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

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A few years ago, after doing some work as a remote care paramedic supporting extreme sports events, I decided it was time to take my interest in wilderness medicine further. So it was that I enrolled on the Expedition and Wilderness Medicine course. As anyone who has attended this course will know, I left with new skills, better knowledge of this speciality and a great deal of inspiration. An unexpected bonus of attending the course was the highly approachable and experienced faculty, of whom I took maximum advantage to glean all the information I could. A well-trodden path at the beginning of one’s expedition medicine career appeared to be working for Raleigh International. So, after an application form, a selection weekend and a pre-deployment training weekend I found myself on the plane to Borneo clutching my very shiny, very new copy of the Oxford Handbook of Expedition and Wilderness Medicine.

Working for Raleigh, purely from the medical perspective, was a varied and stimulating experience. Initially, in the pre-expedition phase, the focus was on preparation of equipment and staff. The medical team are responsible for evaluating the drugs and equipment, preparing the medical kits and training non-medical staff in first aid and health and hygiene. We also carried out site visits to review casualty evacuation plans and to assess the facilities of local hospitals and health clinics. Once the venturers arrived we ran training sessions with them emphasising preventative healthcare, such as hand washing and monitoring their fluid intake, but also empowered them to care for minor wounds and illness. The medics also carried out medical one-to-ones with each of the members of the expedition team to ensure vaccinations were current and a sufficient supply of personal medications had been packed as necessary.

Once the expedition began and we were deployed into the jungle, each smaller team of approximately ten people had one medic embedded in it. This role was very autonomous and how each medic ran their medical care was on an individual basis. Personally, I was very vocal on public health issues, the most contentious of which, particularly with some male members of the group, was ensuring regular bathing. I found this hands-on approach to be very effective when done tactfully and as a result I had to deal with very few preventable conditions. I also ran informal foot clinics each day, checking the teams’ feet during rest stops to check for maceration, blisters or leech bites. Another area that I was aggressive with was wound care, with even the smallest of scratches being immediately cleaned and treated with iodine.

However, it is not all plain sailing and with expedition medicine you have to be psychologically and clinically ready to deal with a serious condition in some very challenging environments. This was demonstrated one day when, five hours into a seven hour jungle trek, and several hours from the nearest road, I turned around to see one of my group plunge head first down a five foot drop and then tumble a further twenty feet down a landslide path. After assessment she was found to be miraculously relatively uninjured with conditions eminently treatable in the field. However, your clinical assessment and decision making skills are certainly tested during these times, particularly when the welfare of the rest of the team needs to be considered. If someone requires evacuation it may mean a stretcher carry for several hours, potentially risking injury to other members of the already tired team.

Other questions could be raised which, as the medic, people look to you to answer. Should we make camp now and evacuate in the morning? What kit should you take with you on the evacuation? Is there a water source on the evacuation route where we can purify drinking water? Would it be quicker to go to the road or the helicopter landing site? To feel more prepared to answer these questions and for a role as an expedition medic, the Expedition and Wilderness Medicine course is a sensible starting point. Whilst you cannot expect to leave as an expert on all the subjects, the benefit of having some knowledge and experience on the topics covered, prior to having to implement them in the field, cannot be underestimated. I found many of the lectures and skills stations to be pertinent to my role, from radio protocols to water purification, tropical medicine to group dynamics. The course content is very well thought out and is delivered by experts who have been there and done it. To take your interest in expedition medicine further, the combination of attending the course and obtaining a role on a large, well established expedition such as Raleigh, seems to offer an ideal combination.

Raleigh, and other organisations like them, provide an excellent starting point for expedition medics for several reasons. They employ doctors, nurses and paramedics and have expeditions leaving three times a year to three different locations, so there are plenty of opportunities to gain a position with them. The benefit of working for a large and well established organisation is that often the infrastructure of the trip is already in place. Rather than establishing everything from scratch, the medic can review and adapt current policies and procedures, which provides a fantastic opportunity to use new expedition knowledge but in a less stressful setting. A large expedition may also offer the support of a “Fieldbase Medic” who is located at the expedition’s headquarters and can offer advice over the radio or satellite phone. This provides reassurance for the medic in the remote site but also gives the HQ based medic an opportunity to develop their telemedicine skills. Raleigh is also non-discriminatory when it comes to allocation of roles. Whether a doctor, nurse or paramedic, each is a Medic and has the same capabilities as one another. As part of this ethos, the expedition medical team adapts a pre-existing prescribing protocol which covers all the medicines in the medical kits. All members of the team agree on and sign this protocol, allowing all grades of the medical team to prescribe the named medications within the scope of the procedures. This provides an excellent learning opportunity for nurses and paramedics who may not have been exposed to these drugs previously.

