198 episodes

We’re committed to ensuring extreme medicine education can reach all medical, healthcare and supporting professionals working in austere environments.

With regular updates, our team brings you the latest from across the broad spectrum of extreme medicine disciplines, including expedition, space, remote, pre-hospital and humanitarian medicine as well as a range of topics across performance and non-technical skills. Enhance your ability to tackle challenges with new skills you can take home or out into the field.

Push the boundaries of your medical career!

World Extreme Medicine Podcast World Extreme Medicine

    • Education

We’re committed to ensuring extreme medicine education can reach all medical, healthcare and supporting professionals working in austere environments.

With regular updates, our team brings you the latest from across the broad spectrum of extreme medicine disciplines, including expedition, space, remote, pre-hospital and humanitarian medicine as well as a range of topics across performance and non-technical skills. Enhance your ability to tackle challenges with new skills you can take home or out into the field.

Push the boundaries of your medical career!

    "We establish critical care without walls" - Marius Rehn on the groundbreaking work of the Norwegian Air Ambulance

    "We establish critical care without walls" - Marius Rehn on the groundbreaking work of the Norwegian Air Ambulance

    Join us as we explore the groundbreaking work of the Norwegian Air Ambulance (NOLAS), one of the world's most advanced HEMS services, with special guest Marius Rehn, a luminary in pre-hospital critical care.

    Marius, a consultant anaesthesiologist, senior researcher, and professor, brings unparalleled insights into NOLAS's unique service model, which employs flight crews of nurses and doctors to deliver life-saving care across Norway.

    We'll delve into NOLAS's three key domains of service improvement—research, skill training, and innovation—and discover how they synergistically elevate patient outcomes. From cutting-edge studies on stroke care and cardiac arrest to the development of safe flight routes and a dedicated research helicopter, NOLAS's commitment to pushing boundaries in emergency medicine is truly inspiring.

    Marius will also share invaluable lessons for aspiring professionals seeking to emulate NOLAS's ethos of excellence in pre-hospital care.

    Buckle up for a captivating journey through the vanguard of HEMS, as we uncover the secrets behind this remarkable service.

    • 35 min
    "You either step up or you don't." A Medic's Experience in International Rescue with Jamie Pattison

    "You either step up or you don't." A Medic's Experience in International Rescue with Jamie Pattison

    In this episode Jamie Pattison, a winch paramedic, recounts his deployment to Morocco with UKISAR (U.K. International Search and Rescue) following the devastating earthquake.

    He shares the emotions of arriving onsite to mass destruction and loss of life, the resilience required for working 16 hour shifts, and the camaraderie that develops between rescue teams.

    Jamie compares the rigorous training that prepares UKISAR volunteers to the harsh realities witnessed, and discusses the mental health support available for aid workers. From aftershock tremors to minor injuries that disguise the true impact, Jamie gives a sobering account of the Morocco earthquake while highlighting the humanity and hope that emerges during crisis.

    • 54 min
    Outer Hebrides Medicine: A Rural Doctor's Challenges and Rewards with Kate Dawson

    Outer Hebrides Medicine: A Rural Doctor's Challenges and Rewards with Kate Dawson

    Joining us in this episode is the remarkably resourceful Kate Dawson, a rural general practitioner who has cared for the rugged Scottish islands of Uist for over 30 years. From managing trauma cases with scarce resources to coordinating care across isolated communities, Kate brings us her invaluable perspective from the remote frontlines.

    She reveals the personal touches in building longtime doctor-patient relationships, the intricacies of rural healthcare logistics, and the nuanced understanding needed while operating in an austere setting.

    We'll also uncover how Kate's medical career blossomed from an early international health volunteering stint in Nigeria to settling into island life in the Outer Hebrides. Together, we grapple with the demands of serving as a rural GP - leading tiny teams, handling emergency situations, and keeping up with ever-evolving best practices.

