Extreme Dental Anaesthesia

Simple, practical guides to expedition dentistry.


Writing their third article for the Adventure Medic’s dental series, EWM faculty Burjor Langdana and

Matt Edwards have produced a step-by-step guide to local anaesthesia when working in the field.

Achieving Dental local Anaesthesia is a very useful skill to have while working as a medic in a remote area.  This freely accessible article could help you develop a skill to help control excruciating dental pain. A simple dental procedure in a dentally phobic patient would be possible, if only you knew how to get that tooth numb!

Using their experience while working for several expeditions and providing remote access dental cover, Burjor & Matt have produced a straight-forward guide aimed towards doctors, nurses, paramedics, medics & advanced first-aiders which is available freely HERE.

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The Adventure Medic


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Are you a British GP working in the UK?

Dragonfly Film and Television, makers of One Born 
Every Minute, are looking for Britain’s best GPs to take part in a brand new medical series.  

This new medical format we will take three of some of Britain’s most dynamic, talented and engaging GPs in a brand new medical series.

We’re searching for GPs from across the UK, both NHS and private. We will share the GPs’ reactions as they discover exactly what lies behind each new front door in their catchment area. We’ll show how living conditions can play a part in poor health uncover emerging health trends such as increasing levels of TB and morbid obesity.patients’ homes as they explore the connection between lifestyle and health.

If you’d like to know more or recommend a GP please contact: DragonFly Logo
Sarah, tel: 020 7033 3195
Email:  doctors@dragonfly.tv
(Please also include your contact details)

All correspondence will be dealt with in complete confidence and by contacting us, you are not making a commitment to take part in the final programme.

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Glad to welcome the makers of ‘Helicopter Heroes Down Under’ to the Brisbane Extreme Medicine Conference

Thrilled that we are going to featuring the team behind ‘Helicopter Heroes Down Under’ at our Brisbane Extreme Medicine Conference – tickets now open for sale!!

Top International speakers at the Extreme Medicine Conference at the Royal Society of Medicine inspired a packed auditorium of international delegates in November, 2014.  This specialist conference was developed specifically with medical professionals in mind, providing an opportunity to share experience and learning from the various areas of remote medicine and, we’re bringing our conference programme to Australia!
Our delegate audience is roughly 70% doctors, the remainder, nurses, paramedics, students and industry professionals.
“This was the best attended conference I have been to in eons and small wonder, fantastic standard of speakers, good mix of fact, glorious slides and amazing case studies.”  
88% of respondents rated the 2014 event as Excellent or Very Good, telling us “…
I would rate it one of the best two conferences available at the moment for professionals working in emergency and critical care environments.”

At Brisbane, we will include some of the very best speakers from around the world on remote medicine topics; Day 1 will focus on Pre-Hospital and Day 2 Expedition Medicine.  Our programme of speakers and adventurous medics will remind you just why you entered medicine and the possibilities available to you.

“Great conference with very knowledgeable speakers with a vast amount of experience! “  

We promise a full programme with a chance to get to know delegates, speakers and exhibitors at social and networking breaks.
This conference has had a profoundly positive impact on me…

Brisbane Extreme Medicine Conference

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EWM faculty and EverestER founder Dr Luanne Freer working with inspirational NGO Partners in Health reports from West Africa

Ebola emerged in West Africa in late 2013 and has spread across borders, killing thousands and leaving behind survivors and shattered families.

Partners In Health has helped respond to the epidemic, aiming to address not only Ebola but also the “staff, stuff, systems, and space” challenges that hamper containment efforts. PIH has recruited and trained American volunteers, many of whom are now working to curb Ebola alongside West African partners in Liberia and Sierra Leone. Several share their reflections below:

Article (c) Partners in Health   

Photo: Rebecca E. Rollins / Partners In Health

Partners In Health and Last Mile Health staff tour the Ebola Treatment Unit in Bong, Liberia, managed by the International Medical Corps.

Ebola emerged in West Africa in late 2013 and has spread across borders, killing thousands and leaving behind survivors and shattered families. Partners In Health has helped respond to the epidemic, aiming to address not only Ebola but also the “staff, stuff, systems, and space” challenges that hamper containment efforts. PIH has recruited and trained American volunteers, many of whom are now working to curb Ebola alongside West African partners in Liberia and Sierra Leone. Several share their reflections below:

Sorrow and Celebration

January 1, 2015–It is crazy busy here [in Port Loko district, Sierra Leone], and I’ve cried every day. Not despondent crying, but trying to be appropriate and grieve when I need to. One of our employees, a 52-year-old sprayer (they spray us down with chlorine as we are taking off the personal protective equipment) died yesterday. He was the sole caregiver for two young boys, who were two of our last admits of 2014 yesterday.

