Archive for the ‘Pre-hospital Care’ Category

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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


Extreme Undergraduate Medicine Conference: 7/8 March, 2015

ExtremeUndergradA collaboration between King’s College London Wilderness Society, Emergency Medicine Society and St George’s Pre-Hospital Care Society, this fantastically extreme event is for all students with an interest in Pre-hospital or Wilderness Medicine.

Extreme Medicine Conference 2015
Date: Saturday 7th and Sunday 8th March
Venue: King’s College London, Guy’s Campus, SE1 9RT
Timings: 09:00 – 18:00
Audience: Any student with an interest in Pre-hospital or Wilderness Medicine
Cost: £40 including all refreshments, certificates and entry to the conference social
Ticket Sales:

KCL Wilderness Medicine Society, Emergency Medicine Society and St George’s Pre-hospital Care Society are delighted to announce that tickets are now available for the Second Annual Extreme Medicine Conference 2015. We are anticipating a multi-disciplinary audience with a range of skill sets and experiences. There is no such thing as too new or too experienced as our tailored program will ensure that every delegate gains from a wealth of knowledge and expertise​.

We have an amazing list of confirmed speakers including:

  • Dr Ben Singer – Pre-hospital ECMO
  • Lt Col Dr Guy Sanders – Trauma in Afghanistan and Haemorrhage Management
  • Dr Simon Jones – MSF and Expedition Medicine
  • Dr Jason Fitch – Dive Medicine
  • Sr Kay Mitchell​ – Extreme Physiology
  • Dr Andy Grieve – RAF – Assessing Patients in Extreme/Difficult Environments
  • Dr Russell Hearn – Wilderness Medicine in the US
  • Mr Michael Bradfield – King’s Sierra Leone Partnership

We are also awaiting confirmation from a couple of additional speakers.

We will also be hosting an interactive Careers Forum at the end of the conference delivered by some of the speakers.

There will be Clinical Skills Workshops on the Saturday afternoon and either Moulages or Masterclasses on the Sunday morning dependent on each delegate’s experience. We want to tailor make the Sunday morning to ensure that each delegate is able to maximise on the session. However any delegate can opt to attend the masterclasses if they would prefer. All teaching will be provided by ED/Anaesthetics Registrars and Senior Paramedics.

Masterclasses will include:

  • Primary Survey and Initial Management
  • Secondary Survey and Handovers
  • Scene Safety
  • Trauma Radiology – including a prize quiz

The Conference Social will be held at Guy’s Bar on Saturday evening and will be a great chance for everyone to get to know each other and network.

The link for the tickets is and non-KCL students will have to create a guest account which only takes a few minutes.

We look forward to welcoming as many of your students as can attend for what promises to be an excellent weekend of Pre-hospital and Wilderness Medicine.


Expedition & Wilderness Medicine


Doctor(s) / Nurse Practitioner required at Lifeline Clinic, Namibia

The N/a’an ku sê Foundation is looking for two doctors or a doctor and a nurse practitioner to run the Lifeline

Clinic 2Clinic based in Pos 3 in the remote Omaheke region of Namibia, from May 2015. This is a unique opportunity to provide primary and pre-hospital care to the San Bushman.  This is a voluntary position with food, accommodation and a living allowance provided and the Foundation would like applicants to stay for at least one year. The N/a’an ku sê Foundation is looking for two doctors or a doctor and a nurse practitioner to run the Lifeline Clinic based in Pos 3 in the remote Omaheke region of Namibia, from May 2015. This is a unique opportunity to provide primary and pre-hospital care to the San Bushman.  This is a voluntary position with food, accommodation and a living allowance provided.  The Foundation would like applicants to stay for at least one year.