Away from the medicine, there are many other positives to working on an expedition. I had the chance to live and work in primary protected rainforest in which researchers wait years to gain a permit to enter. I had numerous wildlife encounters including orang-utans, monkeys, snakes and rare birdlife. I saw more stars than I knew existed and saw waterfalls that few have laid eyes on. During the community projects there was the chance to interact with welcoming locals from remote villages, teaching in their kindergartens, learning their culture, playing football with the young boys and one group even attended a wedding. Depending on whom you work for, the emphasis of the expedition may vary. Raleigh is a youth development charity and to see the young people changing throughout the expedition was massively rewarding.

On a personal level we left with a multitude of new skills both through formal training and experiential learning. This included practical tasks such as fire lighting, building a basha and numerous general skills required to live successfully in the jungle. Interpersonal skills like conflict resolution, facilitating discussions and providing structured feedback were learned through classroom time and implementation with the venturers. It’s not all serious though and you will leave an expedition with many amusing stories, such as the night I leapt out of my hammock, wearing only my pants, to chase a bearded pig into the jungle who was running off with a box of our food in his mouth!

Working on an expedition is a multi-dimensional experience with many benefits and to try and report everything here would not do it justice. I cannot recommend working on an expedition highly enough as the time I had was fascinating, scary, breath-taking, funny, beautiful and individual. However, don’t rock up on expedition with your chest puffed out and head held high because you’re the medic. The most important factor to remember is that you are part of the expedition team first and a medic second; so don’t be surprised to be digging long drops and burning used toilet paper or washing up that night or sleeping in the worst hammock spot because you allowed the rest of the team to choose their sites first. It’s all just part of the fun.

As Raleigh would say – “Get out there”

• To find out more about expedition medic vacencies at Raleigh International visit thier website here…  http://www.raleighinternational.org/
• Wilderness medicine training oppurtunities … EWM course list
• Expediton & Wilderness Medicine Handbook

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	For those of you who missed the inaugural Extreme Medicine Conference… ‘Thanks for a FABULOUS course.   Truly awesome.   I thoroughly enjoyed it.   What a tremendous collection of people – both in the audience and upon the rostrum.’ ‘I attended the extreme medicine conference this week and just wanted to say that it was absolutely amazing. I’d say that well over half of the talks caused shivers to run down my spine with anticipation and inspiration to pursue work in this field.’ ‘Thank you so much for such an incredible conference last week. It was perhaps almost too inspiring! A great networking opportunity and thoroughly enjoyable.’ With speakers such as Mike Grocott, Gordon Giesbrecht, Kevin Fong to name but a few it was hard to go wrong but the sense of energy and purposed that filled the RSM was inspirational and building bridges between the various disciplines and areas of expertise created a clear sense of synergy. We will be uploading videos of each of the lectures to a ‘members only’ area as soon as these are available for streaming. and you will be able to stream individual lectures and gain CME points – we will let you know as soon as this is all online. We will be running our next Extreme Medicine Expo in Boston USA in the Autumn of 2013. If you’d like to know more about it please let Catherine know. Her email address is admin@expeditionmedicine.co.uk

	Desert Medicine and the Wild Course.   Book both these highly rated and CME accredited courses to receive a great discounted price Wild Medicine in the beautiful country of Namibia We are partnering with Dr Rudie van Vuuren and his team to bring you a very exciting opportunity to be in close proximity to the beautiful local wildlife at the sanctuary. We will be based at the stunning N/a’an ku sê Lodge so don’t expect that you’ll be roughing it too much. The main objective of the course is to educate you 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.   There is the opportunity as an optional extra to join Dr van Vuuren aerial tracking over Namibia amazing Namib Desert. Combine this with Desert Medicine to receive 10% off.   Contact Catherine if you are interested Our Desert Wilderness Medicine 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. Our training area is a stunning region close to the Doros Crater,  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.

