical Care/Flight Paramedic for the Dartmouth-Hitchcock Advanced Response Team (DHART) . Now, He’s an Emergency Medicine Physician at the University of New Mexico Health Sciences Center, EMS/Critical Care Fellow, Flight Physician, and the Associate Medical Director for Lifeguard Air Emergency Services.

In today's episode we delve into the critical topic of responder wellbeing. We are joined by Matt Walton who offers insights into the psychological support often lacking in the field and the importance of acknowledging the impact of traumatic events on responders. Among the issues we'll be discussing are the prevalence of PTSD symptoms, the effects of night shifts, and the role of leadership in protecting mental health. Our guests also share personal experiences and provide valuable tips for preserving wellbeing amidst the stress of resuscitation efforts. Additionally, we explore the Resuscitation Council Wellbeing Resource, a comprehensive guide developed to support responders. So, join us as we navigate the complex world of responder wellbeing and delve into meaningful discussions that shed light on this critical aspect of emergency medicine. Matt is a Doctor working in A+E in Newcastle with an interest in pre-hospital care and wilderness medicine. Matt has focussed most of his medical career on promoting public campaigns to support frontline staff wellbeing and resilience. He studied medicine at Cambridge University and developed amateur filmmaking skills, subsequently creating a documentary on Responder Wellbeing for the BBC. He last spoke with WEM from the COVID front line in London following the release of an academic paper for the European Heart Journal guiding support for staff mental health. Matt has just led the creation of the first ever Resuscitation Council UK Responder Wellbeing Resource, which we will discuss in the podcast. Matt also instructs on the diploma in mountain medicine and the World Extreme Medicine Expedition & Wilderness medicine courses. He has recently travelled to high altitude with WEM and Bear Grylls to make a Netflix film.

Welcome back to the World Extreme Medicine Podcast! In today's episode, this time, we dive into the world of composed sailing medicine with our special guest, Dr. Jamie Jordan. Jamie is an experienced adventurer with vast knowledge in remote and austere settings. He is no stranger to the challenges of providing medical care while sailing in the vast oceans. Join us as we delve into Jamie's remarkable experiences sailing across the Atlantic three times and spending three months in the treacherous Southern Ocean. His most recent adventure took place aboard the Europa, a magnificent tall ship used for tourism, photography, and scientific projects. We'll discover the intricacies of maritime medicine in such a remote and dynamic environment. Dr Jamie Jordan is a General Practitioner with over a decade of experience in expedition, maritime and remote environment medicine. He thrives on the challenge of providing high quality care in austere environments and has enjoyed applying his skills throughout the world, from sub-Saharan Africa to the Arctic and Antarctica. He provides consultancy services to organisations operating in a diverse range of extreme settings. Jamie has endless enthusiasm for all forms of adventure and loves exploring travel plans and developing creative health solutions. He has a particular passion for sailing, with tens of thousands of miles of offshore experience including three Atlantic crossings and voyages to the Southern Ocean, Antarctica and Svalbard, plus many trips closer to home. Alongside his devotion to all things nautical, Jamie is an enthusiastic climber, caver, kayaker, cyclist and outdoor swimmer. He has competed at a high level in a range of endurance sports including the Transcontinental Race, 24-hour mountain bike marathons and the Devizes-Westminster Canoe Marathon. Other personal challenges have included cycling the length of the Rocky Mountains from Canada to Mexico, spending days at a time underground whilst exploring the deep caves of the Picos de Europa, and crossing the Arctic tundra of northern Alaska in a folding canoe.

Welcome back to the World Extreme Medicine podcast, where we delve into fascinating and sometimes unexpected stories from the world of expedition medicine. In today's episode, we join host Ffyon Davies as she takes us on a journey to the Himalayas, where a team of doctors finds themselves facing unique challenges and making life-saving decisions in a high-altitude, low-resource setting. From treating common colds to unexpected cases like a yak herder's rectal wound, our medical student-turned-expedition doctors Matt and Priya shares their experiences and the moral dilemmas they faced in providing care. Join us as we explore the intricacies of delivering medical help in a remote and unpredictable environment, where practice guidelines may need to be adapted, and where limited resources can shape life or death outcomes.

In this episode, we speak to our new World Extreme Medicine host MArcus Stevens, Marcus is a GP, he qualified from Oxford University in 2014 and has a longstanding interest in expedition and remote medicine. Whilst studying he was President of the Oxford Wilderness Medicine Society and in his final year worked with Simien Mountains Mobile Medical Service in Ethiopia’s remote Simien Mountains, a charity for which he now serves as Vice President. We delve into the extraordinary world of wilderness medicine and the incredible adventures it offers. We begin by exploring the story of a worker with a neck lump who sought unconventional treatment from a private shaman - a decision that ended with unexpected consequences. This incident sheds light on the need for improved healthcare in communities and the involvement of community healers in assessing health needs. From there, Marcus takes us on a journey through their own experiences, sharing fascinating tales from sailing medicine in Mali and encounters with military GPs in South Sudan. The search for someone with decades of experience in remote parts of the Scottish Highlands also leads to intriguing stories. But it doesn't stop there - Marcus' passion for medical work outside traditional settings takes them to the heights of the Himalayas and the depths of Ethiopia. We'll hear stories of braving the Sahara in a Land Cruiser, joining extreme medical expeditions, and being thrust into unexpected roles as an exhibition doctor. Throughout these adventures, Marcus emphasises the importance of solid medical training and the ability to adapt to different cultural practices.

Welcome to part two of the conversation between Dr. Ffyon Davies, and Dr. Benjamin Alba. Ben has gone on to be the doctor for an Everest Base Camp trek and has just finished a season as one of the Everest Base Camp doctors. Following his experiences at Everest Base Camp, he was inspired to write an open essay entitled 'Everest 2023: The Season of Death,' highlighting some of the misconceptions and challenges on Everest. By the end of the season, there had been 12 confirmed deaths, with 5 missing, assumed dead, bringing the total to 17. Since the 2010 season, 114 people have been killed on Everest. The average number of deaths per season is 8. Besides the avalanche of 2014 that killed 15 and the earthquake of 2015 that killed 20, this makes this season the worst on record for deaths on Everest without a natural disaster.

Welcome to the World Extreme Medicine Podcast. Our host, Dr. Ffyon Davies, an emergency medicine and expedition doctor, speaks with Dr. Benjamin Alba. Ben has gone on to be the doctor for an Everest Base Camp trek and has just finished a season as one of the Everest Base Camp doctors. Following his experiences at Everest Base Camp, he was inspired to write an open essay entitled 'Everest 2023: The Season of Death,' highlighting some of the misconceptions and challenges on Everest. By the end of the season, there had been 12 confirmed deaths, with 5 missing, assumed dead, bringing the total to 17. Since the 2010 season, 114 people have been killed on Everest. The average number of deaths per season is 8. Besides the avalanche of 2014 that killed 15 and the earthquake of 2015 that killed 20, this makes this season the worst on record for deaths on Everest without a natural disaster.

From the jungles of Cambodia during the final days of the Khmer Rouge in 1979 to the chaos of Baghdad in 2016, Combat Civilian is the powerful story of the response to human catastrophe over four decades. Turning his back on the convention of a comfortable career in a family business, Gilbert Greenall has quietly dedicated the last four decades of his life to helping others through forty humanitarian aid missions and the delivery of British emergency assistance in eighteen conflicts. He charts the changes in humanitarian assistance, revealing contradictions and triumphs, from the uncoordinated activities of a few small charities to the multi-billion dollar operations of today. The book guides the reader through wars, famines, earthquakes, floods and volcanic eruptions, yet there is time for humorous observations of misadventure and the absurdity of some decision making. Greenall describes how it feels to race down the Mostar road under fire in Bosnia and the difficulties of changing a wheel on a Boeing 727 in the midst of a battle in the Angolan highlands, as he risks his life for the goal of humanitarian assistance. Combat Civilian is a fast moving narrative, an emotional journey and a true-to-life description of the military risks and political constraints demanded by international relief work.

Welcome to the World Extreme Medicine podcast. In this conversation we will examine the challenge of defining excellence in emergencies. We will examine the concept that excellence is more than an absence of bad attributes and is more a relationship between safety and excellence. We will also explore the Individual and team-based evolution in crisis, and finally, the challenge of building excellence in swarm teams. Dan Dworkis is the founder of The Emergency Mind Project, the Chief Medical Officer at the Mission Critical Team Institute, a board-certified emergency physician, and an assistant professor of emergency medicine at the Keck School of Medicine of USC. He performed his emergency medicine residency with Harvard Medical School at the Harvard Affiliated Emergency Medicine Residency at Massachusetts General Hospital / Brigham Health and holds an MD and PhD in molecular medicine from the Boston University School of Medicine. Dr. Dworkis is the author of The Emergency Mind: Wiring Your Brain for Performance Under Pressure.

In this episode, we will hear from Mohamed Abu Breeg about the recent flooding in and around the Libyan coastal city of Derna. In the early hours of Sept. 11, residents of Derna woke up to loud explosions before floodwaters swept through the Mediterranean city. This was due to heavy rain fall and the breeching of two dams releasing 3 million cubic litres of water. This wall of water was up to two stories high and swept entire neighbourhoods out to sea. The deluge proved deadly for thousands in just seconds, uprooting apartment buildings and washing away roads and bridges.  Libya’s Red Crescent has said at least 11,300 people have been killed and an additional 10,000 are missing. After earlier reporting that same death toll, U.N. Office for the Coordination of Humanitarian Affairs is now citing about 11000 people killed and 9,000 missing.  Joining us to give insights on the ground is Mohamed Abu Breeg. Mohamed is originally from Sirte in Libya, following the 2011 civil war he actively collaborated with Save the Children to contribute to post-war recovery efforts. In 2013, during the challenging period of Ansar Al Sharia's control in Sirte, Mohamed worked in security operations with a French company at the city's main power plant. He has seen the emergence of ISIS in Sirte and the subsequent arrival of Derna ISIS in 2015. In August 2015, as a result of ISIS, Mohamed become an internally displaced person (IDP) within Libya. He became an integral part of the LTI4 project, where our collective efforts were dedicated to post-conflict rehabilitation. He currently serves as a security consultant for the region. You can find more out about Mohamed here

Welcome back to the World Extreme Medicine podcast. Today we have a fascinating conversation with Scott King, a highly experienced paramedic and instructor. He has trained individuals in hostile environments around the world with NGOs and militaries. We delve into the challenges of preparing teams for these demanding conditions. Scott shares insights on effective training approaches, drawing on his vast experience. He highlights tailoring the training to the audience, incorporating high realism through simulations, and the power of kinaesthetic learning. Topics include: The mixed effectiveness of past trainings Differing expectations of military vs NGO participants Fidelity concepts for impactful learning Benefits of high realism in live scenarios Challenges instructors face with language barriers and knowledge transfer The growth of simulation training and the role of facilitators Key elements like safety, mission planning, and muscle memory If you want to learn more about operating in hostile environments, be sure to check out our new Hostile Environments Medicine course. It's the perfect way to gain crucial hostile medical skills following Scott's insights.

In this episode we will look at the benefit and utility of Methoxyflurane, more commonly known as Penthrox. Penthrox is a volatile, self-administered inhalation analgesic indicated for short-term pain relief. Penthrox is a portable, lightweight, non-invasive inhaler for self-administration of the Methoxyflurane vapor. The Methoxyflurane vapour provides analgesia when inhaled at low concentrations. At analgesic therapeutic doses, pain relief can reduce and mitigate even severe pain yet has a short half-life. In this episode I will be speaking to Will about it’s use and limitations within the expedition environment and how and when it can be optimally used as either a sole adjunctive pain relief agent or as part of a larger pain relief strategy.   Will is our Joint Medical Director and provides clinical oversight for all World Extreme Medicine’s activities. Will is a jobbing Devon based GP, educator and adventure addict who thrives in wild places with newly formed teams and limited resources. He has provided medical cover for dozens of very different expeditions and projects; including commercial high-altitude treks in The Himalayas and The Andes, a luxury Trans-Siberian private train, a reality TV show in the South Pacific and he has worked with UNICEF out in forgotten corners of Myanmar.

We speak to some of the most extreme medics in some of the world's most remote locations, due to this there can sometimes be an issue with sound quality, so there are a few quality dips in this episode, but we felt it was an important conversation to share. Welcome back to the podcast that explores the exhilarating world of extreme medicine. In today's episode, we delve into the impact of PTSD and PTSI on individuals in high-stress professions like the military. Boxxy shares personal experiences and insights, emphasising the importance of acknowledging emotional trauma and fatigue and the need for early intervention and open communication about mental health. Join us as we uncover the evolving landscape of military medicine, survival training in extreme environments, and the rewarding nature of saving lives. Stay tuned for an adventurous journey into the world of extreme medicine.

On this episode, our guest Klara Weaver talks about Wedel seals farting in her face in Antarctica, peeing in a Nalgene in the middle of the night (and the need to practice in the shower), sexism in expedition medicine, the role of social media in expedition medicine self promotion and keeping it grounded, the importance of ‘mentally’ unpacking after expedition, shout out to our supportive family friends and partners who put up with us! And her love affair with grass post Antarctica.  We also discuss the allure of buying new kit for hobbies and how it has inspired her side hustles. Klara shares her passion for arts and crafts, being outdoors, and her interest in business and small businesses. Klara also talks about her foray into carpentry and making things with power tools when converting a campervan. During her time in Antarctica, Klara learned crochet as a distraction and a way to quiet her mind. She emphasises the importance of having something outside of medicine, whether it's a hobby, sport, or other skill. Klara believes that having a side hustle can bring valuable skills back into medicine and make it more interesting. She mentions the potential for quality improvement projects in medicine inspired by business practices. Having diverse interests makes one a more well-rounded doctor and makes the less exciting aspects of medicine more enjoyable. Klara shares that her family and friends have a short attention span when it comes to her experiences in Antarctica. She highlights that people often want her 20-month expedition to be condensed into a few sentences, not fully understanding the challenges and intensity of the experience. She warns that social media can give a misleading perception of expeditions, emphasizing the behind-the-scenes work, anxiety, and potential risks involved.

In this episode, we sit down with Dr. Shawn Rowland, a Hawaiian physician who stepped onto the frontlines of the intense Lahaina fire disaster. Dr. Rowland, a board-certified Family Medicine physician and the founder of Jase Medical, brings a unique perspective to the challenges of disaster response. With a background that spans rural and critical access hospitals, as well as international medical work in Mexico and across the United States, Dr. Rowland's experiences are both diverse and impactful. However, it's his involvement in search and rescue that truly sets him apart. Starting with his EMT days at the University of Utah, where he served for six years with the Salt Lake County Sheriff’s Search and Rescue Team, he's honed skills that range from Mountain Rescue to Swift Water Rescue. Currently residing on the tranquil north shore of Oahu, Hawaii, alongside his family, Dr. Rowland's insights into the Lahaina fire disaster are both personal and professional. Join us as we explore his journey through the chaos, his unwavering commitment to saving lives, and the unique challenges that come with responding to a disaster of this magnitude. Tune in for a compelling conversation that sheds light on the experiences of medical professionals who stand strong on the frontlines when their community needs them the most.

On this episode, join host Eoin Walker as he sits down with Jim Bond, an experienced consultant in travel and exhibition medicine, to discuss the critical decline of the African wild dog population across Africa. Jim shares his extensive knowledge and passion for one health, particularly in the context of the rabies risk reduction scheme. Together, they explore the various threats facing the African wild dogs, from persecution and poaching to diseases and habitat loss. They delve into the importance of vaccination and the challenges of reaching remote areas with low population density. Jim also discusses his plans for conducting a real-world prospective study on rabies vaccination in African wild dogs, comparing different methods of vaccination. Throughout the episode, they highlight the need to engage local communities, address vaccine hesitancy, and implement community-led public health approaches. As they wrap up the conversation, they emphasise the urgency of prevention and the goal of eliminating rabies from Africa by 2030. Tune in to this eye-opening episode to learn more about the fascinating African wild dogs, their unique social structure, and the efforts being made to protect this critically endangered species. Jim Bond is a passionate wildlife enthusiast who has dedicated his life to studying and protecting the African wild dog, also known as the painted wolf. With over 50 names associated with this unique species, Jim is fascinated by its distinct characteristics that set it apart from other members of the dog family. Having diverged from other wolf-like species millions of years ago, the African wild dog's four toes on its front feet allow for an extended stride, making it the most efficient carnivore predator in Africa. Jim is amazed by the success rate of the African wild dog, with a remarkable 70% to 80% success rate in hunts. He is particularly captivated by their large, round ears, which possess an incredible sense of hearing. Jim never ceases to be astounded by the beautifully patterned coat of the African wild dog, which comprises a random mix of blacks, whites, browns, yellows, and even reds. Lastly, Jim admires the species' specially adapted teeth that are second in size only to the hyena's, enabling them to quickly tear apart their prey. To Jim, studying and protecting these fascinating creatures is not only a duty but a deeply rewarding experience that highlights the intricate beauty of the natural world.

In this episode we have a fascinating conversation, we have an incredible interview with a true renaissance man, Emil Sante. With an impressive background as a paramedic, ski patroller, search and rescue member, and even a coroner, Emil has truly seen it all. From his adventures on treacherous mountainsides to the solemn duties of unravelling the mysteries of death, Emil's stories will leave you on the edge of your seat. So sit back, relax, and prepare to be captivated by the remarkable tales of Emil Sante, the composed paramedic, ski patroller, search and rescue hero, and coroner. Emil Sante is the Lieutenant Paramedic for the Telluride Fire Protection District. He has amassedan incredibly diverse and dynamic career with 26 years in EMS, 25 years in SkiPatrol, 12 years as a extremely rural County Coroner, and 5 years as a flight medic. He has always been willing to step up and serve the needs of hiscommunity in remote San Miguel County Colorado.

Today we have a topical special on heat stroke, following the record-breaking temperatures across Europe recently peaking at 44 degrees Celsius!   Heat stroke is one of the truly terrifying environmental emergencies, with a mortality rate approaching a staggering 33% (when associated with hypotension). Not only does it have an extremely high mortality rate – but also leaves many patients with significant functional impairment with around 1 in 3 having moderate to severe functional impairment at discharge. In a wilderness environment it can be challenging to treat and is a truly time critical emergency where ‘time is organ function’. Eoin and Ffyon discuss the Wilderness Medicine Society's guidelines and their own experiences of managing heatstroke in wilderness environments.

Welcome to part two of Kilimanjaro Diaries! Ffyon Davies was invited to support a charity trek up Mount Kilimanjaro as the medic last year, alongside Francis Screech. Their first-time ascent of the tallest freestanding mountain in the world was both thrilling and nerve-wracking for her. Although she had prior experience climbing Mont Blanc, Kilimanjaro presented new challenges with its extreme altitude. In this episode, Ffyon and a fellow medic reflect on their adventure to the top by listening to Ffyon's voice recordings made during the climb. They discuss the realities of climbing Kilimanjaro as expedition medics, from managing altitude sickness to the underestimated demands on the body at 19,000ft. Both gained valuable insights from this unforgettable trip to Africa's highest peak.

Welcome, to Kilimanjaro Diaries... Part one! Ffyon Davies was invited to support a charity trek up Mount Kilimanjaro as the medic last year, alongside Francis Screech. Their first-time ascent of the tallest freestanding mountain in the world was both thrilling and nerve-wracking for her. Although she had prior experience climbing Mont Blanc, Kilimanjaro presented new challenges with its extreme altitude. In this episode, Ffyon and a fellow medic reflect on their adventure to the top by listening to Ffyon's voice recordings made during the climb. They discuss the realities of climbing Kilimanjaro as expedition medics, from managing altitude sickness to the underestimated demands on the body at 19,000ft. Both gained valuable insights from this unforgettable trip to Africa's highest peak. Stay tuned for part two of the Kilimanjaro Diaries by subscribing to the podcast today so you don't miss out on the next chapter of Ffyon and Francis' journey up Kilimanjaro!

In this session Eoin speaks with Claire Park on a new primary triage tool developed by Claire and a research team. It has been accepted and agreed by NHS England for use by all UK ambulance services and prospectively by National Police and Fire Services. It has also been adopted by the UK MOD to roll out across all UK military personnel internationally. Claire Park is a Consultant in Pre-hospital Emergency Medicine for London HEMS, and Anaesthesia and Critical Care Medicine at Kings College Hospital in London. She also is an army consultant with over 20 years of deployed military experience. Claire is the medical adviser to the Specialist Firearms teams of the Metropolitan Police Service, and has worked closely with all of the emergency services in London on developing the joint response to high threat incidents, in particular following the attacks of 2017. She is the Chief Investigator on a UK nationally funded research grant looking at evidence for improving patient outcomes in the hot zone in major incidents and has developed relationships in this area with many members of the Committee Tactical Emergency Casualty Care CTECC over the last 4 to 5 years.

In this session we are speaking with Justin Shook on his experiences as a Parachute Jump Medic (PJ for short) with 131st Rescue squadron Pararescue. Justin is a senior team leader, paramedic, jump master, dive supervisor and instructor, evaluator and chief of weapons and tactics at Moffett Federal Air Field in California. Get ready for a podcast journey as Justin takes us deep into the captivating world of debriefing, preparedness, and the extraordinary life of a parachute jump medic. Learn how these principles extend beyond the boundaries of mere lifesaving, reaching into the very heart of thriving in both business and military environments. We dive into the exclusive selection process for pararescue, where candidates are pushed to their absolute limits, both mentally and physically. Justin spills the beans on the intense training program, advanced medical certifications, and even their involvement in space shuttle astronaut recovery. Plus, we discover the awe-inspiring challenges faced by parachute jump medics in remote areas like Colombia and Mongolia. Justin's gripping accounts of building relationships with local forces and overcoming communication barriers will leave you on the edge of your seat. Be inspired by the art of improvisation and the unwavering mindset that sets parachute jump medics apart. Justin's tales of resilience and determination will resonate deeply with you as he unveils the never-give-up attitude that defines this extraordinary community. So, whether you're a thrill-seeker or simply someone hungry for remarkable stories of courage and expertise, this episode promises to take you on an unforgettable rollercoaster ride through the realms of debriefing, preparation, and the incredible life of a parachute jump medic.

Following International Paramedics Days we wanted to carry on the conversation. In this episode we will examine the current climate of critical care within the UK, how that looks and the journey of where its come from. We examine the anatomy of competency, portfolios, the journey towards MSc established programmes, intervention & drugs Vs critical thinking and much more.  Eoin Walker is joined by Tom Archer and Mike Palmer. Tom started his career in the ambulance service in London in 2004 before moving to Wales in 2010, predominantly working in central London as a Paramedic, fast response paramedic and now an Retrieval practitioner in Critical Care with ERMTS in Wales. Mike Palmer qualified in London Ambulance Service as a Paramedic and specialised in Hazardous Area Response before becoming a flight paramedic on London’s Air Ambulance. He now flies as a Critical Care and Retrieval practitioner for EMRTS in Wales.

In this session our newest podcast host Sarah Spelsberg speaks with Stephen Wood about emergency concerns and preventive warnings heading into the Fourth of July holiday in the US – a holiday renowned for increased trauma, burns, and explosive injuries - as well as how he balances his extreme/tactical medicine careers with his leadership, research and academia. Stephen proves that you really can have it all in your career. Stephen is an acute care nurse practitioner and program director for the acute care nurse practitioner program and the new Extreme Medicine program at Northeastern University in Boston, Massachusetts. He is also the Field Operations Director for the US for World Extreme Medicine. He is currently working clinically in the ED at Carney Hospital in Boston, Massachusetts. Previous to this he was the director of advanced practice providers in the division of pulmonary and critical care medicine at St. Elizabeth’s Medical Center from 2021 - 2023 and the director of affiliated providers in the division of pulmonary and critical care medicine at Carney Hospital from 2020- 2021 during the COVID Pandemic. Prior to this he spent 11 years practicing as a nurse practitioner in emergency medicine. His roots are in EMS, and he has over 30 years of field experience, including nine years as a flight paramedic. Most recently, he was a medic for a regional SWAT team and an event EMT for the Boston Red Sox. His EMS involvement currently includes his work with the FDNY EMS fellowship and with training various fire departments in Rescue Task Force. He is a former fellow in Bioethics at the Center for Bioethics at Harvard Medical School and a current visiting researcher at the Petrie-Flom Center at the Harvard Law School Petrie-Flom Center for Health Policy.  He was the associate director for the BIDMC Disaster Medicine Fellowship for five years and worked with the Be Like Brit orphanage in Haiti both on-ground and doing telemedicine. He holds a Master of Science in Nursing as well as a Master of Science in Toxicology. He has also been a podcaster and conference host for World Extreme Medicine. He has a number of scholarly publications including book chapters, peer-reviewed articles and blogs. His hobbies include writing, reading, magic and lobstering.

On this episode, Eoin Walker and guest Gregg Brady discuss the importance of pre-hospital triage, particularly in high-stress environments like active shooter incidents. Brady, who is the Deputy Chief for FDNY, discuss pre-hospital triage, its evolution and utility in modern day medicine. Incidents involving active shooters, violent extremists, barricade situations or other acts of aggressive deadly behaviours represent some of the most challenging responses to the first responder community. These types of responses test the capabilities of first responders—including mass-casualty care. The FDNY is the primary response agency to mass casualty incidents in New York City, which continues to be a potential target for domestic and international terrorism. Captain Gregg Brady has spearheaded an innovative approach to FDNY Warm Zone Triage to quickly address severely injured patients in an environment under possible threat. The discussion also covers assessment techniques for airway, massive haemorrhage, chest wounds, tension pneumothorax, and the importance of categorising patients appropriately in order to provide the best possible care. Brady emphasizes the importance of simplicity in interventions and treatments, and stresses the need for a shift in mindset for healthcare professionals in mass casualty incidents.