One 28-year-old father who survived Ebola was nursing his last child (his wife and other kids died two weeks ago), and we tried so hard to get his baby through. You know where this is going. His last family member, a 1-year-old tiny little girl, died yesterday. Our staff sobbed at the gate when he wailed and said she was all he had left in the world.

It guts me to see their grief. I can deal with the corpses and the horrible illness, but their grief is overwhelming when I think about what it must feel like. They have nothing, live in dirt-floor shacks with a few goats and have to haul their unclean water from the river, have no available health care, and then they lose their family? I’m crying just writing this. I, we, have so much to be grateful for.

But if I had to choose a way to spend New Year’s Eve (I was on the 4 p.m.-12:30 a.m. shift last night), it would be to be doing what I was doing. Giving sleeping pills and valium to people who can’t sleep because of their suffering, feeding a starving little baby with no parents, sedating elderly encephalopathic adults. They just look terrified and mumble unintelligibly, but I can understand enough to know they are having awful hallucinations. And you know what? Sometimes they pull through, and I celebrate those victories; they keep me coming back.

We discharged nine survivors one day last week. I treated a case of cerebral malaria this week and transferred the patient to a government hospital that has one nurse on duty for 50 patients. I hope he gets his artesunate [medication for malaria], but we didn’t want him to catch Ebola just because he had the bad luck to catch malaria in the middle of this epidemic.

So that was my New Year’s Eve. Today I have the only day off I will have for an entire month, and I woke up to go on a 10K run on a relatively cool, breezy morning. I ran through several villages where little kids ran to the road yelling “abado!” (white person!), and adults said “Happy New Year and thank you!” (I am crying again—it’s so beautiful to have people from the community say thanks for what you are doing.) A few little kids ran along with me for a while, and we raced from sign to sign. It will be very difficult to leave this place when it is my time to go.

Luanne Freer

Article (c) Partners in Health 

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Action Challenge is looking for expedition doctors 07 January 2015

Wilderness Medics neededAction Challenge is looking for expedition doctors to join them on thier international challenges for  2015…

Expedition medics (full doctor) required for Kilimanjaro Expeditions in 2015. Departure from London.

Please fill in this link: https://actionchallenge.watuapp.com/user/new  and email staff@actionchallenge.com

Experience and Level of training required:   Fully qualified Doctor of medicine – Altitude experience and courses in expedition medicine are preferred requirements but not essential

Great interpersonal skills and a positive attitude are essential!

Please mention ‘Expedition Medicine’ when applying for the this post as employeers actively seek members of the EWM Community.

About Action Challenge

Action Challenge organises high quality challenges, trips and adventures for individuals to join our groups, and bespoke events for charities, companies, private groups & schools. What makes all our challenges truly unique is the way we encourage our groups to bond together as teams – and take on the challenge in front of them!  As the saying goes, it’s through adversity that people come together; and in addition to the natural camaraderie that comes with a shared adventure, we actively involve people in the way the challenge unfolds. We believe that through great organisation and a good relationship with our clients, the more we are out of the limelight; the more members of the group get to shine.

Remote Medicine Courses of Interest

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Enjoy heights & panoramic views?

The International Porter Protection Group (IPPG) require a mountain loving doctor to volunteer at  the Machermo Rescue Post, Nepal for the Spring 2015 season (end Feb – start May).

You will be situated at Machermo at 4450 m and the satellite post in Gokyo Village, in the Gokyo Valley at 4800 m.  This provides an opportunity for a volunteer to practice mountain medicine in the heart of the Everest region of Nepal, in a stunning environment and


to be welcomed into the local Sherpa community.

IPPG pays a small contribution to accommodation while in Kathmandu; flight costs to and from Lukla and then accommodation during the walk in and out. All food and accommodation is provided for free while at Machermo/Gokyo.

IPPG will consider potential volunteers who could work either the whole, or half of the season.  For further details please contact Nick Mason at: npmason@doctors.org.uk

EWM Mountain Medicine course, Nepal
EWM Mountain Medicine course, Aconcagua

Expedition & Wilderness Medicine


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Urgent – Medical Post in Australia

Employers positively seek out members of the Expedition & Wilderness Medicine Community so please mention ‘EWM’ when enquiring…

Head Medical are seeking an Emergency Medicine Physician to join a team in the beautiful garden city of Toowoomba, Queensland.