	Jubilant Mountain Medicine course returns from Everest Base Camp Another highly successful course has just returned from Nepal after being lead up to Everest Base Camp by Dr’s Luanne Freer, Martin Rhodes and John Apps and featuring a visit from Paul Auerbach. The next course runs in late October and spaces are filling fast – click here to secure your place

	How would you like to discover the excitement of Arctic Norway? BSES requires an xperienced medic needed for Northern Norway adventure July-August 2012.For further details of this and other great expeditions run by this well-respected youth development organisation please see www.bses.org.uk. Application forms online…

International World Extreme Medicine Conference & EXPO 2013 – BOSTON USA Autumn in Boston; world class speakers, great networking & 31.75 CME & FAWN credits – DETAILS AVAILABLE SEPTEMBER 2012. Find out more >>

	CLICK TO VIEW THE EXPEDITION & WILDERNESS MEDICINE COURSES Quote ‘Expedition Medicine’ to receive very special RSM membership discounts.
	Expedition Diving Mountain Trauma Jungle Wild Desert Polar Antarctic

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EWM announced the winners of the EWM Remote Medicine Awards at their Extreme Medicine Conference at the Royal Society of Medicine on 17^th April. The intention of the Remote Medicine Awards awards is to keep all everyone in the industry motivated, and they are dedicated to everyone involved in extreme medicine no matter how great or small their involvement, they recognize the achievements of some of the most inspiring personalities and companies that are associated, in one form or another, in the growth of the Remote Medicine industry.

EWM Remote Medicine Person of the Year 2012
 was awarded to Denise Prior of Porter’s Progress UK

Denise is a founder member of Porters’ Progress and House Manager at the Royal Geographical Society. Since 2001 Denise has developed a an interest in climbing and mountains which led to her joining the Medex Expedition in 2003 where she was deeply impressed by the courage, endurance, dignity and hospitality of the mountain porters. Denise was also responsible for ensuring their welfare throughout the trek and became aware of the precarious and inherently dangerous nature of their lives

 EWM Remote Medicine Company of the Year 2012
was awarded to Porter’s Progress UK

It was awarded for their work facilitating the safe treatment, education and empowerment of mountain porters and their communities through appropriate programmes, with priority given to creating change within the trekking industry.

“The awards are a great honour, they have not only raised the profile of Porter’s Progress but the publicity has bought us new assets” Denise Prior – Porter’s Progress UK.

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For the medical students (making up a 1/5^th of all delegates) attending the conference it was an ideal opportunity to learn from world class speakers, network with delegates ranging from Foundation Year 1 doctors looking for their first expedition opportunity to seasoned Consultants with 25 years of expedition experience, and of course, to take part in the student poster presentation.

Of course for any conference to run smoothly you need good student helpers! After having over 50 offers from medical students willing to volunteer their time to help at the World Extreme Medicine conference, we decided that a random ballot would be the fairest way to find the 5 helpers we needed. So, joining the Expedition & Wilderness Medicine team for the 4 days were Samira Green (Barts and the London, RSM student president-elect who had been pre-selected to lead the student conference team), Charlotte Loumann-Krogh (Denmark University), Charl Jackson (UCL), Tom Geliot (Leicester University), and Dave Bentley (Brighten and Middlesex University). The student team were instrumental in the day to day smooth running of the conference and we really enjoyed having them join us for the 4 days! I think the cocktail evening with the speakers was the highlight for them!

The student poster presentation section of the International World Extreme Medicine Conference was designed as a way for students to get involved with the conference (especially if attendance was cost prohibitive). Having had the poster session set up behind the stunning glass Atrium of the RSM we welcomed a total of 21 students (or student teams) from Universities around the country – and abroad. They all presented outstanding poster presentations. Poster topics ranged from acute mountain sickness on Mount Kilimanjaro, to traumatic leg injury following a plane crash. There could only be one winning poster-entry however. Dr Amy Hughes, Dr Sean Hudson and Dr Roger Alcock (with a wealth of pre-hospital, emergency and expedition medicine between them) spoke with the poster presenters individually before announcing their decision at the start of the afternoon lecture session on Sunday 15^th. It was clear that the decision was not easy – as they took a very long time deliberating!

