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Latest EWM news; iphone app for Extreme Medicine Conference, Mountain Medicine Nepal, members area & upcoming courses

Expedition & Wilderness Medicine

Upcoming Courses & Remote Medicine News:  2 weeks to go until the Extreme Medicine Conference, Mountain Medicine in Nepal departing soon and new developments at EWM
A week to go to the Extreme Medicine Conference iphone App release!  Book your place now….

With the Extreme Medicine Conference at the Royal Society of Medicine just over a fortnight away we have been adding the finishing touches to iphone app which is now with Apple for their final approval and we hoping to have this ready for release the week before.  Featuring the lecture content, speaker profiles, exhibitors and the student poster competition plus loads more information we are really pleased with the results and excited at being able to share all the behind the scenes hard work   We will also be announcing the winner of the inaugural EWM Remote Medicine Awards, thank you to all of you who have voted as the response has been superb, in the next fortnight and the winner will be featured on the app.With contributors coming from all over the world recently confirmed are Kevin Fong an expert with a special interest in human space exploration & extreme environment physiology, columnist for the Times Higher Education magazine and presenter of the recently aired critical acclaimed BBC Horizon documentaries Back from the Dead and How to Mend a Broken Heart.   Joining him will be Ben Major  presenter of the multi-BAFTA winning series Serious Explorers for BBC1 and consultant on series such as Tribe, Human Planet, Frozen Planet, Last Man Standing, Extreme Dreams and Adrenaline Junkies.

From Canada From Canada Gordon Giesbrecht Professor of Thermophysiology at the University of Manitoba and who Outdoor Magazine titled “Professor Popsicle” combines well-published research with extensive Arctic expedition experience, and a passion for educating people on hypothermia, frostbite and cold weather survival.

Mountain Medicine, Nepal with Dr Luanne Freer founder of EverestER

If the Extreme Medicine Conference isn’t your thing but you are at loose end in a fortnights time there is a last minute space available with a last minute discount.Join Luanne and Doctors Martin Rhodes & John Apps from the medical team at Union Glacier in Antarctica on an amazing CME accredited adventure whilst helping to raise much needed funds for EverestER..

Contact us for more information.

***New dates for later in the year 22nd October to 8th November – sign up here.***

Working hard for remote medicine

Alongside delivering highly rated remote medicine courses, establishing a comprehensive student intern program and a world class extreme medicine conference the EWM team has also been really busy behind the scenes…..Due for release in the next fortnight is a brand new members area, free of charge to all, but a point of access for CME accredited videos, remote medicine jobs, special kit and travel offers and access to a community of like-minded medical professionals keep your eyes peeled for more news on these exciting developments…

Upcoming courses in the near future – take your pick!

International World Extreme Medicine Conference & EXPOHosted by the Royal Society of Medicine London with world class speakers, great networking & 31.75 CME credits. 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

Recruiting a doctor for the Lifeline Clinic in Namibia

This is a fantastic remote medicine job opportunity to work with the remarkable San Bushmen in our well-resourced Lifeline clinic in rural Namibia. We are looking for a doctor to start in May 2012 for 1 year or longer.

The clinic was set up in 2003 and is based in Epukiro, approximately 120km North of Gobabis and 400km East of Windhoek. It’s a small community made up of mainly Herero, cattle rearing people, and a small group of San Bushman who are traditionally nomadic hunter gatherers that live in small family groups.Remote Medicine jobs in Namibia

Sadly, San are treated as second or even third class citizens in Namibia and providing free and accessible primary healthcare to this community really is a lifeline to many. People walk hundreds of kilometres to receive medical care when they are sick and unfit to travel these distances. The clinic was set up to provide free medical care to the San Bushmen community. The majority of our patients are San who receive all their treatment free at the clinic (84% of consultations). The rest of the consultations are for fee paying locals, mainly Herero (16%).

The doctor’s role is extensive in nature but is extremely satisfying. The clinic is primarily open Monday- Friday, 8am- 5pm with a lunch break from 1pm-2:30pm. Patients are seen on an open access basis. We also provide an outreach clinic to a large primary school with 150 San pupils and to a village 40 kilometres away. We also run a community program which is in its infancy and consists of training and supporting community health workers in several San Bushman settlements in the area.

