CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

This week, Aebhric talks with Tim Cranton, who has worked as an offshore medic for 25 years. They discuss his daily routines and what medical emergencies he can expect.

Tim talks about what courses and training are required to get a job as an Offshore Medic.

Aebhric talks with Dr John Quinn, who has been going to Ukraine since 2001. He has worked in Eastern Ukraine since the war started in 2014. John was instrumental in getting blood approved by non-doctors in Ukraine for prehospital use.

This week, Aebhric O'Kelly and Jason Jarvis discuss current tropical disease outbreaks in the US and Europe.

The discussion went over time, so we broke the talk into two parts.

Part 1: Malaria and Dengue (dropped last week)

Part 2: Leishmaniasis and Schistosomiasis

This week, Aebhric O'Kelly and Jason Jarvis discuss current tropical disease outbreaks in the US and Europe.

The discussion went over time, so we broke the talk into two parts.

Part 1: Malaria and Dengue

Part 2: Leishmaniasis and Schistosomiasis will be dropped next Friday

This week, Aebhric talks with Dr Winston de Mello about pain.

This week, Aebhric talks with Vlad Chumachenko, who came for our Austere Emergency Care course in Pretty Bay, Malta. They discuss the training that Ukraine medics receive before heading to the front. There is a need for prolonged field care training at all medical levels.

This week, Aebhric talks with Price Parker, 18D and Eirik Holmstrom about their experiences in Malta whilst teaching at the College. They talk about the Intensive Care for Austere and Remote Environments (ICARE) course that ran this week. They also talk about the history of the Knights of St. John and how that lineage can be found in Special Forces Medicine.

This week, Aebhric talks with Dr Edit Gara, MD PhD about how to assess and manage the paediatric patient who is dehydrated.

This week, Aebhric talks with Zack Andrews, who works in the Human Remains Retrieval team based in Hawaii. He is an active-duty SOF medic and is currently going through the MSc Austere Critical Care programme.

Aebhric talks with Professor David Fifer, who is campaigning for a master's level paramedic role similar to the PA and NP role but solely prehospital.

This week, Aebhric talks with Patrick Wenger about his experience working for Air Zermatt. They discuss The Big Sick conference held in Zermatt each February.

They talk about Patrick's experience working offshore on a boat.

This week, Aebhric talks with Dr Slaven Bajic, who teaches our Austere and Prehospital Ultrasound course. He is from Slovenia, where he runs the A&E department at his local hospital.

The College runs Prolonged Field Care courses in many countries. This week, Aebhric OKelly chats with Dr Tom Mallinson and Eirik Holmstrom on the challenges of running the AEC course in Europe.

Aebhric gives a review from season one with listener analytics and gives an overview of what is coming in season two, which drops next Friday.

Tim Cranton chats about the benefits of lifelong learning, keeping a CPD portfolio and having a reflective practice.

This week, Aebhric talks with Michael Klopper, who is on the faculty of CoROM. Michael is pursuing his doctorate in healthcare, focusing on artificial intelligence.

Michael has also been instrumental in pushing austere medicine forward in Africa. He is one of the first FAWM graduates in South Africa. He is the first to earn the new WP-C board certification in Africa, and he has designed the AHEMS module of the new Africa Diploma of Mountain Medicine being designed by CoROM.

Aebhric talks with Dr Gara about the burned paediatric patient and how to assess and manage this whilst working in remote, austere and resource-limited environments.

Aebhric OKelly talks with Dr Tom Mallinson about his experiences working as a BASICs doctor and a GP in rural Scotland. They discuss how they met over ten years ago.

Tom is on the CoROM faculty and runs the Year Two cohort for the BSc Remote Paramedic Practice programme.

Tom recently published a chapter in the new Primary Care for Paramedics textbook.

https://www.google.de/books/edition/Primary_Care_for_Paramedics/SB7HEAAAQBAJ?hl=en&gbpv=1&dq=tom+mallinson+primary+care+paramedic&pg=PA2017&printsec=frontcover

Aebhric chats with Jason about his path from 18D to becoming a tropical medicine specialist. They chat about the aetiology of the CoROM Field Guide and his experience living in Malta for a year whilst teaching for the Remote Paramedic programme.

