Archive for the ‘Dr Nick Knight’ Category

International World Extreme Medicine Conference 2012: The Student Angle

On Sunday 15th April, the Royal Society of Medicine (RSM) opened its prestigious doors to Expedition  & Wilderness Medicine’s inaugural World Extreme Medicine Conference 2012. With nearly 200 qualified doctors, nurses and paramedics attending over four days the wealth of knowledge and experience was exceptional.

For the medical students (making up a 1/5th of all delegates) attending the conference it was an ideal opportunity to learn from world class speakers, network with delegates ranging from Foundation Year 1 doctors looking for their first expedition opportunity to seasoned Consultants with 25 years of expedition experience, and of course, to take part in the student poster presentation.

Of course for any conference to run smoothly you need good student helpers! After having over 50 offers from medical students willing to volunteer their time to help at the World Extreme Medicine conference, we decided that a random ballot would be the fairest way to find the 5 helpers we needed. So, joining the Expedition & Wilderness Medicine team for the 4 days were Samira Green (Barts and the London, RSM student president-elect who had been pre-selected to lead the student conference team), Charlotte Loumann-Krogh (Denmark University), Charl Jackson (UCL), Tom Geliot (Leicester University), and Dave Bentley (Brighten and Middlesex University). The student team were instrumental in the day to day smooth running of the conference and we really enjoyed having them join us for the 4 days! I think the cocktail evening with the speakers was the highlight for them!

The student poster presentation section of the International World Extreme Medicine Conference was designed as a way for students to get involved with the conference (especially if attendance was cost prohibitive). Having had the poster session set up behind the stunning glass Atrium of the RSM we welcomed a total of 21 students (or student teams) from Universities around the country – and abroad. They all presented outstanding poster presentations. Poster topics ranged from acute mountain sickness on Mount Kilimanjaro, to traumatic leg injury following a plane crash. There could only be one winning poster-entry however. Dr Amy Hughes, Dr Sean Hudson and Dr Roger Alcock (with a wealth of pre-hospital, emergency and expedition medicine between them) spoke with the poster presenters individually before announcing their decision at the start of the afternoon lecture session on Sunday 15th. It was clear that the decision was not easy – as they took a very long time deliberating!

Ultimately however, Magdalena Tarchala and Margaret Pietrowski’s poster entry entitled “Acute Appendicitis in Remote Antarctic Environment” was agreed unanimously by the judges as the winner based on its novel and original research. The abstract to the poster reads:

“Acute appendicitis is a medical emergency. Traditional first line treatment is appendectomy; inoperable situations require alternative treatment. A 30 year-old male researcher at an Antarctic camp experienced lower right quadrant pain. Appendicitis was suspected. Weather conditions made transport impossible. Conservative antibiotic therapy was initiated.Patient developed localized peritonitis and rebound tenderness. Surgery was necessary. In uncomplicated cases, conservative antibiotic treatment is used.Appendicitis incidence rate in Polar Regions are high due to stress and cold climate resulting in immunosuppression.In these environments, first line medical treatment advocates conservative therapy, and postpones surgery until deemed a life saving measure.”

Magdalena and Margaret receiving their books by Dr Sean Hudson and Dr Roger Alcock

Magdalena and Margaret receiving their books by Dr Sean Hudson and Dr Roger Alcock

Magdalena and Margaret, both students at the International Jagiellonian University Medical College, Poland (and both co-founders of Medical Students Without Borders) were awarded £150 gift voucher to Montane® to share, and an Expedition and Wilderness Medicine Handbook, t-shirt and winners certificate each. All participants of the student poster presentation also received an Expedition and Wilderness Medicine Handbook and certificate of participation at the conference.

The feedback from the delegates attending the conference was one of being very impressed with the standard of student poster presentations, professionalism and enthusiasm. Even during the coffee and lunch breaks the students were kept busy with probing questions from delegates! This is no bad thing – after all, like all delegates attending the conference, we hoped that the students, either just participating in the poster presentation or attending the lecture series, had the opportunity to be inspired and to network. You never know when ‘that expedition opportunity’ may just land in your lap.