Jeremy Joseph, a consultant ophthalmic surgeon began his medical school training in 1977. He then conducted his ophthalmology training at the Royal London Hospital. He was appointed as a consultant in 1994. He then continued his post at the Central Middlesex Hospital. Mr. Joseph retired from practice in 2018 with the intention of continuing to work abroad for charities. On this episode Jeremy speaks to Pavandeep Singh to discuss the world of extreme medicine and ophthalmology. Mr. Joseph, a consultant ophthalmic surgeon with extensive experience in cataract surgery and ophthalmology across the globe, trained Singh in manual small incision cataract surgery during a trip to Bolivia. The speakers delve into the challenges of surgery in low-resource areas and adapting to different environments, including language barriers and inadequately skilled staff. They also highlight the importance of encouraging local surgeons and not imposing methods used in one's home country. Jeremy emphasise the life-changing benefits of going on expeditions as a way to give back and make a difference. The episode also features the Jeremy's personal experiences, including his first expedition abroad to Brazil and his resilient mindset.

On this episode, host Ffyon Davies speaks with Charlie Mize about his experience establishing specialty care and a prehospital critical care air retrieval program in Bhutan, as well as founding his own aviation consulting company. Charlie also discusses his expertise in emergency medicine and offers insights on providing elite care in low-resource settings. He emphasises the importance of returning to first principles to save lives and prevent morbidity, and shares examples from his own work including a group of nurses providing medical assistance in a remote area of Bhutan. The episode covers a range of medical topics from epidural decompression to wildlife safety, and offers valuable lessons for emergency medicine professionals and enthusiasts alike. Charlie Mize is a trained emergency medicine specialist with experience in both pre-hospital and in-department emergency care. He first trained as a general physician in the US before specialising in emergency medicine and resuscitation. He spent a year teaching at Yale's emergency medicine residency program before moving overseas to work in southeast Asia. While in Bhutan, he helped establish their pre-hospital care system and founded their pre-hospital critical care air retrieval program. This led to the creation of Bear Badger, a company that provides medical consulting, design, and capacity-building services. They work on projects like high-risk cartography to facilitate rescue operations in austere locations. Charlie is currently involved in discussion for another mapping project and aims to focus on creating consistent medical care during treacherous evacuation programs.

Join us for an exciting episode as we explore the exhilarating world of the PGHM and their remarkable rescues this season. Experience the thrill as we dive into the daring missions conducted by Pierre Muller, an Emergency Medicine Doctor and Alpinist renowned for his technical expertise. From Mont Blanc's treacherous slopes to remote corners of the globe, Pierre's life-saving operations have shaped his incredible career. But there's more! We'll tackle a crucial topic: the risks and unregulated ascent trend on Mont Blanc. Should climbers be required to obtain permits and be guided by experts to ensure their safety? Discover the heated debate surrounding these issues and explore potential solutions for climbers attempting Europe's tallest mountain. Meet Pierre Muller, an extraordinary Emergency Medicine Doctor, Explorer, and Alpinist, whose incredible feats across the globe will captivate your imagination. With over 500 daring rescue operations under his belt and expeditions spanning from the icy Himalayas to the rugged terrains of Patagonia, Pierre's expertise is unmatched. He has also climbed big walls in the Alps (North face of the Eiger and the Matterhorn in winter) but also in Madagascar, Sahara, Pakistan, and Yosemite. Pierre is a Salomon ambassador, being responsible for ensuring the safety of free ride competitions or movies in the Alps, in the Caucasus, and in the Arctic. Experience mountain rescue in the Chamonix Valley for yourself with our brand-new Alpine Medicine Chamonix Training Course. Full details can be found here

Our guest is Dr. Barry Mckenna, part of the Forces of Nature team planning a 2,000km, unsupported kayaking expedition from Seattle to Skagway Alaska known as 'The Inside Passage', all in aid of the military charity The Not Forgotten. We discuss the medical requirements of the team members, including two bilateral above knee amputation members, one with significant abdominal injuries, one with significant head gunshot injuries, and one with PTSD. Dr. Mckenna also shares his personal experience with Guillain-Barre Syndrome and how fitness and physical exercise helped with his rehabilitation. We discuss the importance of nutrition, hydration, and establishing open communication with the team to prevent injuries. Listen in for valuable insights on medical planning, flora and fauna risks, and the benefits of incorporating active recovery into therapy You can support their efforts here: https://www.kayak-insidepassage.com/

"Nothing is impossible if you believe in yourself, despite the difficulties you may face." Rebekka started her career as a medical technician before qualifying as a paramedic in Switzerland. After completing her Master’s degree in Mountain Emergency Medicine, she started working as a freelance flight paramedic, which led her to working as the lead critical care and flight paramedic on Denali. After working as a freelance for Air Zermatt for 3 years, she now works for them full time and is their first female paramedic. Our host Ffyon, discusses her journey into the profession, including her time spent on high patrol for Mount Denali, the highest peak in North America. We also speak to Rebekka about Air Zermatt, a helicopter-based rescue organisation in the Swiss Alps that performs various rescues, including the use of Dynamic Winching, a technique not commonly used in the UK. Join us as we delve into the mental and physical challenges of high altitude medicine and what it takes to perform rescues in some of the world's toughest terrains.

Cat is an NHS dentist in Cornwall and a recent faculty member of World Extreme Medicine, teaching expedition dentistry. She has always had a passion for adventure and helping others and this has led her on a journey across the globe. From the jungles of Borneo to the deserts of the Gobi, the African grasslands and the mountain regions of Nepal and Patagonia, Cat has travelled extensively to provide dental care and training to remote communities. She has now set her sights on the most remote continent on earth and a more ambitious challenge... This will involve her skiing 700 miles in an unsupported expedition to the South Pole, in temperatures as low as -50c and wind speeds of up to 60 mph. Only a handful of female adventurers have completed this solo, unsupported trek to the South Pole. She is hoping to add her name to that number and also in the process raise funds for charities ‘Bridge to Aid’ and ‘Community Action Nepal’ You can support Cat here: https://www.gofundme.com/f/molarexplorer

In this episode we explore unconventional career paths into extreme medicine. Many people in extreme medicine have led extraordinary careers – and sometimes they have even led more than one extraordinary career. Most of us in extreme medicine start out in medicine as our primary career …..and then work to combine our passion for medicine with our passion for the extreme!  Jamie flipped that idea on its head, starting out as a mountaineering instructor and later qualifying as a doctor following his experiences in the Ogwen Valley Mountain Rescue Team. Jamie is a mountaineering instructor, mountain rescue medical lead and doctor in North Wales. Jamie started out his career as a marine biologist, before qualifying as a mountaineering instructor, and going on to join Ogwen Valley Mountain Rescue and discovering a passion for pre-hospital and emergency medicine. Following this he retrained as a doctor and continues to pursue an unconventional career path in North Wales as an anaesthetist with a passion for teaching and the outdoors!

Dr Will Duffin speaks to former Navy Diver and prolific underwater explorer and researcher Dr Joe Dituri. This episode is recorded from underwater as during Joe's 100 day under sea mission in the Jules Undersea Lodge in Florida. You can learn more about Joe's groundbreaking work here: https://drdeepsea.com/100-day-undersea-mission The following topics (amongst many others) are discussed:What it's like living in a confined tin can, why access to coffee is just as important as oxygen, and why it's actually a powderkeg that could up in flames at any moment. Joe even gives us a visual walk around of the habitat - (It's well worth loading up the youtube version of this podcast if you can). Joe tells us Why the cure for diseases like Alzheimer's, cancer and traumatic brain injury lie at the bottom of the ocean. They talk about the physiology of saturation diving, it's future application in science and research and as an analogue for long duration space flight. Joe answers the question of whether there could ever be a permanent undersea human habitat in the Marianas Trench? They also dive (excuse the pun) into Joe's professional background and how he reinvented himself in the world of science after a long career in the military.  Joe is not only an accomplished scientist and diver but also a fiction writer. You can find a copy of his latest novel 'Secrets in Depth' here: https://www.goodreads.com/author/list/4511722.Joseph_DituriJoe will reveal the outputs of his groundbreaking science at this years World Extreme Medicine Conference 11-13 November in Edinburgh. We look forwards to seeing you there! 📺 Checkout the video version: https://youtu.be/RY9EOS76dIk

Eric Pirie has taken an interesting career path; starting in a non medical job, journeying through Mountain Rescue, a full time outdoors instructor and culminating in qualifying as a paramedic in his fifties. Eric joins Deb Swann to discuss how you can forge your own career pathway to combine an outdoors passion with a medical career. Eric discusses his experience of working with Mountain Rescue, the skills and experiences needed to support the teams, and how it ultimately encouraged him to qualify in paramedicine where he now works for the Scottish Ambulance Service.

Benjamin Black joins us to discuss his recent book launch of ‘Belly Woman’ a first-hand account of the impact a humanitarian crisis has on access to maternal and reproductive healthcare. Belly Woman explores the global disparity in maternity care, including safe abortion care, alongside the compounding factors of a humanitarian emergency that was the Ebola crisis. Benjamin Black is an obstetrician and gynaecologist who holds a specific interest in how to respond to the sexual and reproductive health needs of populations living in remote, resource-poor and humanitarian-emergency settings social aspects of working in healthcare. Benjamin studied medicine in London, following which he pursued a career in obstetrics and gynaecology. Between his medical training he completed post-graduate studies in epidemiology and statistics, and a master’s degree from The School of Oriental and African Studies, University of London, in the Political Economy of Violence, Conflict and Development. He has provided assistance on the Thai-Burmese Border, East Timor, Uganda, Rwanda, Sierra Leone, Namibia, Central African Republic and South Sudan. He also worked in the response to the West African Ebola epidemic. You can find out more about the book, and purchase it at https://www.casematepublishing.co.uk/belly-woman-hb.html

James Thacker is a IFMGA Mountain Guide, member of the British Association of Mountain Guides (BMG) and Mountaineering Instructor (WMCI) splitting time between Chamonix, France, and Kingussie, Scotland. James' enthusiasm for working in the mountains has taken him to Arctic Greenland, the Himalayas, the "classic north faces" of the European Alps and rock climbing around the world. For sixteen years James was actively involved with Mountain Rescue in the Peak District as a member of Derby MRT and Edale MRT. With this casualty care experience James has also developed an interest in the management of patients in the mountains, and is enrolled on the ORMS Hazardous Environment Medical Technician (HEMT) scheme. In recent years James has also contributed to the wider agenda of mountain safety via the British Mountaineering Council (BMC), and is a Trustee of the Chris Walker Memorial Trust (CWMT). CWMT strives to fund and deliver, in conjunction with the Scottish Avalanche Information Service (SAIS), continuing professional development training in avalanche awareness in Scotland. James is also an Observer/Forecaster for the Scottish Avalanche Information Service (SAIS) and member of the Applied Psychology and Human Factors (APHF) group, collaborating with Aberdeen University and various sectors of industry. In this session James speaks to us about fundamentals of Mountain Rescue in the Alps, including: Origins of: James MR experience Derby MRT and Edale MRT The HEMT scheme and what it gave James Involvement with the BMC Alps: The differences in landscape and challenges between the alps and Cairngorms Technicality of rescue in the Alps Changing conditions/factors to consider Avalanche risk Cold injury Altitude Seminal cases

In this particular episode, Dr. Li and Dr. Chung, two physicians specializing in paediatric emergency medicine, joins us to discuss considerations related to paediatrics during disasters. The conversation emphasises the importance of planning for such events, which includes the involvement of paediatric patients in disaster drills. The discussion also highlights the need for careful planning in regards to reuniting families, with both physicians providing key factors for successful execution. The involvement of EMS and Law Enforcement is also discussed, with the duo offering advice on the transportation of paediatric patients during disaster situations. The episode concludes with a challenging topic, which is planning for the death of a child, and trauma-informed methods for managing the affected families and staff. Sarita Chung, MD is the Director of Disaster Preparedness in the Division of Emergency Medicine at Boston Children’s Hospital and Assistant Professor of Paediatrics and Emergency Medicine, Harvard Medical School. Board certified in paediatrics and paediatric emergency medicine, Dr. Chung’s expertise covers all aspects of paediatric emergency preparedness and response, including advocacy, research, education, and clinical care. She previously served on the FEMA National Advisory Council and currently is the Co-Lead for EMSC EIIC Disaster domain as well as the MA EMSC Advisory Council Chair. Joyce Li, MD, MPH is an Assistant Professor in Paediatrics and Emergency Medicine at Boston Children’s Hospital, Harvard Medical School. She serves as the Regional Liaison for the Massachusetts Emergency Medical Services for Children, Co-Chair of the Massachusetts ACEP Paediatric Committee and Vice Chair of AAP Society of Emergency Medicine Paediatric Readiness Subcommittee. Locally she is the chair of the New England Regional Paediatric Emergency Care Coordinator (PECC) Network. She has devoted her career to understanding and helping to fill the gaps in the care of paediatric care in all emergency department (ED) settings. She has both done research on variations and gaps in care of paediatric patients in the community ED setting as well as extensive on the ground work with New England PECCs. Participation of Children and Adolescents in Live Crisis Drills and Exercises - PubMed (nih.gov) Supporting the Grieving Child and Family - PubMed (nih.gov) AAP Reunification Toolkit.pdf EIICDisasterChecklist_Current081822.pdf (emscimprovement.center) AAP policies on Children and Disaster: Council on Children and Disasters | Pediatrics | American Academy of Pediatrics (aap.org)

In this episode, Will Duffin is joined by Ffyon Davies, a fellow extreme medic, to discuss her most memorable moments in the field. They delve into her experiences in Mountain Rescue and as an Expedition Medic on Mount Kilimanjaro, which is considered one of the most challenging roles in the field. The conversation covers a range of topics including team dynamics, leadership, casualty management, wilderness fracture management, and more. They also explore how to tackle the unique challenges of expedition medical care such as preventing water from freezing at high altitudes and managing a spread-out group. Other important aspects discussed include understanding one's limits, vulnerability modeling, the significance of having a trusted colleague to confide in, and coping when one is struggling at altitude while others in the group need treatment. The episode is packed with valuable insights and practical advice for anyone interested in extreme medicine. About Ffyon: Ffyon is an ED Registrar based in North Wales. Usually found either outdoors, at work or both, she is currently a clinical fellow in ED, ICU and PHEM (working with EMRTS Air Ambulance) at Ysbyty Glan Clwyd. She is an 'FY5', taking a slightly circuitous route to qualifying in Emergency Medicine via the CESR pathway, taking time out wherever possible to do what she loves undertaking expedition medicine roles which have included working as chief medical officer on worked as chief medical officer on board Tall Ship Pelican of London, sailing from Germany to Tenerife, and as a trail medic supporting ultramarathons in Wales and the Azores islands. When she's not working, she's out playing in the mountains hiking, running, climbing and kayaking, usually accompanied by her trusty welsh collie Foxy. She also volunteers with her local mountain rescue team, North East Wales Search and Rescue. She has completed her Mountain leader training and is also a qualified Elementary Paragliding Pilot.

In this chat Becky Hartshorn discusses her successful completion of the Pacific Crest Trail. Known as the PCT, it is America’s second longest trail, stretching from Mexico to Canada through the states of California, Oregon, and Washington. The route takes in many of America’s most scenic and varied terrain—from desserts to mountains to alpine plateaus. The PCT is 2,650 miles long (4,265 kilometres). Starting in Campo, a small town on the United States-Mexico border, it goes through California, Oregon, and Washington before reaching its northern terminus at the United States-Canada border in Manning Park, British Columbia. The trail is divided into 30 sections: 18 sections in California, 7 in Oregon, and 5 in Washington. The average length of each section is 91 miles. Becky Hartshorn is a Junior Clinical Fellow/F5 doctor currently working in Emergency Medicine in Sheffield. Becky is interested in Wilderness and Expedition Medicine, and has completed one of the World Extreme Medicine courses in Slovenia and is working on her Mountain Leader qualification. She’s a keen hiker and wants to be able to keep racking up the miles as well as having a career in Emergency Medicine.

On the anniversary of the war in Ukraine beginning, in this session we speak with Mark Hannaford, Luca Alfatti, and Aliona Hlivco around the current logistical aid efforts, implementation, climate and anecdotal reflections in Ukraine. We also dig into the of change in the current climate from an infrastructural perspective, logistical effort and the real need on the ground from the guest’s experience. https://worldextrememedicine.com/blog/humanitarian-medicine-posts/medics4ukraine-fundraising-appeal/ 

In this episode Deb Swann talks to Eoin Walker about her recent deployment to Hatay, Turkey, near the border with Syria in response to the recent devastating earthquake with the UKISAR team. Deb is an Advanced Clinical Practitioner and a member of the World Extreme Medicine faculty. Deb has been a part of the UKISAR team for ten years and is the only nurse on their rescue team. In this podcast she reflects on her experience of her most physically and emotionally challenging deployment to date, and her thoughts around the team she worked within, the patients she treated and the communities they helped.

In this session we speak with with Rebecca Marcussen-Lewis on maternity training in Low- and Middle-income countries and developing contexts. Rebecca is a trained Midwife and graduate of the MSc in extreme medicine and has recently been working on the ships with SOS Méditerranée. SOS MEDITERRANEE is a humanitarian organisation that advocates on behalf of all people in distress at sea, without partiality as concerns their nationality, country of origin, social belonging, religious belief, political or ethnic affiliation. Since it first started operating at sea in 2014, SOS MEDITERRANEE has been patrolling the central Mediterranean in international waters between Italy and Libya where most boats in distress occur. The rescues take place outside Libyan territorial waters (known as the 12-mile zone). Rebecca talks through what she has learnt when she has been involved with both training and practising midwifery on these ships. Rebecca is a clinical midwife and is currently working in Search and Rescue in the Central Mediterranean as team leader of a diverse multi-organisational medical team. Rebecca trained as a midwife specifically to work in the humanitarian field having grown up in a medical family hearing of memories from Biafra and Zambia. Following completion of her initial clinical training, she began working in the field with Yazidi Emergency Support whilst undertaking the WEM Post Graduate Diploma with the University of Exeter. She is continuing to try and encourage other midwives and birth professionals into the humanitarian setting and to build knowledge about women’s health to dispel the common fear and apprehension in other clinicians around these topics.  Outside of her humanitarian work, she spends as much time as possible with her two very fluffy and energetic dogs.

Jonah is a 5th Year Medical student at the University of Dundee. Jonah has been whitewater kayaking since he was 12. This passion recently took Jonah as part of the British University Kayak Expedition team to Central Kalimantan, Borneo. This 6 week expedition focused on descending unexplored sections of whitewater deep within the rainforest. The team had to be totally self-sufficient and with no support team everything had to fit in the back of a kayak. Jonah discusses the challenges of delivering medical care not only as a medical student, but with a first aid kit small enough to fit in the back of a boat. All the while navigating grade V rapids, flashfloods and dealing with unfriendly locals. He chatted to Deb Swann about planning and executing an expedition as a medical student.

Susan Schiller holds the rank of Deputy Superintendent for Boston Emergency Medical Services (BEMS) and has over 30 years’ experience as a critical care medic and clinical researcher. In 2011 she was promoted to Shift Commander overseeing tactical operations in the field.  She is the recipient of numerous awards including, the Pozen Paramedic of the Year award for exemplary medical care; the Lashman Humanitarian Award for exemplifying compassionate care; is a 3-time recipient of the Unit Citation for extraordinary action in the line of duty; and is a 7-time recipient of the Pre-Hospital Save Medal for extraordinary resuscitation in the austere environment. Susan is a former adjunct faculty member of clinical training for the Massachusetts College of Pharmacy and Health Sciences and is currently adjunct faculty for the Boston Medical Center’s ACGME EMS Fellowship. She has lectured nationally and internationally on multiple pre-hospital subjects including the response to the Boston Marathon Bombings. She holds a dual bachelor’s degree in biology and Philosophy from Clark University, and a master’s degree in Homeland Security from Northeastern University. Susan talks to host Stephen P Wood about planning for large scale events, and how communication, and training is key in how to respond when in progress.

Simon is a mindset coach who combines his elite military background in UK Special Forces with neuroscience and psychology to build systematic programmes which remove limitations, unlock peak mental & physical performance and forge mental toughness. Simon chats to World Extreme Medicine podcast host Deb Swann focussing on resilience. Simon follows the ethos that mindset is a skill set. He shows how ad hoc strategies like motivational videos or the odd bit of mediation fail to change negative thought and behaviour patterns in the long term. Through actionable steps Simon teaches others the power to remove limiting beliefs that lead to stress, anxiety, fear of failure and self-sabotage, and build true confidence no matter what the challenge is. You can find out more about Simon's company, the Natural Edge here www.thenaturaledge.com 

In this episode Dr Will Duffin takes a deep dive into Dr Iserson's book: 'Improvised Medicine'. Dr Iserson is Professor Emeritus of Emergency medicine at The University of Arizona and former Medical Director of the Southern Arizona Rescue Association. He has published hundreds of scientific articles on emergency medicine and biomedical ethics and authored numerous books. Dr Iserson describes Improvised medicine as 'a spectrum of ad hoc equipment and special methods and knowledge for advanced health care practitioners' with an emphasis on 'opening your mind to ways of solving problems in a crisis and providing options for you (and your patients) when alternatives seem limited or nonexistent.' 'The difficult we do immediately. The impossible takes a little longer' -US Air Force. In this episode the pair discuss: The origins of improvised medicine and how it draws on the history of medical practice through the ages. Some techniques are surprisingly effective even today. Hypnosis as effective analgesia Diagnostics - including direct auscultation, stethoscopes as hearing aids and making 3D X Rays using the power of your eyes. Digital intubation techniques How Dr Iserson sited three endotracheal tubes as chest tubes in a major trauma scenario. Intraosseous infusions using regular needles Safe patient evacuation of a vertical hospital Substitute medications Medicine expiration dates - do they matter? Techniques that definitely don't work including the mythological emergency front of neck access using a biro. The ethics and medicolegal implications of using improvised techniques - how this tallies in with the doctrine of 'first do no harm' and when it is appropriate to deviate from established protocols, techniques and guidelines.

In this session we are speaking with Ryan Atkinson about his vast experience working across the globe as a cinematographer. Ryan has spent 12 years filming wildlife and science filmmaking for the likes of the BBC Natural History Unit, Netflix and National Geographic. His work has taken him to over 50 countries on 6 continents, specialising particularly in polar and mountain environments and has seen him join expeditions of all shapes and sizes; from a 20 strong team abseiling into the world’s most active volcano, to months spent following polar bears across the Norwegian pack ice, and long solitary hours on skis looking for foxes amongst the Canadian wilderness. No stranger to expedition hazards, he gets very cold hands after experiencing ‘minor’ frost nip in -37 degrees, has been medevac’d following a scorpion sting in Tanzania, and has ongoing adventures involving jungle fungus. Having also volunteered for 8 years as a member of mountain rescue, his life took a slight turn with the onset of the Covid-19 pandemic. Swapping tropical jungles for concrete jungles in 2021, he’s now about to finish training as an emergency medical technician with London Ambulance Service, with a particular interest in trauma and critical care and a view to progressing onto his paramedic training in 2023. Ryan hopes to have a long and fulfilling second career ahead of him, combining clinical learning and work within NHS Ambulance trusts, with expedition medicine, photography and far fewer scorpions. You can find out more about Ryan here - http://ryanatkinson.tv/ 

In this episode we are examining the recent strikes and pay freeze that frontline paramedics have been experiencing. This is on the background of increased cost of living and operational pressures across the emergency care system. We will focus both on Carl’s recent reflections of the issue and also the sense of community within the current strikes. We will also examine how this strike is different to others and indeed how the climate of the NHS is vastly different to that ever seen before. Carl Betts is no stranger to the World Extreme Medicine Podcast and has featured on previous episodes around critical analysis & critical mental health and reflecting on practice at the frontline. He has been a paramedic for over 10 years and currently working in Quality Improvement. He has also written a recent blog on his reflections of the strike action, the sense of unity and the multi-factorial climate of pressures that paramedics work in within the UK. You can read Carl's reflections here 

In this session we are speaking with Ben Watts and Jamie Pattison, both World Extreme Medicine faculty and retrieval/specialist paramedics. We wanted to both address and highlight the dangers of sudden cold-water immersion and do a deep dive into some of the pathophysiological pathways that occur. This is both in-light of recent events but also prospectively to promote discussion around the very real danger of cold-water immersion. Both Ben and Jamie have worked and indeed do work in the highlands of Scotland where temperatures frequently fall below zero. We know that upon water entry a series of physiological responses are evoked via cooling of the skin, superficial nerves and muscles in the limbs, and finally deep body tissue, all of which can result in hazardous outcomes. For further reading on this topic check out the articles below https://www.sciencedirect.com/science/article/abs/pii/S0022346812007166 https://www.bmj.com/content/350/bmj.h418.long https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(03)15057-X/fulltext https://www.wemjournal.org/article/S1080-6032(22)00141-7/fulltext https://www.sciencedirect.com/science/article/abs/pii/S0300957203002375

David Rovardi is a dual qualified pharmacist and paramedic and is currently working as a Specialist Practitioner with EMAS. He also works one day a week for the College of Paramedics advising the College on the latest legislation within Prescribing and Medicines Management. In this session Eoin speaks with David Rovardi around the current situation on prescribing rights for paramedics. There have been twists and turns of over 10 years and some of the key moments such as public consultation of CDs in 2014 and the turning point in legislation by the commission for human medicines in 2018.  They examine exactly where the profession is in relation to permission to prescribe, and also dig into the caveat of advanced practice, double unlock and what it means, what are who the ACMD are, the list of controlled drugs on the register, the joint letter with the Royal College of GPs, the strategy for the full list of CDs to be administered by paramedics, the difference between off licensed drugs and unlicensed drugs and more.