Ultimately however, Magdalena Tarchala and Margaret Pietrowski’s poster entry entitled “Acute Appendicitis in Remote Antarctic Environment” was agreed unanimously by the judges as the winner based on its novel and original research. The abstract to the poster reads:

“Acute appendicitis is a medical emergency. Traditional first line treatment is appendectomy; inoperable situations require alternative treatment. A 30 year-old male researcher at an Antarctic camp experienced lower right quadrant pain. Appendicitis was suspected. Weather conditions made transport impossible. Conservative antibiotic therapy was initiated.Patient developed localized peritonitis and rebound tenderness. Surgery was necessary. In uncomplicated cases, conservative antibiotic treatment is used.Appendicitis incidence rate in Polar Regions are high due to stress and cold climate resulting in immunosuppression.In these environments, first line medical treatment advocates conservative therapy, and postpones surgery until deemed a life saving measure.”

Magdalena and Margaret receiving their books by Dr Sean Hudson and Dr Roger Alcock

Magdalena and Margaret, both students at the International Jagiellonian University Medical College, Poland (and both co-founders of Medical Students Without Borders) were awarded £150 gift voucher to Montane® to share, and an Expedition and Wilderness Medicine Handbook, t-shirt and winners certificate each. All participants of the student poster presentation also received an Expedition and Wilderness Medicine Handbook and certificate of participation at the conference.

The feedback from the delegates attending the conference was one of being very impressed with the standard of student poster presentations, professionalism and enthusiasm. Even during the coffee and lunch breaks the students were kept busy with probing questions from delegates! This is no bad thing – after all, like all delegates attending the conference, we hoped that the students, either just participating in the poster presentation or attending the lecture series, had the opportunity to be inspired and to network. You never know when ‘that expedition opportunity’ may just land in your lap.

Expedition, pre-hospital and humanitarian medicine is a surprisingly small world and to have so many inspirational and learned people under one roof could not fail to inspire those near the end of their medicine careers or, perhaps more importantly those medical students just starting out…

There are clear ways to make the student involvement at the next International World Extreme Medicine Conference bigger and better and I am already working on these – so watch this space! Furthermore, what was encouraging to hear from the students attending was that there are opportunities to get university funding to attend conferences like this – and indeed many students were there by those means. It is by no means a perfect system and not universal to all universities but do explore these options.

Finally, I would like to end by saying a huge resounding thank you to all the medical students that came to the World Extreme Medicine Conference – from those just dipping their toe into the expedition medicine world for the first time, to the huge and impressive party of 10 international students from Poland, to the seasoned students with more experience than the doctors! I thoroughly enjoyed meeting you all, hearing your thoughts and suggestions, and for me – knowing there are people out there with similar dreams and aspirations to my own.

I very much look forward to meeting you all again whether that be at the next conference, course hospital, or in the field….

With best wishes,

Nick

—-

Dr Nick Knight

University Liaison for Expedition & Wilderness Medicine

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	Life after the Extreme Medicine Conference… Well what a four days we had!!! Thank you so much for attending our first conference/expo if it was for any or all of the days. We had some of the best speakers in the world on their chosen subject and we hope you got as much out of the lectures as we hoped you would.Thank you for filling in the feedback forms. We will announce the winner of the £100 voucher off any course when we have had a chance to go through them all. You will be receiving your certificate of attendance via email in the next few days or so if you havent already received them. If you would like CME points please email Catherine within the next 30 days with your name, email address and qualifications (BmBs, BMedSci, DTM&H, MCEM, EMDM) and she will take care of the rest. The certificate will come directly from the WMS and may take four weeks to process. You need to be a doctor to collect these points. As you heard at the conference we will be uploading videos of each of the lectures and will email you a link to our members only area as soon as these are available for streaming. Again, this will take a little time to do as we have over 40 hours of video to process. We will be running our next Extreme Medicine Expo in Boston USA in the Autumn of 2013. If you’d like to know more about it please let Catherine know. Her email address is admin@expeditionmedicine.co.uk As we said at the time if you’d like to join us on any of our 2012 courses we’ll honour the expo discount of 15%. This offer is only open until the 13th of May so if you’d like to take us up on the offer please let us know ASAP. If you need anything at all or have any further comments, please let us know!!