Expedition, pre-hospital and humanitarian medicine is a surprisingly small world and to have so many inspirational and learned people under one roof could not fail to inspire those near the end of their medicine careers or, perhaps more importantly those medical students just starting out…

There are clear ways to make the student involvement at the next International World Extreme Medicine Conference bigger and better and I am already working on these – so watch this space! Furthermore, what was encouraging to hear from the students attending was that there are opportunities to get university funding to attend conferences like this – and indeed many students were there by those means. It is by no means a perfect system and not universal to all universities but do explore these options.

Finally, I would like to end by saying a huge resounding thank you to all the medical students that came to the World Extreme Medicine Conference – from those just dipping their toe into the expedition medicine world for the first time, to the huge and impressive party of 10 international students from Poland, to the seasoned students with more experience than the doctors! I thoroughly enjoyed meeting you all, hearing your thoughts and suggestions, and for me – knowing there are people out there with similar dreams and aspirations to my own.

I very much look forward to meeting you all again whether that be at the next conference, course hospital, or in the field….

With best wishes,



Dr Nick Knight

University Liaison for Expedition & Wilderness Medicine


Plas Y Brenin Course Intern Announced: Andrew Blanshard

We are thrilled to announce that the Expedition & Wilderness Medicine Experience Intern for the UK course at Plas Y Brenin in Wales on May 21st to May 24th is Andrew Blanshard. Andrew is a 3rd year at Lancaster University studying Medicine and impressed us with his excellent application!

Andrew will spend 4 days working alongside the Expedition & Wilderness Medicine Team helping set up practical exercises and logistics, and when not helping out will be able to watch the excellent lectures that will be held over the 4 day course.

Well done Andrew!

– Dr Nick Knight, University Liaison for Expedition & Wilderness Medicine


EWM Experience Intern, Charlie Rowland, Sums Up His Course Experience

Below is short description by 3rd year Hull University medical student, Charlie Rowland, of his experience as an intern for EWM! Charlie won his intern place on the March 2012 Expedition & Wilderness Medicine UK Course with a great application that showed he is one to watch as he moves into the Expedition Medicine scene.

The winner of the May 2012 course will be announced on Sunday 8th April.


With all of the pressures that medical students and junior doctors are under to find foundation jobs and positions on core training posts, we could be forgiven for forgetting that the NHS only really represents part of the spectrum of opportunities that are available to us as qualified medics. For my own part (and despite the fact that becoming a doctor has been my ambition for as long as I can remember), I have often harboured a sneaking suspicion that the usual route through the NHS would not provide me with the challenges that I am after in my career. With that in mind, If there is one that I thing that I took away from the Expedition and Wilderness Medicine course that I recently had the privilege of attending as a student intern, it is that there is a hell of a lot of adventure out there for medics who go looking for it.Expedition & Wilderness Medicine

The course saw fifty doctors and nurses from as far afield as Australia, converge on a quiet corner of the Lake District for four days of intensive instruction and advising on the jobs available, the challenges faced and the skills required of medics working as part of an expedition team. As the ‘student intern’ on the course, it was my responsibility to time-keep the sessions so that the packed timetable ran to schedule and to help organise the equipment for the next day’s activities: A small price to pay, given that after this, I was free to participate in all of the course activities.

The course is aimed at providing medics (with an interest in the more unconventional lines of work) with a broad introduction to the field of Expedition Medicine. The programme is a mixture of lectures and practical sessions: Over the first three days we were taught about the more commonplace expedition maladies and how to manage them and introduced to some of the useful bits of kit used to treat specific conditions (I was particularly impressed by the portable recompression chamber – essentially a big, airtight, rubber sleeping bag – which can be pumped up to pressure for the treatment of acute altitude sickness). We were also introduced to important logistical and practical matters such as public health, procuring medical kits and planning evacuations. The practical sessions then covered the basic skills required of expedition members such as emergency rope-work, improvised stretcher techniques, radio and communications protocols and water purification (to name but a few).

The week climaxed in a search and rescue exercise in which the lessons of the previous days were put into action. In teams, we had to navigate our way to our casualties, deal with multiple injuries and illnesses, organise a helicopter extraction over the radio and finally package up and evacuate our patients. The day tested everyone’s abilities and resolve to the limits and despite the wealth of medical expertise within the group, It was great to see so many highly skilled doctors having to work hard to read maps and communicate over the radios.