Many of the San come from the surrounding regions and may travel several hours to reach us. 40% of the patients we see are children. We see a lot of TB, respiratory infections and diarrhoea. We also see trauma, domestic violence, alcoholism and malnutrition. Patients who need to be admitted to hospital are transferred via our clinic car/ambulance to Gobabis Hospital, 120 km away, mainly on gravel roads. On some occasions they need to be taken straight to Windhoek which is a 4 hour drive away.

Facilities in the clinic are very good and include a microscope, ultrasound machine, computer facilities and the internet. We have a good relationship with the state clinic and mutually support each other.   The Lifeline clinic is entirely funded by charitable donations. It is part of the N/a’an ku se foundation which also has a wildlife and conservation sanctuary just outside of Windhoek. The farm is 320 km away from the clinic, mainly on tarmac roads.

The doctor is responsible for the clinic staff, currently consisting of a nurse, receptionist, translator, cleaner and gardener. The doctor works with Anna Daries, our wonderful Namibian nurse who has been with the clinic for approximately eight years. She has good local knowledge of the San community and is well respected by them. The doctor also looks after the medical volunteers who come from all over the world and stay for a period of two weeks upwards, provides teaching & projects for them to undertake and ensures they are looked after. They are vital to the financial aspect of the project. The doctor/ partner picks the volunteers up from the farm and then drops them back at regular two weekly intervals. This also allows for a few days leave from the clinic itself.

Accommodation is attached to the clinic and is shared with the nurse and medical volunteers so there is not a lot of privacy. The accommodation is comfortable with a fully equipped kitchen, electricity, solar heated water, a television, a garden and two small affectionate dogs. Regular visits to Gobabis are undertaken to pick up food and provisions.

Other responsibilities include keeping regular updates for the management team, writing reports to obtain further funding (working with the fundraising manager), ordering the medications for the pharmacy and generally maintaining patient records.

There is often a lot of driving involved, some of it on gravel roads, but the clinic car is a Nissan X-Trail in good condition and reliable and safe to drive. You do need to be able to change a tyre as punctures will occur!

Namibia is one of the safest African countries to visit; the main nuisance is petty crime. Driving around Namibia is quite safe as long as you keep to a sensible speed and avoid driving in the dark. The roads are not busy.

It must be stressed that this is a remote area of Namibia in a small but friendly community. There are frequent power and water cuts particularly in the rainy season. Accommodation and food are all provided. There is also a small monetary remuneration of N$5000/ month (about £400/ month). The job would be suitable for a single doctor or a couple (not necessarily two medics).

This very rewarding role would suit a doctor with a passion for people, who would be prepared for the remoteness and heat of Eastern Namibia and who can be flexible and embrace all aspects of the role.

For more information about N/a’an ku sê please visit www.naankuse.com and/or contact sarahfrance10@hotmail.com

N/a’an ku sê Foundation, P.O. Box 99292, Windhoek, Namibia.

T: +264 (0) 817 438 505

Of  interest;

Conservation Course in Namibia accredited for CME

Expedition & Wilderness Medicine’s new Conservation Medicine course in Namibia has been accredited for 16.5 CME

Located at the stunning N/a’ankuse Lodge and Wildlife Sanctuary only 42kms east of Windhoek is Expedition & Wilderness Medicine’s new Conservation Medicine Course. This truly unique lodge is set amidst a natural savannah, with riverine vegetation, lush grass plains and magnificent mountain views, and offers a malaria free Wild Medicine course.

The main objective of the course is to educate attendees as to how we can integrate the diagnostic and problem solving skills of both human and animal health professionals with the knowledge of conservation professionals. Ultimately this should help all concerned to better manage the environment and biodiversity to the benefit of all the inhabitants of our beautiful planet.

The emerging interdisciplinary field of conservation medicine, which integrates human and veterinary medicine and environmental sciences, is largely concerned with  zoonose. At the present time there is very little sharing knowledge in both an academic and practical session and this course serves to address this significant gap.

To book your place

 

Of interest – Desert & Wilderness Medicinal Training Course

Medical volunteering posts in Namibia

MEDICAL VOLUNTEER & CONSERVATION PROGRAM

Our aim is to provide volunteers with the wonderful opportunity to contribute to the medical welfare of the San community and experience unspoiled African wilderness. Our volunteers are key to the success of this special place. All the money raised through our volunteering programme goes directly back into the project which provides employment, healthcare, education and accommodation to the local Bushman and to ensure the rescue, survival and rehabilitation of orphaned and injured African wildlife.

