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The Royal Australian College of General Practitioners features EWM

The Royal Australian College of General Practitioners magazine features our very own John Apps and the Polar Medicine course in New Zealand – see
pages 14-15review of dr john apps and polar medicine course

Medicine in the wilderness by Nick Johns-wickberg – see the full article here

Dr John Apps’ career in wilderness medicine has taken him on some extraordinary adventures. He now passes on his skills to other doctors.

There aren’t many people in the world who can run a marathon, let alone one at nearly 5000 metres elevation through the Himalayas. Rarer yet is a doctor who can keep up with the runners and tend to them in harsh conditions if anything goes wrong. John Apps is such a doctor. Overseeing the medical services for the Everest Marathon is all in a day’s work for the British-born adventure doctor and part-time GP.

‘I stationed a number of doctors on the descent route and my job was to jog behind the slowest person,’ Apps said. ‘There’s a lot of up and down, there’s a lot of rough ground, a lot of yaks to avoid.’

Apps’ work throws a wide range of challenges his way – yaks included. Overseeing the marathon isn’t easy, but Apps said the hardest part of that job is convincing the ultra-competitive runners to take it easy while acclimatising to the high altitude. He has also provided medical support for an extreme marathon in Antarctica, where the flatness of the course is offset by the fact that, as he puts it,

 ‘it’s just blooming cold’.

‘You’re hauling in all these huge lungfuls of air at minus 15°C and it does take it out of people,’.

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Medic needed for Ranulph Fiennes Antarctica Expedition

Veteran polar explorer, Sir Ranulph Fiennes, will take on one of the last remaining polar challenges by attempting to cross Antarctica in winter – the coldest journey on Earth – with five colleagues and with the support of the Commonwealth and a number of sponsors.

— POSITION FILLED —

On 6 December 2012, on board the expedition’s South African  ice-strengthened research ship,  ‘SA Agulhas’,  the expedition team – led by Sir Ranulph – will leave  London , bound for Antarctica.  Their aim is to complete ‘The Coldest Journey’ – the first-ever trans-Antarctic winter expedition.  The Coldest Journey will also attempt to raise USD10 million for Seeing is Believing, a global charitable initiative to fight avoidable blindness. During their sea voyage, the team will undertake a number of scientific tasks to provide unique data on marine life, oceanography and meteorology. Using the very latest technological innovations, this epoch-making journey will pave the way for a new dawn in Antarctic, year-round exploration.

On 21 March 2013, the equinox, the six expedition members will begin a six month journey to reach the Ross Sea. Their route from the Russian base of Novolazareskaya (‘Novo’) to Captain Scott’s base at McMurdo Sound – via the South Pole – will test the limits of human endurance. During this six month period the expedition team will travel nearly 4,000 kilometres, mostly in complete darkness in temperatures as low as -90°C. The expedition team will have to be entirely self-sufficient and there will be no search and rescue facility available, as aircraft cannot penetrate inland during winter, due to darkness and risk of fuel freezing.

The post is unpaid, essentially without support from the outside work but is one of the last great expeditions and certainly one of the most significant of this decade

If you are seriously interested, have the necessary experience and a free 12 months please contact Mark Hannaford at Expedition & Wilderness Medicine mark@expedition-medicine.com  and we will forward your application.

Applications should include a full CV  – please only apply if you consider yourself a strong contender for this post

Of interest

Mountain Medicin Course – Nepal

Antarctic Medical Conference with National Geographic

Expedition Medicine Course

Dr Petronella Watson shares her thoughts on last years Polar Medicine course in New Zealand

A Course in Polar Medicine, New ZealandPolar Medicine New Zealand (c) Andy Woods

Author:  Petronella Watson

Contact information
University of Otago, Wellington, Mein St, PO Box 7343, Wellington South 6021, New Zealand.

Correspondence to Petronella Watson, watpe651@student.otago.ac.nz.

“the Corresponding Author has the right to grant on behalf of all authors and does grant on behalf of all authors, an exclusive licence (or non exclusive for government employees) on a worldwide basis to the BMJ Publishing Group Ltd to permit this article (if accepted) to be published in BMJ editions and any other BMJPGL products and sublicences such use and exploit all subsidiary rights, as set out in our licence.”

Ethics approval: NA.

In July 2011, Queenstown welcomed the course participants with a bitter winter storm: minus 14 degrees, a heavy snow fall, flight cancellations and road closures. This was the second big snow fall of the winter and we were thankful to arrive safely at the Lodge set high on the Pisa range to enjoy good food and great company. Course convener Dr Simon Dalton and the other staff (Dr Sean Hudson, Dr Dick Price and Mr Simon Murfin) welcomed participants to the course, and kicked things off with an introductory lecture on polar medicine and standard operating procedures.