In this session we will be interviewing Dr Lachlan McIver on his recent book, Life and Death Decisions, a memoir that combines Lachlan’s personal journey with loss of his father, working with international aid agencies, navigating war torn countries and low resource settings. In the episode we will be examining some of the over-riding themes, Lachlan’s reflections and some of his salient revelations from working in over 30 countries and regions. Lachlan specialises in rural & remote medicine, tropical medicine, and public health, and has a PhD in global health. He currently works as the Tropical Diseases & Planetary Health Advisor at the headquarters of Médecins Sans Frontières in Geneva. Lachlan’s work has taken him to thirty different countries, and he has published over forty scientific articles and textbook chapters. You can find out more about Lachlan here  https://drlachlanmciver.com/  https://twitter.com/lachlan_mciver

Dr Alicia Colman is an Explorers Club 50 member, Alicia is an archaeologist and ethnohistorian by background. Alicia has worked with governments and NGOs in Canada, the US, UK and Antigua. Her mission is to help us to better understand our past. Her expeditions have taken her from Namibia to Iceland. Today we discuss her expeditions, where they have led her, what she has learned, with a focus on mindset, and how to better understand each other. You can find out more about Alicia here https://aliciacolson.wixsite.com/aliciacolson  https://www.instagram.com/alicia_colson/  https://www.linkedin.com/in/alicia-c-891b001b

Dr Will Duffin speaks with Medics4Ukraine founders Mark Hannaford and Luca Alfatti, on the current need for medical supplies and combat casualty care training in Ukraine and how Medics4Ukraine was formed and developed to meet this. Mark and Luca also share their own reflections on triumphs, challenges and what lies ahead alongside what it’s like to travel east of Lviv during the course of their work. Anyone wishing to support this work through volunteering or donating please visit - https://gofund.me/048c706c Or contact Mark or Luca directly on: mark@extreme-medicine.com Luca@extreme-medicine.com Every donation will go directly into purchasing life-saving medical equipment for Ukrainian medical professionals, and civilians caught in the conflict. With World Extreme Medicine underwriting any logistical costs. The next convoy scheduled for Oct/Nov 2022. Learn more here https://worldextrememedicine.com/blog/humanitarian-medicine-posts/medics4ukraine-fundraising-appeal/ Follow us on Facebook, Instagram or Twitter for updates. 

Growing up Priteni was never sporty or particularly active, she liked being indoors as much as she liked being outdoors. It was not until sixth form that she did anything really adventurous and even now she thinks she only decided to do the Gold DOE Award because her friends were.  That experience, till this day, is one of her most precious memories and turning points in her life, when she looks back at it now she realises it was a catalyst, it showed her she had some wild in her and that it needed to be nurtured.  A year later she planned a trip with her friend to South East Asia and Japan. However it was not that big adventure that showed brought out her wild pursuit, it was DOE, walking across Dartmoor with map in hand and her existence on my back that gave her the courage and the confidence to feel she could achieve things and she has not looked back since. She now thrives on planning adventures whether it be sleeping out under the stars or dreaming of cycling to Australia to see friends.  Priteni talks to World Extreme Medicine host Jennie Sherman about supporting Bex Band and her adventure across the UK which was completed in August. You can find out more about it here https://www.loveherwild.com/about/ 

Dr Dan Pronk served on over 100 combat missions in Afghanistan as a frontline special forces combat doctor, where the casualties he treated were his fellow SAS soldiers and commandos, local civilians and even the enemy. The thrill of adventure and the challenges of battlefield medicine brought out the very best in Dan; he discovered a sense of purpose in pushing his medical skills and courage to the limits. But there was a cost. Dan Pronk has written his memoirs 'The Combat Doctor' and chatted to Eoin about the messages in the book and the powerful learning in the line of duty. Dan currently works as a Senior Medical Officer in the Emergency Department in a regional hospital and serves as the medical director for Techmed Australia. https://www.panmacmillan.com.au/author/dr-dan-pronk/  https://www.instagram.com/danpronk/?hl=en 

In this session we will be speaking with Dan Stretch on the challenges of casevac from Nepal and Pakistan. Dan works as the Operations Manager at Global Rescue LLC within the APAC region and has had to retrieve and coordinate retrieval of critically ill patients from some of the most challenging regions in the world. The region Dan operates in include the Himalayas in Nepal, and K2 in Pakistan. These mountain ranges are collectively some of the deadliest in the world and pose some of the most difficult retrievals that any air ambulance system could face. There has also been a 4-fold increase in retrievals post covid, something we will dig into further in the interview. In this conversation we will look at Dan’s approach to crisis response operations. Also, the coordination and logistics for transfer from these remote locations (includes air, ground, sea, etc.) and the training involved in maintaining operational response readiness. We will also look at the difficulties of getting accurate information from the scene of the incident, and logistics efforts required to get these patients out of the environment. We will speak about transfer in and out of Tenzing–Hillary Airport, also known as Lukla Airport – one of the most difficult airports to fly in and out of.

In this episode, Stephen Wood is joined by Allen Lewis, who is an Adjunct Professor with Columbia Southern University and an Associate Consultant for Emergency Service Consulting International in addition to performing emergency and security sensitive work outside the United States.  They discuss Allen's experiences in disaster response and humanitarian response while working in developing countries focussing on cultural competence. As a paramedic, he has worked in medical services aboard ships above the Arctic Circle, in de-mobilized child soldier camps in South Sudan, mobile high threat protection teams in Afghanistan, and aboard helicopters over Iraq. As a well-travelled instructor and consultant in the fire service and EMS profession, he has trained firefighters in the Democratic Republic of the Congo, Guatemala, and Iraq. Mr. Lewis has lived, worked, or travelled to 98 countries in his 25 years of fire, rescue, and EMS experience. A significant amount his career has been spent in non-permissive environments such as Iraq and Afghanistan he worked as a personal security specialist/paramedic under the U.S. State Department’s Diplomatic Security High Threat Protection Program protecting American ambassadors. He is a National Fire Academy Executive Fire Officer (EFO) graduate, a Center for Public Safety Excellence (CPSE) credentialed Certified Fire Officer (CFO) and Certified Emergency Medical Services Officer (CEMSO), a Certified Emergency Manager (CEM), as well as a Nationally Registered Paramedic, certified International Fire Service Accreditation Congress (IFSAC) Fire Officer, Instructor, and Investigator with the Minnesota Fire Service Certification Board. Professor Lewis holds dual Associate of Applied Science degrees in Fire Suppression Technology and Emergency Medical Technology - Paramedic from Chemeketa Community College, a Bachelor of Fire Service Administration from Western Oregon University, a Master of Public Administration from Columbia Southern University, and an Executive Certificate in Public Leadership from the Harvard Kennedy School of Executive Education. 

Jeremy Neskey a Paramedic and Combat Medic has been involved in Prehospital medicine for 20 plus years. With a focus on Austere medical care environments and experience working with National Park service Teams on Denali and in Yosemite National Park. He’s retired from the US Army where he worked as a Medic and mountaineering instructor at the Army Mountain Warfare school Teaching Basic, advance mountaineering and rope rescue over the last ten years he was NCOIC of the Rough Terrain Evacuation Course, Mountain Critical Care Course, the Military Mountain medical course and cold weather medicine. In this episode hosted by Stephen P. Wood Jeremy reflects on the medical operations in the mountains that he has been a part of. He looks at ore mission planning, how reactive to changing circumstances you have to be in complicated medical missions. He will discuss his experiences and what he focusses on in pre mission planning.  You can follow Jeremy on instagram @aroundthebendadventurers and www.youtube.com/c/Aroundthebendadventures

Stephen loves mushrooms on his steak, his pizza, marinated and in salad. He gets his mostly at the grocery store, but more and more people are out there foraging for these delicacies. The problem is that both benign and toxic mushrooms often grow close together and frequently look alike. Dr Zane Horowitz is an emergency medical physician and the associate medical director of the Oregon, Alaska and Guam poison center. Together, Stephen and Dr. Horowitz discuss some of the top poisonous mushrooms in the U.S. and abroad, including exposure, symptoms and management of these mushrooms. The pair takes a page from the FBI Most Wanted List and discusses the top three toxic mushrooms including Amanita, Gyrometra and Psilocybin. Horowitz BZ, Moss M, Amatoxin Mushroom Toxicity, StatPearls, Available at: https://www.ncbi.nlm.nih.gov/books/NBK431052/ Horowitz KM, Horowitz BZ, Gyromitra Mushroom Toxicity, StatPearls, Available at: https://www.ncbi.nlm.nih.gov/books/NBK470580/ Horowitz BZ, Hendrickson RG. Mushroom Toxicity. Medscape Drugs & Diseases. Updated October 11, 2019. Available at: http://emedicine.medscape.com/article/16739 French LK, Hendrickson RG, Horowitz BZ, Amanita Phalloides Poisoning, Clin Tox, 2011 Feb;49(2):128-9. https://emigcast.com/tag/zane-horowitz/

In this conversation we talk with Dan Richards around the transcontinental Race Across America 3000-mile race, making it longer and more gruelling than the tour de France and one of the toughest bike races in the world. In May 2009 Dan Richards lost his right arm, shoulder and part of his neck in a motorcycle accident whilst in the military. Dan has gone on to navigate the highs and lows of rehabilitating and adapting his life for the better. Dan has found his passion for elite cycling and has ridden in the Invictus games amongst other high-performance events. Dan Richards isn’t just a normal run of the mill kind’ve guy! From a young age he knew, within his heart of hearts that he was joining the British Army! Leaving home for the very first time at 17 years old, that is exactly what he did. Posted to Afghanistan in Sept 2007 before trekking through Northwestern Nepal and The Trans Himalayan Plateau, Dan had aspirations to train as a Farrier with his regiment - The King’s Troop Royal Horse Artillery. Dan’s career would come to an abrupt end when, on the 31st May 2009, he was involved in a collision with The Central Reservation on London’s A41. Deciding upon needing something else to do, he picked up a bike and began throwing himself into cycling. It was atop a hill in Verdun, France in 2016 that Dan decided that “I’m going to be a cyclist” and subsequently set the goal for and competed at the 2018 Sydney Invictus Games. Using the games as his “line in the sand” Dan’s life has taken a dramatic turn from where it was once was! Being forced into a change situation and adapting to it has, as Dan say’s, “probably made me a better person” Dan is currently part of an 8 man getting ready to take part in the worlds toughest bicycle race; the Race Across America. Looking back on his life, Dan sights and stands by unequivocally that losing his arm and shoulder is the greatest thing to have happened to him.

In this conversation we talk with Laura Penhaul around the transcontinental Race Across America 3000-mile race, making it longer and more gruelling than the tour de France and one of the toughest bike races in the world. Laura Penhaul is passionate about helping teams or individuals to perform at their best and she draws on her extensive experience, both personally and professionally, in high performance sport and expedition. Laura was the Team Leader of the Coxless Crew who set 2 World Records in January 2016. They rowed unsupported across the Pacific. 9,000 miles, taking 9 months to complete and 4 years to prepare for. Laura previously was Lead Physiotherapist for the Paralympic Programme of British Athletics and worked at Vancouver, London and Rio Paralympic Games. Currently she is Lead Physiotherapist for the Olympic British Sailing Team. https://www.laurapenhaul.com/

Snake bites and scorpion envenomation is a frequent occurrence worldwide. For people who just enjoy the outdoors and especially for medical providers, it is important to know the species of snakes, scorpions and other venomous creatures that inhabit your area.  In this episode, self-appointed “snake guy” Stephen P. Wood discusses snakes and scorpions with emergency medical doctor and toxicologist Michelle Ruha. Dr Ruha discusses some of the more important snake species in the United States, as well as some of the pathophysiology and toxicology associated with these snakes. She discusses some of the important principles of management, as well as some myths around some treatment modalities. Scorpions are next on the agenda and Stephen proposes a possible movie feature called “Scorpions on the Plane.”  The conversation leads to monsters, specifically the Gila Monster and an unlikely case of Gila monster envenomation, including management and treatment. You can follow Michelle at https://phoenixmed.arizona.edu/wims2021-ruha Twitter: @MichelleRuha

Lisa van der Sluijs is a college senior and world traveler who shared her experiences as a solo female backpacker at Harvard College during Womens Week. She is joined by host Stephen P. Wood for a frank discussion on backpacking solo. One of the biggest issues pertains to gender equity for solo backpackers. There are many who advocate against this practice citing safety concerns for solo-backpacking women. Lisa counters with the fact that there is nowhere that is truly safe for women, and that this is a global issue. Stephen and Lisa discuss some of the things that can make this practice safer, as Lisa shares some of her own experiences as a solo backpacker. She also shares some of her experiences, including solo backpacking in the Middle East. The conversation leads to a discussion on how more women, LGBQT and non-binary individuals can get started, stay safe and enjoy the outdoors and travel. Lisa is a graduating senior at Harvard College, where she studies Political Science and Middle Eastern Studies. She is both Dutch and German, and grew up in Groningen, in the north of the Netherlands. Outside of academics, Lisa really enjoys outdoor sports so you will often find her hiking, running, skiing, biking, or sailing. Lisa also likes to explore new places: she works in Austria as a ski instructor most winters, studied in Lebanon, interned for non-profits in Turkey and Jordan, and has solo backpacked many countries in Europe, the Middle East and North Africa. Lisa is passionate about solo backpacking on a budget and tries to encourage everyone (but especially women) to go out and explore the world by themselves.

Zoe Clift is a physiotherapist, who works for Humanity & Inclusion, a charity that works along side vulnerable and disabled people in areas of poverty, disaster and conflict. Zoe is the UK Medical Team's Rehab Project Manager and spoke to World Extreme Medicine independently about her knowledge and experience about safeguarding in the humanitarian arena. Join Deb Swann as Zoe explores her pathway into her career, and her experience of this topic in our latest podcast. ReSurge Africa https://resurgeafrica.org/ The British Society for Surgery of the Hand (BSSH) https://www.bssh.ac.uk/overseas.aspx British Foundation for International Reconstructive Surgery and Training (BFIRST) https://www.bssh.ac.uk/overseas.aspx Here are the links to the learning sites and podcasts I mentioned: Kaya learning platform https://kayaconnect.org/ Disaster Ready learning platform https://www.disasterready.org/ Global Protection Cluster https://www.globalprotectioncluster.org/ Harvard Humanitarian Initiative https://hhi.harvard.edu/knowledge-hub The New Humanitarian https://www.thenewhumanitarian.org/podcast

Justin Oliver Davis is a retired soldier, amputee, mountaineer, adventurer and keynote speaker. In 2011, while serving with 2nd Battalion The Rifles, in Helmand Province, Afghanistan. Justin was leading a Quick Reaction Force patrol to intercept a group of enemy insurgents that had ambushed another British call-sign. Justin was providing safe passage by searching for Improvised Explosive Devices, when unfortunately he stood on and detonated one resulting in the loss of both of his lower legs. Justin joins Deb Swann to discuss that life changing day, his recover and his current mission, to climb the world's highest peaks. You can learn more about Justin here https://www.justinoliverdavis.com/about Instagram: justin_oliver_davis 

Join us as World Extreme Medicine Founder and CEO Mark Hannaford and Luca Alfatti, Logistical Lead for the convoys discuss the progress of the work they have carried out so far. Following their live session last week their conversation with Shawna Pandya is now available to listen on demand. The team have transported medical supplies to the area in Ukraine where they are needed, here we discuss the team, what they have learnt, the potential dangers and how they manage this in country. Any donations can be made here https://www.gofundme.com/f/medics4ukraine 

In this conversation I’m talking with Carl Betts about his reflections on patience within quality improvement and change within ambulance trusts. Carl is a Paramedic and quality improvement fellow based in Sheffield working for the ambulance service. He has been a Paramedic for 9 years and has a 10-year extensive history of expeditions across multiple continents. He is not a stranger to the podcast and we had Carl on recently talking about re-framing critical analysis within practice. He has recently written a piece of reflection titled ‘Patience’ The untaught piece of the Quality Improvement toolbox. In this episode we examine this article, Carl’s motivations for writing it, and pull out some of the salient learning points. In this conversation we are going to examine: · The different cadence of change around intervention and effect from clinical practice to quality improvement. · The concept of curiosity and questioning the underlying systems that we operate to see if they can be operate better. · Examine the change cycle from an institutional perspective and how to reframe work when you step away from frontline operations.

Scott has been working in the field of connectivity, telemedicine, and cold chain supply in off-grid regions of Africa and Haiti since 2011.  In that year, he initiated telemedicine live consults from the Maasai Mara region of Kenya and in 2011 was a presenter on telemedicine and satellite communications to the First International Congress on Pathogens at the Human-Animal Interface in Addis Ababa (he also spoke at their 2017 Congress in Qatar on solar powered cold chain supply for vaccines, bio-samples, and food security).  Scott conducted the first, real-time ultra sound from the Albert Schweitzer Hospital in Gabon to an OBGYN at Beth Israel Deaconess Hospital in Boston in 2012.  In 2014, Scott was a telemedicine presenter for the First Pan-African Doctors and Healthcare Workers Conference in Addis Ababa. Scott also connected the attendees for the 2013 WEM Conference in Boston to the orphanage in Haiti for a song presentation to everyone, if you remember, and also spoke on telemedicine in remote locations.  His participation in the first, international telemedicine-based pilot for the remote screening of potential Ebola patients was published in the first edition of Telemedicine Magazine in 2914, Most recently, he has been advancing telemedicine and cold chain supply with the use of revolutionary Phase Change Materials in East Africa and in Haiti as a Board member of the Foundation for International Development Assistance.  Scott holds a Bachelor’s of Science Degree with major in Biology from the University of Mount Union and a Masters of Divinity from Eden Theological Seminary.

Welcome to the World Extreme Medicine podcast….. In this conversation we are talking with Steve Wood the vice president of Delivery for Personal Strengths (UK) and is a facilitator, trainer and senior manager within the core strength group. He has extensive experience of developing and facilitating training focusing on leadership, team dynamics, conflict management and personal development. Steve has worked in partnership with a number of the UK's largest organisations in developing and delivering programmes that provide a lasting difference to both individuals and the business. We will start with the history and background of the SDI which originated from Prominent psychologist Elias Porter a peer of Carl Rogers. Elias was the author of ‘Introduction to Therapeutic Counselling and Manpower Development’ and developed the ‘Relationship Awareness Theory’ which is one of the pivotal theories used by the SDI. We will examine some of his key influencers those of Sigmund Freud, Erich Fromm, Karen Horney, Erik Erickson, Kurt Lewin and, Carl Rogers. In this conversation we are going to examine, why personality profiling – why and how is it useful? What the SDI is and how it can help increase self-awareness, and how it can benefit us imm every domain of life.

In this episode we speak with Karen O’Neill; Advanced Clinical Practitioner and humanitarian around the unfolding Ukraine crisis. Karen has a wealth of experience of delivering aid programmes in various contexts including Sierra Leone, the Philippines, Malawi, Mumbai, and Uganda. In the episode we discuss the importance of collaboration within deployment of aid in Ukraine, the cluster approach designated and coordinated by the United Nations Inter-Agency Standing Committee (IASC). We also talk about the reality of getting aid to the point of need and the dynamic security issues with attacks to frontline healthcare workers. We also discuss the utility of volunteering with a registered and credentialed organisation such as UKmed, the importance of governance, flexibility within teams and the mental health of healthcare workers whilst working in and subject to conflict zones. Karen speaks about some of the difficulties from the perspective of Internally Displaced Peoples (IDPs) and the incorrect assumption that refugee status is awarded to everyone seeking it. Karen also speaks about the second order effects of war in Ukraine such as supple chain issues, managing chronic pathology and elective surgery in the face of overwhelming clinical need. Karen also reflects on the utility of debriefing and capturing learning when responding to the dynamic and uncertain events unfolding within in Ukraine. https://www.gofundme.com/f/medics4ukraine 

Richard Garner is a career safety and security professional with global expertise in risk mitigation and threat management. He retired from US Naval Special Operations and continued work in both high threat and personal protection operations domestically and abroad. Mr. Garner has managed and conducted security operations in support of non profit organisations, the US State Department and other government agencies. Having visited or worked in excess of 100 nations he brings a unique perspective to global travel and risk mitigation. In this episode, our host Stephen P Wood is joined by Rich Garner, a career safety and security professional with global expertise in risk mitigation and threat management. He is retired from the US Naval Special Operations forces and continues to work in both high threat and personal protection operations domestically and abroad. Mr. Garner has managed and conducted security operations in support of nonprofit organisations, The US State Department and other government agencies. Having visited or worked more than 100 nations, he brings a unique perspective to global travel and risk mitigation. Stephen and Rich discuss ensuring that people considering humanitarian efforts with various NGOs or private organisations ensure that they have the appropriate safety and security measures in place before deployment. They discuss a variety of pre-deployment safety measures including document security and contact information. Rich discusses the importance of passport security and reasons for having either a second passport or a passport card. The two also discussed communications, including carrying a list of important contacts. Although quite rare rich also discussed what to do if detained by law enforcement, military forces or even what to do in the setting of a kidnapping.

in this episode, host Stephen P Wood and Dr. Pav Singh discuss ocular emergencies in expedition medicine. although a lot of attention is paid to high altitude cerebral edema, pulmonary edema and mountain sickness, eye injuries are quite common in expedition medicine as well. This can include anything from corneal abrasions, globe injuries, foreign bodies or infections. Stephen and Dr. Singh discuss some of the more common injuries, how do I identify them, how to treat them and when it's important to refer patients to an ophthalmologist. The pair focus on UV keratitis and its incidence in expedition medicine, including some case reports of high profile expeditions. The show concludes with preparing your kit to manage some of the more common eye injuries that can occur on expeditions.

Beth is a professional trail runner and NHS paediatric registrar based in Derbyshire, UK. Some career highlights include setting the Bob Graham round record, two x top-5 finishes at the UTMB and several GB vests at ultra-distances. In 2021 she took some time out from medicine and headed to the US to prepare for the Western States 100 race. She won the race in the second fastest women's time in history, despite temperatures over 40°C. She enjoys running with her Kelpie trail dogs and a bit of cycling (gravel and MTB) on the side. Beth talks through how she manages her ultra running career alongside her NHS career, how she trains while injured, and how she fuels her body to complete ultra events. You can find out more about Beth here https://www.bethpascall.com/ 

Lucy is a 29 year old explorer and speaker from Suffolk and is not stranger to extreme environments having previously summited Denali, crossed the High Sierra in California and been dramatically airlifted from the mountains in Tajikistan.  In this episode WEM Medical Director Dr Will Duffin speaks to Lucy about her most recent adventure in the Amazon: a world first trek - through 250 miles of virgin rainforest in Guyana’s Kanuku Mountains. They discuss what motivates Lucy, how she crafted a unique and special team, how to thrive in the jungle including camp craft and navigation skills. Lucy reflects on Dramatic run ins with savage river rapids, bushmaster snakes, packs of wild pigs and coordinating a jungle medivac, as well as how adjusting to life back home afterwards. Lucy will be speaking at this years world extreme medicine conference about how you can push the boundaries in your own life and career. You can join us in person or digitally 19th to 21st November in Edinburgh by clicking here. As genuine travel has become easier and easier, true adventure has inevitably become ever more elusive. Enter Lucy Shepherd. At twenty-nine years old, Shepherd is at the forefront of modern exploration. From mountain range and tropical rainforests, to the Arctic tundra, she has plotted a thrilling, inimitable path for herself. In December 2021, Shepherd gained global recognition for her expedition across untouched and unexplored Amazon rainforest. She documents and shares her endeavours not only to captivate audiences and demonstrate the harrowing effects of climate change but inspire a new generation of bold adventurers and influential stewards. Her message? Adventure is a mindset, not a moment.

World Extreme Medicine Medical Director, Dr Will Duffin catches up with Charlie and Adam, two ED Doctors who have just completed a 3,000 mile rowing race across the Atlantic. The Emergensea Duo, Dr Charlotte Fleury & Dr Adam Baker, are a husband and wife pair of Emergency Medicine specialty doctors in Devon. You may have seen them recently become the first married couple in the world to complete the Talisker Whisky Atlantic Challenge, a 3000 mile unassisted row across the Atlantic Ocean (having never rowed before). They both have a masters in Extreme Medicine and work as pre-hospital emergency medicine fellows with the Devon Air Ambulance and as honorary senior clinical research fellows with the University of Exeter. When they aren’t working they are itching for adventure and either on or in the water. They talk about: What life has been like as frontline ed Docs in the lead up to doing this challenge How shift work as ED docs prepared them for the 2 hours on 2 Hours off routine during the row Why they thought a massive ship was bearing down on them…. Then realised it was the moon. How they operated as a close knit team during the challenge. Medical kit considerations and preparing for the threat of a Marlin spike piercing the hull What research work they conducted on board including mood states and rates of perceived exertion. How they celebrated Christmas and New Year at sea A ‘sneak peak’ on what we can expect to hear in their presentation at this years conference. ‘ How completing the Masters in Extreme Medicine helped prepare them for this extreme challenge. You can meet Charlie and Adam IN PERSON at the World Extreme Medicine Conference 2022! More details… World Extreme Medicine Conference 2022 MSc in Extreme Medicine  EmergenseaDuo 

In this episode, Stephen Wood sits down with Julie Rak to discuss gender equity in mountaineering. Junko Tabei isn’t as much a household name as Edmund Hillary or Jon Krakauer, but she is one of the world’s most accomplished climbers. She was the first woman to summit Mt. Everest and has also the first woman to climb the seven summits. She is listed as a “housewife” in several sources, which couldn’t be further from the truth as she was an avid climber, environmentalist, author and teacher. This is a good example though, of how woman have been diminished in the field. Woman involved in mountaineering have been disparaged and ridiculed. Equipment isn’t always designed with women in mind and even terms like “Brotherhood of the Rope” suggests that climbing is for men. Julie is a professor by trade, climber for fun and discusses eloquently the merits of woman climbers. She reminds us of the importance of considering gender in a positive way, to celebrate accomplishments and to recognise achievement. Stephen and Julie discussed the role gender plays in mountaineering and exploration and talk about some of the important woman in the sport. Of course, no discussion with a Canadian can go without a mention of Stephen’s favourite sport, curling. Julie Rak holds the Henry Marshall Tory Chair in the Department of English and Film Studies at the University of Alberta, Canada. Her latest book is False Summit: Gender in Mountaineering Nonfiction (MQUP 2021). She has written extensively on nonfiction, including the books Boom! Manufacturing Memoir for the Popular Market (2013) and Negotiated Memory: Doukhobor Autobiographical Discourse (2004). Her latest edited collection is the Identities volume of the Oxford Encyclopedia of Literary Theory (2020). With Sonia Boon, Candida Rifkind, Laurie McNeill and other clever colleagues, she is writing The Routledge Introduction to Auto/biography in Canada. She loves to hike and camp in the Canadian Rockies

Cataracts are the major cause of blindness and visual impairment in developing countries and contribute to more than 90% of the total disability adjusted life years. In 2020, an estimated 15.2 million (12.7-17.9) people worldwide aged 50+ years were blind due to cataract. In this episode, we talk with Dr James Guzek MD and Director AJ Martinson about the movie ‘The End of Blindness’ and the work being done in Ethiopia to combat cataract-related blindness. We talk about the awe-inspiring precision micro-surgery being performed in mobile operating theatres that can be carried around in the back of an SUV, most often in the middle of nowhere, the impact cataract-related blindness has on the local population, and the mindset required to make a difference in extreme environments far removed from the hi-tech operating theatres in the West. Dr James Guzek has been practicing ophthalmology for over 30 years and has served as the Chief of Ophthalmology for several years at the J. L. Pettis VA Hospital, Loma Linda, California as well as working in Saudi Arabia for three years, Sri Lanka for three years and Ghana for four years before moving to the Pacific Cataract and Laser surgery institute, Kennewick, Washington where he is now based. AJ Martinson has worked as a producer and director on several projects ranging from documentaries, independent films and spy thrillers, and has also founded his own production company, Section 3 Films, which creates commercials, documentaries and narrative films with an emphasis on branded content for the web. They have in common a desire to use their skills to help those in need and also to bring about a lasting and positive change to areas of the world where most often, the need is greatest but resources the fewest. To find out more please check it out here https://theendofblindness.com/  Technical Disclaimer - Pav, our host had some audio issues while recording this which impacted the quality of the sound, however we felt the content here was so good we wanted to share it with you.

