CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

College of Remote and Offshore Medicine
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CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

The College releases a new podcast each Friday discussing wilderness medicine, austere healthcare and emergency medicine. Host Aebhric O'Kelly invites guests from around the world working in remote, austere and resource-limited environments.

  1. 122-AEC in Norway with Nick Hill

    1 DAY AGO

    122-AEC in Norway with Nick Hill

    This week, Aebhric O’Kelly talks with Nick Hill about his extensive experience in military nursing, detailing his journey from the New Zealand Defence Force to the Danish military. He discusses the roles he has held, the challenges faced in various environments, and the importance of improvisation in medical practice. Nick emphasises the need for continuous learning and adaptation in austere medicine, drawing insights from his Austere Emergency Care course participation. He also highlights the cultural differences between military practices in different countries and the importance of collaboration in improving medical care. Takeaways Soldering is a universal concept across different militaries. Improvisation is crucial in austere medical settings. Continuous learning is essential for medical professionals. Cultural differences impact military medical practices. The importance of teamwork in emergency care. Adaptation and improvisation can enhance clinical practice. Engaging civilians in medical training is vital. Nordic countries show a strong commitment to medical readiness. Understanding logistics is key in prolonged field care. Seek knowledge from diverse sources for better practice. Chapters 00:00 Introduction to Nick Hill's Military Journey 03:12 Roles and Responsibilities in New Zealand's Military 05:57 Transitioning to Denmark and Cultural Differences 09:00 Experiences in Australia and Unique Challenges 11:56 Austere Emergency Care Course Insights 15:06 Improvisation in Medical Practice 18:08 Learning from Diverse Medical Environments 20:53 Advice for New Medics in Austere Medicine

    41 min
  2. 121-Arctic PFC with Jørgen Melau

    DEC 13

    121-Arctic PFC with Jørgen Melau

    This week, Aebhric O’Kelly talks with Dr Jørgen Melau. They discuss the intricacies of providing prolonged field care (PFC) in Arctic environments. They emphasise the importance of knowledge over gear, the challenges of managing cold casualties, and the necessity of shelter and improvisation. The discussion also covers protocols for PFC, the difficulties of vapour barriers, transportation strategies, and future developments in Arctic medical care. Dr Melau provides valuable advice for new medics interested in working in cold environments, highlighting the need for comfort and experience in such conditions.   Takeaways Knowledge is more vital than the actual gear. Training should focus on the person, not just products. Shelter is vital for casualty care in the Arctic. Improvisation can save lives in cold environments. Condensation is a considerable problem in cold weather operations. Breathable fabrics could improve vapour barriers. Keeping hands warm is vital for medics in cold environments. You must be comfortable in the cold before being a medic. Training in cold environments is essential for medics. Human performance is key in prolonged care situations.   Chapters 00:00 Introduction to Arctic Prolonged Field Care 01:10 The Importance of Knowledge Over Gear 07:04 Managing Cold Casualties in the Arctic 11:37 Shelter and Improvisation Techniques 17:00 Protocols for Prolonged Field Care 23:02 Challenges of Vapor Barriers and Heating 30:03 Transportation and Evacuation Strategies 34:48 Future Developments in Arctic PFC 44:58 Advice for New Medics in Cold Environments

    46 min
  3. 120-Student Support with Phill Clark

    DEC 6

    120-Student Support with Phill Clark

    This week, Aebhric O’Kelly talks with Phill Clark about his journey from a career in product management to becoming involved in medical education at the Masters of Austere Critical Care. He discusses the importance of practical skills in medicine, his role in improving student experiences, and the unique challenges adult learners face. Phil also highlights advancements in digital microscopy and AI, emphasising the collaborative potential of technology in healthcare. He concludes with advice for new medics, stressing the value of hands-on experience and the offerings of CoROM.   Takeaways Phil transitioned from product management to medical education during COVID. He emphasizes the importance of practical skills in medicine. Phil's role involves improving student experiences in the Masters programme. He advocates for a centralised communication system for student inquiries. Phil believes in the value of individualised responses to student needs. CoROM’s student body is generally older and more experienced. Lifelong learning is crucial for personal and professional growth. Advancements in AI and digital microscopy can enhance healthcare delivery. Phil stresses the importance of hands-on experience for new medics. He encourages exploring Co-ROM's courses for aspiring medical professionals.   Chapters 00:00 Introduction to Phil Clark 05:10 Phil's Journey to Medical Education 13:28 Improving Student Experience 18:52 The Importance of Individualized Responses 25:27 Lifelong Learning and Experience 38:11 Advice for New Medics

