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

This week, Aebhric O'Kelly talks with Jason Jarvis about the operational importance of helminths. Takeaways Tropical medicine focuses on helping people in tropical areas with high rates of parasitic worms and tropical diseases. Parasitic worms are classified into species, including Annelida, Nematodes, and Platyhelminths. Worm infestations are more common in developing countries and rural areas. Diagnosing and treating worm infestations are crucial, especially in remote and austere environments. Various worms, such as pinworms, filariasis, schistosomiasis, and tapeworms, can cause significant health problems. Prevention measures, such as avoiding contaminated food and water, are essential in reducing the risk of worm infestations. Ask patients about their travel history and potential exposure to parasitic worms Different species of trematodes have other risk factors and manifestations Diseases and non-battle injuries (DNBI) can have a significant impact in military settings Climate change is contributing to the spread of tropical diseases in new areas   Chapters 00:00 Introduction and Background 02:24 Classification of Parasitic Worms 07:53 Prevalence of Worm Infections 24:39 Prevention and Conclusion 34:50 The Importance of Travel History 37:23 The Role of Recent Travel in Diagnosis 45:57 Diseases and Non-Battle Injuries (DNBI) in Military Settings 49:38 Climate Change and the Spread of Tropical Diseases   Sound Bites "I enjoy having a microscope and little friends to look at." "Approximately four billion people in the world are infected with one type of helminth or another." "Many of these roundworms and helminths cause problems we'll see as medics." "We've got five species of trematodes, five different species of schistosomes that are clinically important to us in human medicine." "When doing a clinical workup, it's important that we ask our patients where they have been?" "The sample is great and universal, but that R is vastly important for recent travel."

This week, Aebhric talks with Dr Sam Slishman, who is a medical doctor and inventor of the Slishman traction splint and other medical kit. https://slishmanpressurewrap.com/

This week, Aebhric O'Kelly talks with Dr Giulio Novarese, an operational medic for many different tactical organisations. They discuss lessons learned in operational medicine over the decades and discuss teaching for Dr John Hagmann and Deployment Medicine International.

This week, Aebhric talks with Cole Shaver and Greydon Ratushny, who are Critical Care Paramedics working in British Columbia, Canada. They discuss their experience in the MSc Austere Critical Care programme and what it is like to work as a paramedic in Canada.

Krissie Stiles, a nurse specializing in burn injuries, shares her unique journey and insights into managing burns in austere environments. She discusses the emotional challenges healthcare professionals face while supporting burn survivors, stressing the importance of compassionate care. The episode delves into burn treatment techniques, highlighting innovative methods like using cling film for wound care and exploring aggressive cooling strategies. Krissie emphasizes the crucial decisions remote medics must make, underscoring their long-term impact on patient quality of life.

Aebhric OKelly talks with Burjor Langdana about Wilderness and Expedition Dentistry. wildernessdentistry.com

Aebhric talks with Kate, who is a Polish paramedic working on the front lines of Ukraine. How to donate to Kate's non-profit: https://zrzutka.pl/w7dfhk Kate's social media: https://www.facebook.com/awangardamedycy https://www.instagram.com/awangardamedycy

Aebhric talks with CJ Malcolm, who runs the EMS in Gunnison, Colorado. CJ has introduced blood and blood products to his department. He has also pushed for ultrasound and prolonged field care training. The Gunnison paramedics are practising in extreme austere environments.

Aebhric talks with Alfredo Leal, who is a critical care flight paramedic working in Saudi Arabia and who will be defending his master's thesis for the Austere Critical Care programme.

Aebhric O'Kelly talks with Dr. Jørgen Melau from Norway, who has published research on cold weather medicine. They discuss the difficulties of operating in cold environments and the options available to keep a casualty warm.