The view from EWM towers is a very exciting one and here's why.
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Simply visit the Expo page: www.extrememedicineexpo.com and enter the code: FB75KLIKES when registering to receive your discount.
Facebook enables us to extend the Extreme Medicine community far and wide with news, updates and camp fire tales from adventurous medics, so while you have your web-browser open, visit www.facebook.com/ExpeditionMedicine and “like” our page.
Links
Facebook
World Extreme Medicine Conference
Simply visit the Expo page: www.extrememedicineexpo.com and enter the code: FB75KLIKES when registering to receive your discount.
Facebook enables us to extend the Extreme Medicine community far and wide with news, updates and camp fire tales from adventurous medics, so while you have your web-browser open, visit www.facebook.com/ExpeditionMedicine and “like” our page.
Links
Facebook
World Extreme Medicine Conference
For 25 years London’s Air Ambulance has been at the forefront of pre-hospital emergency medicine, gaining a reputation for clinical excellence and pioneering procedures which have been adopted across the world.
Next month, ahead of the World Extreme Medicine Expo, on the 6th and 7th of November, London’s Air Ambulance is hosting a two-day Pre-Hospital Care Workshop as a precursor to the Extreme Medicine Conference 2014 to give delegates and medical practitioners an insight into the work of the charity and to share some of its advanced practices.
The charity has achieved survival figures for traumatic cardiac arrest and pre-hospital thoracotomy, and success rates for adult and paediatric intubation, which are among the highest in the world.
The workshop will give practitioners the opportunity to get involved with medical demonstrations and scenario based exercises while also providing access to the senior consultants and paramedics responsible for London’s Air Ambulance governance, major incident planning, research and innovation.
Speaking about the event, consultant and education lead, Dr Gareth Grier said: “London’s Air Ambulance has treated over 31,000 patients, which we recognise is a huge amount of experience and learning developed over 25 years. By passing on this knowledge we can help to drive excellence in pre-hospital care standards”.
“Many of the techniques we have pioneered have become widespread as a result of being heard and talked about at events such as this one. During the workshop we will be showcasing some of our more recent innovations, REBOA being one of them, discussing the future of pre-hospital care, challenging conventional wisdom and hopefully, inspiring the next generation of trauma specialists”.
Earlier this year London’s Air Ambulance became the first service to perform roadside balloon surgery to control severe internal bleeding on a patient who had fallen from height. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is just one of the practical demonstrations delegates can participate in amid a programme that will look at biological terrorism, crew resource management at complex pre-hospital scenes and the role of a UK pre-hospital doctor in the international response to humanitarian disasters.
Programme Overview:
Day One
Seminar topics:
Introduction and overview of London’s Air Ambulance and Pre-hospital Care in the UK
The role of a UK pre-hospital doctor in the international response to humanitarian disasters
Biological Terrorism
Crew Resource Management at complex pre-hospital scenes
The medical response to major incidents in London
Workshops:
Pre-hospital advanced airway
Emergency thoracotomy
Emergency Neurosurgery
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Day Two
Seminar topics:
Pre-hospital blood transfusion in civilian trauma
Damage control anaesthesia – lessons from Afghanistan and London
Opportunities for medical students in pre-hospital care
Paramedic scene leadership during advanced pre-hospital interventions
Defying medical dogma – case studies from the pre-hospital phase
The future in pre-hospital care Nanorobots and suspended animation
Workshops:
Various scenario based training exercises
By day Mark Wilson is a Neurosurgeon at Imperial. He also works with London’s Air Ambulance. His specialist area is acute brain problems especially traumatic brain injury (and in particular it’s hyperacute management), but in his spare time he is the developer of a life-saving mobile phone called GoodSAM that crowd sources off-duty doctors, nurses and paramedics to local life threatening emergencies.
Mark has worked extensively overseas both clinically and as an expedition doctor. Locations include India, Nepal, the Arctic, South Africa, and Australia as a GP and as a researcher with NASA. His research areas include the effects of altitude and microgravity on the cerebral circulation, the former of which he extensively researched during the 2007 Xtreme Everest expedition.
He authored The Medic’s Guide to Work and Electives Around the World in 2000 which is now in it’s 3rd edition.
GoodSAM an App that crowd sources off-duty doctors, nurses and paramedics to local life threatening emergencies – GoodSAM. Please take a look and register!
DDRC Healthcare is a charity providing hyperbaric oxygen therapy (HBO), training and research in Diving and Hyperbaric Medicine and associated fields. In conjunction with Plymouth Hospitals NHS Trust, we are looking to appoint two junior doctors for 6 month posts – one doctor to commence February 2015 and the other August 2015.
