World Extreme Medicine Podcast

In this fascinating episode, we are joined by Jen Pond, a Doctor who has practiced medicine in some of the most remote and challenging environments on all seven continents.

From providing primary care in the Indian Himalayas and managing anthrax outbreaks in rural Zambia, to supporting climbers at Everest Base Camp and treating severe frostbite in Antarctica, Jen has built an incredible breadth of experience in expedition and wilderness medicine.

Currently, Jen works in Nunavut, Canada, delivering healthcare to the indigenous Inuit population in resource-limited settings, often as the sole doctor for hundreds of miles.

She shares captivating stories and hard-earned wisdom from her diverse career journey. Jen discusses the challenges and rewards of practicing medicine in different cultures, the importance of being adaptable and finding support networks, and the privilege of a profession that allows one to connect with people in meaningful ways worldwide.

Her inspiring reflections will resonate with anyone curious about the joys and difficulties of providing care in remote, underserved areas.

Tune in for a compelling exploration of the art and science of medicine at the edges of the map, and hear Jen's advice for those aspiring to unconventional and fulfilling careers:

"Take opportunities...We're so lucky, we have this profession that's transferable into every place with every person with every culture...Take advantage of it. Learn from it."

You can contact Jen directly at jpfernie@gmail.com

Join us as we explore the groundbreaking work of the Norwegian Air Ambulance (NOLAS), one of the world's most advanced HEMS services, with special guest Marius Rehn, a luminary in pre-hospital critical care.

Marius, a consultant anaesthesiologist, senior researcher, and professor, brings unparalleled insights into NOLAS's unique service model, which employs flight crews of nurses and doctors to deliver life-saving care across Norway.

We'll delve into NOLAS's three key domains of service improvement—research, skill training, and innovation—and discover how they synergistically elevate patient outcomes. From cutting-edge studies on stroke care and cardiac arrest to the development of safe flight routes and a dedicated research helicopter, NOLAS's commitment to pushing boundaries in emergency medicine is truly inspiring.

Marius will also share invaluable lessons for aspiring professionals seeking to emulate NOLAS's ethos of excellence in pre-hospital care.

Buckle up for a captivating journey through the vanguard of HEMS, as we uncover the secrets behind this remarkable service.

In this episode Jamie Pattison, a winch paramedic, recounts his deployment to Morocco with UKISAR (U.K. International Search and Rescue) following the devastating earthquake.

He shares the emotions of arriving onsite to mass destruction and loss of life, the resilience required for working 16 hour shifts, and the camaraderie that develops between rescue teams.

Jamie compares the rigorous training that prepares UKISAR volunteers to the harsh realities witnessed, and discusses the mental health support available for aid workers. From aftershock tremors to minor injuries that disguise the true impact, Jamie gives a sobering account of the Morocco earthquake while highlighting the humanity and hope that emerges during crisis.

In this episode we sit down with the multifaceted Tyler Butterworth, an Army National Guard member with an impressive resume including roles as an EMT, firefighter, police officer, detective, and farmer. Tyler, who has embraced his quirky last name "Butterworth duh syrup," brings to the table a unique perspective on using humour as an effective tool to cut through the tension in high-stress jobs, such as those in military service and emergency medicine.

We'll uncover the uplifting story of how a squad leader's humorous approach made a world of difference in Tyler's day. We'll also discuss how choosing laughter over tears can be a valuable coping mechanism in tough situations. Tyler shares insights on reading the room to tailor your humour and the importance of knowing when to switch gears and be serious.

We'll delve into the long-term benefits of good-natured fun on morale, mental health, and even on the homefront, as Tyler credits his wife's unwavering support as a pillar in maintaining his positivity and calm, even in the face of adversity.

In this episode, expedition medic Ben Cooper shares cautionary tales revealing why you should never skip basic wound care in the wilderness.

You’ll hear the story of how a minor cut led to a man’s frostbitten thumb being partially amputated during an Antarctica summit attempt - costing him $70K! It powerfully spotlights why immediate bandaging matters.

Discover essential strategies for backcountry wound management:

• Address patients’ full situation first before treating ("bodies before bandages”)
• Use Sharpies to monitor infections and antibiotic need
• Take daily wound photos to track healing progress
• Follow the “4 Ls” to assemble medical kits (Legal, Lightweight, Low-cost, Lots of uses)

With insights for improvising care from sandwich bags to dental floss, plus tips on blister prevention, sun protection, and judging evacuation timing, it’s an eye-opening lesson in avoiding nasty medical complications off the grid.

Tune in to hear cautionary tales and essential wound wisdom you’ll want etched on your brain before venturing into the wild!