The practical and medical aspects of the course were, undeniably, brilliant fun and a great learning experience. However (at the risk of sounding a little cheesy) of more value to me was the opportunity to take in the experiences of doctors who have not followed the typical, well-worn path through medicine – at least not without having plenty of fun along the way. The week was filled with stories of challenges, adventures, successes, close shaves and catastrophes which, without fail, had me on the edge of my seat with my jaw hanging open. As a medical student who is increasingly possessed by a desire to see more of the world before settling into any kind of steady job, I found the entire experience downright inspirational.

The EWM course was a real vindication of my aspirations and the steps that I have begun to make to take myself towards them. Taking in the experiences of the EWM faculty has given me a renewed enthusiasm for what I am doing and what I am working towards and, in short, I feel I have a much clearer idea of the sorts off the directions that I want my life to take me in.

Join us on the next Expedition Medicine course….


Happy Easter everyone!


University Liaison for Expeditoin & Wilderness Medicine


Rowing The Indian Ocean: Salt, Sores & Science

With the 4 man rowing crew now recovered and used to dry land, I felt this was the right time to share the full story of their epic 75 day voyage with you. To recap I used the skills and experiences from Expedition & Wilderness Medicine, as well as my background in research and exercise physiology to support this epic expedition.
It is a story, not a scientific report, so sit back with a cup of tea and enjoy!
Dr Nick Knight

 “Just when you’re at your lowest…another wave hits you”

Team Indian Ocean 3100

In April 2011, a 4 man team set out to row 3,100 nautical miles across the Indian Ocean. 75 days, 11 hours and 40minutes after departing from Geraldton, Western Australia in their 29 foot ocean rowing boat named ‘Indian Runner 4’ they completed their epic expedition and arrived in Mauritius.

On completion, Team Indian Ocean 3100 became the first 4 man crew to row completely unsupported across the Indian Ocean. In the event of equipment failure, extreme weather or medical emergency, they would have been entirely on their own with potentially fatal consequence. A simple scientific research programme was set up with the team. Before, during and after the row, they performed physiological and cognitive tests to highlight some of the challenges that the human body and mind encounters when pushed to extremes.

This is a story for anyone who enjoys an eclectic mix of adventure, science and medicine.  It is not a detailed story charting scientific rigor but rather about sharing passion and a reminder that there are still a few last bastions of science and medicine when exploring the human body in the extremes.

Expedition Facts
  • 3rd largest Ocean, average depth of 3.9km
  • 3,100 nautical miles crossing with nowhere to stop
  • Approx. 500,000 completed oar strokes per rower
  • Approx. 490,000 calories consumed per rower
  • Less than 2.5 hours continuous sleep per day

 Aims of this Article

(1)          Share an adventure in which the human body and mind is exposed to the extremes

(2)          Illustrate how scientific application to training and nutrition can support performance

(3)          Illustrate a unique situation to perform research

(4)          Provide a case study of medical care far beyond traditional primary and secondary care

Team Indian Ocean 3100: Summary
  • Western Australia to Mauritius
  • 4 inexperienced rowers
  • 3,100 nautical miles
  • 75 days 11 hours and 40 minutes
  • Entirely unsupported
  • Crew highlight: whale swimming






Fig 1. Prior to departure

Fig 2. On arrival in Mauritius

Training and Nutrition

This expedition was a race against diminished returns. Now, although deterioration of the body and mind is inevitable when rowing non-stop 3,100 nautical miles, the rate of deterioration will be a key factor as to how efficiently this is achieved. This was the mantra for the nutrition plan and training – delaying the inevitable.

The crew took part in a 10 month training plan leading up to the row. Although impossible to train to row 3,100 miles, you can prepare body and mind. Both the monthly macro-schedule and daily micro-schedule were designed to progressively develop the 3 core pillars of their training: (1) rowing-specific aerobic fitness (2) rowing-specific core abdominal and lower back strength (3) efficient rowing technique. Individual training sessions were combined with fortnightly crew training sessions. Mental preparation was essential and monthly meetings were held to voice concerns, disagreements and perceptions of progress. The aim of this was for crew members to clear any underlying problems now and not in a tiny 29 foot rowing boat!