The post will be an average of 6 sessions per week at DDRC and 4 sessions per week in the Emergency Department. We are looking for Doctors with a minimum of 2 years experience post qualification. You must have full registration with the GMC or be eligible to become fully registered.
Derriford Hospital is adjacent to DDRC and is the largest teaching hospital in the southwest with a busy Emergency Department. DDRC provides HBO for elective and emergency patients for conditions including Decompression Illness, tissue damage secondary to radiotherapy and diabetic ulcers.
Training will be provided in Diving and Hyperbaric Medicine and successful candidates will be encouraged and funded to enrol in the Postgraduate Certificate in Remote Healthcare run by the Plymouth University Peninsula Schools of Medicine and Dentistry.
There is no on call commitment for the diving aspect of this post however individuals will be encouraged to be involved in the management of diving accidents. The ED sessions may include some night shifts.
For application form and further information see Employment section www.ddrc.org
To discuss the job or to arrange a visit – please contact Dr Christine Penny – [email protected] or 01752 209999
Closing date: 18.08.2014 (08.00) interview date: 05.09.2014
Courses and Conferences of Interest
DDRC Healthcare is a charity providing hyperbaric oxygen therapy (HBO), training and research in Diving and Hyperbaric Medicine and associated fields. In conjunction with Plymouth Hospitals NHS Trust, we are looking to appoint two junior doctors for 6 month posts – one doctor to commence February 2015 and the other August 2015.
The post will be an average of 6 sessions per week at DDRC and 4 sessions per week in the Emergency Department. We are looking for Doctors with a minimum of 2 years experience post qualification. You must have full registration with the GMC or be eligible to become fully registered.
Derriford Hospital is adjacent to DDRC and is the largest teaching hospital in the southwest with a busy Emergency Department. DDRC provides HBO for elective and emergency patients for conditions including Decompression Illness, tissue damage secondary to radiotherapy and diabetic ulcers.
Training will be provided in Diving and Hyperbaric Medicine and successful candidates will be encouraged and funded to enrol in the Postgraduate Certificate in Remote Healthcare run by the Plymouth University Peninsula Schools of Medicine and Dentistry.
There is no on call commitment for the diving aspect of this post however individuals will be encouraged to be involved in the management of diving accidents. The ED sessions may include some night shifts.
For application form and further information see Employment section www.ddrc.org
To discuss the job or to arrange a visit – please contact Dr Christine Penny – [email protected] or 01752 209999
Closing date: 18.08.2014 (08.00) interview date: 05.09.2014
Courses and Conferences of Interest
Researchers from the University of Queensland, headed up by Extreme Medicine speaker Professor Craig Franklin, say that ability of the burrowing frog species Cyclorana alboguttata (pictured) to maintain muscle mass while dormant could help overcome the problem of astronaut’s own muscles deteriorating during long trips in zero gravity.
Although floating weightless in space is something many would-be astronauts dream of, this unique environment takes its toll – leaving muscles drastically under-used and causing a number of health problems from tendonitis to fat accumulation.
With a manned mission to Mars taking anywhere between 39 and 289 days depending on how close the planet is, astronauts would certainly benefit from anything that ensured they were in top physical condition upon arrival on the planet’s surface.
Scientists studying the frog say that that one of its genes known as ‘survivin’ could help. When faced with droughts in their native Australia, the frog survives by burrowing underground and covering itself with a cocoon of shed skin.
This keeps them relatively insulated from harm – but the survivin gene is necessary to protect them from their own bodies. Cells have many different ‘suicide mechanisms’ but one in particular kicks in to remove matter that is apparently damaged – something it judges by long periods of inactivity. Survivin stops this from happening.
“If we can understand the cell signalling pathways that confer resistance to muscle wasting, then these could be useful candidates to study in mammalian muscle atrophy,” said PhD student Beau Reilly in a press release.
“These could help to develop therapies to treat bedridden human patients or even astronauts, who frequently lose muscle tone when exposed to reduced-gravity conditions.”
This sort of research could be even more important for journeys into space further afield than Mars. If scientists can’t develop faster propulsion technology in the future then even travelling to nearby stars could take tens of thousands of years.
“I am fascinated in animals that survive in extreme conditions” said Miss Reilly. “I think humans and modern medicine could learn a great deal from organisms such as burrowing frogs”.