Whether you're preparing for a high-altitude climb, running an ultramarathon, or embarking on a demanding expedition, today's episode is packed with wisdom that could be pivotal for your success. Joining us is Ben Turner, the Avenger coach, a former soldier turned extreme endurance challenger, ready to share his incredible insights into the fuel that drives exceptional physical feats.

Ben's expertise stems from his profound personal journey through the challenges of nutrition and fitness. After serving in the British military, he faced the harsh realities of inadequate nutrition and bounced back by diving deep into evidence-based nutritional practices. As Ben guides us from high-calorie foods to the nuances of hydration and electrolytes, he uncovers the secrets to effective fuelling strategies tailored to lofty adventures.

We'll unpack the vital role of macronutrients and micronutrients, decipher the myths surrounding common diet biases, and scrutinise the relationship between our food choices, our environment, and our overall health. Ben emphasises the need for a simple, balanced approach, with a strong focus on the fundamentals of good nutrition, minus the distraction of trendy "clickbaity" fads.

We look at the importance of training your mind as much as your body, as Eoin and Ben explore the practicalities of preparing your digestive system for extreme conditions, the impact of biases on our understanding of health, and the paramount importance of individualised nutrition. Whether you're looking to manage weight, enhance performance, or simply maintain a healthy diet amidst your active lifestyle, this episode is an essential listen for anyone who wants to make food a cornerstone of their well-being.

On this episode we have the pleasure of speaking with Gemma Aldridge, whose expertise as a practice development nurse and mountain leader fuels our conversation.

Gemma brings to the table a unique blend of experience with young people, and an unyielding passion for expedition medicine. We're going to explore the multifaceted benefits of bringing young people into the great outdoors, where they can push their boundaries, develop essential life skills, and discover an inner resilience they may have never known they had.

However, no adventure comes without its challenges. From adjusting to different diets and living in close quarters to the necessity of proper equipment and ensuring safety, Gemma will share her strategies for effectively managing these aspects, as well as her insights on the differences in adaptability between children raised in urban and outdoor environments.

The importance of communication is also on the agenda. Our conversation with Gemma will uncover how she uses innovative devices and tactics to stay connected with her loved ones during her extended periods away, striking a balance between her adventurous spirit and her family commitments.

Throughout the episode, we will touch upon serious topics such as managing disruptive behaviours and caring for ions serve not only as a path to growth for young people but also as a restorative escape for those who spend their lives helping others.

We discuss the transformative power of nature, the sense of community on the trail, and those fireside chats that can change a life.

In this episode prepare to embark on a journey through John's vast experiences, from the intense heat of desert operations to the cruel cold of high-altitude rescues. Learn why a simple survival blanket or a strip of duct tape can make the difference between life and death. John will bring us into the heart of collaboration efforts with the Anchorage Fire Department, to save lives amidst the perils of Cook Inlet.

John will enlighten us with his awe-inspiring sightings of the Northern Lights from plane altitudes and discuss mysterious unidentified flying objects. Dive deep into the physiological challenges faced during rescues on the world's highest peaks, reflecting on the striking difference between Denali and Everest.

Listen in as we cover harrowing tales, like the 2010 plane crash involving Senator Stevens, intense weather conditions in western Alaska, and gruelling 18-hour high-altitude operations. We’ll also delve into the remarkable transitions John experienced throughout his career, his vital role as a Pararescueman in Afghanistan, and the mental resilience required to cope with PTSD and traumatic stress injuries.

As we talk about shifts in military practices and the brave response to a bear mauling in Alaska, John will also impart invaluable advice for those aspiring to follow in his footsteps, emphasising commitment, teamwork, and a relentless drive to improve.

In this episode our host Kevin Grange, speaks to Jon Politis, a veteran in emergency medical services, a backbone of EMS education, and a leader who's seen the evolution of the field from the ground up.

From Jon’s early days of being mesmerised by fire trucks and ambulances to the respected positions he's held as the retired chief of the Colony EMS Department and an educator with the Jenny Lake Rangers, we'll delve into a journey that defines a lifetime commitment to service. With stories rich in learning and crucial tidbits on how to sustain a long and fulfilling career in emergency medicine, Jon's tales are not just reflective but packed with actionable advice.

Jon shares the heartfelt and challenging aspects of leadership, the essence of being a good follower, and the profound experiences that have shaped his approach to wilderness medicine. Whether discussing his personal experiences with backcountry rescues or how mentoring has influenced his path, Jon's narrative will bring to life the trials and triumphs of emergency response.

Listen as we unpack these insights and learn how resilience, integrity, and the support of loved ones play pivotal roles in not just surviving but thriving in the demanding world of extreme medicine. Let's get started.