After an early night everyone was ready to acquire the practical skills required for life in this cold environment. We started off with an introduction to snowmobiles – the mechanics, recovering stuck machines, riding and rescue techniques. After a while confidence and doughnuts, grew dramatically, until our arms were exhausted. Then we moved onto the care and use of dogs as a means of transport. Local enthusiasts introduced us to their packs and discussed general care and handling (not to mention some of the dog sledding journeys and races which they had competed in). We each took the dogs for a run by ourselves, gaining an appreciation for the affinity so many polar explorers, scientists and locals have for the enthusiastic Husky and Malamute.

In the evening we had an informative and inspiring talk on hypothermia, cold water immersion and frostbite – tales from the reaches of Everest’s summit to Scott Base and lonely polar research boats. The session covered recognition and management of these important conditions as well as their underlying pathophysiology and an overview of the limitations imposed by the wilderness environment. We then proceeded to hear much more about Dr Dick Price’s amazing life and career; from hair-raising mountain rescues to idyllic igloo building with his son.

Another beautiful dawn brought with it cross country skiing and an overview of the history and development of skiing as a sport and means of transport. Great practice for what was to come! Another half day was spent on navigation techniques in the often confusing white cold landscape. We also had introductions to the principles and practice of fire lighting and snow caving. Evening lectures covered altitude related illness and pre-expedition planning.

Wednesday brought preparation for our own fast approaching overnight expedition. We covered some practical scenarios, wilderness resuscitation, avalanche safety as well as transceivers and communications. The afternoon brought tutorials in stoves, shelter building and a briefing for our trip. We rounded off the day with a movie on Shackleton’s amazing Antarctic adventure and later that evening guest speaker Marcus Waters described some of his expeditions kayaking in the Antarctic Circle and skiing across the Greenland ice sheet – a real eye opener to the realities of Polar travel.

As the sun rose again and the skies changed from black to purple and pink to blue, we picked up our skis, fully prepared for an overnight expedition out into the wilderness. The morning was spent passing through iconic Pisa Range valleys, and quite a few spills and tumbles. We eventually made it to the selected spot for a late lunch and then shelter building. The afternoon was spent jumping, shoveling and carrying until quinsy’s, igloos and snow caves were fitted out with all our kit. After soup, pasta and chocolate for dinner, Dick set off some celebratory fireworks and a surprisingly comfortable, warm sleep was had.

Yet another fresh clear day followed, and after jumping on our snow cave (just as one delights in destroying a sand castle, except with notably more effort) we packed our bags and skied back to the lodge. At the lodge, there was a rush for the showers, but by lunch time everyone was enthusiastically chatting about their snow cave experience.

As we glumly packed our bags, and pulled out the expedition handbook for reading on the bus back to Queenstown, we reflected on the week. Certainly for most people the course taught much about survival in cold and remote areas. Another important aspect of the week was the camaraderie generated between participants. I’m sure the newly struck friendships will continue for many years to come.

Further information on Expedition & Wilderness Medicine UK’s CME approved courses for medical professionals may be found at: www.expeditionmedicine.co.uk

Dates for Polar Medicine Norway now available….

Expedition & Wilderness Medicine’s Polar Medical Skills course is set in Northern Norway near the town of Alta within the Arctic Circle. It runs over a 6-day period, at the height of the Arctic winter. It represents, we believe, one of the best presented and comprehensive winter medical skills courses in Europe and routinely receives outstanding feedback from its delegates.

To find out more about the Polar Medicine Course in Norway – click here

and if your are in the Southern Hemisphere our New Zealand based Polar Medicine course – click here.

Well done Ellen on getting published!! A great article on Polar Medicine Norway!

Medicine at minus 25 (one of the best medical courses I have attended.)

  1. Dr Ellen Welch

+ Author Affiliations

  1. GPST1, East Cumbria VTS

EXTRACT

Earlier this year, as the British winter was beginning to thaw, I ventured over to northern Norway, within the Arctic Circle, to spend the week learning about expedition medicine in an extreme environment. Expedition Medicine’s Polar medicine course aims to equip medics with the skills required to safely manage casualties in the wilderness. The course is led by experienced expedition medics alongside ex-Royal Marine instructors and is structured around learning winter survival skills in the field, followed by evening lectures once the polar daylight fades. Our group was made up of 23 doctors from a variety of countries, grades and specialities. Some had previous expedition experience, although this is not a prerequisite for the course. Anyone with a reasonable level of fitness and enthusiasm to participate would be encouraged to attend. For me, the opportunity to get out of the classroom and gain some expedition experience with some inspiring people makes it one of the best medical courses I have attended.

Read the full article here…

Sign up for our New Zealand Course

Pre Register for the 2013 Polar Medicine Norway Course

EXTREME MEDICINE CONFERENCE

*InnovAiT is the RCGP journal that promotes excellence in primary care through quality education. It was developed to support Associates in Training (AiTs) of the Royal College of General Practitioners from entry into specialist training to qualification. It is also a valuable resource for; GP trainers, trained GPs who wish to update and maintain their knowledge base, newly qualified (First5) GPs wanting to extend their knowledge, practice and community nurses, and foundation level doctors and medical students contemplating a career in primary care.

