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. 188-How to set up an ICU in the jungle

    4D AGO

    188-How to set up an ICU in the jungle

    This week, Aebhric O’Kelly is joined by Rhod Jordan and Bill Vasios as they discuss how to create an ICU in the jungle. They discuss setting up and managing a remote ICU in jungle environments, focusing on site selection, equipment, logistics, and medical considerations for field medics and responders. Chapters 00:00 Introduction and Content Overview 00:41 Premise and Scenario Setup for Jungle ICU 01:33 Site Selection Criteria in Jungle Environments 02:19 Environmental Challenges: Rain, Creepy Crawlies, and Hypothermia 03:08 Privacy, Lighting, and Visibility in Remote Settings 03:53 Creating a Functional Jungle Clinic Layout 04:34 Lighting and Visibility Strategies at Night 05:31 Accessibility and Zone Planning in Field Clinics 06:09 Assessing Capacity: Multiple Patients and Beds 07:01 Monitoring Equipment: Minimum and Advanced Options 08:04 Power, Water, and Communication Logistics 08:42 Prolonged Casualty Care and Exfil Planning 09:59 Medical Supplies: Drugs, Medications, and Sterility 10:42 Camp Craft and Bushcraft Skills for Remote Medics 11:35 Wildcrafted Plants and Improvised Medicine 12:12 Communication Strategies in Dense Canopy Environments 13:08 Team Coordination and Role Assignments 14:08 Dealing with Critical Patients and Exfil Decisions 14:57 Infection Control and Hygiene in the Field 15:54 Personal and Team Safety Measures 16:39 Additional Non-Medical Gear for Remote Operations 17:16 Lighting Solutions and Bug Management at Night 18:08 Medications and Drugs for Jungle Medicine 18:45 Over-the-Counter and Emergency Medications 19:34 Special Considerations for Malaria and Vector-borne Diseases 20:04 Infection Control and Hygiene Protocols 20:56 Water Purification and Boiling Techniques 21:35 Field Sterilisation and Maintaining Sterility 22:25 Managing Glove Supplies and Hand Hygiene 23:00 Dermatology and Common Skin Conditions 23:38 Malaria Prophylaxis and Treatment Strategies 24:32 Infection Control and Personal Hygiene 25:14 Power and Charging Solutions in Remote Areas 26:04 Water Supply and Filtration Methods 26:45 Field Sterilisation and Water Boiling Techniques 27:21 Camp Craft and Bushcraft Skills for Field Survival 27:56 Wildcrafting and Medicinal Plants in the Jungle 28:47 Communication Equipment and Strategies in Dense Canopy 29:41 Team Coordination and Medical Decision-Making 30:17 Water Safety and Potable Water Management 31:05 Team Safety and Preventing Illness in the Field 32:04 Bushcraft Skills for Remote Medical Operations 32:58 Survival Skills and Improvised Medicine 33:48 Communication Tools and Emergency Signalling 34:28 Exfil Planning and Evacuation Protocols 35:14 Prolonged Casualty Care and Equipment Needs 36:01 Medical Kits and Supplies for Extended Operations 36:51 Decision-Making in Critical Situations 37:23 Non-Medical Essentials: Woobies, Tools, and Comfort Items 38:10 Maintaining Morale and Team Cohesion 38:42 Summary and Final Tips for Jungle ICU Setup

    50 min
  2. 187-Austere Primary Care

    MAR 20

    187-Austere Primary Care

    This week, Aebhric O'Kelly talks with Eirik Holmstrom about the newly updated MIC MEC and Pharm CPD courses, which have been combined into a new online CPD programme called 'Austere Primary Care.' This APC is a package that includes Disease and Non-Battle Injuries (DNBI) encountered on expeditions, in military operations, at remote clinical sites, and in resource-limited environments. You can find up-to-date information on our course webpage https://corom.moodlecloud.com/

    31 min
  3. 186-Enhanced MSc Austere Critical Care

    MAR 13

    186-Enhanced MSc Austere Critical Care

    This week, Aebhric O’Kelly talks with Dr Csaba Dioszeghy about the redesign and upgrade of the MSc Austere Critical Care programme. Every 5 years, the degree programmes undergo reaccreditation. The College has decided to double the programme's size following feedback from graduates. Chapters 00:00 Introduction to the New Masters of Austere Critical Care Program 01:03 The Complete Rehaul of the Curriculum 01:57 Flexibility and Pathways in the New Program 02:51 Comparison with UK Advanced Practice Programs 03:46 Four Pillars of the New Curriculum 04:41 Special Focus: Medical Support to Resistance Healthcare 07:02 Innovations in Improvised Medicine 08:21 Practical Modules: Ultrasound and Tropical Medicine 09:44 Student Research and Thesis Projects 11:30 Program Launch and Future Outlook

    30 min
  4. 185-Origins of ICARE and Future Plans

    MAR 6

    185-Origins of ICARE and Future Plans

    This week, Aebhric O’Kelly is joined by Splinter Knoppert, who is a 2nd-year BSc student attending the Intensive Care for Austere and Remote Environments (ICARE) course in Malta. They discuss his experiences during the week, including the practical skills, teamwork, resource-limited environments, and innovative teaching methods. Aebhric is then joined by Dr Csaba Dioszeghy, and they discuss the origin of the ICARE course 14 years ago. Chapters 00:00 Introduction to the ICARE Course in Malta 00:58 BSc Student Splinter talks about his experience in ICARE 02:04 Diverse Participants and Their Backgrounds 02:53 Skills Gained: Ultrasound, Central Lines, and Improvisation 03:47 Blue Time: Practice and Muscle Memory 05:06 Overview of Scenarios: Crush Injuries, Tropical Diseases, and Trauma 05:52 Building a Remote ICU: Key Components and Challenges 06:30 Setting Up an ICU in the Jungle: Precautions and Planning 07:14 Impact on Paramedic Practice and Future Plans 08:16 Introduction to Dr Csaba Dioszeghy and Critical Care Education 09:06 Origins of Critical Care Teaching and Collaboration 10:51 Simplifying Critical Care for Resource-Limited Settings 13:07 Development of the MSc in Critical Care 14:29 Teaching Principles: Using Critical Care Without Fancy Equipment 15:26 From Aeromedical Transport to Specialised Critical Care Training 16:22 Addressing the Gap in Critical Care Education 16:47 Curriculum Focus: Basic to Advanced Critical Care Concepts 17:43 Teamwork and Non-Technical Skills in Critical Care 18:40 The Importance of Crew Resource Management 20:20 Simulation-Based Training for Teamwork and Skills 21:15 Elective Courses and International Participation 22:10 The Future of the MSc Program and Crew Resource Management 24:04 Technical Skills Practice: Ultrasound, Suturing, and Intubation 24:57 The Value of the iCare Course and Its Evolution 25:50 Upcoming Deep Dive into the Masters of Austere Critical Care We will have questions about the episode icon, which is a picture of an ancient carving of the Rod of Asclepius. This is on a church outer wall in Mdina, Malta, with origins in the Knights Hospitaler.

    29 min
  5. 184-CoROM Conversations - Nursing CPG

    FEB 27

    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
  6. 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
  7. 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
  8. 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
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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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