To maintain optimal performance rowing, the crew’s bodies needed to maintain a positive energy balance. The crew consumed a mix of freeze dried and ‘wet’ foods, along with dry snacks, fresh water (from a desalinator pump) and protein recovery drinks – adding up to over 6,400 calories daily. This diet began one week prior to row to ensure their gastrointestinal system was amenable to the foods.

Key Diet and Training Facts
  • 10 month training plan
  • Aerobic, fat-burning rowing-specific training
  • Crew mental readiness as important as physical fitness
  • 6,400 calories/day during row (nutritionally balanced)
  • Sports recovery drinks for post-rowing shifts
  • All crew members had ‘bag of sweet treats’(and whisky!)

Fig 3. 24 hour crew training session

Fig 4. Ration packs

Life On-board

The crew rowed as pairs in 2 hour shifts between 0700 and 2200, after which they rowed in 3 hour shifts until 0700 the next morning. During the daytime, when not rowing the crew had to clean and repair kit, cook food (for themselves and the pair rowing), check weather reports or even try a little fishing. At night, they would try and sleep when not rowing. This was not an easy task and the crew never got more than 2 hours continuous sleep once changing out of wet rowing gear, eating food and completing the never-ending ‘odd jobs’, were factored in. It was an endless, sleep-deprived row. Toileting was confined to a bucket that was used behind the rear rower and any waste tipped overboard. Sometimes a simple process, other times not so, especially if the bucket (and rower on it) gets knocked off by ever-present freak waves.

As days turned into weeks, the salt water and irritable ocean swell kept the crew permanently damp and with the relentless sores developing on hands and buttocks from endless rowing shifts, crew moral would wax and wane with the swell. The crew reported days of laughter, tears, arguments and silence. It truly was a journey that stretched them as much mentally as it did physically.

Fig 5. On the oars

Fig 6. Swimming with Minke whale on day 68


Crew Highlights
  • Swimming with Minke whale (after double
    checking it wasn’t a shark!)
  • Narrowly avoiding an ‘ocean RTA’ with a huge
    oblivious tanker
  • Celebrating a crewmember’s birthday
  • Extreme hallucinations (mice on ends of oars,
    hearing church bells)


Physiological Research

The aim was to monitor changes in simple measures of human physiology. The nature of the tests had to be simple and portable because of the cramped, challenging conditions of the Indian Runner 4 where the tests were performed. The table below provides a summary of the tests, equipment and outcome:

Test Parameter measured Time-points tested Crew av. change
Digital scales Body weight Pre and post row ↓ 8% (7.1Kg)
Skin calipers Body fat Pre, weekly during,  post row Abandoned
Tape measure Waist circumference Pre, weekly during, post row ↓5% (1.9”)
Body Mass Index BMI Pre and post row ↓ 8%
Hand dynamometer Forearm grip strength Pre, weekly during, post row ↓46%
Heart rate monitor Heart rate Rowing vs. non-rowing 20bpm difference
Fluid intake/urine output Fluid balance Pre, weekly during, post row Abandoned
Urine dipstick Urinalysis Pre, weekly during, post row Abandoned
Camera Physical change Pre, weekly during, post row Significant change


Fig 7. Crew member wasting

Given the huge energy demands that rowing the Indian Ocean required, the results are unsurprising and there were significant declines in body weight, waist size and BMI. Grip strength was significantly affected. However it is unclear if this was related to muscular fatigue or chronic joint and muscle stiffness that developed in their hands (2 crew member received hand physiotherapy months after). A number of tests were also abandoned because of the challenges in measuring whilst in the Indian Ocean. In particular skin-calliper measures showed too much variation to be accurate. Although one crew member managed to perform urinalysis (showing blood++ and probably resulting from the extreme exercise) it was not adhered to by the crew. This was the same for measuring fluid intake and urine output.

With hindsight, if planning expedition-based research, we have to remember that a lab on land is very different from a moving, cramped, dark lab! The tests need to remove as much human error as possible. One way is to use digital equipment that automatically stores the results. Furthermore, a simple test on land is not necessarily a simple test in an extreme environment. Skin calipers, for example, could be replaced with bioelectrical-impedance monitoring to measure body fat.