90 minute drive west of Brisbane and only 2 hours from the Gold Coast. Situated on the rim of the Great Dividing Range, Toowoomba is the largest inland settlement in Queensland and this major hospital provides a comprehensive range of high-quality acute, sub-acute, mental health, drug and alcohol, oral health, residential aged care, and community health services with the Emergency Department averaging 48,000 presentations pa and a 32% admission rate.

·         Close proximity to Brisbane, fantastic climateQLD - Toowoomba Valley

·         Teaching hospital and main hospital for the region

·         Excellent public and private schooling options, including Universities

·         Competitive package (circa AUD$350k to AUD$380k), dep on exp

·         We handle medical registration and work visa for you

In addition to your significant experience and skills in Emergency Medicine, you will have proven leadership skills and experience working in a multidisciplinary team environment; an interest in medical education and teaching, providing supervision and education to junior medical staff, medical students and other clinical staff, and take a proactive approach to maintaining your own professional  development; as well as having a commitment to quality improvements and a willingness to be involved in continuous quality improvement programmes.

Ideally, you may hold FACEM, or perhaps you hold FCEM or equivalent and are progressing towards Fellowship with Australasian College of Emergency Medicine already. Or perhaps you are at the early stages of exploring your options in Australia and have considerable experience as a specialist – either way, we would like to hear from you.

PrintOnce we have secured a job for you, we’ll manage all the Medical Registration and Visa application process, and support you (and your family) with the relocation itself.

For further information regarding either of these fantastic opportunities, please contact Caroline on +44 (0)131 240 5252; caroline@headmedical.com or Julie on +44 (0)131 240 5267; julie@headmedical.com


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Beat the Champ at the Extreme Medicine Conference!

We are delighted to welcome World Champion table football player, Francesco Bonnano to this year’s Extreme Medicine Conference, invited by conflict mediation specialist, Emily Knox, who is also an international standard table football player and promotes the sport to improve social cohesion across the globe.  Emily in her role as President of the International Table Soccer Federation (ITSF) Education Commission, works in partnership with Peace & Sport to introduce table football into public schools and centres that promote disaster preparedness, most recently in the Great Lakes of Africa and is currently working on a new project for Nepal.

Foosball for wheelchair users, ‘wheelfoos’ is already a big sport in Italy and the Extreme Medicine Conference is delighted to offer Emily and Francesco a platform to highlight how it could be fantastic addition to hospitals and recovery centres across the UK. Emily Francesco

Francesco has offered to train any wheelchair users who would like to try out the table at the exhibition stand and has offered up a ‘Beat the Champ’ challenge, playing two non-disabled people, if you feel you’re ready for him!

Show off your moves in the exhibitor’s area!



Sir Ranulph Fiennes

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Winners of the ‘David Weil Extreme Medicine Award’ (DWEMA) 2014

The ‘David Weil Extreme Medicine Award’ (DWEMA) and is by invitation only and we are very pleased to annouce the winners of the 2014 awards

The sponsorship scheme was set up to enable worthy medical candidates, who otherwise might not be able to afford, to attend the conference.  The learnings would then be applied to medicine provided in extreme, front line, disaster & relief environments and in turn relieve suffering and advance medical care in the situations where typically treatment would be laking. The award also serves to promote new qualified individuals who show great promise in the area of disastor, humantarian and remote medicine.


Dr Sanjaya Karki‘David Weil Extreme Medicine Award’ (DWEMA)

Born in the beautiful landscape of Nepal has completed schooling from Nepal   graduated from Dow Medical College, Pakistan in 2003, since then he has been actively participating in Nepal and elsewhere for the promotion of Emergency and Extreme medicine.

After finishing medical school he was involved in the department of Emergency in Kathmandu Medical College and teaching hospital, Nepal as a medical officer.  In  2008 Karki completed the European official double masters in Health and Welfare from Universitat Autonoma de Barcelona and EHESS –Paris, France.  Soon after he was involved  with Ministry of Health in association of THE GLOBAL FUND and worked in the capacity of Monitoring and evaluation officer in the different districts of Nepal in Malaria program .

