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Dr Sean Hudson joint Conference Medical Director and co founder of Expedition & Wilderness Medicine invites you to the first ever Extreme Medicine Conference

4 weeks to go and the conference is shaping up beautifully.Extreme Medicine Conference

My intention has always been to bring together the 3 specialties involved in the care of patients in a remote environment to create an atmosphere in which we can all learn from each other and inspire young medics to become involved in what I see as a fantastically stimulating and exciting specialty. I think the biography page on the conference website speaks for itself and looks a fabulous prospect of cutting edge medicine from many of the leading individuals in their field of remote medicine.

In the current atmosphere in medicine we all have to demonstrate our endeavours to develop our academic, clinical and practical skills. We have been fortunate that the conference has been awarded 31.75 CME by the Accreditation Council for Continuing Medical Education (ACCME). If you can demonstrate that a particular lecture has altered your medical practice you can double your CME. We have also been awarded 32.25 FAWM points for those who are pursuing the Fellowship of the Academy of Wilderness Medicine. For more information on this postgraduate fellowship awarded by the Wilderness Medical Society please visit their website here.

I’m looking forward to the conference and hope to see many of you there

Dr Sean Hudson

Exteme Medicine 2012


Remote Medicine posts and latest course news

Expedition & Wilderness Medicine course in the Lake District, Mountain Medicine in Nepal and Remote Medicine Jobs
Keswick Expedition & Wilderness Medicine Course05 March 2012 to 08 March 2012

We are starting to get geared up here at EWM for the first of our Expedition & Wilderness Medicine courses in the Lake District. It is always particularly stunning at this time of year, even worth staying on after the course to enjoy.

We are also looking forward to welcoming back our peripatetic medical directors old and new. During the course Drs Sean Hudson and Caroline Knox are going to be sharing their experience of working as ski field medics on New Zealand’s South Island and working at Union Glacier in Antarctica, whilst our incumbent director Dr Amy Hughes has just returned from an intensive six month stint with MSF in the northern part of Sri Lanka – (formerly held by Tamil Tigers) – and she will using the Rupert Bennett Memorial Lecture slot to tell the story of her journey.

We are also really pleased to be welcoming back Professor Chris Imray to talk about his involvement in the Caudwell Xtreme Everest Expedition and his recent climb up Denali in Alaska, and Dr Rob Conway, founder of the award winning marine conservation charity Blue Ventures. This is, of course, as well as our regular team of eclectic medics.

We were fortunate to be visited by ITV’s John Bevir during last September’s course and his report makes interesting viewing. Watch it here.

Find out more here | Email Expedition & Wilderness Medicine for more details

Mountain Medicine Course.

The Mountain Medicine in Nepal with EverestER founder Dr Luanne Freer is departing in April and has a few places left. on this iconic learning experience trekking to Base Camp.

To find out more about this iconic learning experience trekking to base camp follow this link. EverestER and Luanne are featured in a BBC documentary which also makes very interesting watching.See EverestER in action here

Announcing a new course.

A Pre-hospital trauma and medical emergency 2 day course for medical practitioners who may not have regular exposure to acute emergencies and trauma care, but who are interested in improving and refining their skill base for expeditions, humanitarian relief missions or everyday practice. The course will be CME accredited. Email Expedition & Wilderness Medicine to pre-register your interest


There are some great jobs out there at the moment, make sure you ‘like’ our Facebook page to hear about them first FACEBOOK PAGE or keep a regular eye on our home page.

Volunteer Doctor for International Porter Protection Group

Work on the most remote inhabited island in the world…

Recruiting a doctor for our Lifeline Clinic Doctor in Namibia

We have some other great courses coming up this year, led by inspiring medics, topped off by the Antarctic Wilderness medical Conference with National Geographic, at the end of the year.

Why not do something different with your medical degree this year??

Why not join us at Extreme Medicine Conference at the Royal Society of Medicine? We have just made the speakers’ page live and it’s a pretty impressive array – but don’t take our word for it, visit the website to see for yourself.

Reserve your place on Extreme Medicine now.




International World Extreme Medicine Conference & EXPOExpedition & Wilderness Medicine would like to introduce a major new International World Extreme Medicine Conference and EXPO series starting in 2012. Find out more >>
CLICK TO VIEW THE EXPEDITION & WILDERNESS MEDICINE COURSESQuote ‘Expedition Medicine’ to receive very special RSM membership discounts.
Expedition Diving Mountain
Trauma Jungle Wild
Desert Polar Antarctic © Expedition & Wilderness Medicine 2011 Tel: +44 (0) 1476 879 013

Expedition and Wilderness co-founder Dr Sean Hudson talks about what makes the Jungle Medicine (20.5 CME) course special

Dr Sean Hudson shares the love about the Jungle Medicine course in Costa Rica

Jungle Medical Training Course - Central America

Jungle Medicine Course - Costa Rica

‘It’s humid, hot, muddy and sometimes cold at night, but it’s exactly this which makes the beautiful elements of the jungle just that bit more fantastic. Hidden waterfalls, incredible rivers, primary rainforest and then of course the chance of seeing elusive wildlife, jaguars, jaguarondis, monkeys and the plethora of ants, scorpions, spiders and snakes. The course is based on the Pacuare River, four hours by raft into the jungle.

