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Team Rubicon: Short term position in Nepal

TeamRubiconLogoOur lovely friends at Team Rubicon urgently require a volunteer medic to join them in Nepal, 19 March – 2 April.  Flights & expenses covered.  Please email a brief introduction and medical CV to .  Here’s the detail:

Calling all medics! There is a fantastic opportunity to be part of a volunteer team going to Nepal in March to rebuild a school destroyed in the earthquake. Team Rubicon UK provides disaster relief to those affected by natural disasters, be they domestic or international. By pairing the skills and experiences of military veterans with first responders, medical professionals, and technology solutions, Team Rubicon aims to provide the greatest service and impact possible.

After last year’s earthquake Team Rubicon sent teams into Nepal to help with the immediate aftermath and hundreds of thousands of people were helped. Almost a year on there are still thousands of Nepalis who still need help with basic services. The team is complete except for one important member – a medic. Due to the remote nature of the deployment it is vital that they take someone suitably qualified to deal with trauma, life support, and normal medical problems. The team is 16 strong with basic first aid qualifications but what they really need is a paramedic or other suitably qualified person to deploy with them.

Team RubiconThe trip is from the 19 March until 2 April (flights dependent within a day). The deployment is unpaid but all flights and expenses are covered.If you are interested in being involved in what will be a fantastic opportunity please email a brief introduction and medical CV to .

As time is short Team Rubicon have asked that only those who are confident that they can deploy get in contact.  Thanks.


Related courses
Mountain Medicine


The latest news, views and opportunities from EWM Towers

Expedition & Wilderness Medicine

To take advantage of the World Extreme Medicine Expo early bird offer use discount code WEMEEARLYBIRD30 at the checkout.

Response to the Paris attacks

The medical response to multisite terrorist attacks in Paris reviews the coordinated effort from the emergency services and Assistance
Publique-Hôpitaux de Paris (APHP) .
The article offers the perspective of an Emergency Physician, Anaesthesiologist and a Trauma Surgeon, before offering a conclusion.

It’s clear no matter what the plan, it’s the people; doctors, nurses, emergency services, administrators, volunteers and many others, that enable a successful response.
View the FULL ARTICLE on the Lancet’s website.

Jobs and opportunities

The European Space Agency is once again looking for a doctor to join them for a year of research and experiments at the Concordia research station in Antarctica.
Click HERE to see the post on the ESA website.

Luangwa Safari Association Medical Fund need a doctor for 3-6 months to provide care for staff and guest in addition to providing care at Kakumbi Rural Health Centre.
Check out the full details HERE and to read a previous doctor’s blog written during her time in the role click HERE

Course pick

Mountain Medicine 2016 following another extremely successful course in Nepal trekking to Kala Patthar and Everest Base Camp.
The first piece of feedback we received told us “this was the most amazing trip I have been on” and it is comments like these we aim for and pride ourselves on.
Pre-hospital Trauma Workshops will continue throughout 2016. We focus on initial care around head injuries, chest injuries, traumatic cardiac arrest, blast and ballistic injuries. We’ll also touch on crew resource management and effective leadership on scene in the single and multi casualty scenarios.

“We treat athletes like NASA treats astronauts”.

Last month saw the launch of Vollebak, a new brand that aims to tackle the fundamental issues faced by extreme sports people.

Having lived through the highs and lows that come with racing and training in the world’s toughest environments, founders and adventure athletes Steve and Nick Tidball, started working on products and experiments to help athletes relax and survive.
Click HERE to find out more.

Expedition & Wilderness Medicine Courses

World Extreme Medicine Conference & Expo


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


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

Volunteer Doctor for International Porter Protection Group

The International Porter Protection Group urgently require a volunteer doctor, ideally experienced in altitude and remote environment medicine, to work at their rescue post at Machermo, at 4400 m in the Gokyo Valley of Nepal during the Spring season, March to April, 2012.

This has arisen following the late withdrawal of a volunteer. This post offers the rare opportunity to live and work for up to 2 months in a Sherpa community providing emergency care to locals, porters and trekkers as part of team of 2 other Western doctors and local staff. For further details, please contact Dr. Nick Mason at:


Nepal Mountain Medicine leader featured in Smithsonian article

Dr Luanne Freer, leader of this years Nepal CME accredited Wilderness Mountain Medicine course in Nepal, has been written up in a brillant article on the illustrouis Smithsonian website in an article entitled ‘Inside the ER at Mt. Everest’ by Molly Loomis.

A middle-aged woman squats motionless on the side of the trail, sheltering her head from the falling snow with a tattered grain sack.