With Team Indian Ocean 3100, research was self-funded by the team and myself as the Team Research Coordinator and Trainer. With larger financial backing, the opportunity for testing is huge. Future tests could include electrolytes (point of care finger-prick tests); body temperature (remote pill for core temperature, and thermodots for skin), heart rate and oxygen saturation (Saturation probe) and energy expenditure (radiolabelled isotopes).

Cognitive Research

The aim of the cognitive tests was to observe how the crew coped over this extraordinary expedition. To do this, Team Indian Ocean 3100 collaborated with the world leaders in laptop-based neuropsychological assessments, Cambridge Cognition. Using CANTAB technology, consisting of computerised touch-screen tasks, the crew completed CANTAB over a period of 13 weeks, including before and after the event. The aim was to model the time-course of brain performance; in preparation for the event, during the race as fatigue sets in, and also during recovery.

CANTAB technology measuring aspects of brain activity like memory, attention, problem solving and decision-making has been used in pharmaceutical trials worldwide. However, CANTAB has never been used to analyse how the brain copes with long-distance endurance events. With this in mind, Scientist, Julia Noble, from Cambridge Cognition describes how the data collected from Team Indian Ocean 3100 will be used: “We hope that the information we gain will be of use in other sports and endurance events, by enabling us to have unique insight into how the brain reacts under these circumstances. Therefore, hopefully in the future, strategies can be developed to combat any decline in brain function, and improve overall performance.”

The crew managed to complete all the testing and this data is currently being analysed by Cambridge Cognition. Early indications are that the data shows significant deteriorations in cognitive performance. On self-reflection, the crew are not surprised to hear this!


Fig 8. Cognitive testing underway

Medical Issues on Indian Runner 4

Before departure the crew attended an intensive ocean-specific advanced medical course. This covered medical skills from wound and burns management and suturing to administering intra-venous antibiotics and urinary catheterisation. An extensive medical kit was also on-board.

Given the melting-pot of irritants including continuous, repetitive rowing, damp conditions and salt water, the crew developed a number of dermatological conditions. These ranged from simple painful blisters to more excruciating boils that dominated hands, buttocks and the inner thighs. Typically these were managed with padding and anti-inflammatories – although none truly healed during the row since the crew never stopped rowing.


Fig 9. Suffering buttocks

Musculoskeletal problems developed as the race progressed. Simple mechanical back pain troubled the crew. In the severest case, one member (whether rowing or not) had a hyper-flexed spine. This later required physiotherapy after the row.

Claw hand in which the fingers cannot be extended out of a flexed position (e.g. gripping a rowing oar) was a common problem on the boat. This was likely to be combination of joint stiffness and possible ulnar nerve compression. The crew found that before beginning a rowing shift, at least 10 minutes of hand warming and self-administered forced finger extension was required. Again, one crew member required 2 months physiotherapy after the row to regain full function.

With the skin’s physical barrier breaking down, infection was a present risk. One crew member did develop an aggressive peri-anal fungal infection. This was treated effectively with anti-fungal medication and pain-relief drugs. An unpleasant side-effect of pain relief taken that was higher up the WHO analgesic ladder included constipation and sedation. Although the crew persisted through this (although considering a ‘manual finger’ faecal evacuation at one critical stage), it is important to remember that causal effects of medications offered in an expedition environment and the effect on performance. Thankfully no catheterisation took place….

Examples of medical kit taken
  • AntibioticsPainkillers
  • Adrenaline
  • Eye and ear drops
  • Wound care kits and dressings
  • C-spine collar
  • Suturing kit
  • Urinary catheter kit
  • Constipation, Diarrhoea & vomiting meds

Relevance to Expeditions

In mainstream sport and endurance events we apply scientific rigor and medical attention in pursuit of true optimal performance. I question whether we apply a similar rigor to expeditions and remote pursuits which are to my mind merely an extension of mainstream sports? Expeditioners may not always look like natural athletes but nonetheless if they are looking to break a record or summit a mountain in the most efficient way then why not inject more science and medicine into their preparations and management. A ‘one-size fits all’ approach to performance in the extremes does not work. It must be tailored.