Namibia truly is a wonderful country to experience, the scenery is spectacular and you will work with our friendly and dedicated team. If you come prepared to learn and to give your best you will be rewarded with a fantastic experience and wonderful memories to take home.

We do hope you will come and join us!

DR RUDIE AND MARLICE VAN VUUREN
OWNERS, N/A’AN KU SÊ FOUNDATION

The N/a’an ku se Foundation is host to the 2012 Conservation Medicine Conference

 

MEDICAL VOLUNTEER

During the project you will spend your time at our remote San (Bushman) clinic in rural east Namibia.  The village homes around 500 San and Herero villagers and the clinic is at the heart of the community.  Here, you will assist our Doctor and Nurse with the running of the Lifeline Clinic and help provide primary healthcare to the local community. You will provide hands on support at the clinic, participating in observations, running reception and helping in the dispensary. You will deal closely with patients from the local San community, learn more about their way of life and give care to patients living in extreme poverty at the clinic’s remote location.

Your arrival and departure base will be our N/a’an ku sê Wildlife Sanctuary, near Windhoek Airport, so if you choose you can also have the unique opportunity to stay here a few days and work with the animals here. The Lifeline Clinic is in Epukiro (or Pos 3 as it’s commonly known), approximately a 5 hour drive from the sanctuary and we will arrange all your transfers.  Our aim is to provide volunteers with the wonderful opportunity to experience African wilderness in the knowledge that they are contributing to improving the lives of the people of Namibia.

Medical Volunteering Programme – Download PDF with full details

 

CARNIVORE CONSERVATION VOLUNTEER

This 10 day programme offers a unique opportunity to play a hands on part in the conservation of wild cheetah, enabling you to work up close with these incredible animals and contribute towards their welfare. N/a‘an ku sê plays a vital role in rescuing and releasing threatened cats in Namibia to help reduce humanwildlife conflict. The overriding aim of our study is to alleviate existing human-wildlife conflicts using new approaches and assess whether translocations of cheetah and leopard are a viable long-term option for dealing with so-called ‘problem animals’. Since our programme began in 2008 we have rescued and released 41 cheetahs, 20 leopards and 3 brown hyena.

We have 4 release sites: NamibRand Nature Reserve, Sandfontein Nature Reserve, Solitaire and our Windhoek study site. Our new research base in the stunning area of Solitaire hosts a 500 hectare soft release boma for cheetahs.

Only large carnivores who have been held in captivity for long periods of time, or who have been rehabilitated from ill health, undergo a soft release rather than a hard release back into the wild. Cheetahs stay in this soft release site in order to acclimatise to the area and learn how to fend for themselves once again. The duration of their stay depends on how successfully the cat adapts to their new environment but can be between 6- 12 months.

You can also combine your 10 day programme in Solitaire with an additional stay at N/a’an ku sê Wildlife Sanctuary and Windhoek Research Study Site, which you can do before or after your Solitaire trip.

Carnivore Conservation Volunteering Programme| Solitaire – Download PDF with full details

 

To apply please contact Lucy Hale| lucynaankuse@gmail.com – please mentioned ‘Expedition & Wilderness Medicine’

 

of interest

Desert & Wilderness CME accredited medical training course

Conservation Medicine CME accredited medical training course

EWM founder Mark Hannaford on the iconic Desert & Wilderness Medicine course

Desert & Wilderness Medicine CME accredited medical training course in Namibia

Sheltering the shadow of Brandberg Mountain, Namibia’s highest, EWM’s Desert & Wilderness Medicine course really is something different as Mark Hannaford explains

Developed for medical professionals and advanced medics working in hot or arid climates, the Desert and Wilderness Medicine medical training course aims to introduce participants to the skills required for working in hot, arid and sub Saharan areas, and to care for and treat injuries and illness likely to occur in this fascinating environment.

 

Book your place on Desert Medicine now …..www.expeditionmedicine.co.uk

Of interest - Conservation ‘Wild Medicine’ in Namibia

Remote medicine job vancency in Northern Namibia

The role of the Doctor at the Lifeline Clinic has only developed over the past 18 months and is therefore still in its infancy. The clinic is based in Epukiro, Eastern Namibia and provides Primary Care Facilities for the local population. The majority of the patients are San Bushmen who receive all treatment free at the clinic (84% of consultations). The rest of the consultations are for fee paying locals, mainly Herero (16%).

Post is available in May 2011 for a one year duration.

