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. 131-Disaster Medicine with Derrick Tin

    1 DAY AGO

    131-Disaster Medicine with Derrick Tin

    This week, Aebhric O’Kelly talks with Dr Derrick Tin, a professor of critical care and director of counterterrorism medicine at Harvard University, and discusses the multifaceted field of disaster medicine. He explains the importance of providing quality care in resource-limited environments and the various pathways for medical professionals to get involved in this speciality. Dr Tin shares his journey from critical care to disaster medicine, emphasising the need for practical training and the psychological aspects of working in disaster scenarios. He also highlights the significance of mentorship and the evolving nature of disaster medicine as a recognised subspecialty. Takeaways Disaster medicine focuses on providing care in resource-limited environments. Soft skills are crucial for disaster medicine specialists. There are various pathways to enter disaster medicine, including courses and fellowships. Critical care experience is valuable in disaster medicine. Training should include practical, hands-on experiences. Mental health support is essential for disaster responders. Disaster medicine should be integrated into medical school curricula. The Harvard DM Fellowship offers unique resources and training. Networking and collaboration are vital in the disaster medicine community. Future developments in disaster medicine should focus on recognition as a standalone subspecialty. Chapters 00:00 Introduction to Disaster Medicine 02:57 Understanding Disaster Medicine 06:07 Pathways into Disaster Medicine 09:14 The Role of Critical Care in Disaster Medicine 11:47 Training for Disaster Medicine 15:05 The Ideal Disaster Medicine Course 18:04 Harvard's Disaster Medicine Fellowship 20:57 Experiences in Disaster Response 24:13 Psychological Aspects of Disaster Medicine 27:05 Contributions to the Field Guide 30:03 The Future of Disaster Medicine 32:52 Advice for New Practitioners 36:10 Involvement in WADEM

    42 min
  2. 130-MiM25 Recap

    FEB 14

    130-MiM25 Recap

    This week, we explore various topics related to academic medicine in remote and austere environments that were presented during the Medicine in the Mediterranean conference in February 2025. The discussions include ventilation techniques in challenging settings, the impact of human factors in pre-hospital care, the importance of nursing care, and the complexities of treating critical casualties. We also delve into hyperbaric medicine, paediatric trauma, and the significance of mindset in medical practice. Each segment features insights from experts in their respective fields, providing valuable knowledge for medical professionals working in resource-limited areas. Takeaways Continuous education is essential for effective patient care. Positive pressure ventilation can impact hemodynamic status. Human factors play a crucial role in pre-hospital care. Needle decompression techniques need proper training and feedback. Empathy in nursing care is vital for building trust with patients. Understanding the environment is key in treating critical casualties. Diving medicine requires awareness of hyperbaric risks and regulations. Urban environments significantly influence paediatric trauma. Mindset can shape a medical provider's legacy and effectiveness. Collaboration and communication are essential in emergency medical services. Chapters 00:00 Introduction to the Quorum Podcast 05:14 Ventilation in Austere Environments 10:01 Human Factors in Pre-Hospital Care 17:25 Needle Decompression in Pre-Hospital Care 20:09 Nursing Care in Pre-Hospital Environments 23:19 Treating Critical Casualties 28:19 Hyperbaric Medicine and Diving Accidents 33:19 Paediatric Trauma 35:13 The Importance of Mindset