Meet Professor Franklin and a whole galaxy of other thought provoking speakers including NASA doc Micheal Barrett at the next Extreme Medicine Conference in London
Sometimes we are utterly humbled…
Matthew Jones posted on Expedition and Wilderness Medicines timeline
‘Hi guys I met another person who has done your Expedition and Wilderness Medicine Course, on the roadside, last night and I would like to pass my thanks on to your team. Last night I was asked to attend a Technician crew as Paramedic backup for a traumatic head injury, When I arrived the crew had done an amazing job already and were being assisted by a calm, knowledgeable Nurse who appeared completely at ease in this unusual environment for her. I have done a number of jobs where Nurses have stopped to help and I think it is safe to say they are often as uncomfortable in my environment as I would be trying to work in theirs.
As the job progressed and the patient became more unwell and required more interventions she was part of the team and worked perfectly alongside myself, my pre-hospital colleagues, HEMS and the police. Once we had her packaged and en route to hospital I asked her about her trauma & pre-hospital training (she usually works on an acute medical admission ward). The answer was of course “I did a course on expedition medicine” I asked a few names of the tutors, Sean, Caroline, Piers et al were names we both knew. So thanks to the Nurse, I will find you and make sure this is recognised. But also thanks to Team Expedition Medicine. Last night, by proxy, you were involved in saving a young life, which I think is pretty damn awesome!” Matthew Jones posted on Expedition and Wilderness Medicine’s timeline “Hi guys I met another person who has done your Expedition and Wilderness Medicine Course, on the roadside, last night and I would like to pass my thanks on to your team. Last night I was asked to attend a Technician crew as Paramedic backup for a traumatic head injury.
When I arrived the crew had done an amazing job already and were being assisted by a calm, knowledgeable Nurse who appeared completely at ease in this unusual environment for her. I have done a number of jobs where Nurses have stopped to help and I think it is safe to say they are often as uncomfortable in my environment as I would be trying to work in theirs. As the job progressed and the patient became more unwell and required more interventions she was part of the team and worked perfectly alongside myself, my pre-hospital colleagues, HEMS and the police. Once we had her packaged and en route to hospital I asked her about her trauma & pre-hospital training (she usually works on an acute medical admission ward). The answer was of course “I did a course on expedition medicine” I asked a few names of the tutors, Sean, Caroline, Piers et al were names we both knew.
So thanks to the Nurse, I will find you and make sure this is recognised. But also thanks to Team Expedition Medicine.
Last night, by proxy, you were involved in saving a young life, which I think is pretty dam awesome!!!!’
The ‘David Weil Extreme Medicine Award’ (DWEMA) and is by invitation only however, noninations of worthy candidates are welcome for the 2014 Extreme Medicine Conference which will take place at the Royal Society of Medicine in London 26 – 29 October 2014.
To nominate please contact Mark Hannaford, Managing Director, Expedition & Wilderness Medicine; [email protected]
The sponsorship scheme was set up to enable worthy medical candidates, who otherwise might not be able to afford, to attend the conference. The learnings would then be applied to medicine provided in extreme, front line, disaster & relief environments and in turn relieve suffering and advance medical care in the situations where typically treatment would be laking. The award also serves to promote new qualified individuals who show great promise in the area of disastor, humantarian and remote medicine.
Successful applicants must have demonstrated considerable commitment to the field of humanitarian or disaster medicine and be registered as a medical professional, must be free for the entire conference and will be expected to prepare a post conference report. Applications are welcome from medics of all nationalities.
David is a Hong Kong/ London based entrepreneur who is passionate about using his resources to make positive social change and has supported EWM for a number of years and he has offered to cover the following expenses;
Not many things you can say that change your life! Attending the Wild Medicine course was one of those events.
Amazing set of people and a fantastic opportunity to learn about conservation and desert medicine.
The kind of odd things we learnt…
– Take blood from a cheetah,
– Learn about (and touch – optional) many poisonous snakes,
– Sleep in a desert, walk 14km through a dry river canyon,
– What are the problem animals with Rabies? (A: Kudu),
– How can carnivores live outside conservation areas & not get killed by farmers &
villagers?
– How to build a vineyard in a desert … what?!..And the thing that changed our lives? Meet the Bushmen and see their need for healthcare! My wife and I are volunteering at Naankuse to run the Bushmen medical services. The real thing we learned? There are many people out there that can benefit from our skills …
Oh and by the way Namibia is amazing you get to see loads … but you can also get a 4×4 and do a week or so trip before the course.
Not many things you can say that change your life! Attending the Wild Medicine course was one of those events.
