Jungle Medicine Course Videos – Costa Rica

We have been really lucky to have been sent some great videos of the Jungle Medicine Course in Costa Rica hosted by Expedition and Wilderness Medicine.

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The BBC and Expedition and Wilderness Medicine

Helen Skelton completes the Namibia ultra marathon

Helen Skelton completes the Namibia ultra marathon

Expedition and Wilderness Medicine have once again been called upon to help BBC’s Blue Peter program. After Helen Skelton, one of the loveliest presenters we have ever had the pleasure of working with, completed Across the Divide’s  Namibia Ultra Marathon, considered by many to be the hardest desert marathon in the world and for which EWM medics provided support, she is now heading off down the Amazon and Expedition and Wilderness Medicine and Across the Divide and  were called upon to provide medical support.

Expedition and Wilderness Medicine who provide remote medical support for film crews and media companies have been busy preparing Helen for the rigours of her next adventure and expedition doctors Dr Sean Hudson and Lucy Dickinson have been busy in the BBC centre running scenarios and doing on site training.    Dr Dickinson has the pleasure of accompanying the Blue Peter expedition but rumours have it is she is more excited about the prospect of gaining an elusive Blue Peter badge than exploring one of the world’s greatest natural wonders!!

In true BBC fashion it was all filmed for prosperity and will appear on next weeks Blue Peters shows on Tuesday 19th of January and Wednesday the 20th.

Dr Andy McClea and his YouTube view of the Expedition and Wilderness Medicine Course in Keswick

Expedition and Wilderness Medicine Course in Keswick

Wilderness Medicine courses

New Diving and Marine Medicine location – Maldives, Indian Ocean.

Diving Medicine Training Course in the Maldives

Diving Medicine Training Course in the Maldives

Diving and Marine Medicine Training Course – Indian Ocean

3 – 9 OCTOBER 2010 ABOARD THE LIVEABOARD MV ARI QUEEN, THE MALDIVES

Expedition and Wilderness Medicine are very excited at being able to offer an inspirational course for all those medical professionals responsible for clients or expedition team members in a diving or marine environment.

This is a 6 day course, aiming to give participants an understanding of conditions likely to occur whilst working as a doctor on a diving expedition. Topics covered will include pre-expedition medicals, diving-related illness, marine envenomation, emergency treatments and casevac plans. Practical sessions include boat handling, search & rescue and underwater communications. There will be at least 2 dives a day, including a night dive and hopefully a visit to the hyperbaric chamber on Kuramathi Island – the largest facility in the Maldives. At the end of the week, participants should feel confident to act as medical officer on a diving expedition, or in any UK diving medical practice. Read the ‘What to Expect’ section below to get more of an idea of what the course entails.

MINIMUM COURSE REQUIREMENTS
All participants are expected to at least have a PADI Open Water qualification (or equivalent) with a minimum of 10 dives. Ideally participants should have PADI Advance Open Water qualification (or equivalent) as we will be doing some current diving. Conditions are dependent on dive sites, currents and times of year. If your qualification is not recent we recommend you complete at least 2 or 3 refresher dives before the course so that you get the most out of the fantastic diving the Maldives offers.
If the group is mixed, the dives will be split into 2 groups, so that each group is diving to its own ability.
PARTICIPANTS MUST BRING WITH THEM THEIR DIVE QUALIFICATION CERTIFICATES AND LOG BOOKS AS PROOF OF DIVING QUALIFICATIONS.

The Diving And Marine Medicine Course is accredited for FAWM points but we are waiting for confirmation of these as the Diving medicine course has moved to a new location.

CME accredited wilderness medical training courses.

Free Medical Training for Media Production Companies working in Remote Locations

Medical Training for Media Expedition Media TrainingProduction Companies

December 3rd 2009
09.00 – 13.00

Royal Geographical Society, London

This is a free training seminar, limited to 25 places, for people involved in filming or media projects abroad in locations where medical cover is not close at hand. It will highlight the biggest risks and you will learn how to administer immediate care and the importance of including the medical provision in your planning.

Anyone who is part of a media crew or production company working on location abroad in remote environments or who is filming and photographing adventurous activities.

Interested?   Then contact Piers Carter on  Piers@expeditionmedicine.co.uk  or  07801 104604

Expedition and Wilderness Medical Training

Cervical collar or SAM splint in a pre-hospital wilderness environment – Dr Sean Hudson reviews

For some time there has been a debate about the value of cervical collars in the pre-hospital wilderness environment. A recent article has lent weight to the ‘don’t take collars on expedition’ protagonists.

The recent journal of Wilderness and Environmental Medicine: Vol. 20, No. 2, pp. 166–168 compares a molded SAM splint as a collar with the traditional philadelphia collar.

The SAM splint was simply wrapped and molded around the C spine. and degrees of movement of the C spine were tested in all planes.

They found no significant difference in the ability of the 2 collars at limiting movement of the cervical spine. Podolsky and colleagues, in a prior study, found that the Philadelphia collar is as effective as numerous other collars available for cervical spine immobilization.

None of these devices has the broad range of uses that can be performed by a SAM splint (in addition to limiting movement of the cervical spine) The ability to carry one universal device for so many different medical conditions is one of the advantages of the SAM splint. This study helps to validate the practice of using a SAM splint as a universal splint for environments with limited medical supplies.

For more information on Expedition and Wilderness Medicine visit www.expeditionmedicine.co.uk.

Wilderness Medicine resources and training courses.

Dr Sean Hudson reviews a journal article on exercise-associated hyponatraemia

 Trawling through the medical journals, as I do!

I found an interesting article and consensus on the pathophysiology and treatment of hyponatraemia. Exercise-Associated Hyponatremia: Overzealous Fluid Consumption, Wilderness and Environmental Medicine: Vol. 20, No. 2, pp. 139–143.

The medical profession is certainly engaging with this increasingly prevalent condition. This particular article approaches the condition from a wilderness perspective and hence is more appropriate for expedition medical professionals. In essence Exercise-associated hyponatremia is hyponatremia occurring during or up to 24 hours after prolonged exertion. In its more severe form, it manifests as cerebral and pulmonary edema. There have now been multiple reports of its occurring in a wilderness setting.

It can now be considered the most important medical problem of endurance exercise. The Second International Exercise-Associated Hyponatremia Consensus Conference gives an up-to-date account of the nature and management of this disease. This article reviews key information from this conference and its statement. There is clear evidence that the primary cause of exercise-associated hyponatremia is fluid consumption in excess of that required to replace insensible losses.

This is usually further complicated by the presence of inappropriate arginine vasopressin secretion, which decreases the ability to renally excrete the excess fluid consumed. Women, those of low body weight, and those taking nonsteroidal anti-inflammatory drugs are particularly at risk. When able to be biochemically diagnosed, severe exercise-associated hyponatremia is treated with hypertonic saline.

In a wilderness setting, the key preventative intervention is moderate fluid consumption based on perceived need (“ad libitum”) and not on a rigid rule.

Expedition and Wilderness Medical Training Courses for Medical Professionals