In this episode Will Duffin and Eoin Walker talk about the recently released 'Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis'. They examine and analyse the paper's remit, cohort involved, methodological structure, guideline recommendations, and variations compared to other guidelines (NICE, Resuscitation Council). One of the key seminal recommendations that are not mentioned in the episode but the hosts fundamentally agree with is the training of non-medical personnel to deliver adrenaline to the anaphylactic patient. They also examine the definitions of anaphylaxis, the variation of symptomatology that anaphylaxis can present with, and the limitations of the guidelines. They also include their anecdotal experience to emphasise the importance that environmental and wilderness factors play in such cases. They finally discuss the emphasis on intramuscular adrenaline and some of the limitations of other recommendations which feature in the guidelines. The paper can be found here, together with the other international guidelines mentioned in the episode: https://reader.elsevier.com/reader/sd/pii/S108060322100212X?token=65430C811F679190782505A2FDAB85E27620770B662073A9F741D12C220C57DF627BA14C09B64F01AEB94D1986F44242&originRegion=eu-west-1&originCreation=20220204143354 https://www.nice.org.uk/guidance/cg134 https://www.resus.org.uk/library/additional-guidance/guidance-anaphylaxis/emergency-treatment

In this episode WEM Medical Director Dr Will Duffin is joined by two experienced humanitarian emergency medical responders from frontline medical aid charity UK-Med: Emergency Department nurse and UK-Med’s Health Referent David Anderson and Consultant Paediatrician - Infectious Diseases and Immunology, Stephen Owens. They discuss the findings of UK Med’s Global Health Responders Report (Sept 2021) and reflect on their own experiences of humanitarian deployments and how releasing NHS staff to do this vital work: Improves Clinicians clinical skills, team working and leadership skills. Boosts Clinicians resilience and staves off burnout. Builds vital skills in managing infectious disease outbreaks that have informed the UK response to COVID-19. Has a real and meaningful impact on patients in low resource settings. Benefits the wider NHS and any developed health system deploying medics by bringing ‘global experience’ to serve a ‘global Britain’.

Harrison Carter is a conservation biologist, storyteller and explorer with a fascination with human/wildlife conflict that has taken him to some of the world's most extraordinary places. He has travelled and filmed in over 50 countries worldwide, and his expeditions include traversing the Guyanese jungle, Indonesian rainforests, and Sri Lankan lowlands in search of the world's most deadly snakes and their stories. Starting his career in Investment Banking and Management Consultancy, Harrison is now studying for his Masters degree in conservation and biodiversity at the University of Exeter before heading out on his next adventure.

Alex is a trainee emergency medicine doctor based in Bristol, who wholeheartedly believes in taking the road less travelled. She joins us to share some of her insights into carving a career in expedition medicine, and how developing this passion has enhanced her NHS job. She has been working as an expedition medic since 2017 and took five years out of training to work for 18 months in New Zealand and then as an expedition medicine clinical fellow in Bristol. She has an additional interest in Global Health and is looking to work in Africa for four months from August. She completed the Diploma in Tropical Medicine and Hygiene in 2015 and the International Diploma in Expedition and Wilderness Medicine in 2018. She has just completed her dissertation for Masters in Global Health and Remote Healthcare covering experiences of expedition medics treating local staff on Kilimanjaro. Alex edits for wilderness and humanitarian platform ‘The Adventure Medic’. She teaches wilderness medicine with several companies and for mountain rescue. Alex has travelled extensively, with expeditions from Kilimanjaro to the Amazon, Antarctica, and the Great wall of China. She has a passion for the outdoors and holds Summer Mountain Leader, Advanced PADI, and Competent Crew qualifications. She is an aspiring ski tourer, climber, and mountain biker. Follow her at @alex_expeditionmedic on instagram.

In this conversation we talk with Wayne Auton about his journey through three domains of practice; the military, pre-hospital care, and mountaineering. We examine the concept of High Performing Teams (HPT) in all three domains and some of the features of HPT that unite the different practices.   Wayne initially joined the military/Royal Marine Commandos and through time specialised as a sniper. He then transitioned through into pre-hospital care as a paramedic, progressing on to become a Critical Care Paramedic or CCP within a different high-performing team and pre-hospital HEMS service. Finally, we look at his recent transition to mountaineering and alpinism in Chamonix, French Alps. We examine some of the uniting HPT concepts around kit husbandry, homeostatic teamwork, community, debrief, commitment to continual improvement, and feedback. We also examine the attention to detail and mentoring as part of working within these teams and the vital concept of adaptation to the environment and situational awareness required to transcend disciplines.   Wayne has also published a blog around his experience with high-performing teams (Espirit de corps). This blog and his reflections on the ‘position of yes’, the ‘dislocation of expectation; and ‘cohesion within homogenous teams’ can be found here https://bio.site/WayneAuton     In the session we examine:   Wayne’s journey through the RMC and his role as a sniper. Some of the fundamental elements Wayne took from being involved in a high-performing team within the RMC. Wayne’s transition into the ambulance service and key elements he brought through from his time in the military. Working within a pre-hospital high-performing team and the fundamental elements of these teams. Wayne’s latest transition into the French Alps, climbing, and again being part of a high-performing team.

Host Stephen P. Wood follows up with Luke Huntley, Australian snake catcher, after their discussion during the WEM 2021 conference. Stephen and Luke discuss the training that goes into snake catching as well as the legal requirements to be a certified snake catcher in Australia. Carpet pythons and Eastern Brown snakes are the most common snakes encountered in Luke’s work and Stephen and Luke discuss these animals and Luke’s approach to catching these beautiful creatures. Stephen and Luke explore the relocation of these snakes and some of the scientific data surrounding repatriation. Lastly, Stephen and Luke converse about some of the biggest threats to their survival, which is somewhat of a surprise. The pair finish off with a suggestion of a new side job for Luke, venomous snake wrestling in the UK.   Snake catcher Luke Huntley shares what it’s really like working as a snake catcher in QLD Australia. Snake calls come in at all hours of the day and night, from easy calls when there’s a sleeping python to very dangerous eastern brown snakes that have been riled up by a person or animal. Luke describes how handling technique and experience play such an important role in making the job safer. People’s attitudes towards snakes and how full on this lifestyle can be! Luke has been catching snakes for a large part of his life but has made a career out of it for 6 years now. It's lead to filming opportunities on shows like Bondi vet and of course having an exceptional local reputation and knowledge. All of this and then coming home for a cup of tea with his own collection of Australia’s and indeed the world’s most deadly snakes.   https://www.snakecatchernoosa.com.au/ https://www.dailymail.co.uk/news/article-9899587/Snake-catcher-Noosa-Luke-Huntley-removes-carpet-python-Doonan-backyard.html https://whatsnew2day.com/snake-catcher-noosa-luke-huntley-removes-carpet-python-from-doonans-backyard/ https://www.9news.com.au/national/queensland-news-snake-catcher-wrangles-carpet-python-in-noosa-toilet/b6cae767-9296-49d0-a87a-c024a29ba938

In this conversation, we talked with Carl Betts about his reflections on critical analysis in paramedic practice. Carl is a Paramedic and quality improvement lead-based in Sheffield working for the ambulance service. He has been a Paramedic for 10 years and has a 10-year extensive history of expeditions featuring multiple trips to Everest base camp, K2, Mongolia, South Africa, Swaziland, Kangchenjunga, Toubkal, Aconcagua, Pakistan, Oman and many more.  He has recently written a piece of reflection that is about to be published in the College of Paramedics Hindsight magazine. The piece is titled ‘Where critical analysis becomes critically unhealthy’. In this episode, we examine this article, Carl’s motivations for writing it, and pull out some of the salient learning points. We examine some of the salient learning points around; unpacking the concept of disequilibrium in critical analysis that turns into critical self-appraisal. Also, examining the aspects of challenging debrief that leads to balanced learning and does not omit due affirmation. We also explore examples of where this has gone wrong in the past to put it into clinical context. Furthermore, we look at: 1. Why critical analysis is an important skill both empirically and anecdotally. 2. Bring into focus how to reframe challenging incidents to provide a net positive effect for the clinician. 3. Understand how damaging it can be when it is critical self-appraisal/appraisal by others. 4. Reframing techniques in debrief and reflection  5. Understanding the wider investment in this concept from senior management, frontline clinicians and educational institutions.  We hope you enjoy this episode with an engaging and insightful guest.

In this episode podcast host Stephen Wood and adventure paramedic Mike Hudson talk about Mike's experience as a paramedic and lead safety specialist for the Discovery channel's Shark Week production team. Steve and Mike talk about Mike's background as both a paramedic and diver and how he brought this experience to develop a unique opportunity as the lead dive safety and remote medical specialist for the Discovery Channel, National Geographic, as well as other production teams. Mike talks about how he prepares for these very challenging programs, including working in very remote and resource-limited areas. Steve and Mike discuss equipment needs and dealing with local governments and medical systems, which can be very challenging. They discuss practising within the appropriate scope of practice as well as resources that are available to remote teams, like the DAN network. Mike regales several stories of crocodile and shark attacks and lessons learned from these critical events.   Mike Hudson Bio: Mike Hudson is a Colorado native and nationally registered Paramedic with over 25 years on the streets. Mike is a former Navy Hospital Corpsman, San Diego City EMT-P, Denver City and County Paramedic, and Rocky Mountain flight medic. Mike currently works as a street-level MICP and EMS educator in central New Jersey. In the winter, Mike works for Discovery Channel’s Shark Week production teams as their lead dive safety & remote medical specialist. During the summer, Mike commands two municipal USLA certified ocean and swift water lifeguard programs for separate coastal towns along the Jersey Shore. He also serves as the supervising ocean rescue specialist for a nationally recognized combination fire department/lifeguard aquatic rescue response team; SRT 43-88, serving the entire north shore of Monmouth County and the waterways that lead to NYC.  For more information about Sea Bright Ocean Rescue please go to seabrightoceanrescue.com. @medicmikehudson https://seabrightoceanrescue.com/ https://www.youtube.com/watch?v=OEVtwlNZnu0 https://www.jems.com/author/mike-hudsonclarionevents-com/

In this episode, Dr Jen Sherman is joined by Anna Wells. Having qualified as a Doctor in the Scottish Highlands. Anna has successfully undergone a career change and now runs her own adventure guiding company in Scotland. Anna is passionate about the mountains. The freedom of wide-open spaces and the rush of trying hard is where she is happiest. Her favourite activities are rock climbing, summer alpinism, skimo and running, with her happiest moments including completing a winter traverse of the Cullin ridge in one day, climbing El Capitan, summiting 37 4000ers in one summer, and having been fortunate to travel the world as part of the GB Ice Climbing Team. In this episode Jen and Anna discuss: How her interest in climbing and mountains began Her academic career and how she came to study Medicine Her experience of being a Junior Doctor Why she decided to take a career break from Medicine How this career break evolved into a career transition The mental and emotional challenges of undergoing this transition The importance of surrounding herself with like-minded people during this time How she followed her passion and re-trained as an outdoor instructor What it’s like being a female outdoor instructor How and why she came to set up her own business Her experience of summiting 37 4000ers over one summer How she prepares for a big adventure What adventure means to her What adventurous experiences have taught her more generally Why she loves the Cullins on the Isle of Skye Are transferable skills always transferrable? To connect with Anna Website: https://rocksandtrails.com/ Email: anna@rocksandtrails.com Instagram: @annawells89 Facebook: facebook.com/rocksandtrails

Dr. Vidar Magnusson is an anesthesiologist, intensivist and EMS physician in Reykjavik, Iceland. He is the current National Medical Director for pre-hospital services in Iceland, a post he held both between 2011- 2014, and again from 2016 to the present. He has extensive EMS and air-medical experience including serving as a medical officer with the British Army NATO coalition forces, ground EMS in Iceland and the Icelandic Coast Guard Medevac helicopter. He has worked in several air-medical systems in Europe including London HEMS, KSS HEMS and the Norwegian Air Ambulance. He represents Iceland in the Scandinavian Society for Anaesthesiology and Intensive Care Medicine (SSAI) prehospital guidelines group as well as the SSAI Critical Emergency Medicine (CrEM) postgraduate training program. In addition, he holds a master of business administration from Reykjavik University.   In this episode host Stephen Wood, a former HEMS paramedic, discusses the differences between air-medical systems in several parts of the world. The conversation starts with the London HEMS system, considered one of the best in the world. Vidar discusses the extensive training program, research and quality assurance that goes into this system. Stephen and Vidar discuss some of the differences of the U.S. based programs that less often feature physician-led teams and how the two compare. The Norwegian system was next on the agenda, another robust program but with a different crew configuration and design. Lastly, the pair chatted about the Icelandic system, which is new and up and coming, but still in a growth stage. Vidar and Stephen discussed some of the differences in HEMS requests, flight and weather operations. The conversation closes with a view of HEMS in the future, particularly for the Icelandic program, and how each would envision a robust HEMS program.   Links: VIdar's Twitter @HEMSonICE KSS HEMS https://www.aakss.org.uk/ London HEMS https://www.londonsairambulance.org.uk/ Norwegian Air Ambulance http://www.luftambulanse.no/about-national-air-ambulance-services-norway ICG SAR/medevac helicopter team https://www.lhg.is/english/search-and-rescue/ SSAI Critical Emergency Medicine (CrEM) postgraduate training program https://ssai.info/education/critical-emergency-medicine/

In this conversation, we talk with Trixton May about his clinical experiences in Takoradi, Ghana. Trixton took himself to Ghana as a second-year paramedic student with aspirations to serve in areas less fortunate and developed contexts than his reality back in the UK. In the discussion, we explore the variety of experiences and revelations he had in this developing healthcare system. Trixton has written a reflection 'Healthcare in Ghana – The Harsh Reality of a Developing Country'. In the reflection, Trixton denotes the socio-economic demographics of Ghana and the social deprivation that healthcare serves in the region. He also recalls his anecdotal experience in each domain of emergency care. We examine some of the patients and pathologies that he observed in his time within the emergency department. We also examine the challenges of working in a low resource environment and the innovation that is required at certain times due to the overwhelming clinical need. We then examine the utility of being exposed to extreme poverty and the consequential reframing of the NHS in light of this. We delve into the advantages of debriefing in some of the more traumatic cases and reprocessing the narrative to ensure there is some cognitive reprieve. We also examine the adaptation that has to occur in the absence of diagnostics and equipment and drugs. We finally look at the utility of going with an established organisation that has both in-country presence, security environment scanning and channels of support as required.   Trixton’s reflective piece can be found here: https://4c9ccd6e-1304-4bf0-9df0-58cabce7c308.filesusr.com/ugd/7fc531_5aa29fdd01a84ec3b9d18e451d62bef5.pdf The organisation that Trixton went to Ghana with can be found here: https://www.worktheworld.co.uk/

Host Stephen Wood and Dr Sanjey Gupta discussed wilderness medicine in the virtual world. Forced to switch content from live and in situ to Zoom, Dr Gupta and his colleagues had to get creative. Most of Gupta’s teaching is in the environment that they are teaching to; the woods, mountains or fields and is mostly hands-on. Having to switch to the virtual environment, Dr Gupta and his colleagues flipped the narrative and used the Texas heatwave to have conference attendees try to “survive” by making potable water, cooking without electricity or gas and making a battery. Participants were creative and did everything from bleach dilutions to filter systems. In another scenario, Dr Gupta and his students acted as laypersons who were involved in a bike crash. They called “medical control” via telemedicine and were walked through examining patients and treating them using the equipment they had on them. Stephen and Dr Gupta discussed the challenges of teaching wilderness medicine using virtual technology, how to engage the audience and some of the technical requirements to make sure are in place before bringing the course live.   Dr Sanjey Gupta is a Professor of Emergency Medicine at the Zucker School of Medicine at Hofstra/Northwell and is the Chairperson of Emergency Medicine at South Shore University Hospital/Northwell Health.  He is a Fellow in the Academy of Wilderness Medicine of the Wilderness Medical Society.  He is a wilderness medicine educator and frequently speaks on the topics of environmental injuries, poisonous vegetation, wilderness medicine improvisational skills, and wilderness educational techniques.

In this episode, WEMCast host Dr Shawna Pandya dives deep into this very question with none other than AstroRN Starr Schroeder, a nurse passionate about pioneering, defining, and developing the role of nursing in the commercial space industry as well as advocating for the continued development of space medicine in current and future space exploration. Listen in as Shawna and Starr talk about the rise of space nursing, the commercial space sector, Starr’s research on a myriad of topics including space nutrition and medical guidelines for commercial suborbital spaceflight.   Starr Schroeder is a nurse with experience in critical care, emergency nursing, and nursing management. She has since become an active participant in the space medicine community incorporating her experience in medicine into her love for space by pioneering, defining, and developing the role of nursing in the commercial space industry as well as advocating for the continued development of space medicine in current and future space exploration. Starr is a member of the Association of Spaceflight Professionals where she was co-lead for research involving medical guidelines in commercial space flight participants, currently published in Acta Astronautica. Her additional publications include chapters on Spaceflight Nutritional Support, Future Trends in Spacesuits, and The Lunar Environment in the Handbook of Life Support Systems for Spacecraft and Extraterrestrial Habitats. She currently serves as a PoSSUM 13 chair, an organization dedicated to increasing opportunity and representation for women and students in STEM. Starr graduated from Indiana University with a Bachelor of Science in Nursing in 1999. She is currently a Masters candidate in the Human Factors in Aerospace program at Embry-Riddle Aeronautical University.   Links:  IIAS PoSSUM PoSSUM13

In this session host Stephen Wood speaks with Dr Louis Nguyen and Dr Liz Yates, surgeons and researchers at the Brigham and Women’s Hospital in Boston discuss the impact of climate change on healthcare and patient outcomes. Dr Yates and Dr Nguyen discussed the large carbon footprint of the healthcare industry, especially in developed nations. This includes the large amount of waste that stems from pre-made kits as well as other disposables. Similarly, the amount of energy that is dedicated to healthcare accounts for a large carbon footprint among industries. This leads to a discussion on the impact of climate change on patient accounts. The focus was on surgical patients and how issues like heat islands and lack of access to air conditioning can result in higher morbidity and mortality. This extends to other patient populations including OBGYN patients, pulmonary patients as well as the vulnerable young and elderly. More concerning is how this impact seems greater for marginalized and underserved populations. The group spent the remainder of the conversation discussing how everyone can make an impact with even small, local actions. Louis Nguyen Bio: Dr Louis Nguyen is a vascular and endovascular surgeon at Brigham & Women’s Hospital and Associate Professor of Surgery at Harvard Medical School. Within the Department of Surgery, he serves as the Vice-Chair for Digital Health Systems; and within the Division of Vascular & Surgery, he is the Director of Clinical and Outcomes Research, as well as the Director of Quality, Safety, and Value. His interest in Environmental Sustainability focuses on minimizing the environmental impact from healthcare through education and implementation programs Liz Yates Bio: Elizabeth Yates, MD, MPH is a general surgery resident at Brigham and Women’s Hospital.  She has completed three years of clinical training and is currently completing a research fellowship at the Center for Surgery and Public Health, focusing on sustainable surgical care delivery and the impact of climate change on surgical outcomes. Show Notes: Matthew J. Eckelman, Kaixin Huang, Robert Lagasse, Emily Senay, Robert Dubrow, Jodi D. Sherman. Health Care Pollution And Public Health Damage In The United States: An Update. Health Affairs, December 2020 Rizan C, Steinbach I, Nicholson R, Lillywhite R, Reed M, Bhutta MF. The Carbon Footprint of Surgical Operations: A Systematic Review. Ann Surg. 2020 Dec;272(6):986-995.

Host, Stephen Wood and Dr Anne Pringle, a mycologist and botanist, tell the story of the Amanita Phalloides mushroom. This is not a mushroom native to the United States, but it has found its way there in an unsuspecting way, cork trees. These cork trees were imported for use by California wineries but they had a stowaway, the Amanita Phalloides or death cap mushroom. Death caps are toxic mushrooms that kill both humans as well as domestic pets when consumed. These toxic mushrooms resemble several edible species (most notably Caesar's mushroom and the straw mushroom) commonly consumed by humans, increasing the risk of accidental poisoning. Amatoxins, the class of toxins found in these mushrooms, are thermostable: and thus they resist changes due to heat, which means their toxic effects are not reduced by cooking. Signs and symptoms start with an initially self-limiting gastrointestinal illness, that later can result in liver and renal failure and death. The conversation led to a discussion on how to safely collect mushrooms as well as resources to help medical providers and gatherers alike to identify mushrooms. Just as important was a discussion on how we as healthcare providers and environmentalists can prevent invasive species infestations through local action. Mushroom Observer:  https://mushroomobserver.org/ iNat:  https://www.inaturalist.org/ Mushroom Expert:  https://www.mushroomexpert.com/ Guest Bio: Anne Pringle was born in Kuala Lumpur, Malaysia, and spent her childhood travelling through Southeast Asia and West Africa. After being dragged along on one too many birding expeditions, she abandoned the birds for fungi. She was an undergraduate at the University of Chicago, and then completed a PhD in Botany and Genetics at Duke University. After completing a Miller Institute for Basic Research in Science Fellowship at the University of California, Berkeley, she joined the faculty at Harvard University. She next moved to the University of Wisconsin, Madison, where she is now Vilas Distinguished Achievement Professor in the Departments of Botany and Bacteriology. Anne has given over 100 invited talks to academic and popular audiences in countries including China, Colombia, France, Singapore, Sweden, Thailand, and the United States. She has been awarded the Alexopoulos Prize for a Distinguished Early Career Mycologist (2010), the Mendelsohn Excellence in Mentoring Award from the Harvard University Graduate Student Council (2011), the Fannie Cox Prize for Excellence in Science Teaching from Harvard University (2013), and a Radcliffe Institute for Advanced Study Fellowship (2011-2012). Her research has been featured by the New York Times, National Public Radio, Slate, and the Wisconsin State Journal, among others. In 2019, Anne was elected President of the Mycological Society of America.