    Most excitingly, Kate sheds light on the rewards of being part of a remote island community, musing on the resilient spirit of Scotland’s rugged outposts. Her trailblazing career shines bright, with hopes her experience will inspire the next generation of rural and remote specialists.

    So prepare your rain jacket and hiking boots for an episode packed with survival stories and insights from over 30 years as a rural Scottish GP.

    You can find out more about Kate's work here.

    • 54 min
    Running to the Extreme: Amy Boalch Talks Medicine in Endurance Sports

    Running to the Extreme: Amy Boalch Talks Medicine in Endurance Sports

    Joining us in this episode is the remarkably knowledgeable Amy Boalch, a GP trainee with an inexhaustible passion for sports, exercise medicine, and the gruelling world of long-distance running. From tackling the contentious issue of race clearance forms to the disparities in health screenings across borders, Amy brings us her invaluable perspective. She reveals the personal touches in her coaching life, the intricacies of medical advice versus coach guidance, and the nuanced understanding of both roles.

    We'll also uncover why France might seem like an overachiever when it comes to racing health certificates, and how Amy's love for running and her medico-athletic career blossomed in the serene city of Bath. Together, we grapple with the demands of learning on the job while pursuing advanced degrees and the ever-present shadow of doping controversies in sports.

    Most excitingly, Amy sheds light on the fervent race toward athletic glory, musing on the tantalising possibility of a sub two-hour marathon on the men’s side as the women continue to chase monumental strides. Her future shines bright with a finish line that involves integration of sports and exercise medicine into professional medical training and a trailblazing app geared towards runner preparedness.

    So tighten those laces and adjust your headphones for an episode packed with endurance, education, and expert insights.



    You can find out more about Amy's work here

    • 49 min
    Combatting Stress with Comedy: A Tactical Approach in Military Service with Tyler Butterworth

    Combatting Stress with Comedy: A Tactical Approach in Military Service with Tyler Butterworth

    In this episode we sit down with the multifaceted Tyler Butterworth, an Army National Guard member with an impressive resume including roles as an EMT, firefighter, police officer, detective, and farmer. Tyler, who has embraced his quirky last name "Butterworth duh syrup," brings to the table a unique perspective on using humour as an effective tool to cut through the tension in high-stress jobs, such as those in military service and emergency medicine.

    We'll uncover the uplifting story of how a squad leader's humorous approach made a world of difference in Tyler's day. We'll also discuss how choosing laughter over tears can be a valuable coping mechanism in tough situations. Tyler shares insights on reading the room to tailor your humour and the importance of knowing when to switch gears and be serious.

    We'll delve into the long-term benefits of good-natured fun on morale, mental health, and even on the homefront, as Tyler credits his wife's unwavering support as a pillar in maintaining his positivity and calm, even in the face of adversity.

    • 44 min
    Expedition Medic Ben Cooper: "A £1 bandage could have saved his finger and $70,000" - Field Strategies for Treating Injuries

    Expedition Medic Ben Cooper: "A £1 bandage could have saved his finger and $70,000" - Field Strategies for Treating Injuries

    In this episode, expedition medic Ben Cooper shares cautionary tales revealing why you should never skip basic wound care in the wilderness.

    You’ll hear the story of how a minor cut led to a man’s frostbitten thumb being partially amputated during an Antarctica summit attempt - costing him $70K! It powerfully spotlights why immediate bandaging matters.

    Discover essential strategies for backcountry wound management:


    Address patients’ full situation first before treating ("bodies before bandages”)
    Use Sharpies to monitor infections and antibiotic need
    Take daily wound photos to track healing progress
    Follow the “4 Ls” to assemble medical kits (Legal, Lightweight, Low-cost, Lots of uses)

    With insights for improvising care from sandwich bags to dental floss, plus tips on blister prevention, sun protection, and judging evacuation timing, it’s an eye-opening lesson in avoiding nasty medical complications off the grid.

    Tune in to hear cautionary tales and essential wound wisdom you’ll want etched on your brain before venturing into the wild!

    • 1 hr 1 min

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