World Extreme Medicine Podcast World Extreme Medicine

In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Marius Rehn, Editor-in-Chief of the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, about the ins and outs of publishing research in an academic journal.

They discuss the importance of aligning research with the scope of the chosen journal, common mistakes authors make when submitting manuscripts, navigating the peer review process, and tips for increasing publicity of published work. Rehn emphasises the importance of passing the "so what" test - ensuring research addresses a fundamental question that will benefit the community of practice and ultimately patients.

He also highlights the need for brevity and conciseness, keeping in mind the busy clinician audience.

Tune in for valuable insights on smoothly navigating the academic publishing journey from an expert editor's perspective.

In this episode, Sarah Spelsberg is joined by the brilliant Mabli Davies, an anaesthetics trainee and expert in women's health in extreme environments.

Mabli shares her personal experiences and research on managing menstruation, pregnancy, and reproductive health in the world's most challenging conditions.

Drawing from her master's dissertation on menstruation management and suppression in austere environments, Mabli provides invaluable insights, practical tips, and strategies for women facing physical, psychological, and environmental challenges during their menstrual cycles on expeditions.

The conversation delves into the importance of preparation, hygiene, fitness, and sleep in supporting women's health in the wilderness.

Mabli also discusses the role of expedition medics in promoting inclusivity and breaking the stigma surrounding women's health in extreme environments.

This podcast is a must-listen for anyone interested in the intersection of women's health and adventure medicine.

Welcome to Diversity Week!

In this special episode, a diverse panel of medical professionals, eye surgeon and Sikh warrior Pavandeep Singh, NHS & wilderness expedition Dentist Burjor Langdana, emergency physician and paediatrician Terez Malka, explorer, aquanaut, MD & Director of space medicine group Astronautics Institute Shawna Pandya, UK GP studying tropical medicine Chern Lim, and GP & humanitarian doctor Hareen Di Silva, share their unique journeys into expedition medicine.

Despite coming from various backgrounds and facing challenges, they found their passion for practicing medicine in extreme environments by seizing opportunities, developing skills, maintaining fitness, and believing in themselves.

The guests discuss the importance of mentorship, support networks, and the welcoming nature of the expedition medicine community.

They emphasise that it's never too late to get started and encourage aspiring wilderness medics to dream big and take steps to pursue this fulfilling career path.

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In this episode, Niccolo Stomeo, an anaesthesia and intensive care resident at Humanitas University in Milan, joins us to discuss his groundbreaking study on the role of remote teleradiology, X-ray, and POCUS at mass motorcycle events. Nico shares his firsthand experience from the 2021 International Six Days of Enduro, a challenging and dynamic race spanning a vast area between Lombardia and Piemonte in Italy.



Throughout the conversation, we delve into the utility, limitations, and decision-making benefits of having portable digital X-ray and telemedicine available in remote field hospital settings. Nico highlights the importance of having a full team, including a radiology technician, nurses, doctors, and an orthopaedic surgeon, to maximise the effectiveness of this technology.



We explore the challenges faced during the study, such as power supply, radiation exposure, and the need for reliable Wi-Fi and cellular connections to enable remote consultation with radiologists. Nico also shares the direct benefits observed, including the ability to provide definitive treatment on-site, reduce the burden on local healthcare systems, and allow athletes to continue racing when injuries are ruled out.



Looking towards the future, Nico emphasises the need for larger, well-controlled studies to further validate the findings and improve external validity. He also stresses the importance of data collection and analysis in pre-hospital care settings to identify areas for improvement and advance the quality of care provided.



Join us for this captivating discussion on the cutting-edge of emergency medicine in extreme environments, and discover how remote teleradiology is shaping the future of medical care at mass sporting events.



To read Niccolo’s study, click here.

In this riveting episode of the World Extreme Medicine Podcast, we sit down with WEM faculty Lucy Williams, a seasoned paediatric nurse who recently returned from a life-altering deployment to Gaza with Médecins Sans Frontières (MSF).

From the relative normalcy of Egypt to the war-torn streets of Gaza, Lucy takes us on an emotional journey through her experiences working in a hospital mere meters away from the heart of the conflict.

She shares powerful stories of resilience, hope, and heartbreak, including the tale of a family struggling to survive the aftermath of a devastating blast.

Discover the challenges faced by humanitarian workers in one of the world's most volatile regions, as Lucy provides a rare glimpse into the day-to-day realities of delivering critical care in the face of unimaginable adversity.

Whether you're a healthcare professional considering a career in humanitarian aid or simply someone looking to better understand the human cost of conflict, this episode offers a raw, unfiltered look at the courage and compassion of those who risk everything to help others in need.

You can also watch this episode over on our Youtube channel here.

In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC).

Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management.

Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC.

We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition.

With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion.

Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care.

Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events.



This paper is also mentioned in the episode:

Sudden cardiac arrest in a marathon runner: a case report



Please note: this episode was originally aired on ⁠The Pre-Hospital Care Podcast.⁠ World Extreme Medicine was given permission by the podcast host to share this episode.