Occupational Health is concerned with the impact of health on work and vice versa.  We discuss the key approaches and broad principles in matching an individual’s medical background with the environment and making sensible decisions about whether they should participate with a focus on diving, military deployments, offshore oil and gas and expeditions.   We cover: Why preparation is the key to success! Mapping the individual and their condition to the environment. The key components of the ‘dive medical’, the role of respiratory and ENT problems The unique challenges of a remote maritime environment. A patient with a history of anaphylaxis to peanuts – can they be safely deployed to a remote oil rig that is over a day's travel from definitive care? Doing a risk assessment - who is at risk and why - what can you do about it? Proactive and reactive components of a risk assessment. The issue of non-disclosure on health questionnaires. Helping the organisation asking the right questions in the first place! The role of occupational medicine in protecting the individual AND the organisation (in that order). Being able to back yourself when you feel exposed in your decision making and manage risk and uncertainty. An approach to pre-existing mental health problems Taking a positive approach: Screening people in rather than screening them out. Why the UK military believe it’s important to join well, train well, live well, work well and leave well.  Identifying and managing the return and transition to an individual's normal home environment after a long deployment.   Guest Bio: Dr Kent Haworth MB ChB MSc BMedSci (Hons) FFOM MRCGP DTM&H DAvMed DRCOG DFFP Consultant Occupational Medicine Physician Kent studied medicine at St. Andrews and Manchester Universities graduating in 1992. While at university he joined the British military and spent many happy, professionally rewarding years in uniform in the British Army and Royal Navy, travelling extensively and practising medicine in wide range of physical environments. Initially trained in general practice, he then commenced higher specialist training in occupational medicine gaining approval as a consultant in 2010. Thereafter followed a variety of clinical and policy/strategy development roles before hanging up his uniform for the last time in 2018. For his final assignment he led the department responsible for occupational medicine aspects of Army recruitment. On leaving the military he entered independent practice in the City of London before moving to Saudi Arabia in 2019. He returned to the UK in 2021 and is based in the South East of England. Kent was elected a Fellow of the Faculty of Occupational Medicine, Royal College of Physicians in 2017. He is passionate about occupational medicine and its application to maximum benefit in real-world working environments. LinkedIn profile https://www.linkedin.com/in/dr-kent-haworth-ffom-98b34275/

Jocelyn Kelly is the founding director for Harvard Humanitarian Initiative’s (HHI) Women in War program, and currently is a fellow at HHI where she designs and implements projects to examine issues relating to gender, peace, and security in fragile states. Kelly has been conducting health-related research using qualitative and quantitative research methods for over eight years both in national and international settings. She has given briefings related to gender and security to the United Nations Security Council, the U.S. State Department, USAID, the World Bank, OFDA, the Woodrow Wilson Center, and the U.S. Institute of Peace. Prior to joining HHI, Jocelyn worked as an Emergency Management Specialist in Hurricane Katrina-affected areas and acted as a liaison to the FEMA Public Assistance Chief in Louisiana. Kelly's international work has focused on understanding the health needs of vulnerable populations in Eastern and Central Africa and has included working with the Uganda Human Rights commission to launch the first office in Africa promoting the Right to Health. Stephen and Jocelyn explored the challenges of COVID in conflict zones including increased violence, lack of access to care and disruption of community. Jocelyn discussed her research on the effect of COVID on interpersonal violence as well as escalating overall violence in conflict zones. Stephen and Jocelyn reflected on the encouraging resilience that people have demonstrated including the creation of microeconomies that included mask making. They finish their discussion on the global responsibilities to provide care and resources to these underserved and marginalised areas. Jocelyn discussed specific links to her work that include more details on her research as well as more information about the Harvard Humanitarian initiative and related projects.   https://hhi.harvard.edu https://www.resource-fulempowerment.com https://www.jocelynkellyresearch.com

In this episode Medical Director Dr Will Duffin welcomes back The Natural Navigator Tristan Gooley to share insights from his latest book ‘The Secret World of Weather’.    They discuss: Early 19th-century technology and attempts at weather forecasting and what happened to Admiral Robert Fitzroy when he first attempted to predict the weather…. Why ‘big weather’ that is forecast on modern supercomputers doesn’t match the weather that we actually experience at ground level. The three key cloud families, how to spot them and what they can tell you about local weather. Reading a cumulus cloud for signs of rain. Local winds and rebel winds. What shapes them and why what we experience at ground level can be very different from what is forecast. The best and worse trees to shelter from a storm under. Putting it all into practice - on a wild camp on Dartmoor do you sleep up high on a Tor or down low in the Valley and why? Tristan’s thoughts on polymathy in contrast to ultra-specialisation. How Tristan has blended expertise from the diverse fields of geology, physics, botany and anthropology to generate fresh ideas. We reflect on how diverse skillsets in Extreme Medicine can have the same effect. More about the guest:   Tristan Gooley is an author and natural navigator. Tristan set up his natural navigation school in 2008 and is the author of award-winning and internationally bestselling books, including The Natural Navigator (2010) The Lost Art of Reading Nature’s Signs (2014), How to Read Water (2016) and The Secret World of Weather (2021), some of the world’s only books covering natural navigation. He has spent decades hunting for clues and signs in nature, across the globe, and regularly gets called: “The Sherlock Holmes of Nature” He has written for the Sunday Times, the New York Times, the Wall Street Journal, the BBC and many magazines. Tristan has led expeditions on five continents, climbed mountains in Europe, Africa and Asia, sailed small boats across oceans and piloted small aircraft to Africa and the Arctic. He has walked with and studied the methods of the Tuareg, Bedouin and Dayak in some of the remotest regions on Earth. He is the only living person to have both flown solo and sailed singlehanded across the Atlantic and is a Fellow of the Royal Institute of Navigation and the Royal Geographical Society. Links: https://www.naturalnavigator.com/tristan-gooley/ Please include links to his Twitter/Facebook etc. Link to the book mentioned: https://www.waterstones.com/book/the-secret-world-of-weather/tristan-gooley/9781529339550

In this episode we chat with Johnathan Povey, Operating Department Practitioner (ODP) turned humanitarian clinician. Johnathan speaks of his multiple deployments to various contexts from an initial humanitarian training course in 2012. He recalls some of his most challenging cases, teams and contexts that he has had to work in over 11 years in humanitarian conflict and disaster. We also cover in the conversation; indigenous groups and challenges of integration and acceptance. Collaboration of teams and multiple teams coming together to form a multi-specialist response. We talk of Johnathan’s challenges with crises in Sub-Saharan Africa and how he dealt with some of the challenges the pandemic presented in practical ways. We look into the clinical challenges that Johnathan has overcome and how he has adapted some of the training and cultural norms to arrive at the best result for a multitude of patients. We also cover some of the humanitarian technical specialism’s that exist within the sector outside of healthcare. We finally examine some of the learning points that Johnathan has taken from his trips and how he adapted and maintained a flexible approach. Johnathan also talks about maintaining an open-minded approach in a dynamic and ever-changing clinical and operational context. Some of the links that Johnathan was referring to can be found here: https://www.who.int/hac/global_health_cluster/fmt_concept_paper_27may2011.pdf?ua=1 https://cdn.who.int/media/docs/default-source/documents/publications/classification-and-minimum-standards-for-foreign-medical-teams-in-suddent-onset-disasters65829584-c349-4f98-b828-f2ffff4fe089.pdf?sfvrsn=43a8b2f1_1 https://www.uk-med.org/ https://www.uk-med.org/vacancies/

Dr Stephen Rush is a Lt. Colonel and Flight Surgeon. He is the former medical director for Pararescue and the current medical group commander of the 106th Rescue Air Wing in New York. He is a radiation oncologist by trade but brings a wealth of experience in operational medicine to the table. Dr Rush was a key consultant for the Thai Cave rescue that is an international success story and template for operational medicine during a crisis. Dr Rush led the discussion by explaining the role of pararescue jumpers as well as the intense training they endure before they are qualified for the role. We discussed how the paradigm has shifted from taking the experience from the hospital in bringing it to the field to the reverse of this. We provided examples that included the use of tourniquets, tranexamic acid as well as field imputation. Next, we explored the actual Thai cave rescue mission. We discussed the experience and expertise that the para rescue jumpers brought to this stage. We also discussed the importance of cooperation of the local government and response structure. We delved into the importance of debriefing in planning that included cooperativity amongst not only many different agencies within but also among the international response teams. Doctor Rush then gave an overview of how the rescue came to fruition, including the rehearsals as well as the medical planning that ultimately led to the successful rescue of all the Thai children. We finished with a few take-home points as well as highlighting some of the work of other experts that were integral to the success of the mission. Find out more about Stephen's work at https://www.pjmed.com

In this podcast, Dr Jen Sherman is joined by Belinda Kirk, explorer, author and speaker. Belinda is an explorer and a leading campaigner for the promotion of the benefits of adventure on wellbeing. For the past twenty-five years, she has led dozens of international expeditions and remote filming trips. In 2009, Belinda established Explorers Connect, a non-profit organisation connecting people to adventure and has encouraged 30,000 ordinary people to engage in outdoor challenges. In 2020 she launched the first conference to explore the positive impact that adventurous activity has on wellbeing. Her latest venture is her book ‘Adventure Revolution: the life-changing power of choosing challenge’ which is due for release this summer. In this episode Jen and Belinda discuss the following: How her own relationship with adventure began Her experiences as an expedition leader The role of adventure and expeditions in positive personal transformation How we can use adventurous experiences to enhance wellbeing in ourselves and others The inspiration behind Explorers Connect and how it has helped people to live more adventurously Inspiration and intention behind writing her book Adventure Revolution How Belinda defines adventure and how important adversity and challenge are in this context How adventure helps us to re-connect with nature If you are interested in Belinda’s book it is due for release in early August and is available from all major retailers. If you are interested in connecting with Belinda, she can be reached through her website http://www.belindakirk.com/ or through email at belinda@explorersconnect.com.

In this episode Consultant Occupational Medicine Physician Dr Kent Haworth joins WEM host Dr Will Duffin to discuss assessing medical fitness for extreme environments. Occupational Health is concerned with the impact of health on work and vice versa.  We discuss the key approaches and broad principles in matching an individuals medical background with the environment and making sensible decisions about whether they should participate with a focus on diving, military deployments, offshore oil and gas and expeditions. We cover: Why preparation is the key to success! Mapping the individual and their condition to the environment. The key components of the ‘dive medical’, the role of respiratory and ENT problems The unique challenges of a remote maritime environment. A patient with a history of anaphylaxis to peanuts – can they be safely deployed to a remote oil rig that is over a days travel from definitive care? Doing a risk assessment - who is at risk and why - what can you do about it? Proactive and reactive components of a risk assessment. The issue of non-disclosure on health questionnaires. Helping the organisation asking the right questions in the first place! The role of occupational medicine in protecting the individual AND the organisation (in that order). Being able to back yourself when you feel exposed in your decision making and manage risk and uncertainty. An approach to pre-existing mental health problems Taking a positive approach: Screening people in rather than screening them out. Why the UK military believe it’s important to join well, train well, live well, work well and leave well.  Identifying and managing the return and transition to an individuals normal home environment after a long deployment.     Guest Bio: Dr Kent Haworth   MB ChB MSc BMedSci (Hons) FFOM MRCGP DTM&H DAvMed DRCOG DFFP Consultant Occupational Medicine Physician   Kent studied medicine at St. Andrews and Manchester Universities graduating in 1992. While at university he joined the British military and spent many happy, professionally rewarding years in uniform in the British Army and Royal Navy, travelling extensively and practising medicine in wide range of physical environments.   Initially trained in general practice, he then commenced higher specialist training in occupational medicine gaining approval as a consultant in 2010. Thereafter followed a variety of clinical and policy/strategy development roles before hanging up his uniform for the last time in 2018. For his final assignment he led the department responsible for occupational medicine aspects of Army recruitment. On leaving the military he entered independent practice in the City of London before moving to Saudi Arabia in 2019. He returned to the UK in 2021 and is based in the South East of England.   Kent was elected a Fellow of the Faculty of Occupational Medicine, Royal College of Physicians in 2017. He is passionate about occupational medicine and its application to maximum benefit in real-world working environments.   LinkedIn profile https://www.linkedin.com/in/dr-kent-haworth-ffom-98b34275/

Dr Sush Prusty is the director of EMS at Steward St. Elizabeth’s Medical Center and assistant professor of emergency medicine at Tufts University School of Medicine in Boston, Massachusetts. He also serves as the medical director for Boston College EMS as well as local EMS agencies. Dr Prusty earned his medical degree from Boston University School of Medicine and completed his residency at Boston Medical Center. He is board certified in Emergency Medicine and is currently an emergency department attending at Steward St. Elizabeth’s Medical Center. In addition, he is an FAA Flight instructor, holds a commercial pilot certificate, and, has over ten years of service in the U.S. Army as a Flight surgeon. Having a special interest in aviation safety, he has taught widely in the areas of crew resource management, human factors, and debriefing techniques. Today’s topic started with a case; an 18-year-old college student found in a snowbank with severe hypothermia. Stephen and Dr Prusty review the definition of hypothermia and how to diagnose it. They remind us on the importance of having a solid differential diagnosis as well as the importance of accurate thermometry. ECGs are the topic of discussion, including the classic finding of the Osborn wave. They delve into the history, pathophysiology and relevance of this wave. The discussion of ECGs leads to management of cardiac arrest and management of severe hypothermia. Coming back to the case, after some follow up on the clinical course, the discussion leads to the use of checklists for low- frequency cases. Dr. Prusty is an expert on debriefing and he discusses his methods for debriefing that include ensuring each team member recognizes the importance of their role. He also discusses how he integrates wellness into his debriefings.

In this session, we interview Gaynor Price. Gaynor is an emergency physician based in New Zealand and has developed a subspecialty interest in ultrasound in ED. We take a look at point of care ultrasound, its utility and its limitations. We will be especially focussing on the EFAST and how it has been adaptive and progressive in point of care treatment in the past 5 years.  We also take a look at ultrasound probes and the positive and negative interaction with tissue. Gaynor unpacks some of the fundamental advantages and disadvantages of POCUS and how it has been adapted, been made portable and democratised amongst clinicians in recent years.    We unpack the principles of EFAST, what we are looking for, when to look and where. We examine the difference image representations of fluid, blood, ascites, urine, intestinal contents, lungs, air.  Gaynor them looks at the anatomical variations and how to optimise the view, interplay with clinical questioning, repetition of scans and preferential windows to see the anatomy. We go sequentially through the EFAST and look at tips and tricks from Gaynor's practice and how these can be related to everyone's ultrasound practice and decision making.  We finally look at a prime example of when USS has been really useful to Gaynor's practice in one of the remotest and most extreme environments - Antarctica. She recalls a story of when ultrasound greatly assisted her decision making, illustrating some of the unique examples of this modality in remote and austere locations.

Host Stephen Wood is joined by, Stefano Tricanico a polar explorer, spelunker, engineer and medic. He was born and raised in South Africa, which is what lit the spark for his interest in adventure. He has been exploring the earth’s wild places for over 20 years and documenting his travels using photography as a tool to share his experiences. Stefano has led an adventurous and nomadic life dominated by mountaineering and exploratory expeditions in the Himalayas and Patagonian Andes. He has guided over 200 alpine caving trips and volunteered for the British Columbia and Alberta Cave Rescue Team. He spent three winters instructing dog sledding and winter survival to the British Armed Forces on the frozen lakes of the Canadian Rockies. His deep appreciation for the natural world led him to spend considerable time volunteering at sea for Sea Shepherd marine conservation society as a Bridge Officer, 3rd Engineer, Ship Medic, Zodiac chase boat driver and drone pilot to help preserve and protect our ocean environment from overexploitation. Currently, he works as an expedition guide, bear guard and Zodiac driver in the Polar regions for most of the season and is a certified PTGA Senior Polar Guide. His dream and inspiration have always been to discover the wild and unexplored corners of the world, and this continues to be the driving force in his life. He hopes to share these experiences with others, to broaden their view of the world so that we can all grow to appreciate it more and take it less for granted. In this episode, we explore the importance of conservation and conservation activism. Stefano reflects on the importance of the voice of the consumer and how this can impact conservation efforts. This serves as a launching point for medical preparedness in austere environments. Through storytelling, we explore several medical scenarios and how expert training prepared him for these crisis events

This was a joint podcast with our friends & colleagues at PHEMcast – to hear more from them, have a look at their podcasts, blog and resources. In this episode doctors, Sean Hudson, Matthew Boulter and paramedic Eoin Walker discuss their experiences from the jungle, common medical issues, self-care, common diseases and the challenges of decision making and evacuation.  

From Afghanistan to Uganda, Haiti to Somalia, Yvette Gonzalez has over two decades’ experience with capacity-building and community stabilization in kinetic war zones, natural disasters, and impoverished areas. In this episode, she shares her experiences and lessons learned from her experiences building resilience in disaster zones with host, Dr Shawna Pandya - including where to find some downtime in rural DR Congo (it’s definitely not what you’d expect), and a  close encounter in a conflict zone with a restless population, armed rebels and ...dynamite (don’t worry, she’s okay!). Whether community building in rural Latin America, working on hurricane relief in the Bahamas, or dealing with armed conflict in Afghanistan, Yvette shares common themes for building trust, and developing situational awareness: Keep your head on a swivel. Ask questions. Seek to learn. Defer to the experience of the locals. When trying to strike a sense of balance between capacity building and not burning out, Yvette suggests asking herself, “why am I going here? Do I need to? What is my intent? Am I doing what the population needs?” Most importantly - don’t forget to look for levity along the way. An epidemiological expert by training, Yvette Gonzalez has over 22 years of experience building resilience in disaster zones and including communities in active war, conflict, natural disasters, and epidemiological outbreaks. She has worked in complex contexts such as Afghanistan, Bahamas, Benin, Brazil, DR Congo, El Salvador, Ethiopia, Guatemala, Haiti, Mali, Mauritania, Mexico, Morocco, Nepal, Rwanda, Sierra Leone, Somalia, South Africa, Turkey, and Uganda. She crossed over to bring her expertise in operational environments to Space science, research, and tech to solve Earth challenges. She is a member of the International Astronautical Federation, American Indian Science and Engineering Society, and Lunar Exploratory Analysis Group. She serves as the Chief Operations Officer for the International Institute for Astronautical Sciences (IIAS). You can find Yvette via LinkedIn at: https://www.linkedin.com/in/yvette-gonzalez-45610a3   

Will Mackin is a 23-year veteran of the US Navy. He has served in Iraq and Afghanistan, first as a navigator aboard a carrier-based jet, then as a joint terminal attack controller attached to a SEAL team. His first book, Bring Out the Dog (Random House, 2018), won the PEN/Robert W. Bingham Prize for Debut Short Story Collection. During his fellowship, Mackin is working on “Animals,” a collection of short stories based on his experiences as a special operations soldier in Iraq and Afghanistan. Mackin’s writing has appeared in the Atlantic, GQ, the New York Times Magazine, the New Yorker, and Tin House. His short story “Kattekoppen” was included in The Best American Short Stories 2014 (Houghton Mifflin Harcourt, 2014), and his essay about being an extra on Breaking Bad, published in GQ, was nominated for an American Society of Magazine Editors Ellie Award. His military decorations include the Bronze Star Medal, the Joint Service Commendation Medal (with valor), the Combat Action Ribbon, and five Strike/Flight Air Medals. In this session, we discussed his experience and encounters with animals during missions to Iraq and Afghanistan. We discussed how animals might have impacted these missions as well as the humanitarian side of encountering animals in these environments. We also had a discussion on the ethics of live tissue training. This discussion spanned the thoughts on the need for this training as well as potential alternatives. We also discussed how to ethically engage in this training with respect to the animal. We ended our discussion by talking about Will’s use of art, writing and poetry to synthesize his war-time experience. More about Will: https://www.radcliffe.harvard.edu/people/will-mackin https://www.amazon.com/Bring-Out-Dog-Will-Mackin/dp/0812995643 https://chireviewofbooks.com/2018/03/09/bring-out-the-dog-will-mackin-review/

Sarah Spelsberg is an Emergency medicine Physicians Assistant and Fellow of Extreme and Wilderness Medicine (FEWM), who has spent the last 4 years working in a remote outpost in the Aleutian Islands - sandwiched between the Pacific Ocean and the Bering Sea - a truly rugged place, where ‘The Deadliest Catch’ was filmed! Sarah's desire to challenge herself and her clinical skills has enabled her to push boundaries in remote medicine delivering exceptional medical care under extreme circumstances. In this episode, host Dr Will Duffin and Sarah discuss remote and rural healthcare and Sarah’s experience of dealing with some very unconventional scenarios including: Delivering a baby outside in the rain in her pyjamas and flip flops no gloves Prolonged field care during a “cyclone bomb” aka “arctic hurricane” where no medivac was possible for a patient who was compromised from a massive pleural effusion. Sarah performed a makeshift thoracentesis with a spinal needle and empty IV bag  in a patient with a massive pleural effusion Transporting a critical patient in a Coast Guard helo past an actively erupting volcano to rendezvous with commercial medevac in Cold Bay. Building homemade ‘vent-splitters’ using bits from the island hardware store to double the ventilator capacity during covid-19. Treating dogs and cats on the island when there is no vet around, including how to sedate a dog, gain access and give morphine!   Sarah has managed to combine what’s she loves which is travel and being off the grid. She has developed skills of versatility and the ability to adapt to any situation presented to her. She is constantly working on maintaining her survival skills and capacity to create solutions out of random pieces of equipment to save lives, all whilst projecting calm to the rest of the team!   You can hear more from Sarah at this year's World Extreme Medicine Conference 13-15 November 2021, in which she’s presenting 2 sessions.   More about Sarah: Part-time: Physician Assistant Department of Orthopedic Surgery at Mayo Clinic in Jacksonville, Florida. Consultant Clinovations/The Advisory Board Company. IFHS Dutch Harbor Emergency Department. Wilderness Emergency Medical Consultant RogueMed. Twitter @Rogue_Med FEWM Fellow of Extreme and Wilderness Medicine https://www.extreme-fellowship.com FAWM Fellow Academy of Wilderness Medicine www.wms.org.

From the Thai-Burmese border conducting important work on men’s health to the most isolated oil rigs to COVID-19 response to biosensor technology development for prehospital care, Dr Johannes Svensoy has hit nearly square on the extreme medicine Bingo card! In this episode, he and WEMCast host Dr Shawna Pandya discuss his experiences in tropical, disaster, aerospace medicine and more, lessons learned from the world of extreme sports...and the next stop on his extreme medicine journey. Austere environments abound - and getting involved is part acknowledging enthusiasm early on, part keeping an eye out for opportunity...and part going for it! Whether talking about tropical medicine, maritime medicine, disaster medicine, or even COVID-19 response, some lessons are universal. Anticipate medical issues early on. Prepare and prevent when possible. Practice closed-loop communication in crisis situations and build team dynamics from the outset. Skills from other equally operational environments, whether mountaineering, skydiving or diving offer some equally key lessons. Know your equipment. Test it. Be aware that your environment can change on a dime. Dr Svensøy (Johannes Nordsteien) is a Norwegian physician with a specialization in Disaster medicine (EMDM) and training in Tropical medicine, along with Pre-Hospital, Maritime, Offshore and Aviation Medicine. He is currently working on a doctorate at the Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), researching biosensor technology, especially for monitoring hemodynamically unstable patients in the prehospital setting. During the SARS-CoV-2 pandemic, he has been involved with the medical response at Oslo University Hospital Infectious disease department. Humanitarian, adventure, expedition and extreme medicine have been his main interest fields for many years, being a rescue diver, skydiver, active mountaineer and member of the Explorers Club. https://twitter.com/JohannesSvensoy https://www.linkedin.com/in/johannessvensoy/ https://www.instagram.com/docjohannes/

Join new addition to the podcasting team, USA-based Emergency Nurse Practitioner Steve Wood as he discusses bringing Emergency Medicine to low resource communities.  Aimee Tang is an emergency medicine physician and MPH with years of clinical experience in a busy urban hospital in New York City. She also has an interest in public health and bringing training in emergency medicine to underserved and low-resourced providers and communities. She has worked in both Haiti and India to develop emergency medicine and residency training programs to these areas. Aimee's mission is to make her job obsolete, that is, she realises the importance of engaging community resources, establishing local buy-in and training future on-the-ground trainers. Aimee emphasizes the importance of engaging the community and respecting local customs to develop robust healthcare systems in these settings. As an assistant professor of emergency medicine, she has counselled many trainees on the role of provider-educator, including self-care and safety. In this podcast, Aimee and Steve explore her background and training in humanitarian medicine. They dive into what emergency medicine is and how emergency care is often lacking in underserved populations. Lastly, they discuss how to best integrate training programs so that they are both longitudinal and robust by engaging local providers and communities.

In this conversation, we talk with Carl Betts reflecting on practice as a paramedic. Carl is a Paramedic and quality improvement fellow based in Sheffield working for the ambulance service. He has been a Paramedic for 9 years and has a 10-year extensive history of expeditions featuring multiple trips to Everest base camp, K2, Mongolia, South Africa, Swaziland, Kangchenjunga, Toubkal, Aconcagua, Pakistan, Oman and many more. He has recently written two pieces of reflection that have been published in the College of Paramedics INSIGHT magazine. These are ‘Normal or numb’ and ‘The second victim and me’. In this episode, we examine these articles, Carl’s motivations for writing them, and pull out some of the salient learning points for both pieces in this interview. In the interview, we explore; Carls journey into paramedicine in 2012 & navigating 9 years on the frontline of paramedic practice. We then explore why Carl decided to write the first piece ‘Normal or Numb’ and Carls perspectives the salient points of continual exposure to life and death on the frontline. We look at the second piece of reflection; ‘The second victim and me’ and unpack what is the second victim from both a clinical perspective and a psychological perspective. We look at the second and third-order effects of formal clinical investigation on staff and why it can be so stressful, impacting directly on contemporary practice. We complete the discussion by cataloguing the advantages of reflection on practice, the restoration of normality and the empathy that should be extended to any clinicians going through an internal or external investigation. We hope you enjoy this candid and honest reflection from Carl that examines the necessity of clinicians psychological health required to treat others in a stressful and ever-changing pre-hospital environment.  Bio Carl Betts is a Paramedic and Quality Improvement fellow based in Sheffield working for the ambulance service. He has been a Paramedic for 9 years and has a 10-year extensive history of expeditions featuring multiple trips to Everest base camp, K2, Mongolia, South Africa, Swaziland, Kangchenjunga, Toubkal, Aconcagua, Pakistan, Oman and many more.

In this episode, Dr Jen Sherman is joined by Anna-Marie Watson. Anna-Marie was an officer in the British Army for 9 years and completed three operational tours. An experienced Expedition Leader, she is no stranger to extreme and hostile environments. Anna-Marie has two passions, ultramarathons and coaching. Prior to Covid, Anna-Marie regularly achieved podium positions in the Ultra-marathon world tour series and Marathon des Sables. When not running, Anna-Marie is also a successful coach to both business leaders and athletes. Her area of specialism is coaching outdoors and in 2020 she co-authored a chapter on ‘Eco-coaching’ for the ‘Coaches Handbook’. In this episode Jen and Anna-Marie discuss: Her journey into competing in Ultramarathons The physical, mental and emotional facets of preparing and completing an Ultramarathon Her identity as an athlete and how this has been impacted by the pandemic Fear of failure The dark side of being passionate and driven-at what point does it become harmful to our wellbeing? Her journey into coaching What is coaching? How the outdoor space supports coaching How she applies coaching principles to running The importance of values Anna-Marie Watson Bio: Happiest outdoors Anna-Marie is a certified Performance Coach and Coach Supervisor who loves to escape the confines of four walls and take conversations into nature. Former British Army Officer, she has worked in challenging environments from snowy Arctic tundra to hot and sandy deserts though currently resides within the rolling countryside of Wiltshire. She has an insatiable curiosity about the world and is a self-certified learning junkie with a Post Graduate Certificate in Applied Coaching from the University of Derby and a Master’s in Teaching from the University of Sydney; amongst other psychological and psychometric-based coaching tools. Alongside her passion for performance and coaching, Anna-Marie has a severe ultra-running habit. She loves racing overseas and pre-COVID-19 regularly achieved podium positions on the international Ultra-Trail World Tour series, Marathon des Sables and other crazy long-distance events. Anna-Marie is on a mission to encourage a different approach to work where our natural environment is valued and integrated into the business world. To connect with Anna-Marie: Website: www.rfmcoaching.com LinkedIn: www.linkedin.com/in/awatson4/ Twitter: @rfmcoaching Instagram: @rfmcoaching Anna-Marie’s podcast series on coaching outdoors can be found on the following website: https://coaching-outdoors.com/

In this episode, we speak with Stian Mohrsen about the basics of critical care. Stian is a retrieval practitioner working in Scotland with particular clinical interests in pre-hospital emergency and critical care, major and complex trauma, resuscitation, paediatrics and human factors. He is also a part-time lecturer at Sterling university on the paramedic science degree program.   In the episode he speaks with Eoin Walker (WEM pre-hospital lead) about why this topic is important and how the basics can sometimes be overlooked in the trauma and medical patient. Stian also goes on to discuss the fundamentals of patient assessment in the critical care patient together with the airway, breathing and circulation aspects that should be attended to. Stian goes on to bring out the non-technical aspects of critical care that are important to exhibit. He also mentions the attention to detail that is required and how small well informed decisions can aggregate and contribute to performance and outcome. Stian finishes by talking about the importance of kit husbandry and how to steward kit around the patient, he also mentions the key attribute of 360 access to patients to facilitate assessment and intervention.