Medicine is as much about knowledge, skill and resources as it is about environment. In the developed world that environment is not necessarily the challenging factor. In the middle of an ocean, at 5000m up a mountain or in the heart of the jungle, is does become the challenging factor. It is clear from previous articles in the Student BMJ too (“The Back of Beyond” Sept 2010 Student BMJ) that this is becoming a sought after challenge.

Ultimately, if we want to continue to pursue new limits and daringly push boundaries when it seems that there is no more to give, let science and medicine step in and act as the catalyst to push us to find that new limit. Personally I find this a very exciting prospect.


This was the story of Team Indian Ocean 3100 and their experiences of salt, sores and science as they tackled Indian Ocean in a tiny rowing boat. There were 4 aims in writing this. The first was to share a glimpse of the adventure of Team Indian Ocean 3100 as they became the first 4 man crew to row unsupported across the Indian Ocean. The second was to show how even in an unpredictable extreme environment, science and nutrition can be applied to help maximise and maintain physical and mental performance. Thirdly, research doesn’t have to be dull! There are plenty of opportunities to explore human physiology and medical provision in challenging environments for example. If
you can’t find them then consider creating them as I tried, albeit on a small scale. Finally, and perhaps most importantly, this article might have got you thinking outside the box when it comes to medical care and that a career in medicine can open up many exciting adventures beyond the traditional.

Perhaps as we to continue to examine how the human body and mind are pushed to the limits that ‘Expedition Science and Medicine’ may become a new frontier in performance.

For Further Information





Fig 10. On dry land after 75 days


For more information feel free to contact me at




Of interest – Extreme Medicine Conference, London






Expedition & Wilderness Medicine UK ‘Experience’ and ‘Career’ Internships for Medical Students

“Taking Medical Students to Extremes”

The EWMi programe

1.0          Overview

Expedition & Wilderness Medicine (EWM) is proud to offer two internship programmes to UK university medical students:

(i)            A short-term Experience internship lasting the length of one EWM UK Course

(ii)           A long-term Career internship lasting the two years of medical school


2.0          Purpose

The EWM internship (EWMi) will promote stronger relationships and awareness with the future leaders of remote and pre-hospital medicine and give an educational platform to boost future careers in EWM.


3.0          EWMi Experience Internship  

3.1          Overview

Expedition & Wilderness Medicine are proud to announce a new programme to offer university medical students the opportunity to learn more about and be part of the UK Expedition & Wilderness Medicine Courses that are run three times a year.

For each course, we will invite one medical student to ‘intern’ with us as a member of the faculty. As an intern for the course they will:

  1. attend one UK course as a faculty-assistant
  2. have the opportunity to attend all the lecture talks
  3. if not assisting faculty in a practical session, be able to observe other practical sessions
  4. be part of the faculty team in the final Search & Rescue exercise
  5. meet the lecturers and faculty behind the scenes and be one of the team
  6. assist in the logistical running of course

The opportunity for this fantastic experience will initially be run for the 4 courses below:

  1. Expedition & Wilderness Medicine, Keswick, Cumbria (12 September 2011 to 15 September 2011)
  2. Expedition & Wilderness Medicine, Keswick, Cumbria (05 March 2012 to 08 March 2012)
  3. Extreme Medicine Conference and EXPO, Royal Soceity of Medicine, London (15 April to 18 April 2012)
  4. Expedition & Wilderness Medicine, Plas y Brenin, Wales (21 May 2012 to 24 May 2012)

3.2          How to enter for the EWM experience internship:

  1. Write 250 words describing what makes you want to be an extreme medicine doctor? This may include the fields: expedition & wilderness, pre-hospital, and disaster and relief.
  2. Submit one expedition related photograph to support your 250 words
  3. Tip: Stand out!
  4. Email your entries to Dr Nick Knight at
  5. Entries to Nick must be sent as a Microsoft Word document attachment and include Name, Age, University, Year of Study, Email
    contact, Telephone contact
  6. Be sure to state which of the three UK courses you are applying for

3.3          The winner must:

  1. Become a member on the Expedition & Wilderness Medicine website (launches in October 2011) and join the Facebook Expedition & Wilderness Medicine Page
  2. Be available for the full 4 days of the course or conference
  3. Cover travel and accommodation in the faculty youth hostel or accommadation in London for the Extreme Medicine Conference
  4. Write a 750 word blog with a picture for the Expedition & Wilderness Medicine website describing their experiences on the course, what they learned and how this will help them in their future medical career
  5. Attempt to submit a small feedback article to a journal or magazine of their choosing (this could be an adaptation of the blog entry for example) e.g. Student BMJ.

