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London’s Air Ambulance & Extreme Medicine to host two-day Pre-Hospital Care Workshop
For 25 years London’s Air Ambulance has been at the forefront of pre-hospital emergency medicine, gaining a reputation for clinical excellence and pioneering procedures which have been adopted across the world.
Next month, ahead of the World Extreme Medicine Expo, on the 6th and 7th of November, London’s Air Ambulance is hosting a two-day Pre-Hospital Care Workshop as a precursor to the Extreme Medicine Conference 2014 to give delegates and medical practitioners an insight into the work of the charity and to share some of its advanced practices.
The charity has achieved survival figures for traumatic cardiac arrest and pre-hospital thoracotomy, and success rates for adult and paediatric intubation, which are among the highest in the world.
The workshop will give practitioners the opportunity to get involved with medical demonstrations and scenario based exercises while also providing access to the senior consultants and paramedics responsible for London’s Air Ambulance governance, major incident planning, research and innovation.
Speaking about the event, consultant and education lead, Dr Gareth Grier said: “London’s Air Ambulance has treated over 31,000 patients, which we recognise is a huge amount of experience and learning developed over 25 years. By passing on this knowledge we can help to drive excellence in pre-hospital care standards”.
“Many of the techniques we have pioneered have become widespread as a result of being heard and talked about at events such as this one. During the workshop we will be showcasing some of our more recent innovations, REBOA being one of them, discussing the future of pre-hospital care, challenging conventional wisdom and hopefully, inspiring the next generation of trauma specialists”.
Earlier this year London’s Air Ambulance became the first service to perform roadside balloon surgery to control severe internal bleeding on a patient who had fallen from height. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is just one of the practical demonstrations delegates can participate in amid a programme that will look at biological terrorism, crew resource management at complex pre-hospital scenes and the role of a UK pre-hospital doctor in the international response to humanitarian disasters.
For full programme details or to book visit: www.londonsairambulance.co.uk. Tickets start at £125 for medical students rising to £595 for doctors.
London’s Air Ambulance Tel: (0)20 7220 5498
Katy Evans (Senior Media Liaison & Public Affairs Officer)
Notes to Editors
More about the Pre-Hospital Care Workshop
Date: Thursday 6th and Friday 7th November 2014
Venue: Wellcome Collection, 183 Euston Road, London NW1 2BE
Ticket prices: Doctors £595 / Paramedics, Nurses & other medical professionals £195 / Medical Students £125. Book tickets.
Introduction and overview of London’s Air Ambulance and Pre-hospital Care in the UK
The role of a UK pre-hospital doctor in the international response to humanitarian disasters
Crew Resource Management at complex pre-hospital scenes
The medical response to major incidents in London
Pre-hospital advanced airway
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Pre-hospital blood transfusion in civilian trauma
Damage control anaesthesia – lessons from Afghanistan and London
Opportunities for medical students in pre-hospital care
Paramedic scene leadership during advanced pre-hospital interventions
Defying medical dogma – case studies from the pre-hospital phase
The future in pre-hospital care Nanorobots and suspended animation
Various scenario based training exercises
Working as a Radiologist at the North Norway Universital hospital, I am used to dealing with extreme medicine physiology and logistics on regular basis. At our remote location, our hospital takes care of 500 000 inhabitants living across a vast area, including the beautiful remoteness of Svalbard. I have treated people following polar bear attacks, avalanches, mountain falls and shipwrecks. Our hospital receive patients following long medevac; by ambulance, helicopter or plane flight, or by bad fly weather up to 8-10 hours in a road ambulance. Our remote location leaves us vulnerable but teamwork plays a big part in all we do so we make good use of new technologies, including teleradiology, which I use on a daily basis.
Personally, I am so grateful to the people at the University Hospital in North Norway not only for having the opportunity to work together with them as senior doctor but also for that I can maintain my medical career after having a bad skiing accident in 1999.
The accident gave me a core body temperature of 13.7 degrees and no heart beat for 2 hours and 45 minutes. The medical team never gave up on me and their knowledge of extreme physiology saved me. Their slogan was
“nobody is dead until warm and dead.”
After 1 hour helicopter transportation, 9 hours in the operating room, 6 days on ECMO, 6 days on kidney replacement therapy, 5 weeks on a ventilator and 1-2 years partially paralysed from the neck down, I now lead a completely normal life, helping other patients.
We should think of extreme medicine as an important and normal part of medicine. We never know when we might need to draw upon our knowledge of extreme physiology and associated logistics. Being prepared is the best way to handle the situation.