In this episode, Dr Will Duffin speaks to BBC Chief Medical Officer Claire Fernandes, about breaking the mould in her career, what it’s like transitioning away from the NHS into private sector work. How this broadens your skillsets and horizons. How she developed an interest in occupational health and how this has opened doors for her. We talk about what her role at the BBC is like, the challenges, what it’s like being the only doctor in an organisation of 22,000 employees, working across a huge variety of different platforms and departments and how she’s constantly learning and always needs to come up with creative solutions to novel problems. We talk about her role in covid-mitigation for the filming of BBC productions. What part she has played in enabling the cast of some of our favourite crew to continue filming safely without masks or social distancing on set. We explore the tension between advocating for the health and wellbeing of cast and crew whilst minimising barriers to a production meeting its commercial objectives. Clare talks about the role that travel and taking time out of medicine has had in helping her gain clarity on her own career and why she believes you should take as many ‘F’ years as you need (F3, F4 and beyond!)…. She shares her own tips on how you could ‘jailbreak’ your own career and explore an unconventional career path. The importance of developing professional networks… Why she believes it’s important to ditch a scarcity mindset and collaborate with others and be generous with your time. If you;re thinking about breaking the mould, watch this session and see how you can add variety and value to your career.  More about Clare: Clare Fernandes qualified from University College London with multiple university and national academic and non-academic prizes. She has gone on to obtain numerous postgraduate prizes, notably the Faculty of Occupational Medicine's Mobbs Fellowship and the Medical Women's Federation International Fellowship. She wrote the book 'Questions and Answers for the Diploma in Occupational Medicine', which has previously been nominated for a BMJ Book Award. Clare is currently an occupational health physician in Central London and is the Society of Occupational Medicine CESR Trainee Representative.  YOu can find Clare on LinkedIn at: https://www.linkedin.com/in/clare-fernandes-4685b3176 

In this episode, Dr Jen Sherman is joined by Bex Band. Bex is an adventurer, public speaker and writer. She is passionate about adventure, widening access to the outdoors and conservation. She is the founder of ‘Love Her Wild’ a global female adventure community with over 25,000 members. Bex has been recognised as one of the UK’s top 30 inspirational entrepreneurs. For her work advocating women in adventure, she has been shortlisted for a National Diversity Award and in 2018 was given ‘Legacy Maker’ status on the San Miguel Alternative Rich List. In this episode Jen and Bex discuss the following: The adventure that kickstarted her journey to becoming an adventurer and entrepreneur How Bex has made a living doing what she loves How adventure helped restore her confidence and self-belief Love Her Wild What inspired her to set up What the community aims to do How she has grown it to have >25,000 members The power of minimalism How her engagement with nature has led to a deep passion for conservation Her love of writing and how that led to landing a book deal Advice for anyone looking to get outdoors, bring more adventure into their daily life, or start an adventure side shuffle If you are interested in following Bex’s blog, ‘The Ordinary Adventurer’ it can be found here https://www.theordinaryadventurer.com/ If you are interested in ‘Love Her Wild’ more information can be found on https://www.loveherwild.com/ Bex can be contacted via: Twitter: https://twitter.com/Bex_Band Linkedin: https://www.linkedin.com/in/bex-band-539b1562/ Facebook: https://www.facebook.com/theOrdinaryAdventurer/ Instagram: https://www.instagram.com/bex_Band/ Pintrest: https://www.pinterest.co.uk/Bex_band/ Bio: Bex Band (www.bexband.com) is an author and speaker advocating the outdoors, adventure and conservation. She’s founder of the UK’s largest women’s adventure community, Love Her Wild (www.loveherwild.com). Her previous adventures included hiking 1000km across Israel, kick-scooting the length of the USA and crossing the Jordan desert. Bex has been recognised by Business Leader as UK’s top 30 inspirational entrepreneurs and was awarded the Next Generation Award by Enterprise Nation. For her work advocating women in adventure she has been shortlisted for a National Diversity Award and in 2018 was given ‘Legacy Maker’ status on the San Miguel Alternative Rich List.

Lock Down Rock Up - A conversation with climber and Paramedic Jerome Mowat. This week Eoin Walker joins Jerome Mowat for a conversation about the making and narrative of the film 'Lock Down Rock Up'. The film which is directed, produced and shot by Nico Hambleton has been designed to appeal to both health workers and adventure lovers. It showcases the beneficial and healing transition from high-stress work in healthcare to a high focus and committing activity. Lock Down Rock Up, takes audiences through the challenges Jerome faced as a frontline paramedic in London during the first wave of the COVID-19 pandemic and how he used rock climbing to escape. During this session Eoin and Jerome discuss: The beneficial impact of climbing and intense activities on mental health The importance of a separate identity away from your professional life Stress within the team and the need to support each other Optimising strategies for self-care and mental health Jerome Mowat Biography: Jerome Mowat initially trained as a paramedic with London Ambulance Service. He transitioned to Yorkshire Ambulance Service to embrace his love of climbing to return to London during the first wave of the COVID pandemic. He features in a documentary about the life of an NHS paramedic winning recognition at a global film festival. The film called ‘Lock Down, Rock Up’ follows the life of Jerome, as he uses rock climbing as an escape from working on the front line of healthcare. The film won the Best Short prize at Kendal Mountain Festival, which celebrates mountaineering and outdoor culture. If Jerome has inspired you to get out there and try some bouldering and climbing check out these articles: Beginners guide to Bouldering: https://www.ukclimbing.com/articles/skills/beginners_bouldering_-_how_to_get_started-3100 Beginners guide for climbers: https://www.ukclimbing.com/gear/publications/other_publications/rockfax__the_beginners_guide_for_climbers-4558 Read Jerome's article 'On the Front Line' on the UK Climbing website at https://www.ukclimbing.com/articles/features/on_the_front_line-12718  You can watch 'Lock Down Rock Up' on Amazon Follow Jerome at https://www.instagram.com/jerome_mowat/ Follow Nico Hambleton at https://www.instagram.com/nicohambleton/

If you're fed up with the same old expedition and camp food then this podcast is for you. In this episode, Dr Emma Figures is joined by Captain Sophie Hollingsworth, who discusses her passion for exploring, the environment and adventure cooking. Literally, if Indiana Jones and Martha Stewart had a baby, the result would be Captain Sophie Hollingsworth. In this episode, she shares some of her inspiring stories of ongoing exploration and following your dreams, as well as educating us on the wonders of sustainable, local cooking, over a fire, under the stars. Escape with us in an episode, that will enliven your spirit of adventure and tickle your tastebuds. Sophie is an adventure cooking pro and is the perfect person to help you raise your game while eating ion the wilderness. Sophie is also a world-renowned speaker and highly regarded environmental thought leader having taken the stage to speak to an array of audiences from the United Nations to influential corporates. On a mission to be a force multiplier, Sophie is helping purpose-driven companies, individuals, and organizations catalyze and leverage change to drive improved results and build a more sustainable world. Sophie’s enthusiasm for expeditions off the beaten track has led her to undertake far-flung adventures most would deem too inhospitable; including everything from descending uncharted rivers in Madagascar, desert transect treks in Namibia, living with indigenous communities in the Republic of Vanuatu conducting ethnographic research, to sailing across the Pacific Ocean. Hollingsworth’s work has been featured by the National Geographic and the United Nations. She is a Fulbright Scholar with a background in Environmental Science and Health Security from NYU, Harvard Kennedy School, and the University of Sydney. Sophie is a Fellow of The Explorers Club and the first New Explorer Awardee. When not exploring (or during a global pandemic) Sophie lives in Sydney, Australia. Instagram: @captsophie Website: www.sophiehollingsworth.com https://www.thesofialog.com/food https://www.oceanographicmagazine.com/features/captain-sophie-hollingsworth/ https://www.globalcitizen.org/en/content/ocean-plastic-waste-actions-impact/

In this second episode of 'Stone Cold Truths', we’re joined by ENP Ben Cooper and Dr Sean Hudson. Alongside WEM Trauma Lead Eoin Walker, Ben and Sean delve deeper into #hypothermia. The trio discuss when hypothermia is actually a benefit to the individual, how alcohol affects hypothermia and some of the misconceptions around how people see hypothermia.  Grab a hat and listen in to this #extreme discussion. 

  In this conversation between Dr Will Duffin and Dr Lizzie Thorne we learn about some of Lizzie’s highlights of working out in Fiji with Bear Grylls and examples of some of the medical care she’s delivered in extreme environments. Lizzie and Will also discuss what the key attributes are of a good expedition medic?, how and why lizzie escaped the London medical career treadmill and her top tips for other medics who want to follow the same path and how lizzie has juggled her overseas trips with her hospital rota. Lizzie is a Junior Doctor, she graduated from St George’s medical school in London in 2017 and is now in her F4 year and has just applied for core surgical training. She has been able to build expedition medicine into her career including an interest in sports, exercise and expedition medicine. She has taken part in many different overseas projects and expeditions including: Ultra Marathon: Sri Lanka - race medic  Ultra Marathon: Jordan - race medic  Adventure Race, Eco Challenge, WEM: FIJI - race medic  Surgical Charity Simons Mango Tree: Ghana - Surgical junior  Just Challenge WWF Charity Hike: Vietnam - challenge medic  She was also a member of the WEM medical team for filming of The Worlds Toughest Race with Bear Grylls out in Fiji. You can find her on instagram as @theadventuredoctor Lizzie is currently working in the Emergency Department in George in the Western Cape of South Africa Links https://medicfootprints.org/expedition-medicine-the-exciting-adventure-of-keeping-ultrarunners-alive/ https://www.instagram.com/theadventuredoctor/?hl=en

An interview 35 years in the making    WEM Founder, Mark Hannaford was destined for a life based on the expeditions, but he stumbled across the remarkable book by newly minted photojournalist Nick Danziger; 'Danziger's Travels'.    It was a book that influenced his and many others' lives, and it has taken him 35 years to track Nick down and convince him to be interviewed, his perseverance wasn't wasted.    #thelongesttalk #expeditionmedicine #nickdanziger #photojournalism #humanitarian #conflict #extreme #extrememedicine 

In this podcast, Dr Emma Figures is joined by Dr Flora Burns and Dr Rose Brennan, who discuss their experiences as medical volunteers in Moria Refugee camp last year.     Every day, more refugees are fleeing Afghanistan, Syria, the DRC, Somalia, Iraq and other countries, escaping awful situations and hoping for a better, safer life for themselves and their families in Europe. Sadly, many end up stuck in overcrowded camps, waiting for months, even years, on asylum paperwork. In September 2020, Moria, the largest refugee camp in Europe, on the Greek island of Lesvos burnt to the ground. While some refugees were re-located to mainland Europe, many still remain in dire and desperate situations in what has been called “Moria 2.0”, living in tents on Lesvos, with limited healthcare, sanitation, education, opportunities or hope.   Flora and Rose share some of their insights, reflections, challenges, rewards and advice, from their perspective as junior doctors working in this context. They discuss working with translators, common clinical presentations, difficult cases and coping strategies. If you would like to read more about their experiences, contact operations@extreme-medicine.com for a copy of their article. Flora graduated from Peninsula Medical School in 2017 and completed her foundation years in Scotland which included a rural rotation in Fort William. Since then, she has worked as an ED clinical fellow with 80% in ED and 20% of time for Expedition medicine in Bristol. Her interest in humanitarian work began when she undertook a medical elective in Malawi. Like many other junior doctors, Flora wanted a break in the traditional career ladder after my foundation years and was keen to broaden her horizons in expedition medicine and humanitarian work.   Rose studied medicine and an intercalated year of pre-hospital medicine at Barts and The London Graduating in 2017. Following this she took foundation years in Brighton and Hastings before moving to Bristol at F3 to work as an ED clinical fellow working 80% in ED and 20% of time for Expedition medicine. During this year she went on an altitude medicine course, ski medicine course and then following the initial wave of Covid headed out to Lesvos to work in Camp Moria. Since then, she has worked as ship medic for Adventure Under Sail going across the Bay of Biscay and has now moved out to New Zealand and is working as a junior registrar in Hawkes Bay ED.    If you would like to contact Flora or Rose, they can be reached at: Flora > flora.burns@nhs.net Rose > rose.brennan1@nhs.net

In this podcast, clinician Dr Jen Sherman, is joined by Stu Skinner, expedition leader and founder of charity Changing Horizons. Having survived a previous suicide attempt, Stu has made it his personal mission to reduce the stigma associated with mental health. He is passionate about raising awareness of suicide prevention and normalising conversations about mental health. Stu discusses the vital role adventurous challenge has played in the recovery of his own mental health and the importance of purpose to our mental wellbeing. He shares how his own journey has inspired him to set up his charity, which is the leading provider of Mental Health First Aid training in the outdoor and adventure industry.   The session is available both on WEMCast and the WEM Academy WEMCast >>> https://wemcast.podbean.com/ WEM Academy >>> https://www.wem.academy/   If you would like to connect with Stu, here are his contact details Website:  https://www.changinghorizons.org/ Email: stuart@changinghorizons.org   If you are interested in attending a Mental Health First Aid course, here is a link for further information https://mhfaengland.org/.   If you or someone you know are affected by any of the issues discussed in this podcast please reach out to someone in your network, speak to your GP or access confidential mental health support through the following two charities SHOUT https://giveusashout.org/ and the Samaritans https://www.samaritans.org.

In this special January episode Dr Hinemoa Elder, Consultant Child and Adolescent Psychiatrist based in New Zealand and WEM Host Dr Will Duffin explore 10 Māori proverbs (whakataukī) from her recent book Aroha and reflect on how this ancient wisdom can be applied to our daily lives during the pandemic. This episode is about personal growth and wellbeing. In the session they explore the following: - Making time for mind-weeding - Experiencing the joy in small things - Knowledge as nourishment - How true friendship reaches for the hand but touches the heart - Why we should all know our ancestors - Why our individual success is not possible without collective success - Why hope won’t get you crayfish! - Why sometimes you have to chew on the shit stick - The wisdom of silence - Why those who seek the treasures of the ocean should be prepared to get wet…! - How you can write your OWN proverbs and start to write your own legacy as an ancestor of the future.  About the book: Aroha is an ancient Māori word and way of thinking that means love, compassion, respect and empathy. It is one of the central pillars of Māori wisdom that enables and facilitates a more contented life. Aroha is also the title of a collection of the timeless wisdom of Māori proverbs. 52 whakatauki - traditional Māori sayings compiled and explained by respected Māori psychiatrist Dr Hinemoa Elder, showing us how we can live better lives, in harmony with the planet. These simple and powerful life lessons (one for every week in the year) aim to guide us in living a less stressful daily life. Chapters in the book cover manaakitanga (love for each other), kaitiakitanga (respect for our planet), whanaungatanga (community and connection) and tino rangatiratanga (self-determination). Aroha is a feast of Māori wisdom that remains strikingly relevant today. It serves as a wakeup call. An invitation to love yourself and engage with a more deeply connected experience of life. Hinemoa shows how she has used the whakatauki in her own life and encourages you to see the world differently, through some of the wisest of human eyes. Find out how the power of aroha can help you each day, and through its many meanings make a happier world for everyone. Ki te kotahi te kākaho ka whati, ki te kāpuia, e kore e whati When we stand alone, we are vulnerable, but together we are unbreakable.

“We imagine that people are out skiing and climbing, when actually the majority of people that get caught out in these really could environments is simply because they’re vehicle breaks down, or they have another concurrent illness, or they’re drunk” – Sean Hudson In this *NEW* podcast episode, we’re joined by ENP Ben Cooper and Dr Sean Hudson. Alongside WEM Trauma Lead Eoin Walker, Ben and Sean discuss all things #hypothermia. The trio discuss environmental pre-disposing factors and ‘red flag’ medical pre-disposing factors such as endocrine dysfunctions, neuropathy and psychiatric diseases. Ben and Sean also examine how to best manage these factors on expeditions where hypothermia is a significant threat.   Sean and Ben also talk about cold water immersion, frost nip/bite and how to manage it. They account for what they have learnt through their personal experiences from a self-care perspective. Give this session a listen for some great insight and a couple of laughs!

In this episode, WEM Trauma Lead Eoin Walker is joined by Khalil Sayyad Hilario, a security risk management consultant and SAHCO Consulting General Director.  In the last six years as SAHCO Consulting, Khalil has supported NGOs and aid agencies in South Sudan, Central African Republic, Nigeria, Niger, Mali, Colombia, Guatemala, El Salvador, Mexico, Syria, Iraq, Yemen, and the Balkans, providing strategic and operational support on risk and crisis management, humanitarian logistics and emergency programs.  N.B - apologies for the sound quality on this episode, both Eoin and Khalil were recording from internet poor environments, but we thought the quality of the content was important to share.   

Everyday People Living Inspirational Lives is a podcast that shares the inspirational stories of some amazing people who live in the communities that we are all part of. We were super lucky to be approached by host Ian Pitchford, who sat down (remotely, of course!) with WEM Founder Mark Hannaford to discuss the who, what and why of WEM.  ** The abstract below is taken from the Everyday People Living Inspirational Lives podcast:  Mark is world’s first honorary associate professor awarded for his work in Extreme Medicine by the University of Exeter Medical School and is the founding director of World Extreme Medicine and Across the Divide Expeditions and a Fellow of both the Royal Geographical Society and the Royal Society of Arts.   A former special forces reserve soldier, a professional photographer, dogsled guide, remote boat handler and peripatetic explorer, Mark has been involved with expeditions for over 30 years and has led and organised expeditions to all of the world’s continents, in the desert and marine environments but also in polar regions, at altitude and has been involved in adventurous pursuits on all of the worlds five continents. Mark is also an award-winning photographer with images published in the Sunday Times, Telegraph, Rough Guides and National Geographic. He is also honorary aquanaut, an International Fellow of the famous Explorers Club of New York, a faculty member of the Space and Aviation Medicine course at the University of Texas Medical Board and Pacific University, Oregon. At A Mind 4 Adventure, we are very proud to be associated with Mark. Listen what inspires him as he is so key in the inspiration of others within the community he serves. ** Hear from more Everyday People Living Inspirational Lives via Ian's podcast, available here.   Mark will open this years Virtual World Extreme Medicine Conference, 17th and 18th October, as well as chairing sessions with a host of other incredible people living inspirational lives. Grab your tickets today > http://bit.ly/BookWEM20  

In this episode, WEM Founder Mark Hannaford, Trauma Lead Eoin Walker and Education Lead Will Duffin come together to discuss their favourite episodes from the podcasts and live sessions they've hosted over the last few months.  From NASA physicians to remarkable athletes, trauma survivors and medical mavericks breaking the mould, Mark, Eoin and Will reflect on how these interviews have helped them process the situation around them and grow as both people and clinicians.    ** A huge thank you to all those who have taken the time to chat to us - and to everyone who has downloaded, watched and listened to our online content. What were your favourite episodes? Let us know in the comments section below!    Have you got a story to tell? We'd love to hear from you! Get in touch with us to find out more - operations@extreme-medicine.com    

Adapted from the hugely popular WEM Academy Live Session #23, this episode revisits the Military Medicine Careers Panel hosted by WEM Education Lead Will Duffin. Will was joined by three medics each representing a different branch of the military; Major Nat Taylor (Army), Alex Bamford (Royal Navy) and Cat Davison (Royal Air Force).  The panellists take us through each of their hugely rich and varied careers, from deployments in Artic conditions and scorching deserts to crossing America on motorbikes and surviving in the jungle, completely unsupported, for weeks at a time.  Then they tackle some of the big questions from you - from the types of experiences and skills needed for your application, the importance of good health (both physical and mental), how their careers have prepared them for difficult situations such as the pandemic, and the key piece of advice they'd give their younger selves...   *** Do you want to learn more about the incredible career opportunities that extreme medicine offers? Then why not attend #VirtualWEM20? We'll be hosting the famous 'How to get your first job in Expedition Medicine' session, adapted for the small screen. It'll be packed full of useful hints and tips -  and some inspirational tales - to help you break into the incredibly rewarding world of extreme medicine. #VirtualWEM20, 17th and 18th October: Book your tickets now > http://bit.ly/BookWEM20

"Going into hospital to work was no longer just a job, it had become the perfect place to hone the skills that I might need on expedition, in the desert or on the side of a mountain. Expedition medicine gives me a renewed sense of purpose, and it has helped me to become a far better, and, more importantly, a far happier doctor".   In this episode, WEM Founder Mark Hannaford chats to Nathan Hudson-Peacock about how he found his 'why’, and why it’s so important to his work as a medic.    Nathan takes us through his journey from a disillusioned junior doctor, stuck on the treadmill like so many others, to a doctor that has travelled the world - from the Sahara Desert to the Himalayas of Northern Pakistan, and has become a passionate advocate for a career in medicine - sharing some of his top tips for those that also want to break the mould...   **    Follow Nathan on Instagram!

‘The good thing with adventure racing is you’re often not too far after a low moment, from a high… finding that waterfall… it was by far and away the best experience I’ve ever had on a race’.    Joe Selby is a UK-based adventure seeker who is passionate about the outdoors and has raced all over the world, most recently competing in The World‘s Toughest Race: Eco Challenge in Fiji with Team UK Adventurers. The World's Toughest Race: Eco Challenge Fiji encompassed trekking by foot and traveling in various non-motorised forms of transportation, including paddling and sailing in an outrigger, paddle boarding, mountain biking, whitewater rafting, rappelling, climbing, canyoneering and Bilibili rafting, with only a map and compass to navigate across over 670km of Fijian terrain.    Alongside WEM Trauma Lead Eoin Walker, Joe explores his Eco Challenge journey; from preparation and crafting team dynamics to tackling the 10 different domains the course encompasses, plus all the miles in-between.  Joe reflects on some of his biggest challenges during the race, including what he termed the 'Mud Festival' (which turns out, was not as fun as it sounds) to getting lost during the waterfall section, and how his team recovered from these setbacks in their attempt to cross the finish line.  Joe also provides his top tips for anyone considering entering the incredible world of adventure racing; from getting into long distance events, to ensuring you've got the right kit - and most importantly, looking after your feet!    *** The World's Toughest Race: Eco Challenge Fiji is now available to stream on Amazon Prime Video.   

‘After I got second in Kona, I looked over and… I felt really empty’. In the latest episode of WEMCast, we’re joined by the Iron Cowboy Captain from the latest series of the World’s Toughest Race: Eco Challenge, elite ultra-marathon fanatic and Ironman veteran, Sonja Wieck.  Alongside WEM Education Lead Will Duffin, Sonja reflects candidly on her career as an elite triathlete, including her training regime, motivations and how this tied in with family life. They also discuss the dark period in her life following an incredible podium performance at Kona, in which Sonja suffered from panic attacks, depression and contemplated suicide. Sonja reflects on how she had to take time to re-centre, rediscover and rebuild - and how the Eco Challenge provided her with the comeback she dreamed of.  Will and Sonja explore the wellbeing strategies she has developed during her recovery, with specific focus on her ‘4 pillars’ of wellbeing.  Then, they get into the nitty-gritty of the World’s Toughest Race. Sonja details how she adapted from triathlon to adventure racing as course marshals were replaced with a map and compass, and how she learnt to navigate.  Sonja talks us through the highest highs of her participation in the race, the inevitable lows and some of the most ridiculous moments she’ll never forget - and expresses her gratitude to the medical team as the Fijian terrain took its toll on her team.      *** Check out Sonja's website for more information on her incredible career.    You can listen to Sonja’s podcast, ‘Tales of Toughness’ on Apple Podcasts or Spotify.   The World’s Toughest Race: Eco Challenge Fiji, with medical support provided by World Extreme Medicine, is available to stream on Amazon Prime.  

Originally recorded as a video interview the full visual broadcast can be viewed at the WEM Academy. Please be aware that this a short drop off about 16 minutes in.  UK-Med CEO David Wightwick talks to Dr Will Duffin, WEM’s Education Lead about his experience leading the #UKaid funded medical needs assessment team in Lebanon, following the devastating explosion at Beirut Port on August 4th and how the UK Emergency Medical Team is supporting the people of Lebanon. Foreign, Commonwealth & Development Office.  

