CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

 Dame Claire Bertschinger runs the Diploma of Tropical Nursing from the London School of Hygiene and Tropical Medicine. Before joining the London School of Hygiene and Tropical Medicine, Claire worked as a training officer in the Health Division of ICRC Geneva. She has worked in more war zones than most special forces medics. She has a tremendous amount of knowledge that will be valuable for the Remote Medic. The College has five faculty who have earned their DTN or are in the current DTN cohort. If you want to be a better Remote Medic, you must take this course. https://www.lshtm.ac.uk/aboutus/people/bertschinger.claire

Dr Gara is a cardiologist who has worked on ambulances and is head of our postgraduate programmes at the College. 

0000 head burns discussion 0230 AKI secondary from head burn 0500 alternative pain management options 0840 Wound Cleaning 1100 burn dressings 1900 Role of topiceuticals 2200 Feeding 2800 Palliation and range of motion 3030 Escharotomy/Fasciotomy 3300 Wound vacuum 3700 Final thoughts

Aebhric and Dr Winston de Mello discuss the assessment and management of the burned casualty in remote, austere and resource-limited environments. Using the CABC patient assessment algorithm, they discussed what the first responder could do for the casualty at each point in the assessment system.  This is part one of a two-part burns episode. Next week, we will discuss the prolonged field care aspects of burns. 

Sylwester Winiarski was a member of the Polish Airborne and Air Assault forces and a member of their emergency rescue team and recce platoon. He has worked as a civilian paramedic in Kandahar for the UN and has most recently been involved with training Ukrainians in PFC and Chemical weapons medical procedures. He is an author and advocate of promoting mental health awareness, where he works with others providing counselling services for PTSD.

Phil Keating is an offshore wind farm medic, former military medic and now our newest faculty member in the College. Aebhric talks with Phil about his experiences in Antarctica, teaching on the ICARE course and other topics in austere medicine. 

Dr Gara talks about pulmonary embolism. She is a cardiologist based in Budapest and leads CoROM's postgraduate faculty department. 

Martyna Abratkiewicz is a degree paramedic from Poland who has lived in Malta for almost ten years. She talks about prehospital healthcare in Malta and Europe. She also discusses her experience on the MSc Austere Critical Care programme that the College runs. 

Aebhric talks to four of his faculty who discuss their military service and how it has changed their lives. They also talk about service as a concept that is not owned by military service but also civilian service to their community. 

Tim Cranton talks about the need for preparation whilst discussing some tidbits from his own history of being a deployed medic.