Aebhric and Csaba talk about critical care teaching for resource-limited environments. They discuss the original concepts of the critical care programmes the College offers. They discuss how the MSc Austere Critical Care programme began.

Dr Csaba also discusses research and why paramedics and nurses must be on the cutting edge of enhancing remote medicine.

Aebhric OKelly and Eirik Holmstrom talk about the Combat Medical Care conference this week held in Ulm, Germany. Both faculty gave presentations as well as two workshops.

Eirik talked about the Medic Tool documentation system. https://www.p3dmedics.com/.

Aebhric talked about tropical medicine and how it affects the operational medic.

Additional CoROM faculty were there. Dr Mike Shertz, Dr Winston de Mello and Patrick Wenger attended the conference.

Tim takes a deep dive into the signs and symptoms of rabies and the clinical management in remote and austere environments.

Aebhric talks with Dr Edit Gara MD PhD about the challenges found whilst providing neonatal transport.

Aebhric OKelly talks with Dr Francis Sakita and Jason Jarvis, who just finished teaching two back-to-back Tropical Medicine Courses for the Norwegian military. They discuss their experiences teaching tropical medicine and having two days off in Oslo between the two courses.

Aebhric OKelly talks with Dr. Haakon Asak and Bjørn Eidissen from the Norwegian military. They run the aeromedical evacuation team for EU missions. They provided weekly evacuations for the Ukrainian military and civilian casualties. Historically, they have provided evacuation flights for the Turkey earthquake victims. They have also had many deployments to the Middle East.

Aebhric talks with Dr Francis Sakita, Tanzania's first board-certified emergency medicine doctor. Francis has been on the CoROM faculty for over five years. He is head of the Emergency Medicine Department at Kilimanjaro Christian Medical Center at the base of Mount Kilimanjaro. He oversees our BSc Remote Paramedic students as they go through their clinical rotations.

Tim Cranton talks with Ming Ng, who just finished our RPP104 Remote Paramedic module. She talks about her experience as a CoROM Paramedic student and why she enrolled on our BSc Remote Paramedic Practice programme.

Aebhric talks with Tom and Ella, who are doctors working in the rural areas of northern Scotland. They discuss their experiences at the conference and what they learned from the workshops. They discuss how they will incorporate their learning1 into their rural practice.

Aebhric and Dr Gara do a deep dive into FOU specifically for work in austere environments.

Aebhric talks with Rhod Jordan about teaching in remote and austere environments and teaching those who will be working in these difficult areas.

They discuss tricks and tips for medics who are just starting out on their teaching adventure.

Aebhric talks with Teija Pietiläinen from Finland, who has worked for the ICRC in austere environments as a nurse for many years. She talks about her recent experiences in Sudan. She also talks about the ICARE course she took in Malta last summer.

Dr Winston de Mello and Aebhric discuss severe TBI and how to deal with this whilst deployed in austere environments.

John Clark has stepped into the leadership role within the College. Aebhric has stepped down into an advisory role. They chat about the long history between them and the collaboration between the IBSC and CoROM.

They will have a joint exhibition table during the Special Operations Medical Association conference in May. Why not stop by and say hello and congratulate John on his new position?

Tim Cranton talks with Jennifer White who is the Medical Officer onboard the Picton Castle, a Sail Training Vessel, which is a 3 masted Tall Ship. She is one of our REMT students who has decided to get back to the basics.

Aebhric talks with CoROM faculty who taught the Austere Emergency Care course in Norway in March. Tim Cranton, Patrick Wenger and Dr Tom Mallinson have earned their AEC instructor rating. Eirik Holmstrom earned the Course Coordinator rating. And Aebhric is the first Course Director located in Europe.

Aebhric and Winston discuss current updates about catastrophic bleeding and massive haemorrhage.

Tim chats with Dr Tom Mallinson and Patrick Wenger about their clinical practice and the courage to make the right decisions. Tom works as a BASICs prehospital doctor in rural Scotland. Patrick is a master's level paramedic who works on the Air Zermatt medical team. Both have years of experience to draw from as they discuss some difficult decisions that they have had to make in their clinical practice. 