    40 min
  4. 119-Aerospace Medicine with Dr David Newman

    NOV 29

    119-Aerospace Medicine with Dr David Newman

    This week, Aebhric O’Kelly talks with Dr David Newman, an aerospace medicine expert who shares his extensive experience in military aviation, the evolution of fighter aircraft, and the future of human pilots in an increasingly automated world. He discusses his recent presentation at the Taipei International Military Medicine Forum, the importance of aerospace medicine education, and the challenges posed by AI in academic publishing. Takeaways • Dr Newman has a rich background in military aviation and aerospace medicine. • The F-18 is considered one of the best aircraft to fly. • The future of piloting may shift towards AI and drones. • Ejection from aircraft can lead to hidden injuries like vertebral fractures. • Aerospace medicine education is crucial for both civil and military doctors. • AI poses challenges in maintaining the integrity of academic publishing. • Crazy Socks for Docs raises awareness for mental health in healthcare professionals. • Mental health issues in healthcare are often overlooked. • Interest in a subject is key to completing a PhD. • The evolution of fighter jets reflects advancements in technology.   Chapters 00:00 Introduction to Dr David Newman 02:59 Aviation Medicine and Military Experience 06:01 The Evolution of Fighter Aircraft 08:52 The Future of Human Pilots in Aviation           11:59 Insights from the Taipei International Military Medicine Forum 15:04 Aerospace Medicine Education and Training 17:51 The Role of AI in Academic Publishing 20:58 Crazy Socks for Docs: A Movement for Mental Health 23:53 Advice for New Medics in Aerospace Medicine

    40 min
  5. 118-Tanguy Bader

    NOV 22

    118-Tanguy Bader

    This week, Aebhric O’Kelly talks with Tanguy Bader, a second-year BSc Paramedic student, who shares his journey in paramedicine, discussing his experiences in New Orleans EMS, the importance of continuous learning, and his aspirations for the future. He emphasises the significance of basic skills in emergency medicine, the value of patient interactions, and his desire to contribute to international healthcare efforts. Tanguy reflects on his educational experiences and the impact they have on his clinical practice, highlighting the importance of being a compassionate and competent clinician.   Takeaways •   Continuous learning is essential in paramedicine. •   Basic skills are crucial for effective patient care. •   Patient interactions provide valuable insights into care. •   Paramedic education enhances clinical practice significantly. •   Experience in the field complements academic learning. •   Building relationships with partners is vital in EMS. •   A focus on patient dignity and respect is paramount. •   International work offers unique challenges and rewards. •   Communication and teamwork are key in emergency situations. •   Embracing technology can aid in overcoming learning challenges.   Chapters 00:00 Introduction to Tanguy Bader and His Journey 03:10 Learning and Growth in Paramedic Education 09:32 Pathway to Becoming a Paramedic 17:11 Future Aspirations in Paramedicine 20:49 The Importance of Patient Interaction 27:00 Experiences in New Orleans EMS 30:37 Advice for New Paramedics 33:45 Conclusion and Reflections