The base camp has all the luxuries you don’t expect, with even a raised lecture theatre looking over the river. Expect to work hard in the jungle during the day, getting used to travel and life in the jungle and then relax in comfy chairs listening to a few evening lectures. Towards the end of the week you will have the opportunity to trial your new skills and travel into the jungle, sleeping in hammocks, cooking on fires and navigating through the jungle.

The directing staff will guide you through all of this and allow you to work and learn at your own speed, allowing you to feel safe and gain the most out of your experience and this incredible adventure. This course aims to give you the confidence to look after yourself in the jungle, hence allowing you to focus on the care of a sick patient.

See you in November!’

Jungle Wilderness Medicine Training CourseSpaces on this course are limited secure your place now

13 November 2011 to 19 November 2011


Expedition and Wilderness Medicine co-founder Dr Sean Hudson speaks to ‘JuniorDR’

JuniorDr’s Ivor Vanhegan asked Sean about his experience of expedition medicine and advice for junior doctors interested in it as a career.

After training in the UK I decided to work abroad for a while to experience medicine in a more remote environment. It was an early stage in my career but even at this point it was apparent that the broader my knowledge base, the more likely I was to be employed. Expedition Medicine is approximately 60% general practice, 30% environment specific and the remainder trauma. I worked for a year with Raleigh International in Africa, on a ski field in New Zealand and climbed through Central Asia and the Himalayas.

Working as an expedition/wilderness medic I often find myself working alone and without the usual infrastructure we all rely upon on a daily basis. It can sometimes be terrifying and exciting but ultimately extremely satisfying. Furthermore, the skills you develop as an expedition medic are increasingly becoming recognised and valued in other fields of medicine.

Over the last 2 years, I’ve worked in many varied locations and roles throughout the world. This has included: in Antarctica setting up and running one of the remotest clinics in the world, running training courses in Iraq for close protection officers and providing medical cover for production companies in a number of remote locations. I also provided the medical support for a fashion shoot in Southern Africa and have worked as a consultant for the foreign office.

In addition to these roles I have also trained a number of private individuals before they head off on exciting, often solo, expeditions. The future for medics wanting to work in this field is increasingly bright. The specialty is gaining recognition and with that comes remuneration. Soon we may arrive at the stage where medics can choose this as a career pathway rather than a stop gap to a more traditional specialty.

In recognition of this, a postgraduate qualification is now available in Wilderness Medicine. The Fellowship of the Academy of Wilderness Medicine (FAWM) is a postgraduate qualification which recognises experience and learning in the field of Expedition and Wilderness Medicine. It is overseen by the Faculty of Wilderness Medicine in the US.

Expedition and Wilderness Medicine training facualty.


Acute mountain sickness – a review by Dr Sean Hudson

Management of AMS

Prospective, Double-Blind, Randomized, Placebo-Controlled Comparison of Acetazolamide Versus Ibuprofen for Prophylaxis Against High Altitude Headache: The Headache Evaluation at Altitude Trial (HEAT)

High altitude headache (HAH) is the most common neurological complaint at altitude and the defining component of acute mountain sickness (AMS). However, there is a paucity of literature concerning its prevention. The researchers sought to compare the effectiveness of ibuprofen and acetazolamide for the prevention of HAH.

Three hundred forty-three healthy western trekkers were recruited at altitudes of 4280 m and 4358 m and assigned to receive ibuprofen 600 mg, acetazolamide 85 mg, or placebo 3 times daily before continued ascent to 4928 m. Outcome measures included headache incidence and severity, AMS incidence and severity on the Lake Louise AMS Questionnaire (LLQ), and visual analog scale (VAS).

Two hundred sixty-five of 343 subjects completed the trial. HAH incidence was similar when treated with acetazolamide (27.1%) or ibuprofen (27.5%; P = .95), and both agents were significantly more effective than placebo (45.3%; P = .01). AMS incidence was similar when treated with acetazolamide (18.8%) or ibuprofen (13.7%; P = .34), and both agents were significantly more effective than placebo (28.6%; P = .03). In fully compliant participants, moderate or severe headache incidence was similar when treated with acetazolamide (3.8%) or ibuprofen (4.7%; P = .79), and both agents were significantly more effective than placebo (13.5%; P = .03).

