Medicine and Rescue in Extreme Environments: Shared Principles for Better Mission Performance

Adventure, Careers, Conference Vault
To access this video, please log in or sign up as a Member.

A casualty in a mountain crevasse and an injured patient on a ship present very different rescue challenges. Yet the priorities behind their care have much in common.

In this session recorded at WEM24, Oliver Kreuzer draws on his experience with Air Zermatt and U.S. Air Force pararescue to explore the principles that connect medicine and rescue across mountain, maritime and military settings.

Through operational examples, Oliver discusses reaching the casualty, identifying essential interventions and planning extraction to definitive care. He examines how environmental hazards, limited access and evacuation delays influence decisions about treatment, equipment and monitoring.

The session also explores the preparation behind effective rescue teams, including realistic training, physical readiness, mentorship and honest reflection on performance. It offers a practical perspective on keeping the patient’s needs central when the rescue itself is complex.

Learn more about the World Extreme Medicine Conference.

More Information

Length: 1hr 4m
Guests: Oliver Kreuzer

Intended Learning Outcomes

By the end of this session, participants should be able to:

  • Identify the shared priorities of casualty stabilisation, pain relief and transport to appropriate definitive care across different rescue environments.
  • Explain how impaired oxygen delivery informs the assessment and treatment priorities discussed in the session.
  • Describe how access, environmental hazards, patient needs and extraction options influence rescue planning.
  • Discuss the balance between essential interventions on scene and timely extraction from a hazardous environment.
  • Recognise the challenges of maintaining patient access and monitoring during technical extraction, and their implications for preparation.
  • Identify ways to strengthen individual and team readiness through realistic scenarios, physical conditioning, mentorship and post-mission reflection.

Sign up to WEM

Sign up to our newsletter