By day Mark Wilson as as a Neurosurgeon at Imperial. He also works with London’s Air Ambulance. His specialist area is acute brain problems especially traumatic brain injury (and in particular it’s hyperacute management). by in his spare time he is the developer of a life-saving mobile phone called GoodSAM that crowd sources off-duty doctors, nurses and paramedics to local life threatening emergencies
Mark has worked extensively overseas both clinically and as an expedition doctor. Locations include India, Nepal, the Arctic, South Africa, and Australia as a GP and as a researcher with NASA. His research areas include the effects of altitude and microgravity on the cerebral circulation, the former of which he extensively researched during the 2007 Xtreme Everest expedition.
He authored The Medic’s Guide to Work and Electives Around the World in 2000 which is now in it’s 3rd edition.
GoodSAM an App that crowd sources off-duty doctors, nurses and paramedics to local life threatening emergencies – GoodSAM. Please take a look and register!
Two 6 month junior / middle grade doctor posts available – one commencing Feb 2015, the other Aug 2015. Includes funded enrolment in Postgraduate Certificate in Remote Healthcare
DDRC Healthcare is a charity providing hyperbaric oxygen therapy (HBO), training and research in Diving and Hyperbaric Medicine and associated fields. In conjunction with Plymouth Hospitals NHS Trust, we are looking to appoint two junior doctors for 6 month posts – one doctor to commence February 2015 and the other August 2015.
The post will be an average of 6 sessions per week at DDRC and 4 sessions per week in the Emergency Department. We are looking for Doctors with a minimum of 2 years experience post qualification. You must have full registration with the GMC or be eligible to become fully registered.
Derriford Hospital is adjacent to DDRC and is the largest teaching hospital in the southwest with a busy Emergency Department. DDRC provides HBO for elective and emergency patients for conditions including Decompression Illness, tissue damage secondary to radiotherapy and diabetic ulcers.
Training will be provided in Diving and Hyperbaric Medicine and successful candidates will be encouraged and funded to enrol in the Postgraduate Certificate in Remote Healthcare run by the Plymouth University Peninsula Schools of Medicine and Dentistry.
There is no on call commitment for the diving aspect of this post however individuals will be encouraged to be involved in the management of diving accidents. The ED sessions may include some night shifts.
For application form and further information see Employment section www.ddrc.org
To discuss the job or to arrange a visit – please contact Dr Christine Penny – firstname.lastname@example.org or 01752 209999
Closing date: 18.08.2014 (08.00) interview date: 05.09.2014
Courses and Conferences of Interest
The genetic secrets of a species of frog that hibernates for months could hold the key to safer space voyages, say scientists.
Researchers from the University of Queensland, headed up by Extreme Medicine speaker Professor Craig Franklin, say that ability of the burrowing frog species Cyclorana alboguttata to maintain muscle mass while dormant could help overcome the problem of astronaut’s own muscles deteriorating during long trips in zero gravity.
Although floating weightless in space is something many would-be astronauts dream of, this unique environment takes its toll – leaving muscles drastically under-used and causing a number of health problems from tendonitis to fat accumulation.
With a manned mission to Mars taking anywhere between 39 and 289 days depending on how close the planet is, astronauts would certainly benefit from anything that ensured they were in top physical condition upon arrival on the planet’s surface.
Scientists studying the frog say that that one of its genes known as ‘survivin’ could help. When faced with droughts in their native Australia, the frog survives by burrowing underground and covering itself with a cocoon of shed skin.
Not even football in space will keep astronauts’ healthy.
Read more: China stakes its claims on Mars with 2020 rover Nasa ‘flying saucer’ splashes back down to Earth in test One of the most Earth-like planets in the galaxy discovered
This keeps them relatively insulated from harm – but the survivin gene is necessary to protect them from their own bodies. Cells have many different ‘suicide mechanisms’ but one in particular kicks in to remove matter that is apparently damaged – something it judges by long periods of inactivity. Survivin stops this from happening.
“If we can understand the cell signalling pathways that confer resistance to muscle wasting, then these could be useful candidates to study in mammalian muscle atrophy,” said PhD student Beau Reilly in a press release.
“These could help to develop therapies to treat bedridden human patients or even astronauts, who frequently lose muscle tone when exposed to reduced-gravity conditions.”
This sort of research could be even more important for journeys into space further afield than Mars. If scientists can’t develop faster propulsion technology in the future then even travelling to nearby stars could take tens of thousands of years.
