CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. 171-MSc Thesis Austere Nerve Blocks
Nov 28, 2025
Greydon Ratushny, a critical care paramedic and recent MSc graduate, dives into his thesis on austere nerve blocks. He discusses the unique challenges in rural healthcare, emphasizing the importance of effective pain management in enhancing patient outcomes. Greydon shares insights from his international experiences and the critical role of paramedics in these settings. He advocates for tailored healthcare solutions and highlights the impact of innovative practices like point-of-care ultrasound on nerve block safety. A conversation filled with passion for improving rural healthcare!
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Six Weeks In Kobocho Cemented Learning
- Greydon spent six weeks in Kobocho working with Dr. Mangana and Dr. Marco and applied classroom learning in a remote emergency ward.
- He wrote parts of his thesis while practicing nerve blocks there, describing long nights in the blockhouse.
Use Alumni To Boost Practical Learning
- Leverage past cohorts and alumni to share lived experience and practical solutions during study.
- Greydon recommends structured collaboration between cohorts to enhance future students' preparedness.
Context Dictates Austere ICU Design
- Planning, environment, and transport determine what an austere ICU needs and what care is feasible.
- Greydon lists factors like role level, distance to definitive care, and mode of extraction as critical planning variables.