3.4          Entry Deadlines:

  1. Entries for the September course 2011 competition closes on Thursday 1st September 2011 (Winner announced on Facebook, EWM website and by email on Monday 5th Sept 2011)
  2. Entries for the March course 2012 competition closes on Monday January 2nd 2012 (Winner announced on Facebook, EWM website and by email on Monday 9th January 2012)
  3. Entries for the April Conference 2012 competition closes on Thursday 2nd  February 2012 (Winner announced on Facebook, EWM website and by email on Monday 20th February 2012)
  4. Entries for the May course 2012 competition closes on Monday March 5th 2012 (Winner announced on Facebook, EWM website and by email on Monday March 12th 2012)
  5. Entries for September course 2012 competition closes on Monday July 2nd 2012 (Winner announced on Facebook, EWM website and by email on Monday 16th July 2012)

4.0          EWM Career Internship

4.1          The internship position involves:

  1. Developing links with university wilderness medical societies and beyond
  2. Supporting EWM developments online
  3. Write articles for EWM
  4. Support on site at the UK courses
  5. Assist in organising the World Extreme Medicine Conference & EXPO
  6. Communicate with leading remote medical professionals on behalf of EWM

4.2          How to enter for this EWM career internship:

  • Stage 1 (September 2012): submit application with answers to Dr Nick Knight at (Entries to Nick must be sent as a Microsoft Word document attachment and include Name, Age, University, Year of Study, Email, Telephone contact)
  1. Describe yourself in 10 words
  2. What qualities do you have that will make you a good remote medic? (250 words max)
  3. What is your expedition or remote medicine experience? (250 words max)
  4. What unique qualities will you bring to the company? (250 words max)
  5. Describe any business experience you may have? (250 words max)
  6. What qualities make you a ‘people person’ (250 words max)
  • Stage 2 (January 2013): Top 10 have a telephone interview with Nick Knight
  • Stage 3 (July 2013): Top 5 have a board interview with EWM faculty
  • Stage 4 (August 2013): Career intern announced and starts September 2013

(Note that there will be a 2 month probation period at the start of the EWM career internship)

4.3          Rewards from being a EWM career intern:

  1. Insight into the leading company in Expedition & Wilderness Medicine
  2. Networking and access to leading remote medical professionals
  3. Opportunities to promote career
  4. Put on your CV as the EWMi intern
  5. Develop expedition medicine skills and more
  6. Develop business acumen and communication with medical professionals
  7. Insight into the leading company focused on providing expedition and wilderness medicine training to medical professionals


With kind regards

Nick Knight (University Liaison for Expedition & Wilderness Medicine)


Expedition Medicine’s UK Course welcomes their University Liaison

Dr Nick Knight - Expedition Medicine Facualty

Dr Nick Knight - Expedition Medicine University Liaison (c) Mark Hannaford FRGS

Expedition Medicine’s UK Course Welcomes their University Liaison

With the sunshine out and the rasping sounds of the Search and Rescue Teams over the two-way radios out on the Cumbria hills – you would have been easily mistaken in thinking you were in the middle of a real emergency. In fact, it was the final Search and Rescue exercise (with CASEVAC) of a fantastic 4 day Expedition Medicine Course in Keswick in Cumbria.

As the University Liaison for Expedition Medicine, it was the first course that I attended as a new member of the ‘EM faculty’ – and what a fantastic experience it was. Not only did I get to absorb the electric atmosphere of the 60+ delegates there alongside the seasoned expedition medics leading the course but it gave me ample opportunity to see how such courses can align themselves with my role as University Liaison and to stimulate a few more ideas.