Wilderness Medicine

Find out more about Mountain Medicine in Nepal

Luanne Freer, an emergency room doctor from Bozeman, Montana, whose athletic build and energetic demeanor belie her 53 years, sets down her backpack and places her hand on the woman’s shoulder. “Sanche cha?” she asks. Are you OK?

The woman motions to her head, then her belly and points up-valley. Ashish Lohani, a Nepali doctor studying high-altitude medicine, translates.

“She has a terrible headache and is feeling nauseous,” he says. The woman, from the Rai lowlands south of the Khumbu Valley, was herding her yaks on the popular Island Peak (20,305 feet), and had been running ragged for days. Her headache and nausea indicate the onset of Acute Mountain Sickness, a mild form of altitude illness that can progress to High Altitude Cerebral Edema (HACE), a swelling of the brain that can turn deadly if left untreated. After assessing her for HACE by having her walk in a straight line and testing her oxygen saturation levels, the doctors instruct her to continue descending to the nearest town, Namche Bazaar, less than two miles away.

Freer, Lohani and I are trekking through Nepal’s Khumbu Valley, home to several of the world’s highest peaks, including Mount Everest. We are still days from our destination of Mount Everest Base Camp and Everest ER, the medical clinic that Freer established nine years ago, but already Freer’s work has begun. More than once as she has hiked up to the base camp, Freer has encountered a lowland Nepali, such as the Rai woman, on the side of the trail ill from altitude. Thankfully, this yak herder is in better condition than most. A few weeks earlier, just before any of the clinics had opened for the spring season, two porters had succumbed to altitude-related illnesses.

Each year over 30,000 people visit the Khumbu to gaze upon the icy slopes of its famed peaks, traverse its magical rhododendron forests and experience Sherpa hospitality by the warmth of a yak dung stove. Some visitors trek between teahouses, traveling with just a light backpack while a porter carries their overnight belongings. Others are climbers, traveling with a support staff that will aid them as they attempt famous peaks such as Everest (29,029 feet), Lhotse (27,940 feet) and Nuptse (25,790 feet). Many of these climbers, trekkers and even their support staff will fall ill to altitude-induced ailments, such as the famed Khumbu cough, or gastro-intestinal bugs that are compounded by altitude.

A short trip with a group of fellow doctors to the Khumbu in 1999 left Freer desperate for the chance to return to the area and learn more from the local people she had met. So in 2002 Freer volunteered for the Himalayan Rescue Association’s Periche clinic—a remote stone outpost accessed by a five-day hike up to 14,600 feet. Established in 1973, Periche is located at an elevation where, historically, altitude-related problems begin to manifest in travelers who have come up too far too fast.

For three months, Freer worked in Periche treating foreigners, locals and even animals in cases ranging from the simple—blisters and warts—to the serious, instructing another doctor in Kunde, a remote village a day’s walk away, via radio how to perform spinal anesthesia on a woman in labor. Both the woman and the baby survived.

Find out more about the  Nepal CME accredited Wilderness Mountain Medicine course in Nepal attendance of this course will count toward a FAWN degree.

Jerry Gore, joining the Keswick course facualty in September wins the Prix Alain Bombard.

Jerry, who joins us on our September Expedition Medicine course to present the present the Rupert Bennett Memorial Lecture wins Prix Alain Bombard award, which ‘recognizes the exceptional nature of an adventure involving an education is delivered to the British diabetic climber Jerry Gore in the film Trango.’

Alain Bombard was a French biologist, physician and politician famous for sailing across the Atlantic Ocean in a small boat without provisions in an extreme test of endurance and survival.


Jerry was born in Britain on April 15th 1961, is married with two children, and was diagnosed as a Type 1 diabetic on January 31st 2001. Though new to diabetes, Jerry has not let diabetes get in the way of his activities.


Keele Medical School interviews Dr Amy Hughes, Medical Director at Expedition and Wilderness Medicine

Dr Amy Hughes medical career has been far from ordinary and she talks about how she has ended up as medical lead at EWM.

Dr Hughes co-leads with Dr Luanne Freer our CME accredited Mountain Medicine course on the Everest Base Camp trail in Nepal.


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


Mountain Medicine course to Everest Base Camp approved for 22.5 CME

Expedition Medicines Mountain Medicine course in along the Everest Base Camp Trail in Nepal led by expedition doctor’s Luanne Freer and Amy Hughes and Everest Expedition Leader Nick Arding OBE has been formally accredited by the Wilderness Medical Society for 22.5 CME points. 

Spaces are very limited