"Just when we think we've reached the limit of human endurance, someone shatters the records" (Lewis Hugh).    Super-human Sarah Thomas joins us this week to discuss her incredible career as an open-water swimmer.  Alongside WEM Education Lead Will Duffin, Sarah explores how she transitioned from competitive pool-based racing to the freedom of open-water swimming, and the unique challenges this presents.  From calm lakes to chaotic shipping channels, Sarah then explains the reasoning behind her decision to try and conquer the English Channel, but not just once. Sarah explores the journey from conception to completion - from assembling a crack-team of supporters to preparing for water-specific injuries and illnesses that could occur, including hypothermia and pulmonary edema. The pair also consider the highs and the lows of Sarah's record-breaking endurance attempt, from nausea and fatigue to the mindfulness that time in the water offers.  Sarah discusses the impact of her cancer diagnosis on her life, and how swimming offered her the chance to take back control during a period of uncertainty.  *** Follow Sarah on social media here.  

For this week's episode, we are going global once again to visit remote medic Lucille Chauveau on the island of Tahiti in French Polynesia.  Alongside WEM Founder Mark Hannaford, Lucille talks us through her career as a GP working on a remote island. She considers how working, at times almost in isolation, presents it's own challenges. Lucille explores how her instincts have become a central pillar of her work, as she has to evaluate each patient for the severity of emergency and utilise emergency medevacs only when absolutely necessary.  Lucille also considers the impact of COVID on the island, from limits on alcohol consumption and curfews to closing the borders early. Lucille also explores the unique challenges that Tahiti presents when preparing for a pandemic, including the cultural differences in the family unit, in which households often comprise 3 generations, to limited resources and the need to be highly organised should COVID positive patients begin presenting.  The pair also consider Lucille's path from medical school to highly-mobile GP. Lucille details how much of the effort and time put into goes unseen, as being an adventurer is a career path you must carve for yourself. Lucille offers her top tips for young medics looking to break into this unique industry. The key to success is finding something you believe in and are truly passionate about - this will keep you focused on the end goal - and keep you motivated during the late nights and early starts.    ***  Find out more about Lucille's work -   Accessing healthcare in remote places among the elderly in French Polynesia paper.  Picturing health: global primary health care paper Facteurs Humains En Santé   *** Photo Credit: @florian_ledoux_photographer     

‘We are never entirely lost, but we can always know where we are better’.  Tristan Gooley, a.k.a. 'The Natural Navigator' joins WEM Education Lead Will Duffin in this latest WEMCast episode.  Natural navigation is the process of finding your way using the clues and signs in the world around you, including the sun, stars, water, plants and even satellite dishes on the side of your house!  Tristan explains that key to moving from a compass to creating a mental map is to completely tune into the world around you. Absolutely anything can be used as a clue if you view it as part of a jigsaw - perhaps no single thing can tell you the answer but a series of observations can lead you to your destination.  Tristan and Will also explore the joy of getting lost - from mini-challenges in your back-yard to enriching journeys. Tristan advocates natural navigation as a brilliant mindfulness technique, as it encourages you to focus on finding your way and enjoy the outdoors!    **  The Natural Navigator Website  The Walker's Guide to Outdoor Clues and Signs by Tristan Gooley, is available online and in book stores such as WHSmith.  Tristan also has a podcast! You can find it here! Tristan's TEDXTalk   

In this episode, WEM Founder Mark Hannaford is joined by WEM Conference Speaker, HEMS Doctor and former Paramedic Mike Christian.    Mike tells us how he took the leap from working as a Paramedic in Canada, and fuelled by curiosity, decided to go back to University to train as a Doctor. Following his graduation, his interest in infectious diseases and the emerging SARS outbreak led him to further Critical Care Training and an Infectious Diseases Fellowship. This launched him down a path that has included time in the Canadian Military and as part of the London Air Ambulance team as a HEMS Physician.    Alongside Mark, Mike considers some of the best lessons he took from his earlier training and has kept with him even today - from building rapport with patients, to being resourceful in front-line environments and the power of asking good questions.    Mike also offers some advice to those wishing to pursue similarly unique careers paths to his own; from taking risks and pushing yourself out of your comfort zone to utilising your 'imposter syndrome' to drive you to be a better clinician. He reminds us that our work is a mix of our success, but also our failures - and highlights his own 'rejection CV' and the closed doors that have led him to even more interesting places.     ***   Walton, M., Murray, E. and Christian, M. D. (2020) ‘Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic’, European Heart Journal: Acute Cardiovascular Care. doi: 10.1177/2048872620922795 > bit.ly/TheSilentPandemic   Watch 'The Silent Pandemic' WEM Academy Live session featuring Mike here > https://www.wem.academy/videos/wem-academy-live-sessions/the-silent-mental-health-pandemic/

‘If one has support, drive and determination, a debilitating injury should not stop you from reaching your goals'.   In this episode, Will chats to Martin Hewitt about his journey from surviving a serious bullet wound with catastrophic arterial bleeding on the battlefield in Afghanistan, to waking up in a hospital in Birmingham the next day, faced with having to rebuild his life.    Martin refocused his energy into sport and adventure, and has competed as an elite level skier and set up the Adaptive Grand Slam (AGS), which provides opportunities to people with disabilities to participate in extraordinary physical challenges.   ...    The pair discuss the enormous mental battle Martin faced when coming to terms with his life-changing injury. From learning to write and tie his shoes, to considering the world of work, Martin talks us through his process and the measures he took to avoid being consumed by his emotions.    They also explore the highs of Martin's journey, which has included captaining the military disabled ski team, as well as representing Team GB at the World Championships.   Will and Martin also discuss a whole host of other topics, including some of the big hits Martin’s body has taken during his adaptive skiing career, the unique challenges presented to disabled climbers in high altitude mountaineering such as stump management and preventing frostbite in the damaged limb and how the joy of facilitating a team mate to get to Everest Base Camp was far greater than any personal 8,000 metre summit.   **   Adaptive Grand Slam (founded 2013) is a registered charity, facilitating world record attempts, world first events and extreme challenges undertaken by members of the disabled community including wounded ex-servicemen.    Find out more here > http://www.adaptivegrandslam.com

Thriving Vs Surviving Join us to hear from Dan Richards an ex-soldier and cyclist Victoria Lebrec and WEM Trauma Lead & London HEMS Paramedic Eion Walker who attended their life-threatening crashes. . In May 2009 everything changed for Dan. Tune in to hear his story of losing his right arm and shoulder in a near-fatal motorcycle incident. Most importantly hear how Dan turned his life around from a suicide attempt to trialling for the Paralympic Games and cycling for GB in the Invictus Games in Sydney. Also how he has turned his hand to modelling and presenting. Dan is truly an inspiring character....you will not fail to be moved by his account and sheer grit and determination to push through. . And learn from Victoria Lebrec and about her amazing survival story. Please watch the link to get a snapshot of Victoria's amazing determination and tenacity. She talks about swimming the English Channel in a true demonstration of grit and will power. . BBC News report . RoadPeace – The National Charity for Road Crash Victims   RoadPeace is the national charity for road crash victims in the UK. We provide information and support services to people bereaved or seriously injured in road crashes and engage in evidence-based policy and campaigning work to fight for justice for victims and reduce road danger. Set up in 1992 by a mother whose son was killed by a red light offender, we are a membership organisation whose work is informed by the needs and experiences of road crash victims. RoadPeace is governed by a board of trustees, has a small staff team and a network of active members and volunteers.

Hello. I’m Anna, an adventurer, speaker and mischief-maker. I get my kicks from exploring the world through long human-powered journeys. On a mission to find the limit of my own potential, I’m hoping to help you unlock yours too. Let’s dance. . WEM speaks to a fellow maverick adventurer Anna McNuff . Anna, a British born adventurer, motivational speaker, influencer and author. She was recently named by Condé Nast Traveller as one of the 50 most influential travellers of our time, and by the Guardian as one of the top modern female adventurers . I am also proud to be the UK Ambassador for Girl Guiding, and the co-founder of Adventure Queens; the UK’s fastest-growing women’s adventure community. She's best known for her recent attempt to run the distance of 100 marathons through Great Britain, in my bare feet.  Anna gets her kicks by travelling the world on long, human-powered journeys, and in sharing those journeys with others. When not running up mountains or sleeping in the wild, she encourages others to grab on to life (non-scientific term), and speak and write about the importance of adopting a growth mindset (scientific term), in everything we do. She believes that there’s more strength and magic in each of us than we will ever know – adventure is her personal way of unlocking that.  https://www.annamcnuff.com

Don’t wait. Start right now.” – Sean Conway . Sean was born in Zimbabwe, grew up in South Africa, but has English and Irish families. Sean believes that to stop yourself from failing; you need to prepare for it. For him, the adage “if you fail to prepare, you prepare to fail” holds true. . WEM interviews Sean Conway the first man to cycle, run and swim the length of GB (Lands End to John O'Groats) . What you'll learn in this episode: . Sean's story - aged 30 he was a photographer in London and deeply dissatisfied with his life. How we completely reinvented his life to follow his dream and become a professional endurance athlete. How his round the world cycle world record attempt ended in disaster, but he still managed to carry on... Why beards are the best defence against jellyfish Does posting to Social Media get in the way of the adventure? The UK's hidden network of green dotted lines. His reflections on adventure and fatherhood. Seans' black book' of things he wants to do next. . Sean Conway | Adventurer Extraordinaire | Adventure is a State of Mind https://www.seanconway.com

Jonesy is an adventurer, presenter, documentary producer and motivational speaker. He’s an avid bushwalker, spear-fisherman, Brazilian Jiu jitsu enthusiast and husband to beautiful wife Lauren. “I’m a pretty average bloke, I’m not the smartest guy in the room, not the fittest and definitely not the best looking but I’ve been lucky to have such amazing adventures.” WEM's Education Lead, Dr Will Duffin, interviews Jonesy to what makes him tick, his motivations and plans for the future. Find out more about Jonesy...

Join WEM Trauma Lead Paramedic Eoin Walker to hear from two inspiring pre-hospital clinicians and WEM Faculty, Ollie Neece and Claire Fitchett, and find out how they have navigated an adventurous career in pre-hospital care and into critical care.

WEM founder Mark Hannaford interviews Ilan Moss the maker of a remarkable film - A doctor’s dream: A pill for sleeping sickness Winner at Health for All Film Festival Dr. Victor Kande Betu Kumesu is a Congolese doctor who has spent the last 40 years of his life working to combat sleeping sickness and led clinical trials for fexinidazole, the first oral-only drug that is expected to accelerate the elimination of the disease in Sub-Saharan Africa. As the former director of the DRC’s sleeping sickness program, Dr. Kande spent decades treating patients with sleeping sickness when the only available drug was melarsoprol, an older, arsenic-based medicine that kills one in every 20 patients. . Frustrated by the lack of medicines and refusing to accept that melarsoprol was the only option, Dr. Kande partnered with Médecins Sans Frontières (MSF) and their newly formed Drugs for Neglected Diseases Initiative (DNDi) to research better sleeping sickness treatments, which led to a 15-year collaboration and clinical trials for a new drug. When DNDi identified the drug fexinidazole as a promising candidate, Dr Kande led the clinical trials needed to test the drug and championed what would become a revolutionary treatment. Compared to the previous injectable drug, fexinidazole has lower mortality rates and can be administered more easily and rapidly, even in rural settings. It can treat both stages of the disease and eliminates the need for a painful spinal tap to see how far the disease has progressed. . Dr. Kande served as Principal Investigator from 2012-2017 and oversaw the screening of two million people to recruit participants. He enabled the training of health personnel and ensured that the trials met strict international standards. Fexinidazole was approved for use last November, and with about 65 million people in sub-Saharan Africa at risk, it has the potential to save many lives and even to eliminate sleeping sickness altogether. Fexinidazole and its development would not have been possible without the vital contributions, resilience, determination and vision of Dr Kande. . 'By the time the infection had invaded Ange Bukabau's central nervous system and begun to affect her brain, her family didn't know what to do with her. She was acting erratic, out of control. "I was going crazy," says Bukabau, 32, who makes her living as a vendor in a small town in the Democratic Republic of the Congo, about 200 miles east of the capital, Kinshasa. Her family members were frightened — and convinced it was witchcraft. Maybe she had sought a charm to attract a rich man and ended up cursed. "They worried I was a danger to my children, so they took them both away," she recalls. "I was alone." What neither she nor her family nor the nurse she had seen had realized was that she had contracted African sleeping sickness — a parasitic disease that, if left untreated, essentially drives people mad before killing them. Happily, Bukabau made it to a hospital just in time and was one of the first patients to be treated with fexinidazole, the first treatment for sleeping sickness that relies on pills alone. On Friday, it earned approval from Europe's drug regulatory agency, paving the way for its use in DRC and across east, central and southern Africa, where the disease occurs, by mid-2019. Sustained efforts to cure the

WEM Academy Live Session #11: Humanitarian Careers Panel Host: Eoin Walker Panel: Erin Kilborn & Josie Gilday Length: 1 hour 30 mins Ideal for: Health professionals of all grades, stages and training backgrounds . The world faces new crises every day, both manmade and natural - the most recent pandemic proving that a global humanitarian disaster can happen at any time. If it's got you thinking about branching out in your career, this one if for you! . Join Paramedic and WEM Trauma Lead, Eoin Walker, alongside MSF medic Dr Erin Kilborn, and MSF and Red Cross tropical diseases nurse, Josie Gilday to have your questions answered about how to enter into the intensely rewarding career of Humanitarian Medicine.

Mark Robert Visser is an Australian professional big wave surfer, author, keynote speaker and ocean adventurer. Visser is best known for being the first person to surf Hawaii’s most dangerous wave Jaws, Maui, at night in 2011. Documented in a film called ‘Night Rider’. Facebook>  https://www.facebook.com/MarkVi55er/  Instagram> https://www.instagram.com/mark__visser/  Website>     www.markvisser.net Documentary probes big wave night surfing of Mark Visser By CASSANDRA MURNIEKS THEAUSTRALIAN NOVEMBER 25, 2011 TALK to any big wave surfer about their adventures and you will almost certainly be moved to consider them crazy. But what if they were to take on the big waves at night? Sunshine Coast's Mark Visser had it on his list of "things to achieve in life" and in January this year crossed it off after taking on monster waves, some with 50-foot faces in the dark at the famed Jaws break in Maui. Visser is one of the brightest big wave talents in the world, pushing his body physically and focussing mentally to undertake on of the most dangerous pastimes known to man. Visser's preparation and big wave skills have come together in a television documentary "Night Rider" to feature on Channel Nine this Sunday. "We have had this idea since about 2007. A friend told me that he had a dream about a guy who rode waves at night, which got me thinking. Was this achievable? Could it be possible?," Visser told The Australian. "I became a bit of a nutty professor in looking at all the options of making something like this happen. Other big wave surfers said it wasn't safe enough to do, but I wanted to push myself and get out of the comfort zone." With the night surf session being filmed in January, a large bulk of the documentary was filmed beforehand. Months of preparation were undertaken, which involved working with safety teams, special-forces and a number of coaches, who showed Visser a number of techniques designed to allow him to best cope in the event of something going wrong. "The training with the coaches was tough. I worked with a number of people, who prepared me for the night surfing. If I had all of those things under control, it was one less thing to worry about when it actually came to surfing Jaws," he said. Visser tested the smaller waves at night in Australia to ensure they had the technology right. To guide Visser through the waves, he had a number of lights strapped to his body, which allowed viewers to see the vast speed and the distance that he surfed the waves. His preparation included paddling in the water for up to six hours. "The coaches pushed me and they had me paddling at night via shipping channels and in shark-infested waters," Visser said. "With one of the nights, I was told to paddle in a shark area for six hours. For the first two hours, it was pitch black and I kept coming in contact with fish and jellyfish which freaked me out a bit. "After the first two hours, my eyes had adjusted to look out for the shadows and it became easier after that." The large production crew based themselves out of Maui six-months before the night surf sessions. The day before filming, things started to unravel for the well-planned crew. "We had drivers pulling out and jet skiers calling it a 'suicide mission'. Even the guy flying the helicopter pulled out, but we continued to back ourselves," he said. The film crew eventually shot the footage on the surrounding cliffs, with just a rescue-ski and his tow-in partner in the water with him. Visser was in the water for 40 minutes before claiming his first set of waves. Claiming he was 'rattled' in surfing tho

Today's release concentrates on Technology and the revolution of healthcare in austere environments. It's presented by Stacy Welker of Remote Health Solutions* in the US highlighting how technological advances are putting clinical diagnosis capacity into your hands in places formerly considered impossible. *To be clear. This is not a paid feature or endorsement rather one which highlights the emergence of new clinical technologies. Listen> WEMcast Watch> WEMAcademy #BeExtreme #WEM https://worldextrememedicine.com https://rhsusa.com/batdok™   Stacy Welker, NP Vice President of Clinical Services Remote Health Solutions. As Vice President of Clinical Services, Stacy is responsible for growth and strategy for RHS's Clinical Services division. Stacy earned her Nurse Practitioner degree from Graceland University and has been serving the medical field for over 7 years.   She has a vast emergency medicine background and has worked in various roles including director of ER education and a trauma RN.  She is currently a practising Trauma Practitioner/Acute Care Surgical 1st Assistant at Dixie Regional Medical Center where she is responsible for writing and implementing hospital trauma protocols and providing direct medical management to critically ill or injured patients that includes pre-, intra-, and post-operative surgical patient management. 

In this episode, Professor Mike Smith provides a whistlestop tour of 'Prolonged Field Care', the necessity for innovation in the field and where his research is headed.   Mike presented this talk at the World Extreme Medicine Conference in Edinburgh 19. . Defence Professor of General Practice & Primary Care with a doctorate in engineering-led research into knowledge-based AI systems. Prof Smith has developed extensive experience and understanding of the delivery of general practice and primary care in remote, austere and often hostile environments while providing close medical support to light role combat troops. . His work has influenced clinical protocols and governance for delivering prolonged care to critically ill or injured casualties. This has included the use of tranexamic acid and blood products in remote unsupported combat environments. . Current research themes include developing evidence-based guidelines for the prolonged care of the critically ill and exploiting innovations in emerging sensor technologies in military and civilian healthcare.

MSF medic and WEM faculty Dr Erin Kilborn joins us from Gaza to about the realities of working as an MSF doctor, how to follow in her footsteps and what drives her to follow a career pathway in humanitarian medicine. Erin is a regular speaker at the annual World Extreme Medicine Conference and also our WEM's Expedition and Wilderness Medicine courses. You will find quite a resource of learning resources available on the WEM Academy site.  Access requires the creation of an account but most assets are free to access. Listen to Erins TEDx Talk Dictionaries define a humanitarian as someone who works to better humanity. In this talk, Erin challenges this mainstream definition and argues that it is much more than that. Through her own journey, she shares a few key points that can either make or break one’s experience as a humanitarian. MSF UK | Médecins Sans Frontières UK  

The WEM Expedition Medicine Careers Live Session #9 . Host: Eoin Walker Joined by: WEM Founder Mark Hannaford, Emma Figures and Taryn Anderson Ideal for: Health professionals of all grades, stages and training backgrounds . Find out how you can break into the incredibly rewarding world of expedition medicine by hearing from our extreme panel of specialists who have done it all! . WEM trauma lead Paramedic Eoin Walker, is joined by WEM Founder Mark Hannaford, Trainee GP Emma Figures and Nurse Taryn Anderson to cover your answers, including: . Find answers to: - What experience and qualifications do I need? - What kind of personal qualities are essential for expedition work? - What resources are available for me to upskill? - How do I fit expeditions around my other clinical and family roles? - Where do I stand with medical indemnity? - How will this pandemic change the expedition and travel landscape? Listen > WEMcast Watch > WEM Academy WEM Courses | WEM Academic* | WEM Conference *with Exeter University Medical School

JD Polk, NASA's Medical Director, on the Dragon, the Moon & Mars. WEM founder Mark Hannaford chats to NASA Medical Director JD Polk. 'Its phenomenal, no matter how many times I watch a launch its never gets old, the butterflies in your stomach.'   Hot on the heels of the historic Dragon Capsule Launch WEM founder Mark Hannaford was given fantastic access to NASA's Chief Medical Officer JD Polk.   'The exact thermographic sensing that we use on planets is the same type of technology that we are using to detect COVID-19.' JD has engaged in Space Medicine since the Expedition 06; 'I'm the single-digit guy having been involved in launches since Expedition 06'...  The pair discuss exploration, COVID, collaboration with the private sector and SpaceX, plans for the Moon and much much more. . Listen > WEMcast Watch > WEMAcademy #BeExtreme WEM https://worldextrememedicine.com . Show Timings 0.50   Dragon Launch. 1.54    Being NASA's CMO. 5.44    NASA's collaboration with the private sector: the 'tipping point'. 8.40   What does Space Flight do for Earth? 10.48  NASA's designs for COVID-19. 14.24  Casualty Evacuation from Space. 17.07  Colonising the Moon. 19.11   Mars Exploration & the Artemis Program. 22.50  Solar Radiation and mitigation strategies. 24.26  Safer to be a male or female, young or old, astronaut? 27.10  New look spacesuit. 29.42 Questions from the WEM Community. . Nikki McLeary; student on MSc in Extreme Medicine at Exeter University 29.44   Exercise is crucial for the well-being of astronauts. Can we know more about current studies/thinking in this area and any pathways for Extreme Sports Scientists on MSc Extreme Medicine to become involved in the research? 31.57    How much research from the field of Geriatric Medicine is applied to preparation for Mars (with particular reference to post-war generation coping mechanisms/older population dealing with long-term isolation and loneliness on a daily basis). Bit random but there you go! 33.46    Naming protocols for spaceships. 35.04   Daniel Grace; Would be interesting to hear more about this 🚀. Ultimate Telemedicine: Expert helps treat astronaut's blood clot during NASA mission. 38.20  Rohan Sant; What medical advances can we see on the lunar horizon? 42.51   Sandy Greenaway; Application of Red and near-infrared therapy. 44.57   Indy Gregor:  Most challenging medical emergency? . Rounding off. 48.05   Busiest person in the galaxy award goes to JD Polk!  49.00   Shout-out for WEM! . JD Polk's Bio. . Dr. JD Polk, DO, MS, MMM, CPE, FACOEP, FAsMA, is the agency Chief Health and Medical Officer of the National Aeronautics and Space Administration (NASA) located at NASA Headquarters in Washington D.C. He began serving in this position in November of 2016. . Dr. Polk is the former Dean of Medicine for Des Moines University’s College of Osteopathic Medicine. Prior to his work at Des Moines University, Dr. Polk was the Assistant Secretary (Acting) for Health Affairs and Chief Medical Officer of the U.S. Department of Homeland Security (DHS), assuming this post after serving as the Principal Deputy Assistant Secretary for Health Affairs and Deputy Chief Medical Officer. Before coming to DHS, Dr. Polk was the Chief of Space Medicine for NASA’s Johnson Space Center in Houston, Texas. He is the former State Emergency Medical Services Medical Director for the State of Ohio, and former Chief of Metro Life Flight in Cleveland, Ohio.  Dr. Polk is a Fellow of the American College of Osteopathic Emergency Physicia

'If the camels die, we die'.  Julian Woodall joins us this week to discuss his experiences in the remote and expedition worlds. Alongside WEM Trauma Lead Eoin Walker, Julian explores how he fell into medicine during his career in the Army, and hasn't looked back since. Julian dives into some of his work treating catastrophic injuries, considering how advancements in the kit available has improved the quality of patient care. Julian details how he transitioned from his military career to civilian life and re-finding his sense of purpose teaching first aid to remote workers. The pair also reflect on Julian's desert expedition with Seb Coulthard FRGS, as they replicated the journey that Lawrence the his Army took to Aqaba, Jordan on July 6th, 1917. His trip took him from Wadi Rumm, his mode of transport was the same as Lawrence had used - camels, and there would be no vehicle support, no back up - everything was to be done as if it was 1917.   Find out more about Julian's work as part of Medical Services International > http://medicservicesinternational.com  

In this episode, Chris Imray discusses the effect of altitude on brain activity. He explores the history behind his research, as well as the concept of high altitude cerebral pathologies. Chris will then introduce a new idea - the concept of 'extreme altitude cerebral dysfunction'. 

What does it takes to have the mindset of an explorer? ‘If we succeed at every single thing we’ve ever tried, we haven’t tried anything particularly ambitious’. Mountaineer, the first woman to have summited Everest from both sides, author and professional speaker Cathy O'Dowd is this week's guest on WEMcast. WEM Education Lead Will Duffin chats to Cathy about her career and how she's forged a successful career from adventure.  They start with the global obsession of Everest and the outsourcing of risk and skill as it becomes a commercial climb swamped with novice climbers and long queues. The reflect on Cathy's first ascents in the 1990s, and how this decade, with it's developments in technology and logistics, proved the turning point in drawing the media's attention to the mountain.  Cathy reflects on her epic climbing attempts - the successes, setbacks and difficult decisions made (plus avalanches, broken bones and unchartered descents). The pair also discuss the artificial concept of 'turn-back time' and how mountaineers need to be much more dynamic with their risk assessments and decision making to ensure the safety of their summit attempts.  Cathy and Will also reflect on the hugely misleading idea of 'never giving up' and why giving up is, in fact, one of life's greatest skills.    Connect with Cathy:  Cathy's website > http://cathyodowd.com Instagram > @cathyodowd   Watch on WEM Academy>  

Dr Shawna Pandya's ambition is to become an astronaut with the Canadian Space Agency. On her road, this gaol Shawna has developed her leadership, project management and problem-solving skills to an impressive degree alongside progressing as a clinician using both pathways to interlink with each other to make her not only a remarkable medic but also an extremely suitable astronaut candidate. In this episode Mark Hannaford, WEM Founder, and Shawna in a wide-ranging discussion talk about maintaining a strong mental focus, the value of outside interests in making you a better clinician and overcoming adversity to achieve success. Listen > WEMCAST WEM Conference   Dive Medicine on Aquarius Reef Base ..... From Shawna's webpage. Dr. Shawna Pandya is a physician, speaker, martial artist, citizen-scientist astronaut candidate with Projects PoSSUM & PHEnOM, and prime crew aquanaut with Project Poseidon. Through her involvement with Project PoSSUM, Dr. Pandya was part of the first crew to test a commercial spacesuit in micro-gravity. She has also completed centrifuge studies, emergency spacecraft egress and sea survival training, and wilderness medicine training. She also currently serves at the Life Sciences Team Lead for Association of Spaceflight Professionals and the Life Sciences Chair for the Canadian Space Society. Dr. Pandya holds degrees in Honors Neuroscience (BSc. Hons, University of Alberta), Space Studies (MSc., International Space University) and medicine (MD, University of Alberta). She is licensed as a general practitioner. Prior to completing medical school, she attended Singularity University, where she co-founded CiviGuard, based on Singularity’s challenge to positively impact 1 billion people in 10 years using accelerating technologies. She is an accomplished speaker, having given talks at TEDxUAlberta, TEDxEdmonton and the University of Alberta’s Peter Lougheed Leadership College at the invitation of former Prime Minister Rt. Hon. Kim Campbell. Dr. Pandya is a passionate STEM advocate, and a frequent speaker at schools, universities, scientific conferences and science centres. She is represented by the National Speakers’ Bureau. Dr. Pandya also holds certifications in solo sky-diving, advance, open water, Nitrox and rescue diving, and is working towards her private pilot’s license. Dr. Pandya is fluent in English, French, Gujarati, and speaks introductory Spanish and Russian. She also sings, plays the piano and holds a black belt in Taekwondo and has trained annually at Muay Thai fight camps in Thailand since 2015, entering and winning her first amateur fight in 2017.