    41 min
  3. 129-MiM25 Keynote Speaker Sean Keenan

    FEB 7

    129-MiM25 Keynote Speaker Sean Keenan

    This week, Dr Sean Keenan gives the keynote address for the Medicine in the Mediterranean 2025 conference held last week in Malta. He discusses the evolution and current practices of Prolonged Field Care (PFC) in military and austere environments. Dr Sean Keenan discusses the importance of adapting medical practices to meet the challenges of remote and resource-limited settings, emphasising the need for comprehensive training and guidelines. The discussion highlights the difficulties with transitioning from Tactical Combat Casualty Care to Prolonged Field Care, the significance of clinical practice guidelines, and the ongoing efforts to improve emergency medical response in various contexts. This conversation delves into the development and implementation of Prolonged Casualty Care guidelines, focusing on the challenges faced in training and the importance of mastering basic medical skills. The discussion highlights the need for effective logistics, the significance of the golden hour in trauma care, and the evolving nature of warfare that impacts medical practices. The speaker emphasises the importance of continuous education and adapting to operational needs while maintaining sound medical principles. Takeaways Prolonged Field Care has evolved significantly over the past decade. The importance of audience participation in understanding medical terms. Learning from past experiences is crucial in medical practices. The Joint Trauma System collects data to improve best practices. Pre-hospital care is often overlooked in trauma literature. Human physiology remains constant regardless of the environment. Prolonged Field Care addresses the gaps in emergency medical response. Training and equipping personnel is essential for effective care. The transition from Tactical Combat Casualty Care to Prolonged Field Care is vital. Understanding the context of care is key to effective medical response. Prolonged Casualty Care guidelines are evolving to meet modern warfare needs. Curriculum development requires feedback from experienced practitioners. Basic medical skills are crucial for effective, prolonged field care. The golden hour is critical for reducing mortality in trauma cases. Logistics play a significant role in successful medical interventions. Training must adapt to the realities of current combat situations. Understanding human physiology is essential for effective medical care. Expecting casualty care is a new concept that needs training. Continuous education is vital for paramedics and medical personnel. Operational needs drive the development of medical guidelines. Chapters 00:00 Introduction to Prolonged Field Care 07:03 The Evolution of Prolonged Field Care 29:04 Current Practices and Guidelines in Prolonged Field Care 31:55 Prolonged Casualty Care Guidelines Overview 35:49 Curriculum Development and Feedback Process 40:12 Challenges in Prolonged Field Care Training 44:01 Extending the Golden Hour in Trauma Care 49:34 Current Practices and Future Directions in Prolonged Field Care 54:44 Mastering the Basics of Prolonged Field Care 01:00:42 Future Warfare and Operational Considerations

    1h 3m
  4. 128-Aerospace Nursing with Prof Glenn Barnes

    JAN 31

    128-Aerospace Nursing with Prof Glenn Barnes

    This week, Aebhric O’Kelly talks with a fellow Green Beret, Dr Glenn Barnes, who shares his unique journey from Special Forces to becoming a nursing educator specialising in aerospace and extreme environments. He discusses his military background, the transition to nursing, and his experiences in private military contracting. Dr Barnes emphasises the importance of innovative nursing education, particularly for veterans, and the need for nurses to be equipped to operate in austere environments. His insights reflect a deep commitment to military service and nursing, highlighting the interconnectedness of these fields. In this conversation, Glenn Barnes discusses the innovative nursing education programs he has developed, particularly in wilderness medicine and aerospace nursing. He emphasises the importance of experiential learning and the unique skill sets that nurses gain through these programs. The discussion also covers the challenges of providing prolonged field care in space, the historical context of nursing, and advice for new practitioners entering austere medicine. Barnes highlights the need for research and development in nursing practices for extreme environments and the significance of adapting to local conditions and resources. Takeaways Dr Barnes has a diverse background in military and nursing. He transitioned from infantry to nursing due to job availability. His experiences in the military shaped his nursing career. He emphasises the importance of teamwork in Special Forces. Dr Barnes developed programs to help veterans become nurses. He believes in empowering nurses to think outside the box. His courses focus on survival and disaster nursing. Veterans often struggle to utilise their skills in civilian life. The nursing programs he developed were intensive and rewarding. He aims to prepare nurses for challenging environments. The innovative nursing programs provide unique certifications. Experiential learning builds confidence in nursing students. Nurses play a crucial role in prolonged care in space. Research is needed for nursing practices in extreme environments. Historical perspectives on nursing inform current practices. Nursing education must adapt to new challenges in healthcare. Understanding local practices enhances medical care in austere settings. Nurses are essential for long-term patient care in space missions. Improvisation is key in austere medicine. Collaboration and research will shape the future of nursing. Chapters 00:00 Introduction to Dr Glenn Barnes 02:59 Military Background and Nursing Career 05:58 Transitioning from Military to Nursing 08:59 Experiences in Jump School and Special Forces 11:57 Private Military Contracting and Nursing 14:50 Developing Nursing Programs for Veterans 18:02 Innovative Nursing Education in Austere Environments 20:36 Aerospace and Extreme Environment Nursing 23:49 Challenges of Prolonged Field Care in Space 27:41 Developing Nursing Programs for Extreme Environments 30:43 Historical Perspectives on Nursing and Care 35:07 Advice for New Practitioners in Austere Medicine