Amazing set of people and a fantastic opportunity to learn about conservation and desert medicine.
The kind of odd things we learnt…
– Take blood from a cheetah,
– Learn about (and touch – optional) many poisonous snakes,
– Sleep in a desert, walk 14km through a dry river canyon,
– What are the problem animals with Rabies? (A: Kudu),
– How can carnivores live outside conservation areas & not get killed by farmers &
villagers?
– How to build a vineyard in a desert … what?!..And the thing that changed our lives? Meet the Bushmen and see their need for healthcare! My wife and I are volunteering at Naankuse to run the Bushmen medical services. The real thing we learned? There are many people out there that can benefit from our skills …
Oh and by the way Namibia is amazing you get to see loads … but you can also get a 4×4 and do a week or so trip before the course.
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The ‘David Weil Extreme Medicine Award’ (DWEMA) and is by invitation only however, nominations of worthy candidates are welcome for the 2014 Extreme Medicine Conference which will take place at the Royal Society of Medicine in London 26 – 29 October 2014.
To nominate please contact Mark Hannaford, Managing Director, Expedition & Wilderness Medicine; [email protected]
The Extreme Medicine Conference which this year is taking place at the end of this month at Harvard Medical School funding to two medics to attend under a sponsorship arrangement has been provided.
The sponsorship scheme was set up to enable worthy medical candidates, who otherwise might not be able to afford, to attend the conference. The learning’s would then be applied to medicine provided in extreme, front line, disaster & relief environments and in turn relieve suffering and advance medical care in the situations where typically treatment would be lacking. The award also serves to promote new qualified individuals who show great promise in the area of disaster, humanitarian and remote medicine.
David is a Hong Kong/ London based entrepreneur who is passionate about using his resources to make positive social change and has supported EWM for a number of years and he has offered to cover the following expenses;
This years winners are;
Dr. Anushavan Virabyan is the Vice Chairman for Disaster and Emergency Medicine at Yerevan State University in Armenia. He is a practicing Cardiologist and Emergency Physician with more than 35 years’ experience. He completed his medical training in 1979 and has specialized in pre-hospital medicine during his career. Dr. Virabyan is married with two children and is fluent in Armenian, Russian, and English. He currently lives in Yerevan Armenia.
He was announced as the best emergency physician in 2013 by the Ministry of Health of Armenia.
Dr. Virabyan became an Emergency Physician at No. 5 Ambulance sub-station, Yerevan Armenia in 1979 and rapidly rose to become a Cardio-Reanimatologist in 1981, and then Chief of that station in 1991. He remains in that position today. The Yerevan city ambulance service responds to nearly 600 ambulance calls per day in and around that capital city. Ambulance station No. 5 is one of the largest stations in the city.
In 1994 Dr. Virabyan became Director of the Emergency and Disaster Medicine Regional Training Center, a jointly sponsored program between the University of Massachusetts Medical School, Boston University School of Medicine, the American International Health Alliance (AIHA), and the Armenian Ministry of Health. This center served as the first and the model for a system of centers that grew to number 16 throughout the former Soviet Union. Under Dr. Virabyan’s direction the center grew to serve all of Armenia in Emergency Medical Services (EMS), Emergency Medicine, and Disaster Medicine training. As the first and model center for the AIHA network of training centers, Dr. Virabyan’s center received numerous awards and accolades for cutting-edge Emergency and Disaster training. From 1994-2002, the center trained nearly 10,000 students and hosted a number of international conferences and training sessions. Under the leadership of Dr. Virabyan, the Yerevan center became the flagship center of the American International Health Alliance network, and was featured prominently in its advertisements and website.
Dr. Anushavan Virabyan continues to serve Armenia as one of its leaders in the medical field, and a pioneer in the fields of Emergency and Disaster Medicine. He has written over 20 published papers and continues to teach young medical students and residents. He was recently appointed Vice President of the Armenian Ambulance Association and helps to drive policy through that position. Armenian history will show that through Dr. Anushavan Virabyan’s forward thinking and advanced training programs, he pioneered the establishment of the fields of Emergency Medicine and Disaster Medicine, revolutionizing the way Emergency care is provided in that country.
Sam was born in London and lived in Essex, enjoying a life in Music during school and college there. He made the decision to enter medicine late and now studies at the University of Manchester, after completing a foundation year for widening access. He is currently fourth year.