Sam Coffman Bio

Sam Coffman (RH[AHG], MSAOM) began his medical education in the military as a U.S. Special Forces Medic (aka Green Beret medic) in 1989. Prior to this six-year duty as a special forces medic he had already become highly interested in herbalism as a method to provide health care in remote regions with limited medical supplies, and he was able to use much of his special forces medic training to uniquely integrate the infrastructure and needs of field medicine with his own growing brand of herbalism that focused on effectively working with as many as 100 people per day in underserved or remote area herbal clinics, while also addressing community needs such as clean drinking water, food and medicine sustainability and first aid education.

Over the next 30 years, Sam’s goal became the creation of an integrative medical model that embraces aspects of western, eastern and local bioregional herbalism into a collaborative infrastructure with orthodox western medicine.

In 2007, Sam founded a school (The Human Path, AKA Herbal Medics Academy) that offers both online and on-site education in Texas and New Mexico.

Today, with nearly 20 faculty members at Herbal Medics Academy, whose experience span professions from medical doctors and nurse practitioners to midwives and clinical herbalists, Sam and his wife Suchil have developed and managed four main programs. These programs are: Austere Medicine, Clinical Herbalism, Advanced Medicine Making (Apothecarist) and Family Herbalism - which includes doula certification and emergency birth training.

As a part of the Austere Medicine Program Sam also teaches Wilderness First Aid and Wilderness First Responder certification as well as a more advanced wilderness medicine courses that also includes setting up and managing medical infrastructure in remote, post-disaster and austere environments.

Since moving during the summer of 2022 to the Taos, NM region, Sam is currently setting up the new Taos HMA campus and full-time clinic while prepping for board exams in order to obtain his NM acupuncture license and writing his next book for Storey publishing (“Survival Gardening”).

Sam’s current book “Herbal Medic” is in print and was a #1 Amazon best-seller in the Emergency Medicine and First Aid categories for over 9 months.

Aebhric talks with Dr Edit Gara about croup and asthma which are exacerbated during the winter months. 

Dr Winston de Mello does a deep dive into hyperoxia. 

LTC Corrie is a veterinarian with the US Army stationed in Germany. 

Aebhric talks with Fredrik about ultrasound for remote, austere and resource-limited environments. Dr Granholm wrote the textbook called Austere and Prehospital Ultrasound.

Dr Gara talks about how a young, athletic footballer can collapse in cardiac arrest after being tackled. 

Aebhric and Winston discuss why lactate is important for the Remote Medic.

Tim Cranton talks with Lazlo Hegedus who is a PSD medic about his experiences working in austere environments

 Dame Claire Bertschinger runs the Diploma of Tropical Nursing from the London School of Hygiene and Tropical Medicine. Before joining the London School of Hygiene and Tropical Medicine, Claire worked as a training officer in the Health Division of ICRC Geneva.

She has worked in more war zones than most special forces medics. She has a tremendous amount of knowledge that will be valuable for the Remote Medic.

The College has five faculty who have earned their DTN or are in the current DTN cohort. If you want to be a better Remote Medic, you must take this course.

https://www.lshtm.ac.uk/aboutus/people/bertschinger.claire

Dr Gara is a cardiologist who has worked on ambulances and is head of our postgraduate programmes at the College. 

0000 head burns discussion

0230 AKI secondary from head burn

0500 alternative pain management options

0840 Wound Cleaning

1100 burn dressings

1900 Role of topiceuticals

2200 Feeding

2800 Palliation and range of motion

3030 Escharotomy/Fasciotomy

3300 Wound vacuum

3700 Final thoughts

Aebhric and Dr Winston de Mello discuss the assessment and management of the burned casualty in remote, austere and resource-limited environments. Using the CABC patient assessment algorithm, they discussed what the first responder could do for the casualty at each point in the assessment system. 

This is part one of a two-part burns episode. Next week, we will discuss the prolonged field care aspects of burns. 

Sylwester Winiarski was a member of the Polish Airborne and Air Assault forces and a member of their emergency rescue team and recce platoon. He has worked as a civilian paramedic in Kandahar for the UN and has most recently been involved with training Ukrainians in PFC and Chemical weapons medical procedures. He is an author and advocate of promoting mental health awareness, where he works with others providing counselling services for PTSD.