    36 min
  5. 127-Antarctic Doctor with Hannah Evans

    JAN 24

    127-Antarctic Doctor with Hannah Evans

    This week, Aebhric O’Kelly talks with Dr Hannah Evans who shares her experiences as a rural GP and pre-hospital doctor, discussing her work in remote locations, including Antarctica. She highlights the importance of telemedicine in austere environments and her role in advising the ambulance service in Scotland. Dr Evans also talks about her fellowships in wilderness and humanitarian medicine, her teaching efforts at the University of Aberdeen, and offers advice for new practitioners in the field. Takeaways Dr Evans works as an advisor to the ambulance service in Scotland. She has extensive experience in remote and austere environments. Telemedicine can be effectively utilised in Antarctica. Dr Evans emphasises the importance of wilderness medicine education. She has participated in humanitarian efforts in various countries. The FOM fellowship is a valuable credential for remote medics. Dr Evans is proud of her recent FFRRHH fellowship. Teaching wilderness medicine is crucial for medical students. Networking and following experienced professionals is key for new practitioners. Perseverance is essential in pursuing a career in austere medicine. Chapters 00:00 Introduction to Dr Hannah Evans 02:33 Role of a Pre-Hospital Doctor 08:03 Experiences in Austere Environments 12:18 Telemedicine in Antarctica 16:10 Future of Telemedicine and Humanitarian Applications 20:00 Fellowship of the Academy of Wilderness Medicine 23:05 Fellowship of Remote Rural and Humanitarian Healthcare 26:28 Teaching Wilderness Medicine to Medical Students 30:12 Advice for New Practitioners in Austere Medicine

    33 min
  6. 126-Dennis Jarema and the PFC Working Group

    JAN 17

    126-Dennis Jarema and the PFC Working Group

    This week, Aebhric O’Kelly talks with Dennis Jarema from the Prolonged Field Care Working Group. They discuss his journey from military service to nursing, emphasising the importance of prolonged field care in austere environments. They discuss the challenges faced in military medicine, the evolution of medical practices, and the establishment of the Prolonged Field Care Working Group. The conversation highlights the need for seamless integration of nursing care in emergencies and the importance of training and communication in improving patient outcomes. This conversation delves into the evolving nature of mnemonics in prolonged field care, the challenges faced in conducting research in austere environments, and the need for better communication and collaboration among practitioners and researchers. The discussion highlights the importance of mastering basic skills, avoiding training scars, and engaging volunteers to enhance the effectiveness of the Prolonged Field Care Working Group. The speakers emphasise the necessity of practical training and the development of a clearinghouse for sharing knowledge and resources in the field of austere medicine. Takeaways How Dennis' military background shaped his approach to medicine. The transition from Special Forces medic to nursing was driven by a desire for long-term patient care. Nursing provides essential skills for prolonged field care in austere environments. Understanding when to transition from emergency care to nursing care is crucial. The Prolonged Field Care Working Group was established to address gaps in military medical training. Training must include practical demonstrations of prolonged field care techniques. Communication and a common language are vital in multi-agency medical responses. The evolution of medical practices in the field reflects advancements in hospital medicine. There is a need for a combined paramedic-nurse training program in the U.S. Learning from international practices can enhance U.S. military medical training. Mnemonics in prolonged field care must evolve with practice. Research in prolonged field care faces significant challenges. There is a need for better communication between researchers and practitioners. Feasibility studies are crucial for understanding prolonged field care. Collaboration is essential for advancing research in austere medicine. The PFC Working Group plays a vital role in the community. Practical skills training is often lacking in current education. Engaging volunteers is key to the success of the PFC Working Group. Mastering the basics is fundamental for new practitioners. Experience is critical for recognising early signs of patient distress. Chapters 00:00 Introduction to Prolonged Field Care 00:45 Dennis' Military Journey 05:08 Transitioning to Nursing 10:52 The Importance of Nursing in Prolonged Care 17:11 Prolonged Field Care Working Group Origins 20:22 Challenges in Prolonged Field Care 26:35 Evolution of Medical Practices in the Field 29:58 Evolving Mnemonics in Prolonged Field Care 30:57 Challenges in Research for Prolonged Field Care 32:26 Bridging the Gap Between Research and Practice 34:52 The Need for Feasibility Studies 36:18 Collaboration in Prolonged Field Care Research 38:14 Establishing a Clearinghouse for Communication 40:36 Future Directions for the PFC Working Group 42:36 The Role of the PFC Working Group 44:03 Developing Practical Skills in Prolonged Field Care 45:32 Engaging Volunteers in the PFC Community 48:28 Mastering the Basics of Prolonged Field Care 50:55 Avoiding Training Scars in Medical Training 54:50 The Future of Prolonged Field Care Education 55:47 Advice for New Practitioners in Austere Medicine