Last year he took a year out and intercalated, gaining a BSc in Tropical Disease Biology from the Liverpool School of Tropical Medicine. Although his research focus was on the laboratory growth of filarial parasites, it was there he found a way to begin accessing the sphere of humanitarian medicine, and could begin to further his interest in the structure of humanitarian response and disaster/tropical medicine. He is currently helping to organise a conference on Health in Humanitarian Settings at the LSTM, and is beginning research with members of the HCRI in Manchester. He hopes to enter the world of humanitarianism after FY1/FY2 years.
The sponsorship scheme was set up to enable worthy medical candidates, who otherwise might not be able to afford, to attend the conference. The learning’s would then be applied to medicine provided in extreme, front line, disaster & relief environments and in turn relieve suffering and advance medical care in the situations where typically treatment would be lacking. The award also serves to promote new qualified individuals who show great promise in the area of disaster, humanitarian and remote medicine.
David Weir is a Hong Kong/ London based entrepreneur who is passionate about using his resources to make positive social change and has supported EWM for a number of years and he has offered to cover the following expenses;
This years winners are;
Dr. Anushavan Virabyan is the Vice Chairman for Disaster and Emergency Medicine at Yerevan State University in Armenia. He is a practicing Cardiologist and Emergency Physician with more than 35 years’ experience. He completed his medical training in 1979 and has specialized in pre-hospital medicine during his career. Dr. Virabyan is married with two children and is fluent in Armenian, Russian, and English. He currently lives in Yerevan Armenia.
He was announced as the best emergency physician in 2013 by the Ministry of Health of Armenia.
Dr. Virabyan became an Emergency Physician at No. 5 Ambulance sub-station, Yerevan Armenia in 1979 and rapidly rose to become a Cardio-Reanimatologist in 1981, and then Chief of that station in 1991. He remains in that position today. The Yerevan city ambulance service responds to nearly 600 ambulance calls per day in and around that capital city. Ambulance station No. 5 is one of the largest stations in the city.
In 1994 Dr. Virabyan became Director of the Emergency and Disaster Medicine Regional Training Center, a jointly sponsored program between the University of Massachusetts Medical School, Boston University School of Medicine, the American International Health Alliance (AIHA), and the Armenian Ministry of Health. This center served as the first and the model for a system of centers that grew to number 16 throughout the former Soviet Union. Under Dr. Virabyan’s direction the center grew to serve all of Armenia in Emergency Medical Services (EMS), Emergency Medicine, and Disaster Medicine training. As the first and model center for the AIHA network of training centers, Dr. Virabyan’s center received numerous awards and accolades for cutting-edge Emergency and Disaster training. From 1994-2002, the center trained nearly 10,000 students and hosted a number of international conferences and training sessions. Under the leadership of Dr. Virabyan, the Yerevan center became the flagship center of the American International Health Alliance network, and was featured prominently in its advertisements and website.
Dr. Anushavan Virabyan continues to serve Armenia as one of its leaders in the medical field, and a pioneer in the fields of Emergency and Disaster Medicine. He has written over 20 published papers and continues to teach young medical students and residents. He was recently appointed Vice President of the Armenian Ambulance Association and helps to drive policy through that position. Armenian history will show that through Dr. Anushavan Virabyan’s forward thinking and advanced training programs, he pioneered the establishment of the fields of Emergency Medicine and Disaster Medicine, revolutionizing the way Emergency care is provided in that country.
Sam Moody
Sam was born in London and lived in Essex, enjoying a life in Music during school and college there. He made the decision to enter medicine late and now studies at the University of Manchester, after completing a foundation year for widening access. He is currently fourth year.
Last year he took a year out and intercalated, gaining a BSc in Tropical Disease Biology from the Liverpool School of Tropical Medicine. Although his research focus was on the laboratory growth of filarial parasites, it was there he found a way to begin accessing the sphere of humanitarian medicine, and could begin to further his interest in the structure of humanitarian response and disaster/tropical medicine. He is currently helping to organise a conference on Health in Humanitarian Settings at the LSTM, and is beginning research with members of the HCRI in Manchester. He hopes to enter the world of humanitarianism after FY1/FY2 years.
Very excited! Extreme Med Conference app now ready for download!!
https://itunes.apple.com/gb/app/world-extreme-medicine-expo/id512996660?mt=8
The International World Extreme Medicine Conference and Expo 2013 will host some of the very best speakers from around the world, who are amongst the leading figures in remote extreme medicine fields, including expedition and wilderness, pre-hospital, disaster, and relief medicine. Alongside the daily lecture series will be exhibitions from focused industry leaders, showcasing products and services to meet your extreme medicine needs.