The San are considered to be the oldest peoples in the world. For tens of thousands of years the San were hunter gatherers and did not farm or keep livestock. With the advent of agriculture, the San have been forced from their original lands and are unable live their traditional lifestyle.  As a consequence, most San people now live in extreme poverty. They are the poorest group in Namibia with a per capita income of just N$ 3,263 compared with a national average of N$ 10,358. They suffer from discrimination, political and social marginalisation, domination and exploitation. They are the unhealthiest group in Namibia and have a life expectancy of just 46 years.
The N/a’an ku sê Foundation is committed to improving the health and wellbeing of the San and is looking for two doctors or a doctor and a nurse practitioner to run the Lifeline Clinic based in Pos 3 in the Omaheke region of Namibia from May 2015 for one year or longer.
You will provide primary healthcare services and pre-hospital care to the local San population from a reasonably modern, clean and well-equipped clinic. You will also, through outreach clinics, provide care to those living further afield on farms and re-settlement villages. Working with you is a UK trained respiratory consultant who, as part of a research programme, is screening for TB among the San (we estimate 10% of the San people currently have TB) and will be looking at ways of improving their compliance with treatment.
The work is rewarding but the logistics of providing a quality service can be challenging at times – after all ‘this is Africa’. Experience in general medicine, primary care, or emergency medicine is desirable. Most importantly you need to be resilient, flexible, and tolerant.  Having a sense of humour definitely helps!
This role provides you with an opportunity to improve the lives of the San people and leave a legacy that remains long after you have returned home. If you would like to find out more about these posts, contact Sharon Smart by emailing “sharon at naankuse dot com” [email address spelled out to deter spamming]

Enjoy heights & panoramic views?

The International Porter Protection Group (IPPG) require a mountain loving doctor to volunteer at  the Machermo Rescue Post, Nepal for the Spring 2015 season (end Feb – start May).

You will be situated at Machermo at 4450 m and the satellite post in Gokyo Village, in the Gokyo Valley at 4800 m.  This provides an opportunity for a volunteer to practice mountain medicine in the heart of the Everest region of Nepal, in a stunning environment and


to be welcomed into the local Sherpa community.

IPPG pays a small contribution to accommodation while in Kathmandu; flight costs to and from Lukla and then accommodation during the walk in and out. All food and accommodation is provided for free while at Machermo/Gokyo.

IPPG will consider potential volunteers who could work either the whole, or half of the season.  For further details please contact Nick Mason at:

EWM Mountain Medicine course, Nepal
EWM Mountain Medicine course, Aconcagua

Expedition & Wilderness Medicine



Western Australia: Senior Medical Officer required

Find medical jobs in Australia, New Zealand, Singapore, Gulf Region, Canada and UK through Head Medical

Head Medical are looking for an experienced and adventurous UK trained generalist medical practitioner in rural Western Australia.  This is an incredible opportunity to use a wide scope of clinical skills and practice Indigenous Health.


Employers positively seek out members of the Expedition & Wilderness Medicine Community so please mention ‘EWM’ when enquiring...

Senior Medical Officer Rural Western Australia
£218,000 per annum + shift allowances car + accommodation

Located in rural Western Australia, this post may provide the adventure/challenge you are looking for. You will be working in the local indigenous community and making a true difference while also being exceptionally rewarded for your efforts.
The position requires a medical practitioner with extensive generalist experience, able to demonstrate emergency department and primary health care knowledge and skills. The post enables a wide scope of clinical practice in Indigenous health while working closely within a supportive team of friendly staff.
·         UK trainedHeadMedical1
·         MRCGP
·         Minimum 10 years GP experience
Western Australia is one of the most beautiful and diverse regions in the world, you will have the chance to explore the outback and the state is home to some the planets best diving and beaches.
If you would like to know more about the above post or have a chat regarding exploring your overseas employment options please don’t hesitate to contact Yan on +44 (0)131 240 5274 or via yan@headmedical.comLinks:
Wild Medicine – Conservation Conference, Namibia
Extreme Medicine Conference, London
Sir Ranulph Fiennes



EWM’s Wild Medicine Course Changed our Lives

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.


Other courses of interest:
Remote Medicine
Extreme Medicine Conference

This years Wild Medicine Course



With the next Plas y Brenin Expedition Medicine course fast approaching delegate Alex Turner gives his feedback on the last course…

Day one of the Plas y Brenin Expedition Medicine course

The first thing that hits you as you round the corner to Plas Y Brenin is the beauty of the location. The national mountain centre is nestled in a valley overlooking a lake and in the shadow of two mountains, the view is unbeatable. After a quick hello from the faculty we were led outside for ‘warm up’, a combination of getting to know our fellow course mates and a bit of exercise to get the blood pumping! Warm up complete, we were back in the lecture theatre for a  series of lectures on the planning, logistics and legalities of being an Expedition Medic. A huge amount of information was covered in each lecture, and what really shone through was the experience and passion of the lecturers. We were also introduced to Martin Rhodes, a bit of a legend in the expedition medicine world. (If you want some inspiration, and to see where a medical degree and a lot of dedication to expedition medicine could take you, Google his name!)