    1 hr
  7. 125-iSOS Medic Michael Templeton

    JAN 10

    125-iSOS Medic Michael Templeton

    This week, Aebhric OKelly talks with Michael Templeton, a flight paramedic for International SOS, and shares insights into his role, training, and experiences working in Guyana. He discusses the daily routines of a flight paramedic, the importance of training and qualifications, and the challenges faced in a tropical environment. Michael emphasises the need for confidence and leadership skills in emergency medical services and highlights the significance of postgraduate education in making informed decisions in critical situations. He also addresses safety concerns in Guyana and the measures taken to mitigate risks. In this conversation, Michael Templeton shares his extensive experiences in austere medicine, focusing on safety protocols, real-life rescue operations, and his response to the Ebola outbreak in Sierra Leone. He emphasises the importance of teamwork, adaptability, and continuous learning for medical professionals working in challenging environments.   Takeaways Michael Templeton has over six years of experience as a flight paramedic. He works in Guyana, primarily in oil and gas operations. A typical day includes meetings, briefings, and equipment checks. There is only one paramedic on duty at a time. Working in a busy EMS is essential for gaining confidence. Postgraduate education aids in decision-making for complex cases. Safety measures are crucial when working in high-risk environments. Paramedics must be prepared to make quick decisions. Training in various medical and rescue techniques is essential. Mitigating risks is key to ensuring safety in Guyana. Safety protocols are crucial in austere environments. Real-life rescue operations can be unpredictable and challenging. Injured individuals may require improvised care in remote locations. Understanding the risks and limitations of rescue missions is essential. Ebola response requires strict hygiene and safety measures. Teamwork and communication are vital in emergency situations. New medics should learn from experienced colleagues in the field. Adaptability is key when working in austere conditions. Continuous learning and skill development are important for medical professionals. Building relationships with local staff can enhance operational effectiveness.   Chapters 00:00 Introduction to Flight Paramedicine 02:55 A Day in the Life of a Flight Paramedic 06:10 Training and Qualifications for Flight Paramedics 08:53 Preparing for a Career in Flight Paramedicine 11:54 The Importance of Postgraduate Education 14:57 Safety and Risks in Guyana 25:55 Safety Protocols in Austere Environments 26:42 Real-Life Rescue Operations 38:59 Ebola Response in Sierra Leone 47:45 Advice for New Medics in Austere Medicine

    54 min
  8. 124-CoROM Paramedic Daniele Manno

    JAN 3

    124-CoROM Paramedic Daniele Manno

    This week, Aebhric OKelly talks with Daniele Manno, a graduate of the CoROM Remote Paramedic programme. He shares his unique journey from being a pilot to a paramedic, emphasising the importance of wilderness medicine and survival training. He discusses his experiences in clinical practice, particularly in trauma care, and reflects on the challenges and rewards of teaching remote life support courses. Daniele also highlights the need for a broader understanding of medical practices in austere environments and offers advice for new medics entering the field.   Takeaways Daniele transitioned from a 30-year career as a pilot to medicine at age 50. He emphasises that survival skills alone are insufficient without medical knowledge. Wilderness medicine training is crucial for those leading outdoor activities. Daniele's remote life support courses cover a wide range of medical situations. He believes curiosity is essential for deeper learning in medicine. His clinical experience in Africa provided hands-on learning opportunities. Daniele advocates for the recognition of paramedics in Italy's healthcare system. He stresses the importance of being broad-minded in austere medicine. Daniele's teaching aims to inspire students to pursue further medical education. He encourages new medics to be prepared for diverse medical challenges.   Chapters 00:00 From Pilot to Paramedic: A Unique Journey 09:13 The Importance of Wilderness Medicine 15:35 Transitioning to Remote Paramedic Training 27:38 Experiences in Clinical Practice 31:48 Preparing for the Future of Medicine

    35 min
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5
out of 5
6 Ratings

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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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