WEM speaks to course alumni Mariana Carmo about her experience being stranded on a small island community as a humanitarian nurse.   The medical department here on São Tomé and Príncipe off the west coast of Africa started in the middle of 2016 with Nurse João Fernandes to support international and national staff and guests.   I met João when I came to Príncipe in Jan 2017 on a mission with a Portuguese NGO and started to work with HBD that year. During this time we manage to keep the department between 3 nurses (João, Márcio and I). I was the one staying for longer periods of time.   Our relationship with the community and the Government developed during this time. We support the local hospital with training sessions for staff, medication and equipment. We became a link between NGO´s and the hospital.   João arrived in the middle of March 2019 to swap with me but with all that was happening and the beginning of the COVID-19 pandemic, we decided to stay both on the island to help prepare for an expected surge in cases.   I went to the main island (São Tomé) for 7 days to liaise with the authorities there and help to close our hotel in São Tomé and João stayed in Príncipe.    We have worked as advisers to the Government as part of a crisis management team. During this process, we did protocols, developed contingency plans, a campaign hospital, trained staff, assisted to set up an operation centre, research equipment, etc.   HBD - Here Be Dragons tourism investment is a company founded by Mark Shuttleworth to develop tourism in Príncipe.   Watch > WEM Academy

'It's very hard to be the athlete but also to be objective enough of your own situation to be able to stop'.  This week, World Extreme Medicine Education Lead Will Duffin is joined by Mark Beaumont; public speaker, author, broadcaster, rower and world-record breaking cyclist (he's cycled 18,000 miles around the world….twice!). Mark considers how his life as a professional athlete has changed under lockdown and how he's staying positive.  We delve into Mark's career and how he's broken the mould to forge an exceptional career. From home-schooling on his family farm to horse-riding and skiing to taking up cycling and breaking a whole host of records. Mark explores his world-record attempts and successes, from his obsession with planning, process, margins and 'controlling the controllable' that proved fundamental to his 78-day circumnavigation of the globe. The pair also consider how Mark reconciled his setbacks with his mission. Mark details how a fall, causing a fractured elbow and broken teeth almost derailed his plan. He explores how a healthy balance of a desire to succeed with a fear of failure kept him on the bike - as well as some much-needed pain management.  The pair also consider the importance of his team, not just in arranging the nuts and bolts of each expedition, but also in contributing to the overall morale of the team. Mark considers the centrality of emotional leadership, self-awareness and how your actions are pivotal in setting the whole mood within a team when under stress.  'Trust me when you’ve cycled around the planet  twice it’s not about the finish line and a bit of paper on the wall like that it’s about being able to get through these moments when the entire projects get derailed and everyones wondering can you carry on??’    ‘You’ve got to be inspired by the art of the possible… but when you’re in it you’ve got to be scared of failing, you’ve got to have the ability to suffer… it’s just a harsh reality which people want to avoid’.    Mark's incredible lockdown project > https://worldinaday.com Every Thursday join us on your home trainer and count your miles to support frontline healthcare workers. #donateyourmiles - £1 per mile.   

GP Trainee and World Extreme Medicine Faculty Member Beth Moos joins WEM Trauma Lead Eoin Walker to discuss her work as a GP during the pandemic, but also to consider her life pre-lockdown and the adventures she's looking forward to once it's safe to do so. Beth considers how her day-to-day practise has been impacted, but also improved with the greater inclusion of technology in providing patient care. Beth discusses her work as an Expedition Medic, and the lessons she's taken from both General Practise and the Emergency Department in preparing her for the unexpected. Beth has a particular interest in snakebite, having spent time in Southeast Asia. The pair discuss the physical adaptations of snakes to their habitats, from sensing vibrations to thermal imaging and smelling with their tongue.  Beth explores the impact of snakebite on humans, considering how factors such as species identification can assist in treatment. She recounts the story of Joe Slowinski, who was bitten on an expedition in Myanmar. He prepped his team for the decline they would see in his condition as they attempted to arrange an evacuation that would prove unsuccessful. Beth's key message - to always seek help, whether faced by a bite or in the current COVID climate.  You can reach out to Beth on Twitter > @Beth23716689 WEM Courses WEM Academic

NASA Astronaut Dr Mike Barratt talks to WEM Founder Mark Hannaford about the launch of the first US Astronauts in SpaceX's Crew Dragon spacecraft. "It's tremendously exciting": NASA astronauts counting down to historic launch aboard SpaceX Crew Dragon" Opening a new chapter in human spaceflight, two veteran space shuttle fliers will blaze a fresh trail to orbit aboard a SpaceX Crew Dragon spacecraft Wednesday, weather permitting — the first launch of NASA astronauts from U.S. soil since the space shuttle's final flight nearly nine years ago. The historic mission, the first orbital flight of a new piloted spacecraft in 39 years, is the culmination of a six-year, multibillion-dollar NASA drive to end the agency's sole reliance on Russian Soyuz spacecraft for transportation to and from the space station. Dr Mike Barratt WEM Faculty and Medical Lead for the launch for the NASA talks about how the space community are overcoming the challenges of bringing in a new era of human spaceflight exploration in the middle of a global pandemic. Watch > WEM Academy  

World Extreme Medicine Faculty Member and Paramedic Scott King joins us this week on WEMcast.  Alongside WEM Trauma Lead and fellow Paramedic Eoin Walker, the pair discuss Scott's incredibly varied career history within healthcare, and which roles have granted him the ability to lead, shape and have a tangible impact on patient care in the long-term.  Scott also explores his role as an educator, considering how his role as a healthcare provider has prepared him for teaching, encouraging him to be dynamic, face the unknown and responding and adapting to the environment, rather than limiting it to your own comfort zone. They discuss how simulation can hugely impact the learning process, encouraging participants to engage  Scott also considers the lessons learnt from his emergency planning training, combined with his own experiences in recent years in Salisbury and during the 'Beast from the East' and how he's deploying lessons learnt in triaging calls, collating information, sharing knowledge and demand profiles to cope with the COVID caseload.  Scott and Eoin also discuss the unintended consequences of the pandemic, considering the quieter A&E departments and the long-term impact of those avoiding seeking support.    N.B - We apologise for the sound quality towards the end of the recording - Scott was recording this on-shift so faced a few internet issues.   

In this episode, Dr Will Duffin Education Lead for World Extreme Medicine discusses the concepts of ‘fear-based’ and ‘courage based’ medicine with senior leader and clinician Dr Kathy Ryan. Kathy is the Medical Director of Brisdoc Healthcare Services, the largest provider of primary care services including Integrated Urgent Care in the greater Bristol area, UK.    Kathy is passionate about how we hold clinical risk and make good decisions and promotes ‘courage based medicine’ in everything that she does. There is a pressing need for this dialogue as we adapt to new working practices in the pandemic. The last medical, academic paper we could find on courage dates back to 1909! (Courage and Medicine, The Lancet) https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2801%2911648-X/fulltext   We explore: What has lead to a climate of fear in frontline healthcare What it is we are all afraid of Why being courageous is not about heroism or being fearless Some of Kathy’s most challenging clinical dilemmas How you can be sued twice and practice with even more courage than before Perfectionism and when this meets the reality of coalface healthcare How do I know when confidence becomes overconfidence? The power of self-compassion Whether appraisal is a valuable tool for self-awareness or an endless paper machine of competent doctors proving they are competent How you can explore fear and courage within your own clinical team Worksheet Downloads...   You can watch this episode on the WEM Academy.

'You're not in traffic, you are traffic'.  In this episode, Piers Carter - WEM Faculty, coach, facilitator, trainer and speaker joins WEM Education Lead Dr Will Duffin to discuss leadership and awareness - and how self-awareness can make relationships better and create a happier, healthier world. Piers considers the centrality of self-awareness in giving us a choice in controlling how we 'show up', which Piers acknowledges as both a terrifying and liberating concept.  The pair also reflect on the impact of the pandemic on our inner 'chimps', removing our ability to connect, our sense of safety and the source of respect in the loss of jobs - and the variety of responses we will see over the lockdown period.  Piers explores the equation - Awareness + Range = Choice - asking people to question how aware they are of their character traits, which once you grasp, you can begin to operate more broadly.  Piers also teaches us about the practice of 'centering', an 'in the moment' self-regulation technique that allows you to organise what you are thinking, what your body is doing and what you are feeling emotionaly to control your actions.   Works Referenced:  The Chimp Paradox, Professor Steve Peters  Your Body is Your Brain, Amanda Blake  Maslow's Hierarchy of Needs, Abraham Maslow    Piers Carter is also an instructor on the Diploma/ MSc in Extreme Medicine at Exeter University Medical School. Connect with Piers:  Email - piers@pierscarter.co.uk Youtube - Piers Carter

How to become one of the world's most accomplished Extreme Medics

This week, we're joined from Denmark by Doctor Nadja Albertson. Alongside World Extreme Medicine Education Lead Will Duffin, Nadja explores her role as a medic working remotely in Greenland, crossing the ice sheet on skis, microscoping polar bears and over-wintering in the Concordia Antarctic station. The pair also discuss some of her research on whether chronic hypoxia impairs cognitive function.  Nadja also gives her perspectives on working on the Covid frontline in Denmark, detailing the uncertainty around the globe, the increased need to learn on the job and adapting practise to adhere to social distancing measures.  Nadja also reflects on the impact of the disease on different people, including the prevalence of mental health and loneliness as lockdown measures continue. Nadja details her experiences of isolation in Greenland and Antarctica have prepared her for lockdown, and the lessons you can channel to combat living and working in isolated environments.  The pair also consider some of the positives we can take from this pandemic. Nadja shares how she's using COVID as an opportunity to slow down (slightly), regroup and think about what is important to her.   Connect with Nadja > https://www.nadjaalbertsen.com/

'It was like somebody had planted a seed, and each adventure was watering it a little bit more'. Expedition Leader, Mountaineer, Outdoor Instructor (and part-time Tesco Delivery Driver) Jo Bradshaw joins us on this episode of WEMcast. Jo talks us through her career and how she grew from a height-hating business advisor to discovering her true passion for the outdoors.  Jo chats with World Extreme Medicine Education Lead Will Duffin about her adaptation to the change of pace caused by COVID. She reflects on how she's settling into her new normal, the positives she's taking from staying at home (including the home decor projects she's finally getting around to), and the importance of showing compassion to herself.  Jo details the terrifying experience of being hit by an earthquake while on Camp 1 of Everest which resulted in the destruction of Base Camp. Jo reflects on the shared sorrow, but the desire to return and the bittersweet feeling of summiting the following year.  The pair consider the power-combo of vulnerability and humility, especially on expedition.    Connect with Jo > jobradshaw.co.uk  

In this episode, World Extreme Medicine Faculty Member and BASMU medic Bryony Pointon joins us from aboard the James Clark Ross.  Alongside WEM Education Lead Will Duffin, Bryony explores the challenge of keeping COVID off the ship as they head to Antarctica. They discuss the preventative steps taken, turning away crew and avoiding fully docking on their journey and the complexities faced if the pandemic did hit. Aside from coronavirus, Bryony and Will explore the nuances of providing medical care while onboard, from using the ship as the evacuation vehicle, the possibility of extended field care and the difficulty of coordinating logistics. Bryony recounts her experience of assisting a medevac - flying to Rothera to Punta Arenas before returning to the UK.  Bryony also details a close call - onboard HMS Endurance, where the crew were faced with a difficult decision of whether or not to abandon ship. Bryony explores how her training prepared her for her response.   

In this episode Emergency Department Physician, mountaineer, wing suit pilot and documentary film maker Glenn Singleman joins us to discuss his career, as both a medic and extreme sportsman.  Alongside WEM Education Lead Will Duffin, they discuss access to the 'flow state', exploring how when faced with high risk situations, people find they can tap into a level of enhanced performance to allow us to exceed beyond our limits. Glenn considers how some of the extreme sports he's undertaken have allowed him instant access into this state, meaning he is fully immersed in the challenge ahead and is able to silence his inner critic. Glenn explores how this state can be transferred to the clinical frontline.  The pair also consider the evolution of extreme sports and how base-jumping, sky-diving and canyoning are not just irresponsible risk taking, but in fact grounded in research, a trust in the equipment available and the result of hard-core training - and how these principles can be utilised to give courage to those working amid this pandemic.  Glenn also contemplates how extreme sport has made him more resilient, self-efficient, appropriately confident and essentially, given him a sense of what true courage is.    Baseclimb > https://www.baseclimb.com

‘Just because you were brave, doesn’t mean you weren’t afraid’.  Former SAR Paramedic turned Mental Health First Aider Andy Elwood joins us to discuss the importance of recognising your own fragility in preserving and protecting your mental wellbeing. Andy takes us through some of his experiences from his 20 year career on the frontline. He compares the war-like language used against the common enemy that in this battle is COVID, how it's crucial to put yourself first in dangerous situations and the importance of self-care in preserving your health long term.  Andy explores some of the self-care techniques everyone can use to look after their mental health in the face of COVID19, from practising a routine similar to our pets to deploying good sleep hygiene and a post-shift checklist, to ensuring you get your mental '5 a day' - including connecting with others, being active and taking a moment to notice and appreciate things around you.  Alongside WEM Trauma Lead Eoin Walker, Andy deconstructs 'the power of listening'. Andy stresses the importance of providing a non-judgemental outlet for others, which can fundamentally change, and sometimes save, people's lives.   Crucially, Andy encourages us to remember that whatever your emotions are, it is a normal reaction to an extraordinary event.       Andy's Resources: Andy Elwood > www.AndyElwood.com Andy Elwood, 'How do we survive COVID-19' > https://bit.ly/3bbWyLh Andy's survival kit for lockdown > https://www.linkedin.com/pulse/survival-kit-lockdown-andy-elwood/   Other websites:  NHS, 'Every Mind Matters' > https://bit.ly/35G1erz MIND, 'Coronavirus and your wellbeing' > https://bit.ly/3c9eZl4 Mental Health Foundation, 'Looking after your mental health during the coronavirus outbreak' > https://bit.ly/2SHyd9B   Helplines: Samaritans: 116123 CALM: 0800585858 or text 07537404717 Text ‘Bluelight’ to 85258 - Give us a shout text service SANEline: 03003047000 (16:30-23:30)   Books: 'This book could help, the men’s head space manual' – Rotimi Akinsete  'Trauma is really strange' – Steve Haines 'Why is dad so mad? A book about PTSD and military families' – Seth Kastle 'Save-my-life school, a first responder’s mental health journey' – Natalie Harris 'The Chimp Paradox' – Dr Steve Peters   Apps: Calm Insight timer Headspace - Free for NHS staff #stayalive App – Grassroots suicide prevention   Videos (Youtube): 'I had a black dog, his name was depression' (WHO) 'Living with a black dog' (WHO) 'Brené Brown on empathy' (RSA shorts) 'Ask, tell, save a life – Every life matters' (NHS Health Scotland)    College of Paramedics resources: College of Paramedics, 'THE LATEST INFORMATION ON THE CURRENT COVID-19 SITUATION' > https://bit.ly/3cfbIAT College of Paramedics, 'GUIDANCE FOR MANAGERS ON PSYCHOSOCIAL SUPPORT AND MENTAL WELLBEING OF AMBULANCE PERSONNEL IN A PANDEMIC CRISIS' > https://bit.ly/2YGwO7e   Mental Health First Aid England Line Managers' Resource - please email WEM for a copy!     Clinical Human Factors Group checklist: North West Ambulance Service, 'NHS launches mental health hotline for staff' > https://bit.ly/2xJr0ij    

This week, Advanced Clinical Practitioner and WEM Faculty Member Karen O'Neill joins us to discuss her experience of COVID19. In 2014, Karen worked in Northern Uganda tackling the outbreak of Ebola. Alongside WEM Education Lead Will Duffin, Karen considers the lessons we can learn from this outbreak and crucially, the importance of changing the language of preparation from 'if' to 'when'. Karen discusses the impact Ebola had on the communities she worked within, including the alienation of those living within disease-stricken areas. She also explores some of the cultural nuances that caused friction; from the removal of traditional ceremonies to the establishment of burial teams. Karen also describes her own experience of COVID19, from wearing PPE and the importance of wellbeing to the brilliance of her team and the difficulty of attempting to live separately from her husband under one roof.    N.B - This was recorded a few weeks ago - we are delighted that Karen is back at work and building her running miles on Strava!

Retired (well, kind of!) Paramedic Nich Woolf joins us to discuss his work in Vanuatu where he’s now based for the foreseeable future following the global shutdown instigated by COVID19.  Alongside WEM Trauma Lead Eoin Walker, they discuss Nich’s transition from working as a Paramedic in the UK to teaching first aid in remote and austere environments, anti-personnel mine campaigning and working at Glastonbury. Nich explores what he's learnt over the years, from operating with limited kit and trusting in your abilities to the value of simulation training in demonstrating both technical and non-technical skills, such as leadership and teamwork.  Nich also considers the issues that COVID could cause if it were to hit Vanuatu in the face of a huge shortage of ventilators and PPE, and how lateral thinking is helping to tackle some of these hurdles. 

In this episode, WEM Founder Mark Hannaford chats to Jason 'Foxy' Fox, WEM conference speaker, former Royal Marine Commando and Special Forces Sergant turned explorer, author and TV star. They discuss how Jason is handling lockdown and how he's channeling lessons from his military days to cope with isolation. Jason also talks about the importance of acknowledging your limit of control and taking each day as it comes. Jason's top tip? Be more like a toddler! Spend time in the present and live in the metre square around you. Don't worry about what hasn't happened yet. Remain flexible and learn to roll with the punches. Jason also considers his hopes for a post COVID world, from a sustained emphasis on hygiene to recognising the importance of self-care, as well as a more efficient and environmentally-friendly society.   Jason's 'Battle360' App is available on Apple and Android stores. Celebrity SAS: Who Dares Wins is on Channel 4 every Monday at 9pm.  

In this episode, Matt Walton joins WEM Trauma Lead Eoin Walker to provide an update on his experience as a Junior Doctor on the frontline in London. Matt details the rising level of fatigue amongst colleagues as they've spent a number of weeks tackling and treating the enormous amount of unwell patients presenting at A&E, including fellow staff members. Matt comments on the bravery and resilience of the staff as they continue to provide care.  Eoin and Matt also consider the need to have 'difficult conversations' much earlier in the patient journey. Matt highlights the importance of being proactive to ensure their priorities, thoughts and last wishes are carried out. Matt describes how his role has morphed in the face of COVID as his role as a clinician is stripped away when supporting patients unable to be with their family in their final moments.   The pair also discuss the incredibly sad news that a number of NHS staff have died due to COVID19. Matt draws on his own experience to share what he hopes will be useful tips for others faced with similar situations. Matt shares the mix of emotions him and his team faced, from disbelief to sadness and denial, as well as the importance of acknowledging that such sad news will affect your performance and takes steps to compensate for this. Matt also shares his thoughts on how acts of remembrance can be carried out amid the pandemic, reflecting on a common practise used by the military to put aside time after the firefighting is over to reflect on that person, permitting people to experience the sadness and grief that may sometimes be suppressed due to high caseloads. Matt shares his thoughts on his latest paper, co-authored by Esther Murray and Mike Christian that provides a toolkit for those wanting to help support staff mental health at this time. The paper is split into three key forms of assistance; individual, teams and organisations. Matt considers how some of these ideas have already been implemented within his own hospital, from basic needs such as tea and coffee facilities to practising good leadership and encouraging open discussion.  Matt also takes a moment to consider the efforts of the nation and the positive impact this is having, from adhering to the lockdown to the heartwarming 8pm 'Clap for the NHS' every Thursday evening and the epic fundraiser Captain Tom Moore.      Works Referenced:  Matthew Walton, Esther Murray and Michael D. Christian, 'Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic', European Heart Journal: Acute Cardiovascular Care, April 2020 > https://bit.ly/2yScZ20    

Adventurer, writer, naturalist, explorer and presenter Steve Backshall joins WEM Founder Mark Hannaford in this World Extreme Medicine podcast. Steve talks life-changing moments and living life in limbo, as well as the potential impact of COVID on his career. The pair also consider the functionality of high performing teams and the impact this can have on expeditions. Crucial to this is communication and a shared cause - Steve details an incredible example of how clearly defined and agreed objectives resulted in swimming with Tiger Sharks in the Bahamas (and a successful day of filming!). Steve considers times he's pushed himself to the extreme, providing some edge-of-the-seat stories of swimming with crocodiles to almost drowning in Bhutan.   Listen, watch, share and let us know your thoughts!   Get in touch: Instagram > @backshall.steve Twitter > @SteveBackshall Website > http://www.stevebackshall.com

This week, we're joined by Expedition Leader, Survival and Adventure Consultant Megan Hine.  Alongside WEM Founder Mark Hannaford, Megan discusses her career, from an Erasmus Year in Prague that proved a pivotal moment in sparking her love of the outdoors to entering the industry and working with Bear Grylls for over a decade. Megan also considers how gender has impacted her work and how social media can be an incredible tool in helping to confront traditional adventure stereotypes. Megan explores the psychology of survival, drawing comparisons from her work on expedition to life in lockdown. Acceptance is key, followed by the setting of clear boundaries and the value of routine to provide a sense of purpose and control.  Before wrapping up, Megan gives us a sneak peak into some of her future projects!    The Power of Adventure Podcast is available now. Megan covers 5 very different stories all with a common thread, a recognition of 'The Power of Adventure' in our lives for grounding us and fostering resilience.    Get in touch: Instagram: @megan_hine Twitter: @meg_hine  

‘You’ve got to avoid getting injured in order to be effective tomorrow’.  Expedition Leader, Operations Manager, Polar Guide, Consultant and Lecturer Steve Jones joins us in this episode to discuss his work in Antarctica, and the lessons we can take to the frontline.  Alongside WEM Education Lead Will Duffin, Steve considers the keys to isolation success, including the importance of personal admin to allow you to live in the moment. Steve also considers the impact of ego, personality and your emotional wake, and how we can all do more to ensure we are conscious and thoughtful of our impact.  Steve also takes us through some of his extraordinary, edge-of-your-seat rescues - from Snowdon to Antarctica - and the importance of effective leadership in success.  Steve talks transferrable skills, from acknowledging and working within your limits to admitting that even good planning has gaps and the importance for personnel on the frontline to be empowered to make changes and to reform procedures rapidly.   Antarctica Logistics and Expeditions > https://antarctic-logistics.com  

In this episode, Research Scientist Nathan Smith discusses the psychological challenges of confinement and isolation. Alongside WEM Education Lead Will Duffin, Nathan considers the loss of agency that quarantine presents, as well as the key effects of social isolation on individuals, from persistent threat and dread, lingering uncertainty and dips in mood - and the strategies we can use to tackle these emotions, including journalling and passion projects to maintain a sense of purpose (juggling encouraged!).  Nathan also explores 'ICE' - Isolated, Confined and Extreme groups, and the lessons we can learn from these people, from astronauts to expedition goers.    N.B - please excuse the quality of the sound in some parts, we experienced some issues with a faulty microphone which have now been rectified.    Works referenced: The Psychologist, 'Coping with life in isolation and confinement during the COVID-19 pandemic' > https://bit.ly/3asuF0Z The Lancet, 'The psychological impact of quarantine and how to reduce it: rapid review of the evidence' > https://bit.ly/3bmMAaY     Support the Workers > https://www.supporttheworkers.org/

Mark catches up with Chris Nicholas, founder of the Adopt a Healthcare Worker in Western Australia which has captured the attention of over 55K volunteers via their Facebook group.  Chris talks us through the purpose of the page, from providing meals to hosting medics in empty Air BnBs. Chris gives his advice for those wanting to kick-start initiatives of their own, as well as how to juggle helping out with the need to comply with government restrictions. Chris also discusses his personal experience of isolation as he displays symptoms of COVID and coping with the impact it’s had on family life.  Listen, watch, share and let us know your thoughts!    Adopt a Healthcare Worker Western Australia > https://bit.ly/3bcDuNS Adopt a Healthcare Worker UK and Ireland > https://bit.ly/3b70Ap3

In this episode, Mark Hannaford is joined by Lou Rudd - record-breaking polar adventurer, expedition leader, former Royal Marine Commando and Director of Expeditions at Shackleton London. Lou looks back on how he got into the world of adventure and the journey from a bike-ride to visit his Dad over the summer holidays to traversing Antarctica.  Lou gives some of his top tips for dealing with isolation, from breaking down the big picture, to acknowledging your circle of control and handling team dynamics, as well as the importance of routine and finding success in each day.  Lou and Mark also consider the lessons we can learn from Shakleton, especially when it comes to leadership - leading by example and the virtues of patience and optimism, and how these can be applied to clinicians on the frontline.   Shakleton London > https://shackletonlondon.com Pre-Order Lou’s book here > https://amzn.to/34JMtDJ