After a hearty lunch we were split into groups and went round a series of hands on sessions covering RTAs, fracture management, wound management and emergency dentistry. These were great. We were introduced to specialised expedition equipment as well as getting moving and thinking about how we would deal with different scenarios. I even had a go at pulling out a tooth from a model used to teach dentists! The technique lives up to its name, and I hope for all parties involved I never have to do it in real life, but you never know and at least now I have a vague idea about the principles of managing dental conditions, a topic that in 5 years of medical school was not even brushed on (Sorry couldn’t resist)!

That evening we had a semi biographical lecture from Chris Van Tulleken, of ‘Medicine men gone wild’ fame. He, like the rest of the faculty, seemed to have fitted an impossible amount into his career, including quite a bit of NGO work, and gave a very thought provoking insight into charity work and our conception of it . After that we had just enough time for a couple of beers before getting off to bed for an early start the next day.

Day 2 started in a similar vein; several jam packed lectures from experts in the field covering all sorts of expedition medicine topics. One lecture that stood out was the lecture that every student dreads to see on their time table ‘public health’! It was given by Joe, a GP with a wide range of expedition experience. The fact that he managed to make it funny, interesting, and relevant, while also wearing every available bit of safety equipment, goes to demonstrate his enthusiasm for the subject!

In the afternoon we had another series of small group practicals, giving us the opportunity to go out on the hill and practise a range of skills, from navigation to carrying a casualty. The session of rope skills taught by instructors on the mountain leader course was particularly useful. I’m an avid climber myself and was a little dubious about being lowered down a rock face without the use of a harness or belay! However once we got to grips with the techniques it was a real eye opener and great insight into what is possible with just a rope.

Then it was back to the centre for a good solid meal and a few well deserved beers.

Day 3 was almost all small groups and practicals. Among other things we learnt about water purification methods and management of hypothermia, frost bite and altitude sickness. One of the highlights of the day was the wilderness resus scenario, with Cas Union actors playing the casualties. These guys were amazing, very convincing, and our fellow seemed so into his method acting that he preferred not to come in for a coffee break after the scenario, but remained at his fallen spot until the next group rotated round! Another highlight had to be the Comms Station. Here we were split into 5 groups and had to relay massages back to one another about a RTA using walkie talkies. It is amazing how difficult it actually is to have efficient and effective conversation over the radio. Although we got the hang of it eventually, the years of watching radio speak on TV resulted in the majority of us giving into the temptation to finish with ‘Over and out’ (apparently this doesn’t make any sense)!

That evening Amy Hughes gave a lecture on her career so far. Amy is one of the key organisers of the Expedition Medicine course and what she has managed to achieve in a relatively short career is quite amazing. There was expedition medicine, NGO work, Flying doctors in Australia, and a year with HEMS, the air ambulance service. It was really inspiring stuff and left quite a buzz among everyone in the bar later that night.

On the last day we were able to put into practice everything we had learnt so far in a real life scenario. Groups were given coordinates of where to find casualties, and had to find them, manage their injures, organise a helicopter retrieval, and transport the casualty to the RV point. I was a casualty in this scenario, something which I have never done before, but it was a really interesting experience. Firstly you get the casualty perspective, which really gave me a sense of  the vulnerability and disorientation that people in that situation must feel, and secondly it was good in terms of the course because from my position I could sit back and analyse how the team functioned and preformed.

One of the best things about the course was the other delegates. There was a wide range of ages and grades, and specialities, but everyone had a buzz about them. Lots of them had done things a little differently and there were many good stories shared over the evening beers. There were two FY2 who had spent last year working in A&E in Australia; a GP who having finished his training had spent two years working in the Amazon, and another who had gone travelling in Oz, started working in Singapore to save up for the return journey, and ended up staying for 20 years; then there were two ex-army guys who had set up an endurance adventure travel company, which involved them rowing the Indian ocean and skiing across Greenland, to name but a few.