“I am fascinated in animals that survive in extreme conditions” said Miss Reilly. “I think humans and modern medicine could learn a great deal from organisms such as burrowing frogs”.
Meet Professor Franklin and a whole galazy of other thought provoking speakers including NASA doc Micheal Barrett at the next Extreme Medicine Conference in London
Sometimes we are utterly humbled…
‘Hi guys I met another person who has done your Expedition and Wilderness Medicine Course, on the roadside, last night and I would like to pass my thanks on to your team. Last night I was asked to attend a Technician crew as Paramedic backup for a traumatic head injury, When I arrived the crew had done an amazing job already and were being assisted by a calm, knowledgeable Nurse who appeared completely at ease in this unusual environment for her. I have done a number of jobs where Nurses have stopped to help and I think it is safe to say they are often as uncomfortable in my environment as I would be trying to work in theirs.
As the job progressed and the patient became more unwell and required more interventions she was part of the team and worked perfectly alongside myself, my pre-hospital colleagues, HEMS and the police. Once we had her packaged and en route to hospital I asked her about her trauma & pre-hospital training (she usually works on an acute medical admission ward). The answer was of course “I did a course on expedition medicine” I asked a few names of the tutors, Sean, Caroline, Piers et al were names we both knew. So thanks to the Nurse, I will find you and make sure this is recognised. But also thanks to Team Expedition Medicine. Last night, by proxy, you were involved in saving a young life, which I think is pretty damn awesome!” Matthew Jones posted on Expedition and Wilderness Medicine’s timeline “Hi guys I met another person who has done your Expedition and Wilderness Medicine Course, on the roadside, last night and I would like to pass my thanks on to your team. Last night I was asked to attend a Technician crew as Paramedic backup for a traumatic head injury.
When I arrived the crew had done an amazing job already and were being assisted by a calm, knowledgeable Nurse who appeared completely at ease in this unusual environment for her. I have done a number of jobs where Nurses have stopped to help and I think it is safe to say they are often as uncomfortable in my environment as I would be trying to work in theirs. As the job progressed and the patient became more unwell and required more interventions she was part of the team and worked perfectly alongside myself, my pre-hospital colleagues, HEMS and the police. Once we had her packaged and en route to hospital I asked her about her trauma & pre-hospital training (she usually works on an acute medical admission ward). The answer was of course “I did a course on expedition medicine” I asked a few names of the tutors, Sean, Caroline, Piers et al were names we both knew.
So thanks to the Nurse, I will find you and make sure this is recognised. But also thanks to Team Expedition Medicine.
Last night, by proxy, you were involved in saving a young life, which I think is pretty dam awesome!!!!’
Conference Bursary – Exnme Medicine Conference 8-11th November 2014 Royal Society of Medicine, London
‘David Weil Extreme Medicine Award’ (DWEMA)
The ‘David Weil Extreme Medicine Award’ (DWEMA) and is by invitation only however, noninations of worthy candidates are welcome for the 2014 Extreme Medicine Conference which will take place at the Royal Society of Medicine in London 26 – 29 October 2014.
To nominate please contact Mark Hannaford, Managing Director, Expedition & Wilderness Medicine; email@example.com
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.
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 2013 David Weil Extreme Medicine Award to use the conference logos and branding in an appropriate manner
We know that education opens doors and as the EWM crew are both interested and a bit nosey, we love to hear what our alumni get up to after attending our courses. Naturally then, we were delighted to hear from Ian P, who told us he and his wife loved the 2013 Wild Medicine course so much, they’re busy packing up in the UK and moving to Namibia…
Not many things you can say that change your life! Attending the Wild Medicine course was one of those events. Amazing set of people and a fantastic opportunity to learn about conservation and desert medicine.
The kind of odd things we learnt…
– Take blood from a cheetah,
– Learn about (and touch – optional) many poisonous snakes,
– Sleep in a desert, walk 14km through a dry river canyon,
– What are the problem animals with Rabies? (A: Kudu),
– How can carnivores live outside conservation areas & not get killed by farmers &
– How to build a vineyard in a desert … what?!..
And the thing that changed our lives? Meet the Bushmen and see their need for healthcare! My wife and I are volunteering at Naankuse to run the Bushmen medical services. The real thing we learned? There are many people out there that can benefit from our skills …
Oh and by the way Namibia is amazing you get to see loads … but you can also get a 4×4 and do a week or so trip before the course.