Fascinatingly the authors demonstrated that Ibuprofen and acetazolamide are similarly effective in preventing HAH. This adds another medication to the useful arsenal to use in the treatment of AMS and in particular is especially useful when you have a patient who can’t take acetazolamide (diabetics or sulphur allergies) .

Learn more about Altitude Medicine by joining Expedition and Wilderness Medicine’s CME accredited Mountain Medicine course in Nepal headed up by Everest ER founder Dr Luanne Freer


September Expedition Medicine Course 23.75 CME points and WMS accredited…. filling up fast

The September Expedition Medicine course in Keswick located on the banks of Derwentwater in the stunning English Lakes and 23.75 CME points and WMS accredited, is filling up fast – if you want to be sure of a place then you need to let us know as soon as you can – contact Rosi at

Guest speaker – Hannah McKeand, renown Polar Explorer


Diving and Marine Medicine Course now CME accredited

The latest foreign course to gain accreditation through the WMS and the ACCME is the Diving and Marine Medicine Course, which this year will be in the Maldives. So not only do you get to have a fantastic, educational and exciting adventure but you also gain 20.25 CME points as well. There are only 2 places left so if this interests you, please drop us a line soon


Medical Director Lectures at Royal Society of Medicine

One Step Forward was hosted and arranged by RSM. I was fortunate enough to be invited to speak on Expedition Medicine.

The other speakers were inspirational and it was delightful to hear a series of lectures by doctors who dont hold to the production line theory of doctor creation.

I tried to follow this theme and aimed to inspire the junior doctors and medical students to expand their horizons and experience other cultures and hopefully to become a more rounded physician in the process. I even got to lecture to Professor Kumar (Kumar and Clark)!


Team Amazon complete journey

Blue Peter presenter Helen Skelton has completed a 2,000-mile kayak trip along the Amazon for Sport Relief, supported by Expedition Medicine

The 26-year-old was greeted by cheers and celebratory gunfire as she crossed the finish line in Almerim, Brazil.

Skelton has clocked up 2,010 miles since she set off on her solo journey from Natua in Peru on 20 January.

The BBC star, who had never been in a kayak before training, broke two world records as she became the first woman to paddle the length of the river.

The records – for the longest solo journey by kayak and the longest distance in a kayak in 24 hours by a woman – are awaiting official verification.

The TV presenter paddled about 60 miles a day, six days a week, to reach the target.

 My bottom is bruised, my shoulders are sore and the muscles in my neck are making it hard to differentiate between my head and my shoulders but to be honest I am proud of the war wounds
Helen Skelton

Skelton said of her challenge: “It’s been tough but I’ve had enough highs to make it more than worthwhile.

“I’m very lucky to have amazing people in my life who’ve picked me up when things got hard and most importantly inspired me to carry on.

“My bottom is bruised, my shoulders are sore and the muscles in my neck are making it hard to differentiate between my head and my shoulders but to be honest I am proud of the war wounds.

“I reckon that you shouldn’t shy away from things because they’re tough or you might fail. Get stuck in and you never know where you might end up.”

Blue Peter, which is showing Skelton’s epic journey in two special episodes on 16 and 17 March, hopes her efforts will inspire families across the UK to rise to their own challenge for Sport Relief.

Lucy will be updating us in the next couple of days

But well done to all the team


Dr Sean Hudson writes about recent Polar Medicine course in Norway

‘There’s no snow.’ This was the text I received the week before the course. Slightly concerning since we planning on skiing, snowmobiling and dogsledding. All of which can prove difficult without snow. Snowholing may also prove to be a challenge. As I flew over Oslo it looked as if there was plenty of snow, and as we descended into Alta over the snow clad mountains the pilot announced the temperatures outside were -25. There was no snow from a Norwegian perspective but there was still plenty for us from blighty. The group were exposed to every polar weather experience: -30 whilst dogsledding, snow and wind whilst snowholing and a fabulous slush covering the surface of the ice drill. The group rose to the challenge and threw themselves into each new skill.

There were some highlights for me: the largest snow hole ever created, greatest height achieved by two ladies on a snowmobile (I had never seen the bottom of a snowmobile in flight until last week), Martin manfully getting frostbite the week before the course so that everyone could see how to dress frostbite properly, everyone did the ice drill and thankfully again no injuries. Thank you to all of you who made the course a success, from the directing staff who worked tirelessly and managed to consume 24000 calories between 4 of them in 24 hours, to the participants who had a try at everything and continued to smile and to our host at Ongajok who yet again provided us with wonderful food and accommodation. Finally thank you to the northern lights for giving us another beautiful display