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. 184-CoROM Conversations - Nursing CPG

    5D AGO

    184-CoROM Conversations - Nursing CPG

    This week, Aebhric O'Kelly and Bill Vasios host another CoROM Conversations. This month, they discuss the comprehensive nursing interventions, training strategies, and best practices for prolonged field care, emphasising simplicity, effective handovers, and patient safety. https://youtu.be/U63NaFLaxZ0 Chapters 00:00 Introduction to Nursing Interventions 00:53 Exploring CPGs and Nursing Interventions 02:25 Comparing Non-Medical and Medical Personnel Guidelines 05:50 Simplifying Nursing Interventions for Non-Medical Personnel 09:05 Wound Care Disparities in Guidelines 11:05 Identifying Gaps in Nursing Care Guidelines 12:07 The Need for Simplified Guidelines 16:15 Importance of Structured Handover 24:03 Trending and Serial Assessment in Patient Care 26:17 Understanding Patient Comfort and Injury Prevention 27:36 The Importance of Hands-On Nursing 28:32 Pressure Injury Prevention Strategies 29:52 Efficient Patient Care Techniques 31:17 Pain Management in Nursing 33:12 Pulmonary Hygiene and Patient Mobility 35:14 Nutrition and Hydration in Patient Care 35:37 The Role of Checklists in Medical Practice 41:33 Infection Prevention and Wound Care 43:34 Final Thoughts on Patient Care Practices 44:01 Any Questions?

    44 min
  2. 183-Harrison Steins MiM26 SIPE

    FEB 20

    183-Harrison Steins MiM26 SIPE

    This week, Aebhric is joined by Dr Harrison Steins, who is finishing his MSc in Austere Critical Care with CoROM. He also finished medical school and is starting his emergency medicine training. His master’s thesis was on the complexities of swimming-induced pulmonary oedema (SIPE), a rare condition affecting athletes, particularly in high-altitude environments. The speaker, Harrison Steins, discusses the pathophysiology, clinical presentation, diagnosis, and management strategies for SIPE, emphasising the importance of context in medical practice. He shares case studies, research findings, and future directions for understanding and treating this condition, highlighting the role of ultrasound in diagnosis and the need for tailored prevention strategies. Takeaways Swimming-induced pulmonary oedema is a rare condition with a prevalence of less than 1%. Understanding the context of patient presentation is crucial for diagnosis. Acute-onset cough and dyspnoea are key symptoms of SIPE. Diagnosis requires a broad differential, ruling out other conditions first. Management focuses on immediate life threats before addressing SIPE. Hydration strategies can prevent SIPE, especially in athletes. Sildenafil may be effective in preventing SIPE, but it is not widely recommended. Handheld ultrasound is a reliable tool for diagnosing pulmonary oedema in the field. Females may have a higher incidence of SIPE at lower elevations than males do. Knowledge of population-specific pathology is essential for effective treatment. Chapters 00:00 Introduction to Swimming-Induced Pulmonary Oedema 04:47 Understanding the Pathophysiology of Swimming-Induced Pulmonary Oedema 09:18 Case Studies and Clinical Presentation 13:48 Diagnosis and Imaging Techniques 19:26 Management Strategies and Treatment 24:17 Research Findings and Future Directions

    35 min
  3. 182-TTEMS Review by BSc RPP Students

    FEB 13

    182-TTEMS Review by BSc RPP Students

    This week, Aebhric O'Kelly interviews four students from our BSc in Remote Paramedic Practice programme. They discuss the Tropical Travel and Expedition Medical Skills course (TTEMS).

    14 min
  4. 181-TBS26 Conference Review

    FEB 6

    181-TBS26 Conference Review

    This week, Aebhric O'Kelly is joined by Dr Ella Corrick, Dr Sean Bilodeau and Dr Tom Mallinson as the CoROM faculty attend The Big Sick conference hosted by Air Zermatt. CoROM gave three lectures and two workshops including the Improvised Medicine workshop and the Austere Emergency Care workshop. Takeaways The challenge of compressing prolonged field care education into short workshops. Engagement of diverse professional backgrounds enhances learning experiences. Realistic simulations provide valuable insights into emergency care. The importance of bridging the gap between pre-hospital and hospital care. Innovations in emergency medicine practices are crucial for improving patient outcomes. Data plays a significant role in shaping emergency response strategies. Continuous education is essential for adapting to new medical practices. The value of informal discussions among professionals at conferences. Understanding the unique challenges faced by pre-hospital care providers. The need for a shift in perception regarding the role of EMS professionals. Chapters 00:00 Introduction to the Big Sick Conference 02:34 Challenges in Prolonged Field Care Education 05:43 Diverse Professional Backgrounds in Medical Education 08:09 Learning Through Realistic Simulations 11:04 Bridging the Gap Between Pre-Hospital and Hospital Care 13:39 Innovations in Emergency Medicine Practices 16:46 The Role of Data in Emergency Response 19:10 Future Directions in Pre-Hospital Care 21:39 Conclusion and Reflections on the Conference

