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

College of Remote and Offshore Medicine
  • 4.9 (8)
  • NON-PROFIT
  • UPDATED WEEKLY

Hosted by Aebhric O'Kelly, a critical care paramedic and former Green Beret, CoROM Cast explores wilderness medicine, austere healthcare, tropical diseases, emergency medicine, and remote medical practice. Weekly discussions feature global experts on Prolonged Field Care, Austere Critical Care, disaster medicine, humanitarian response, military pre-hospital care, tropical medicine, expedition healthcare, medical innovation, and practical solutions for healthcare in resource-limited environments. Published by CoROM Press www.corom.edu.mt

  1. 177-Microcirculation in PFC with Zach Andrews

    6D AGO

    177-Microcirculation in PFC with Zach Andrews

    This week, Aebhric O’Kelly talks with Zach Andrews, a SOF medic, to discuss his journey through the MSc in Austere Critical Care, with a focus on his thesis on microcirculation in resource-limited settings. He shares insights into the challenges and learning experiences of his studies, the development of the AMSS score for assessing microcirculation, and his future aspirations in medicine, particularly in rural EMS and education. Takeaways Zach is on active duty in the U.S. Army as a SOF medic. He works as a critical care paramedic in a rural county. His thesis focused on microcirculation in resource-limited settings. He explored noninvasive methods for assessing microcirculation. Zach developed the mottling score to evaluate microcirculation. He emphasises the importance of basic medical skills. Zach plans to pursue a doctorate in the near future. He aims to validate his Microcirculatory Integrated Severity Scale (AMSS) in real-world settings. Zach believes in the significance of education in rural healthcare. He appreciates collaborative problem-solving in medical training. Chapters 00:00 Introduction to Zach Andrews and His Journey 06:08 Exploring the Master's Program in Osteo-Critical Care 13:20 Thesis Topic: Microcirculation in Resource-Limited Environments 20:24 Developing the Microcirculatory Integrated Severity Scale (AMSS) 24:25 Future Plans and Advice for New Practitioners

    32 min
  2. 176-Nutrition in Prolonged Field Care from the JTS CPG

    JAN 2

    176-Nutrition in Prolonged Field Care from the JTS CPG

    This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan lead an open discussion examining the critical role of nutrition in prolonged field care. The conversation explores enteral and parenteral feeding modalities, outlining their respective indications, benefits, and practical limitations in austere and resource-constrained environments. Particular emphasis is placed on the value of early nutritional intervention in supporting physiological recovery, including practical techniques for nasogastric tube placement and for identifying and managing feeding-related complications. The discussion further considers the challenges of maintaining nutritional support during patient transport. It highlights the importance of interdisciplinary collaboration, including consultation with nutrition specialists, to develop safe and effective nutritional care plans. Takeaways Nutrition is crucial in prolonged field care. Enteral nutrition is less invasive and safer. Early feeding improves healing and recovery. Consult a nutritionist for feeding plans. NG tubes can reduce complications in feeding. Monitor for complications during feeding. Parenteral nutrition may be necessary in some cases. Feeding techniques can vary based on patient condition. Understanding nutritional needs is essential for care. Future discussions will focus on advanced topics. Chapters 00:00 Introduction to Prolonged Field Care and Nutrition 02:40 Understanding Enteral and Parenteral Nutrition 04:53 Benefits of Early Nutritional Support 07:47 Indications and Contraindications for Feeding 09:32 Practical Considerations for Feeding in Austere Environments 11:51 Calculating Nutritional Requirements 14:30 Challenges in Nutritional Support During Transport 17:16 Techniques for NG Tube Placement 20:00 Monitoring and Managing Feeding Complications 22:19 Discussion on Parenteral Nutrition 24:41 Conclusion and Future Topics

    44 min
  3. 175-Sepsis Discussion from the JTS CPG

    12/26/2025

    175-Sepsis Discussion from the JTS CPG

    This week, Aebhric O’Kelly and Bill Vasios host an online discussion on the JTS sepsis CPG. CoROM students and members of the college join this live discussion about how to assess and treat the septic casualty in remote and austere environments. Chapters 00:00 Introduction to C-Circulation Problems 01:34 Understanding Sepsis and Its Management 09:17 Early Warning Systems for Sepsis 14:15 Clinical Acumen in Remote Care 20:20 Monitoring and Assessing Patient Status 27:52 Antibiotic Administration in Remote Settings 33:02 Malaria Treatment Protocols 37:33 Resuscitation Strategies for Sepsis 42:52 Point of Care Ultrasound in Patient Monitoring 48:12 Final Thoughts and Future Topics You can download the JTS CPG on Sepsis here. https://jts.health.mil/assets/docs/cpgs/Sepsis_Management_PFC_28_Oct_2020_ID83.pdf