Overall the course was amazing, it provided a good grounding in all aspects of expedition medicine, as well as giving some insight into expedition media work, working for NGOs and working for the air ambulance service. Most importantly for me was the sense that, by the end of the course, everyone seemed to have a revived drive in them to pursue their own path. The experience of the faculty was awesome, and their approachability help make it a truly inspiring course.

Find out more – Expedition & Wilderness Medicine Courses






Look out for our Extreme Medicine adds starting this coming weekend in the BMJ and Pulse

Inaugural World Extreme Medicine Conference

Extreme Medicine Conference

Extreme Medicine Conference BMJ

“Taking Medicine to the Extremes”

April 15th-18th 2012, The Royal Society of Medicine, London

This spring, The Royal Society of Medicine will host the inaugural World Extreme Medicine Conference & EXPO from Sunday 15th – Wednesday 18th April, aimed at attracting a range of attendees from across the medical profession.

The last decade has seen the care of global casualties significantly improve.  Often, this has been driven forward by conflict and war, the rise in natural disasters and the capacity to respond quickly on an international scale.

As a result, there has been a growing interest and recognition of remote and expedition medicine and this has triggered the opportunity for an extreme medicine conference, the first of its kind in the world, accredited by the Wilderness Medical Society.

The four day event will host some of the very best speakers from around the world including Dr Gordon Giesbrecht,  Dr Kobi Peleg and Professor Mike Grocott, leading figures in remote extreme medicine fields including expedition and wilderness, pre-hospital, disaster and relief medicine.

Extreme Medicine Conference - Pulse

Extreme Medicine Conference - Pulse




Congratulations to the latest “Experience Intern” winner for the UK March 2012 Course in Keswick, Cumbria

“Taking Medical Students to Extremes”

Firstly thank you to all of you who applied to the March 2012 Expedition & Wilderness Medicine internship. We a huge amount of interest and all were strong candidates from a large number of UK and overseas universities with a fantastic mix of experiences and skills. It is hugely encouraging to see that so many medical students are developing their skills early and are well on their way to be the expedition medics of the future!

Now for the selected intern….

I am thrilled to announce that Marita Flotre has been selected by the EWM team to be the intern for Expedition & Wilderness Medicine’s UK Course in Keswick, Cumbria (5 March 2012 to 8 March 2012). Marita is a 3rd year medical student at the University of Bergen in Norway who caught the Expedition & Wilderness Medicine Team’s attention with a clear passion for the outdoors and medicine.

Marita will join the Expedition & Wilderness Medicine Team in Keswick as an ‘intern’ and be a member of the faculty over the 4 days having the opportunity to:

– attend the UK course as a faculty-assistant
– have the opportunity to attend all the lecture talks
– if not assisting faculty in a practical session, be able to observe other practical sessions
– be part of the faculty team in the final Search & Rescue exercise
– meet the lecturers and faculty behind the scenes and be one of the team

For those of you reading this and thinking you would like a go! We encourage you to submit your entries for the April 2012 Conference competition (the closing date for this is on Thursday February 2nd 2012) and May 2012 UK Course competition (closing date Monday 5th March 2012.

We look forward to sharing Marita’s thoughts on her intern experience with you after the course and I am sure you will all join us in congratulating her!

Nick Knight
University Liaison for Expedition & Wilderness Medicine


Of interest – Extreme Medicine Conference, London


Dr Roger Alcock feedback on Keswick SAR exercise

Dr Roger Alcock, lead medic on this Septembers Keswick based Expedition & Wilderness Medicine course talk about the high calibre of medics on the search & rescue scenerio run on the hills about the EWM training base

The aim of the Expedition & Wilderness Medicine Course is to provide aspiring and experienced expedition doctors, nurses, paramedics and advanced medics with the skills and practical knowledge to become valuable members of an expedition medical team.

The gold standard and highly acclaimed course based in Keswick and Plas y Brenin in Wales

Of interest