To find out more about this vacency visit our ‘Expedition Medicine Jobs’ page here

Expedition Medicine medics involved with UNICEF challenges

Having participated in an Expedition and Wilderness Medicine training course can open up a whole network of contacts and opportunities, not only do expedition, media and travel organisations look more favourably on EWM trained medics who have participated in one of our courses we a have  an incredible network of contacts who are constantly on adventures, working remotely and who need remote medical cover.

Recently expedition medics have been working with UNICEF  and with a well known charity challenge compamy to provide medical cover on thier fundraising adventures – they are off to Namibia next and you can find out more about UNICEF’s fundraising expeditions here.

Wilderness Medical Society approves Desert Medicine course in Namibia for 20.5 CME

Feedback from delegates in our unique Desert Medicine medical training course in Namibia is feedback enough but the Wilderness Medical Society has also awarded it 20.5 CME points.

‘I had a fantastic time and feel like I learnt a lot. I will definitely be signing up for more courses and recommending the courses to people I know!’    Desert course participant.

Developed for medical professionals or advanced medics working in hot or arid climates. The Desert Medicine Course aims to introduce participants to the skills required to be a valuable member of a desert expeditionary team, and to care for and treat injuries and illness likely to occur in this fascinating environment.

Our Desert Medicine Course is based in Damaraland, an area bounded to the south by the spectacular Namib Desert, to the east by the Kalahari, Ovamboland to the North and the world famous Skeleton Coast to the west. Located near the famous Doros Crater, a massive volcanic crater formed over 140 million years ago. Our training area is a stunning region,  remote from civilisation, inhabited by an array of desert adapted flora and fauna and with some of the most remarkable night skies in the world. As a result of the recent changes in wildlife management in Namibia, the Doros Crater has been chosen as the region in which the endangered white rhinos are being released. It is a very exciting location inhabited by elephants, hyena, giraffe, rhinos, cheetahs and occasionally lions. It is almost unique in Namibia and for this reason we have endeavoured and been allowed to gain access to this virtually uninhabited area. Its the perfect location for our desert course. 

It rained in the desert!

storm over damaralandThe 2010 Desert Course

Our foreign courses always run on a fairly fluid timetable, but this year’s Desert Course in Namibia was certainly more fluid than expected. Having never seen rain in the desert before, we had rain every day bar one, most of it torrential. A storm on the second night tried its hardest to blow down/away most of the tents and the large tarps put up by Faan, our local agent. His cooking staff had never experienced such a storm and then still managed to produce a hot meal for us all shortly afterwards.

We still had a great week. The group included some extremely experienced medics and everybody contributed to the learning.  A fascinating demonstration of snake handling from Stuart involved his venomous and non-venomous snakes and a parabusis scorpion.

We trekked in some seriously hot conditions and at times were lucky with cloud cover. One unexpected bonus was coming across a deep pool of water in a bend on a (usually permanently dry) riverbed giving us the chance to swim in the desert – magical. The view from the high peak of the Doros Crater Rim was well worth the walk in. Out final night out was luckily under the beautiful Southern Cross and the other stars as the clouds finally relented. We walked past fresh rhino tracks and saw herds of zebra, springbok and flighty ostriches as we drove out. Faan looked after us impeccably as usual.

Mother Nature surprised us again at the end of the course when the volcanic ash prevented Mark and I, and many of the course participants from flying home at our intended times. The latest person home was 10 days late and one participant endured an epic 3 day flight/train/train/ferry/train/ferry/train journey. At least we are all getting used to the unexpected.

Caroline Knox

Heat related injuries in extreme desert conditions

Operating in extremely hot conditions creates a unique set of medical risks. In the link is the medical outline – for non medics, regarding those risks from the Namibia Ultra Marathon training guide.

DEHYDRATION
Dehydration is the most common heat related illness – in fact, it is thought that dehydration could be the single greatest threat to the health of an athlete. When training regularly and for long distances, fluid intake should be made a priority. You must drink fluids all day – not just during training.

Don’t depend on feeling thirsty to tell you when to drink. Thirst is a late response of the body to fluid depletion. Once you feel thirsty, you are already low on fluids. The best indicator of proper fluid levels is urine output and colour. Ample urine that is light coloured to clear shows that the body has plenty of fluid.

Dark urine means that the body is low on water, and is trying to conserve its supply by hoarding fluid which means that urine becomes more concentrated (thereby darker).

Dehydration can be the cause of feelings of fatigue or exhaustion – at all times watch out for signs of dehydration and take on water regularly through out the day.

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