    38 min
  5. 180-Wilderness and Expedition Dentistry with Burjor Langdana

    JAN 30

    180-Wilderness and Expedition Dentistry with Burjor Langdana

    This week, we hear from Burjor Langdana, who runs the Wilderness and Expedition Dentistry workshop for CoROM. Burjor discusses the management of dental pain, focusing on assessing sensitivity, identifying causes, and evaluating treatment options. It emphasises the importance of patient care, oral hygiene, and antibiotic use in the management of dental conditions. The discussion also covers cultural considerations and improvisation in emergency situations, providing valuable insights for dental practitioners. https://wildernessdentistry.com/ Takeaways Understanding the characteristics of dental sensitivity is crucial. Location and duration of pain are key indicators. Aggressive brushing can lead to gum recession and sensitivity. Clove oil can be effective but should be used cautiously. Flossing is essential to prevent food buildup and gum irritation. Antibiotics may be necessary for managing infections. Improvisation is important in emergency dental care. Cultural beliefs can impact patient care and treatment acceptance. Communication with patients about procedures is vital. Managing expectations regarding treatment outcomes is essential. Chapters 00:00 Introduction to Managing Dental Pain 00:57 Understanding Sensitivity: Duration and Location 06:32 Identifying Causes of Sensitivity 12:12 Managing Sensitivity with Home Remedies 12:40 Addressing Food-Related Pain 18:37 Techniques for Filling Cavities 29:11 Improvising Without Instruments 29:39 The Role of Salt Water in Oral Health 34:53 Managing Tooth Pain and Food Impaction 39:06 Understanding Fillings and Their Complications 45:42 Gumboils: Causes and Management 49:48 Skills for Remote Dental Care 56:04 Cultural Sensitivity in Dental Treatment

    1h 3m
  6. 179-The AOK AirBase with Sam Slishman

    JAN 22

    179-The AOK AirBase with Sam Slishman

    This week, Aebhric O’Kelly is again joined by Dr Sam Slishman. They discuss medical innovation and Aebhric’s invention called the AirBase. They discuss medical innovation, focusing on inventions, such as the Slishman Traction Splint and the Airbase. They emphasise the importance of evidence-based medicine, particularly in the use of tourniquets and bleeding control techniques. The discussion also addresses the challenges of marketing medical devices, the role of 3D printing in healthcare, and advice for aspiring medical professionals in austere environments. Takeaways Innovations in medical devices can significantly impact patient care. Tourniquets are effective but should be used with caution. Direct pressure is often more effective than tourniquets for certain injuries. The Airbase serves multiple purposes during emergencies. 3D printing can revolutionise medical device development. Standard of care is not static and can vary by location. Patient comfort is crucial in emergency medicine. Research in austere medicine faces unique challenges. Continuous learning and adaptation are essential for medics. Chapters 00:00 Introduction to Dr Sam Slishman 01:31 Innovations in Medical Devices 04:25 Tourniquet Efficacy and Research 09:38 Direct Pressure vs. Tourniquets 17:50 The Airbase: A New Medical Tool 24:14 Challenges in Medical Device Development 31:20 The Role of 3D Printing in Medicine 39:19 Advice for Aspiring Medics

    47 min
  7. 178-Academia with PTSD with EU SOF Medic Rabbit

    JAN 16

    178-Academia with PTSD with EU SOF Medic Rabbit

    This week, Aebhric O’Kelly is joined by Rabbit, who is an EU SOF medic who shares his extensive background in military medicine and his current focus on researching the effects of higher education on individuals with PTSD. He discusses his personal experiences with PTSD and how education has played a role in his recovery. The conversation also touches on the importance of engaging the younger generation in military medicine, adapting to the changing battlefield, and the need for collaboration between special operations and conventional forces. Rabbit emphasises the significance of education and teamwork in improving outcomes for those affected by trauma. Takeaways Rabbit has a rich background in military medicine and education. His PhD research focuses on PTSD and higher education. Education can provide hope and support for individuals with PTSD. There is a need for specialised programs for military personnel with PTSD. Engaging the younger generation is crucial for the future of military medicine. Collaboration between special operations and conventional forces is essential. Rabit emphasises the importance of teaching and enabling others in medicine. The battlefield is evolving with new technologies and challenges. Personal experiences with PTSD can inform research and treatment. Teamwork is vital in prolonged field care situations. Chapters 00:00 Introduction to Rabbit and His Background 02:52 Exploring PTSD and Higher Education 10:22 Personal Experiences with PTSD and Education 17:12 The Role of SOMA and Engaging the Younger Generation 26:57 Advice for New Medics and Collaboration in Medicine

    29 min
  8. 177-Microcirculation in PFC with Zach Andrews

    JAN 9

    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
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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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