In this episode, we sit down with Jen Dorward, a fascinating guest who takes us on a journey through her experiences as an Advanced Nurse Practitioner and a reality TV star. Jen shares insights into her time on the show 007: Road to a Million, where she and her partner Beth underwent intense challenges and high-stakes pressure. From her military background to her resilience in the face of health challenges, Jen's story is one of inspiration and determination. Join us as we delve into Jen's incredible journey and learn about the life-changing impact she hopes to have on others facing similar obstacles.

Jen became a Nurse Practitioner to work towards her goal of being involved in expeditions, but after she finished studying, the Pandemic put all that on hold until she went to work in Guyana for International SOS.

 Jen is currently working part time as an Advanced Nurse Practitioner in Urgent Care in a GP surgery, and also in Minor Injury Units and remotely for out of hours service, doing phone consultations. Jen is enjoying a little downtime before she finds another adventure.

Jen's career has largely been Primary Care based with Urgent Care, having worked in several roles with limited access to resources in emergencies - Prisons, Asylum Seeker Detention Centres, Christmas Island, in Afghanistan and on various aircraft doing Aeromed transfers. This is where Jen is at her best, having to think on your feet and deal with a situation with what resources you have available. 

You can connect with Jen @jen007roadtoamillion

In this episode we're thrilled to have two key figures in the field of extreme medicine join our host Sarah Spelsberg: Dr Chris Imray and Dr Nat Taylor. Dr. Imray, a seasoned vascular and renal transplant surgeon, and world leading frostbite expert, and Dr. Taylor, not only a GP for the British army but also an active member in the Girl Guide movement, will deep dive into the world of biometric monitoring in extreme environments.

How do devices perform in these environments compared to everyday use? What measures can be taken to improve their longevity and accuracy? We’ll be tackling these questions and others concerning the future of technology in extreme medicine. From real-time data feedback influencing personal behaviour, to the chilling effects of cold weather on electronic devices, we'll cover a broad spectrum of topics related to this fascinating field.

Not only will we explore the technological side of things, but we will also discuss the experiences, trade-offs, and advice from Chris and Nat. Stay tuned for a rich discussion about the intersection of medicine, technology, and extreme environments. If you've ever wondered how healthcare, research, monitoring devices, and extreme environments all come together, this episode is for you.

In today's episode, we have a fascinating discussion with Dr. Barry McKenna. We will be delving into his epic Inside Passage charity kayak expedition. He'll fill us in on the preparation, challenges, and life-changing experiences they faced during this daunting, yet rewarding journey.

Barry highlights the role and pressure of being the medic on the team and the divide it sometimes creates, all while navigating logistical challenges, cold water temperatures, physical exertion, shifting group dynamics, and medical emergencies. We'll also explore the importance of well-thought-out medical planning; Barry and Nikki McLeary developed an extensive 60-page document that covered all aspects of their adventure.

As we navigate the thrilling journey through the Inside Passage, we'll also address some personal aspects: what motivates someone to embark on such expeditions, the balance between professional and personal identities, and the internal struggles and mental health revelations that come to light during prolonged, extreme challenges.

Join us as we journey through the North Pacific and Bering Sea, witnessing the incredible transformations experienced during such an expedition, both physically and professionally. The hurdles faced had transformative effects on Barry, changing his approach towards his personal and professional life, particularly his medical practice.

Finally, we'll delve into how these experiences have shaped Barry's perspective on future expeditions.

Puneet Gupta is a seasoned professional in the niche but vital field of tactical and search and rescue medicine, a journey that started in the diverse landscapes of Michigan. His hands-on approach saw him diving into waters with search teams, equipped with dry suit training to ensure readiness for any situation. In the intense realm of tactical medicine, Gupta was side-by-side with SWAT teams, navigating the high-stakes environment to provide immediate medical support.

Transitioning to Louisiana brought a new perspective for Dr. Gupta, where specialised professionals dedicate their lives to these critical roles. Despite his extensive experience, a recent confined space training drill reminded him of the constant risks; emerging from a tight spot, a respected trainer half-joked that should a real situation arise, Dr. Gupta's skills would be best utilised outside such precarious confines. Nonetheless, his commitment to the field is unwavering, reflecting the dedication and bravery at the core of his profession.

Today, we're diving deep into the experiences of Dr. Matthew Jones, who courageously spent ten intense months offering medical services in South Sudan, the world's youngest nation. We'll explore the concept of delivering medical aid in hard-to-reach, resource-poor regions, the gratifying yet challenging experiences of tightening the bolts of the healthcare systems there, and the inspiring stories of training new healthcare staff under extreme conditions.

