In Part One of this two-part conversation, Jonathan Thompson explores the realities of working in extreme, remote, and high-pressure environments. Drawing on real-world experience, the discussion focuses on decision-making under uncertainty, the limits of protocol-based care, and how clinicians and responders adapt when resources are constrained. This episode looks at how preparation, mindset, and situational awareness shape outcomes in expedition, humanitarian, and austere medical contexts. Jonathan reflects on common misconceptions around extreme medicine, the importance of context-led judgement, and what professionals should consider when transitioning from conventional clinical settings into more remote or unpredictable environments.
The Essentials of Mountain Medicine Part One
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Intended Learning Outcomes
By the end of this session, participants should be able to:
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Understand how medical decision-making changes in remote and resource-limited environments
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Recognise the limitations of protocols when operating outside conventional clinical systems
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Appreciate the role of context, environment, and logistics in shaping medical care
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Identify key mindset shifts required when moving from hospital-based practice to field settings
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Reflect on personal preparedness for working in austere or unpredictable environments