    33 min
  6. 117-Diploma Tropical Nurse with Katie Beck

    NOV 15

    117-Diploma Tropical Nurse with Katie Beck

    This week, Aebhric O’Kelly talks with Katie Beck, director of the Diploma of Tropical Nursing at the London School of Hygiene and Tropical Medicine, who shares her extensive experiences in global health and expedition medicine. She discusses the challenges nurses face in low-resource settings, the importance of cultural competence, and the evolving role of nurses in global health. Katie emphasises the significance of the Diploma of Tropical Nursing in preparing healthcare professionals for work in diverse environments and highlights the need for advocacy and innovation in nursing education. Takeaways • Katie Beck has a diverse background in nursing and global health. • Expedition medicine offers unique challenges and experiences. • Cultural competence is crucial in healthcare delivery. • Nurses are vital in global health, delivering 80% of care. • The Diploma of Tropical Nursing prepares nurses for low-resource settings. • The PDTN fosters a global network of healthcare professionals. • Innovative approaches in nursing education are essential for future challenges. • Partnerships in healthcare education enhance mutual benefits. • Critical thinking is essential, but doubt should not impede action. • The future of nursing includes advocacy and leadership in global health. Chapters 00:00 Introduction to Katie Beck and Her Work 02:50 Experiences in Expedition Medicine 06:00 Challenges in Austere Nursing 11:02 Cultural Competence in Healthcare 15:05 The Role of Nurses in Global Health 19:15 The Diploma of Tropical Nursing (DTN) 23:00 Future of the DTN and Global Health 33:53 Advice for New Medics and Nurses

    40 min
  7. 116-Paramedic Programme Manager Mike Morrow

    NOV 8

    116-Paramedic Programme Manager Mike Morrow

    This week, Aebhric O’Kelly talks with Mike Morrow, the CoROM BSc Remote Paramedic programme coordinator, on his journey from being a paramedic to evaluating organs for transplantation. He discusses the unique challenges faced in emergency medical services, particularly in Africa, and highlights the dedication of students in the BSc Remote Paramedic Programme. Morrow emphasises the importance of experience in austere environments and compares the training and practices of U.S. paramedics with those of BSc graduates. He provides valuable insights and advice for new medics and nurses starting their careers. Takeaways • Mike Morrow evaluates hearts and lungs for organ transplantation. • He has a rich background in paramedic training and critical care. • The BSc Remote Paramedic Program offers unique opportunities for students. • Students are dedicated to helping in austere settings. • There needs to be more EMS in many African countries. • Experience in austere environments is crucial for paramedics. • Morrow emphasises the importance of adaptability in emergency care. • The programme prepares students for real-world challenges in healthcare. • Morrow encourages new medics to gain as much experience as possible. Chapters 00:00 Introduction to Mike Morrow 05:53 Transitioning to Academia and Teaching 14:22 Challenges in African Emergency Medical Services 19:28 Comparing U.S. and BSc Paramedic Practices 24:38 Prolonged Care in Austere Environments 29:46 Advice for New Medics and Nurses

    36 min

  8. NOV 1

    115-New Clinical Placements in Ghana

    This week, Aebhric, John Clark and Emmanuel Acheampong discuss a new collaboration in Kumasi, Ghana. The College is creating a collaboration with Komfo Anokye Teaching Hospital to enhance medical education and training. They discuss the hospital's capabilities, the emergency department's operations, the triage system, and the potential for student placements and training initiatives. The discussion highlights the importance of building sustainable relationships and the shared challenges faced in healthcare across different regions. https://kath.gov.gh/ Takeaways • The visit aims to explore collaboration opportunities with Komfo Anokye Teaching Hospital. • The hospital has a wide range of departments, including emergency medicine. • The emergency department has evolved significantly over the years. • Triage is a critical component of patient flow in the emergency department. • There is a growing emphasis on training and certification for healthcare professionals. • The collaboration will provide advanced clinical experiences for students. • Building relationships is essential for successful partnerships in healthcare. • The hospital aims to implement BLS and ACLS training for all staff. • Future plans include establishing a sustainable relationship that benefits both organisations. Chapters 00:00 Introduction and Context of the Visit 04:04 Emergency Department Insights 09:12 Triage System and Patient Flow 11:31 Collaboration Opportunities and Student Placements 15:06 Training and Certification Initiatives 17:08 Future Plans and Sustainable Relationships 19:01 Advice for New Medical Professionals

    21 min
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The College releases a new podcast each Friday discussing wilderness medicine, austere healthcare and emergency medicine. Host Aebhric O'Kelly invites guests from around the world working in remote, austere and resource-limited environments.

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