	Take advantage of special RSM rates Become of member of one of the world’s oldest medical societies and take advantage of its academic, dining and accommodation faculties in the centre of London – Quote ‘Expedition Medicine’ to get preferential rates…

International World Extreme Medicine Conference & EXPO 2013 – BOSTON USAAutumn in Boston; world class speakers, great networking & 31.75 CME & FAWN credits – DETAILS AVAILABLE SEPTEMBER 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

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https://play.google.com/store/apps/details?id=ewm.dbgp.com&feature=search_result#?t=W251bGwsMSwyLDEsImV3bS5kYmdwLmNvbSJd

For those of you who missed to iPhone app please use this link

http://itunes.apple.com/app/world-extreme-medicine-expo/id512996660?ls=1&mt=8

Extreme Medicine Conference, London

iPhone Screenshots

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	Expedition & Wilderness Medicine Upcoming Courses & Remote Medicine Jobs:  OFCOM law changes, the Wellcome Trust wades in, EWM – the Movie and Conference & Course news
	UK law changes on use of Personal Location Beacons (PLB’s) Following a change in legislation, outdoor enthusiasts and anyone working or enjoying hobbies in remote locations can now use Personal Location Beacon (PLB) on land in the UK.The change in legislation, which was passed on 12th January by OFCOM, the regulatory authority for the broadcasting and telecommunications industries in the United Kingdom, heralds huge progress for the safety of those whose work or hobbies take them into remote areas around the country. To tell our story at the upcoming Extreme Medicine Conference ‘EWM the Movie’ hits the box offices… We have written the handbook and now we have made the film. Find out more about EWM, its inspirational CME & FAWM accredited medical training courses teaching remote medicine skills for the world’s most remote corners… Watch the EWM Movie on our Facebook Page… Watch on YouTube… Expedition Medicine in Wales and Trauma Medicine in London The next CME accredited Expedition Medicine course is to be held at the National Mountain Centre in Wales and the spaces are filling fast.  Join us to hear… Dr Saleyha Ahsan talking about her time providing medical treatment during the recent Libyan Conflict Dr Sean Hudson talking about working as ski field medics on New Zealand’s South Island and working at Union Glacier in Antarctica. Dr Amy Hughes talking on her intensive six month stint with MSF in Sri Lanka Dr Martin Rhodes about his time as medical officer in Antarctica Dr Rob Conway, founder of the award winning marine conservation charity Blue Ventures.21 May 2012 to 24 May 2012.   Book your place here. New Pre-hospital trauma & medical emergency 2 day course A Pre-Hospital Trauma and Medical Emergency 2 day course for medical practitioners who may not have regular exposure to witnessing and managing acute medical emergencies and/or trauma injuries and who are interested in improving and refining their skill base for expeditions, remote practice, humanitarian relief mission or everyday practice. 28th – 29th of April North London.  Book your place here. Extreme Medicine iphone app released To support the Extreme Medicine Conference at the Royal Society of Medicine in London EWM is happy to announce the launch of its supporting iphone app Download your copy from Apple here … The Wellcome Trust backs campaign to break stranglehold of academic journals The Wellcome Trust backs campaign to break stranglehold of academic journals and allow all research papers to be shared free onlineNearly 9,000 researchers have already signed up to a boycott of journals that restrict free sharing as part of a campaign dubbed the “academic spring” by supporters due to its potential for revolutionising the spread of knowledge. http://www.guardian.co.uk/science/2012/apr/09/wellcome-trust-academic-spring
	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
	www.expeditionmedicine.co.uk © Expedition & Wilderness Medicine 2011 admin@expeditionmedicine.co.uk Tel: +44 (0) 1476 879 013

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Andrew will spend 4 days working alongside the Expedition & Wilderness Medicine Team helping set up practical exercises and logistics, and when not helping out will be able to watch the excellent lectures that will be held over the 4 day course.

Well done Andrew!

- Dr Nick Knight, University Liaison for Expedition & Wilderness Medicine

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Expedition & Wilderness Medicine and their inspirational CME and FAWM accredited medical training courses ‘taking medicine to the edge’

Share this video via our Facebook Group to be entered into a draw to win the Expedition & Wilderness Handbook

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