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Poster Competition Winners

Thank you to all the entries! We have received an incredible variety of submissions for both physical and digital posters, showcasing new original research, intriguing case reports, or thought-provoking topic discussions related to any area of Extreme Medicine.

The posters were judged by:

  • Jeremy Windsor: Consultant Anaesthetist, Director of the Centre for Mountain Medicine at the University of Central Lancashire.
  • Shawna Pandya: Aeromedical Flight Physician, Aquanaut and Member of the International Astronautical Federation’s Human Spaceflight Committee.
  • Will Duffin: GP, Doctor for US TV Show ’Survivor’ and Joint Medical Director at World Extreme Medicine

The judging criteria was based on clarity, originality, relevance, impact and referencing.

Here are the winners, runners-up and all other entries⤵

Winners

#1

COOLFLY – Countermeasure Against Cardiovascular Instability in Changing G-Forces | Renana Bruckstein et al.

Renana Bruckstein investigated peripheral cooling as a potential countermeasure during human spaceflight acceleration at the Coolfly Center for Space Medicine and Extreme Environments.

Through parabolic flight experiments with 15 subjects, she demonstrated that cooling effectively reduced changes in perfusion and blood pressure, with cooled subjects showing an 11mmHg smaller drop in blood pressure compared to the control group.

This elegant study opens new avenues for managing physiological stress during space travel and provides compelling evidence for peripheral cooling as an effective intervention in extreme environments.

This research has significant implications for future spaceflight protocols and how space agencies approach physiological protection during acceleration. The panel was particularly impressed by the innovative approach to a critical spaceflight challenge and the clear demonstration of measurable benefits.

While the absence of references was noted, the study’s methodological strength, clear presentation, and compelling findings made it stand out from other submissions. The practical applications of this work in both space medicine and other extreme environments, combined with its elegant experimental design and clear results, made it the clear winner for this years poster competition.

Congratulations, Renana! We will be in touch shortly with a code for you to join WEM25 for free!

#2

Mapping Remote Telementored Ultrasound Deployments (RTMUS) for Use in Austere Environments | Albert J Kuzniar & Liz Shaw

Albert Kuzniar and Liz Shaw conducted a comprehensive scoping review of Remote Telementored Ultrasound (RTMUS) deployments, creating a detailed evidence map across rural, prehospital, wilderness, space, and low-resource contexts.
Their review encompassed 88 references, examining how expert ultrasound guidance could be provided remotely in extreme environments. While the study demonstrated the widespread application of RTMUS across various settings, it also highlighted important knowledge gaps, particularly regarding safety and effectiveness data.

This thorough analysis makes a valuable contribution to understanding telemedicine capabilities in extreme environments. The panel was particularly impressed by the study’s comprehensive approach and its applicability across multiple extreme contexts.

While the review stopped short of determining RTMUS’s safety and effectiveness, its methodical examination of the current evidence base and careful consideration of limitations earned it second place. The work provides a crucial foundation for future research into this promising medical tool for remote environments.

Congratulations! Head over to the merch stall to grab your goody bag & we will be in touch to set up your membership shortly.

#3

Anesthesia Mission in Tamale | Adrian Bencat, Nela Pelankova & Dagmar Seidlova

Adrian Bencat et al presented a compelling case report from a resource-limited setting, following a 36-year-old female patient who underwent myomectomy for adenomyosis.

The case highlighted critical challenges in surgical care, particularly in the context of pre-existing anemia (haemoglobin 86) common in African populations. The patient’s complex post-operative course, including arrhythmia, ST elevation, and cardiac arrest requiring ICU intervention, was complicated by a ordered but unadministered blood transfusion.

 

This case earned third place by effectively illustrating the cascading effects of systemic healthcare challenges in resource-poor settings.

While the panel noted that the presentation could have been more refined and the lack of literature references was a limitation, the case’s valuable learning points about anticipating surgical complications in historically anemic populations made it particularly relevant to extreme medicine.

The study serves as a powerful reminder of the importance of thorough preoperative planning and vigilant post-operative care in challenging healthcare environments.

Congratulations! Head over to our merch stall to grab your prize!

Highly Commended

Assessing Fitness to Dive: Are There Shades of Grey Within the Blue? | Emma Wallace

Wallace presented a nuanced exploration of fitness-to-dive assessments, highlighting the complexity and ethical considerations involved. The review emphasised the importance of moving beyond simple checklist approaches, acknowledging the various shades of grey in diving medicine decision-making.

ICED OUT: Integrated Cold-Chain Eliminating Disease Outreach | Alex Chang, Mwatela Kitondo, Hellen Nyakundi & Edward Obwavo

Alex Chang from Northeastern University presented ICED OUT, an innovative pilot programme using motorcycle-enabled cold chain transportation to improve leishmaniasis testing and vaccine delivery in rural Kenya. The project demonstrated how creative logistics solutions can bridge critical healthcare gaps in resource-limited settings.

Enhancing Cognitive Performance in Extreme Medical Environments: The Impact of Action Video Gaming | Charis Sung

Charis Sung from the University of Lincoln conducted a retrospective study of 119 University Air Squadron members, examining the relationship between action video gaming habits and cognitive performance through CBAT test scores. The research suggested promising links between gaming and improved reaction times in aviation contexts, whilst raising important questions about real-world transferability.

Thermoregulation at Altitude | Edmund Adams, Andrew Cowburn & Tamlyn Peel

Edmund Adams from Imperial College investigated thermoregulatory responses in altitude conditions through a laboratory study of six participants. The research examined skin temperature changes and cooling rates under hypoxic versus normoxic conditions in a cold environment, providing initial insights into cold-related injury risks at altitude.

Deep Palmar Space Infection in the Mid-Atlantic – A Case Report | Jonathan Inglesfield

Jonathan Inglesfield presented a compelling case report of a deep palmar space infection during a transatlantic sailing race, detailing the challenges of offshore medical management and the successful coordination of a long-range helicopter medevac for urgent surgical intervention. The case highlighted the complexities of escalating care in remote maritime environments.

Comparison of Cadaveric Warming Rates in Accidental Hypothermia between Continuous and Dwell Thoracic Lavage | Justin O’Leary et al.

Justin O’Leary from Virginia Tech School of Medicine conducted a cadaveric study comparing continuous versus dwell thoracic lavage rewarming techniques in hypothermia management. Using five fresh cadavers, the research explored different rewarming approaches, though found no significant difference between the methods studied.

Medical Kit at 8000m: Lessons Learnt, Time to Update? | Stacey Cromey-Hawke et al.

Stacey Cromey-Hawke and Nat Taylor shared practical insights from their Broad Peak expedition, detailing strategic modifications to standard high-altitude medical kits. Their experience-based recommendations included key additions such as TXA, diclofenac eye drops, ondansetron wafers, and emergency contraception, offering valuable real-world guidance for future expeditions.

A Pilot Study Evaluating the Acceptability and Effectiveness of Podcasts as a Tool for Delivering Health Education in Rural Mali | Megan Roby et al.

Alex Marley and Megan Roby from Critical Care International explored the use of podcasts for delivering snakebite prevention and first aid education in rural Mali. While their pilot study of 44 participants showed promising qualitative feedback about podcast acceptability, significant follow-up challenges highlighted important considerations for future digital health education initiatives in rural African settings.

Other Submissions

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