    58 min
  4. 174-Austere Burns Management from the JTS CPG

    12/19/2025

    174-Austere Burns Management from the JTS CPG

    This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan will host an open discussion on managing austere burn patients, covering airway management, fluid resuscitation, infection control, and pain management. The speakers emphasise the complexity of burn cases and the importance of accurate assessment and treatment protocols. They also highlight the need for effective communication and patient involvement in care, as well as the use of innovative techniques like topical morphine for pain management. Takeaways Burns are incredibly complicated, but they're complex patients. Managing an individual patient's airway has to be factored in. You want to protect and secure the airway and avoid obstructions. The goal is to achieve maximal accuracy in fluid resuscitation. You can infuse that fluid rectally if you don't have IV fluids. Prophylactic antibiotics are not indicated in burn patients. Topical morphine works really, really well for pain management. Involving the patient in their care has a positive effect. Infection control is the means of preventing infection. Burn management is more art than science. Chapters 00:00 Introduction to Burns Management 03:08 Airway Management in Burn Patients 05:52 Assessing Burn Size and Fluid Resuscitation 09:00 Fluid Administration Techniques 11:38 Oral vs IV Resuscitation 14:53 Monitoring and Adjusting Treatment 17:36 Dynamic Management of Burn Patients 25:18 Vital Signs Monitoring in Critical Care 28:01 Continuous Assessment and Patient Management 32:07 Patient Involvement in Vital Signs Monitoring 35:10 Urine Output and Fluid Resuscitation 41:33 Infection Control in Burn Management 48:20 Pain Management Strategies in Burns

    49 min
  5. MiM26 Shorts-AI in Academia with Dr Ella

    12/18/2025 · BONUS

    MiM26 Shorts-AI in Academia with Dr Ella

    This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February. You can join us using the link below. https://corom.edu.mt/medicine-in-the-mediterranean-2026/

    16 min
  6. MiM26 Shorts - AI in Healthcare with Phill Clarke

    12/16/2025 · BONUS

    MiM26 Shorts - AI in Healthcare with Phill Clarke

    This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February. You can join us using the link below. https://corom.edu.mt/medicine-in-the-mediterranean-2026/

    6 min
  7. MiM26 Shorts - CRM with Slaven Bajic

    12/15/2025 · BONUS

    MiM26 Shorts - CRM with Slaven Bajic

    This is a short introduction to the two lectures that Dr Slaven Bajic will be giving at the Medicine in the Mediterranean conference running from 31 January to 2 February. You can join us using the link below. https://corom.edu.mt/medicine-in-the-mediterranean-2026/

    5 min
  8. 173-Practical Prolonged Casualty Care

    12/12/2025

    173-Practical Prolonged Casualty Care

    This week, Aebhric is joined by Bill Vasios and Rhod Jordan, who recorded during the November 2025 CoROM Conversations. They discuss Practical Prolonged Casualty Care, a PDF from the US Military University, designed to equip lay responders with foundational skills for managing casualties over extended periods. The speakers underscore the critical role of clear communication, the value of structured training for non-medical personnel, and the practical relevance of the book’s guidance in real-world scenarios. They highlight the importance of engaging patients actively in their own care, as well as the inherent challenges associated with preparing laypersons for such responsibilities. Considerations of cultural context and the necessity of a collaborative, team-based approach to patient management are also brought to the forefront. Takeaways The book is designed for laypeople to understand basic medical care. Effective communication is crucial in patient care. Training non-medical personnel can enhance patient outcomes. Involving patients in their own care is beneficial. Cultural considerations play a significant role in patient care. The book provides practical techniques for prolonged casualty care. Regular assessment and monitoring are essential for patient safety. Lay responders should be trained to recognise nonverbal cues of discomfort. The importance of maintaining a regular routine for patients is emphasised. Cross-training team members can improve overall care. Chapters 00:00 Introduction to Prolonged Casualty Care 02:50 Deep Dive into the Book's Content 06:04 Engaging Laypersons in Medical Care 08:55 Communication and Patient Interaction 11:37 Training Non-Medical Personnel 14:49 Practical Applications and Techniques 17:51 Understanding Patient Needs 20:39 Challenges in Training and Implementation 23:28 Cultural Considerations in Patient Care 26:16 Conclusion and Future Directions https://www.usuhs.edu/sites/default/files/2025-09/Layperson%27s_Guide_to_Prolonged_Casualty_Care_090825_ACC.pdf

    37 min
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Ratings & Reviews

4.9
out of 5
8 Ratings

About

Hosted by Aebhric O'Kelly, a critical care paramedic and former Green Beret, CoROM Cast explores wilderness medicine, austere healthcare, tropical diseases, emergency medicine, and remote medical practice. Weekly discussions feature global experts on Prolonged Field Care, Austere Critical Care, disaster medicine, humanitarian response, military pre-hospital care, tropical medicine, expedition healthcare, medical innovation, and practical solutions for healthcare in resource-limited environments. Published by CoROM Press www.corom.edu.mt

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