With the great passion in humanitarian activities he later joined Medecins Sans Frontieres –Holland and was deployed in the Rakhine state of Myanmar.   Being highly committed in the emergency medicine he later joined 3 years of residency in Emergency medicine in Norman Bethune College of medicine, China . After completing the course he has joined Grande International Hospital, Nepal in the capacity of In charge and consultant  of the Emergency Department, as well advocated in the formation of Emergency medical service and helicopter emergency medical service (HEMS) .

He has been advocating in the dire need  of well equipped ambulances even in the underdeveloped countries like Nepal and elsewhere which can save lives and can prevent death.   In the matter of rescuing patients : not only helicopter is enough , in addition, expert medical team should be there on board with the medical equipments where we can save life .This is the main advocating part of Dr Karki because in Nepal still there is no standard EMS and HEMS has established.

Mountains are precious natural gift  to human being and people face challenges out there and Nepal very rich in mountains, Dr Karki is strictly on there should be the best medical unit and established medical facility.  Following the fact he was involved in rescuing many patients from the different part of Nepal by helicopter.  April 2014.  Dr Karki showed  immense courage ,coordination and presence of mind to perform the Heli rescue from the site himself risking his own life. That was on 20,000 ft high, Mount Makalu,Nepal. climbers were stranded on crevasse for about 19 hours.  He went well beyond gone beyond the call of duty and applied extreme effort in saving human life.

Currently Dr Karki is working in the position of Scientific research fellow in the University clinic –Leipzig, Germany.  He has been working to figure out if there could be any measures to detect lung cancer in the early stage even in the Emergency department .In addition to this he has been working in a molecular level in order to find out the role of Phospholipid transfer protein in relation of COPD.

Dr Karki is writing a book about the protocol of emergency medicine.


Dr Therese White ‘David Weil Extreme Medicine Award’ (DWEMA)

In April 2011 Therese was honoured to be chosen as the last UK medical student to experience a medical elective with NASA’s aerospace medical team in Kennedy Space Centre, Florida. It was a very special time to intern with the team as we were in preparation for STS-134 Endeavour- the second last ever space shuttle launch from the KSC.

During my time with NASA I trained with the Department of Defence, preparing for emergency contingency plans for launch day; explored the Space Life Science Lab and presented my research project entitled “Would I survive in space? Infectious disease and the US Space Program”. The project explored the medical obstacles that we need to overcome, to ensure safe long-haul space missions to optimise crew health. This internship sparked my fascination with aerospace medicine and how we can use microgravity as an innovative medical research platform.

Since July 2012 I have worked as a scientific advisor with The Exomedicine Institute, a unique space and technology organisation pioneering in microgravity research; of which Nobel prize winning physician Baruch Blumberg was a founding member. I have prepared a research proposal which outlines microgravity designed experiments in cystic fibrosis and gene therapy, diabetes and infectious disease. With the highly motivated, inspiring and talented Exomedicine team, there are exciting initiatives being prepared for microgravity research being launched and experimented on the International Space Station over the next three years.

EXTREME MEDICINE CONFERENCESir Ranulph Fiennes and Extreme Medicine

To nominate please contact Mark Hannaford, Managing Director, Expedition & Wilderness Medicine; admin@expedition-medicine.com

Successful applicants must have demonstrated considerable commitment to the field of humanitarian or disaster medicine and be registered as a medical professional, must be free for the entire conference and will be expected to prepare a post conference report.   Applications are welcome from medics of all nationalities.

David is a Hong Kong/ London based entrepreneur who is passionate about using his resources to make positive social change and has supported EWM for a number of years and he has offered to cover the following expenses;

  • Travel & expenses from your home to the conference and return
  • Food & Accommodation whilst at the conference
  • Free entry to both the Pre Conference workshop running on the preceding weekend and the Conference itself
  • Winners  have the right to call yourself joint-winner of the 2014 David Weil Extreme Medicine Award to use the conference logos and branding in an appropriate manner
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Urgently required: Expedition medic for Central America

Due to late withdrawal, there is an opportunity for a motivated medic to spend 3 months in the jungle of Central America to support Expedition Leader Course. Project start date: 11th November – 14th February



You will be responsible for:

-          Providing Medical support to all members of Gapforce expeditions.
-          Monitor and safeguard the general health and hygiene of their expedition group
-          Provide immediate emergency medical care to participants and staff
-          Teach basic medical lessons

You need to:

  • Be an F2 doctor (minimum)
  • Have experience in Expedition Medicine

In return you will receive:

•             Accommodation
•             Meals
•             A travel bursary (varies depending on the length of your availability)

For more information or to apply, please email your CV to Lauren Nethercot at laurennethercot@gapforce.org

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