Polar Explorer and extreme sea kayaker Marcus Walters to speak on Polar Medicine New Zealand

The last few places for the new Polar Medicine course in New Zealand are available on a first-come first-serve basis. The course is based near Wanaka on New Zealand’s South Island deep within the stunningly beautiful Southern Alps.Polar Medicine Training course in New Zealand 9.5 CME

The course will feature a presentation by Marcus Walters, famous for sea kayaking around the coast of South Georgia, the Antarctic Peninsula and most recently for crossing Greenland on skis.

Polar Medicine Training Course | New ZealandSecure your place now

24 October 2011 to 08 November 2011

Marcus Waters| A biography;

Marcus comes from a family of adventurers: his father was a former deputy director at New Zealand´s Outward Bound school and his brother Sean named NZ 2006 ‘Mountaineer of the Year’. Whilst Marcus has climbed, paddled and skied all over the world it is as much the emotional draw of wild places that leads him to adventure as the physical pursuit.

As a founding member of the Adventure Philosophy team he has shaped the team´s philosophy and values enabling their successful ‘world first’ adventures beyond their initial 2001 kayak traverse of the Antarctic Peninsula. His leadership, strategic view and planning ability ensure Adventure Philosophy expeditions turn up to the right starting line with the right kit. He spent many years management consulting and now works as a Human Resource Manager with the Christchurch City Council.

He has a special talent for turning lessons learnt in the wild into life changing presentations and principles for individuals and motivational practices for businesses. His charitable work includes the Adventure Philosophy Gore-tex Good for Life youth scholarship and is Chairman of the Canterbury, Westland Te Araroa Trust (establishing a walking trail the lenght of NZ).

He balances the carbon footprint he creates through his adventures with the thousands of trees he and his partner and two children have planted on their bit of land outside Christchurch.

Wilderness Medicine CME accredited training courses.

Expedition Medicine sponsors the International Scott Centenary Expedition

Expedition and Wilderness is proud to sponsor the International Scott Centenary Expedition ISCE.  

The story of Captain Robert Falcon Scott RN (1868 -1912) is one of the greatest epic tales in human history. Through h 

Antarctic Medical Conference © Mark Hannaford

is life, which he dedicated to the scientific exploration of the Antarctic regions, and in his heroic death, he has inspired the lives of many. His work paved the way for the modern Antarctic as a continent for science and international co-operation.  

Scott’s British Antarctic Expedition (1910 -1913) was not, however, in the business of creating heroes. The main objective, as expressed by Scott in his prospectus, was “To reach the South Pole and to secure for the British Empire the honour of this achievement”. The expedition had further objectives in scientific research and geographical exploration and intended to make “…bagging the Pole merely an item in the results”. To achieve this, Scott took with him the most extensive team of scientists to visit Antarctica during the Heroic Age of Antarctic exploration.  

Their wide ranging achievements were overshadowed by what became the loss of the race to the South Pole to the Norwegian Roald Amundsen and the subsequent death of Captain Scott and the Polar Party. Nevertheless their efforts paved the way for the foundation of modern polar studies with the foundation of the Scott Polar Research Institute in Cambridge as a national memorial to Captain Scott and the Polar Party. This has ensured the continuation of their legacy of scientific exploration to this day.  

With 2012 marking the centenary of the deaths of Captain Scott and the Polar Party, there is no better time to remember the achievements of the expedition, to raise the public’s awareness of the role that the expedition members played towards advancing polar research and to commemorate those who gave their lives – Captain Scott RN, Dr Wilson, Lieutenant Bowers RIM, Captain Oates and Petty Officer Evans RN.  

  

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Some feedback just makes us smile!

Feedback on our recent Polar Medicine training course in Norway has clearly affected some of the course delegates by creating a need for ‘biggles-speak’…

PapaFoxtrot calling Red Leaders AlphaHotel, AlphaCharlie, DeltaBravo, Bravo and Delta

Congrats on recent Operation Polar Bear

Wizard week

No prangs

Best ever

Location stunning

Bunks and chow excellent 

Red Leaders all SPLENDID

Hope all returned to base safely

Please pass on to all members of Polar Bear as don’t have call signs

Do you read me ?

Over

New course announcement. Expedition Medicine is heading into the Southern Hemisphere!

New course announcement.   Expedition Medicine is heading into the Southern Hemisphere!  Join us on our inaugural New Zealand Polar Medicine course next July – based on the South Island near the winter sports mecca of Queenstown – spaces are strictly so register your interest now!

To join us in New Zealand click here to find out more about the course

National Geographic requests Expedition Medicine images

And we have been happy to supply – keep you eye for the series in Frostbite featuring images by Mark Hannaford director of Expedition Medicine.

Polar Medicine

Expedition Medicine Director Mark Hannaford in Antarctica