Matthew will also share his heart-touching experiences managing a pediatric ward, undertaking heroic medical interventions, and the human aspect of handling patients' expectations. Listen in on the high and low points of his experience in this remote part of the world—the struggles with loss, the satisfaction of teaching, and his brave confrontation with the harsh realities of practicing healthcare in challenging contexts.

Matthew also discusses his upcoming venture to Ukraine and how the experiences might differ from those in the sub-Saharan African nation. So stay tuned—for there are myriad lessons and profound reflections that everyday heroes like Dr. Jones can infuse into our perspectives.

In this episode we're diving into the immense challenges and nuances of desert medicine with none other than Taryn Anderson, an experienced nurse and humanitarian, who has faced the front lines of natural disasters and global health crises, such as the Ebola outbreak in Sierra Leone. Taryn brings with her a wealth of knowledge from her time coordinating the Desert Medicine course for World Extreme Medicine.

From the logistics of water supply to the functionality of camels and vehicles in medical support, Taryn will share her indispensable insights. We'll learn how to handle everything from the scorching heat to traveler's diarrhoea, and from heat exhaustion amongst our teammates to preventing sunburn and eye infections.

Taryn's mantra, "hydrate or die," underscores the absolute importance of staying hydrated and monitoring our health cues while trekking under the unforgiving desert sun.

In this episode we have a captivating conversation with James Dyer, a renowned adventurer, and expedition leader. With an extensive background spanning over 50 expeditions and numerous remote locations around the world, James has a wealth of knowledge to share about leadership, decision-making, and the vital importance of competence, currency, and credibility. We will delve into topics such as the dynamics between the expedition leader and the medic, the key challenges faced in expeditions, and the exploration of leadership in addressing wicked, tame, and critical problems. Notably, James will also be discussing the intriguing concept of polymathic leadership, drawn from his extensive research focused on improving training and development in expedition leadership. Furthermore, hear him speak about his experiences working with diverse groups, dealing with high net worth individuals and young people faced with life's disadvantage. This episode promises to share valuable insights about leadership based on real-life experiences and research findings, emphasising outdoor education, personal growth, and sustainability. Join us in exploring the exciting journeys of expeditions set in various locations, including the harsh climates of the Arctic and the exotic terrains of Southeast Asia and Africa. Expect to learn a great deal about James' principles of leadership, his upcoming exciting expedition in Nepal, his passion for environmental conservation and social change, and much more. Stay tuned for an enlightening journey as we navigate through the complexities and thrills of expedition leadership with James Dyer

Joining us today are podcast host Dr Shawna Pandya, Dr Erik Antonsen, and Dr Dana Levin, pioneers in the field of space medicine, to dissect the current state of aerospace medicine residency funding, the imperative of global collaboration, and the philosophical shifts shaping the next generation of spacefarers. They'll delve into the waters of international cooperation against the backdrop of a burgeoning commercial spaceflight industry and the challenges of keeping astronauts safe, healthy, and thriving.

Our experts will also lay out the seven major competencies vital for an adept space medicine physician, the implications of physicians as integral cogs in the conceptual machinery of space systems, and the necessity of a hands-on approach to medical care, tailored for the unique challenges space presents.

Erik Antonsen is an Associate Professor of Emergency Medicine with a co-appointment as an Associate Professor of Space Medicine at the Center for Space Medicine, both at Baylor College of Medicine in Houston Texas.

Dana Levin MD MPH is a board certified Aerospace and Emergency Medicine Physician with more than a decade of experience working to ensure human health in Space and other extreme environments.

He is the cofounder and Assistant Program Director for the joint Baylor College of Medicine Space Medicine - Massachusetts General Hospital Space Medicine Fellowship and a Physician for NASA under the Human Health and Performance Contract. He is also the director of the independent research and consulting company Exploration Medicine.
He has supported expeditions and travelled to every continent on Earth and has worked in every aspect of Space Medicine from Engineering Systems Design to Spaceflight Operations to Clinical Research to Education.
His research and consulting projects include artificial intelligence applications for Clinical Decision Support, extreme environment clinical medicine, and regenerable, on demand resources and pharmaceuticals for autonomous medical systems.
Dana is also a Scientific Diver, Private Pilot, Percussionist, Rock Climber, Sailboat Captain, and an avid Science Fiction fan.

Today we are joined by Dr. Gaby Nel, who has conquered not only insurmountable peaks but also the boundaries of human resilience and courage. An empowering tale of survival, courage and determination awaits you as Gaby, the youngest South African woman and doctor to summit Everest, shares her breathtaking recollections from Everest's death zone. With frostbitten fingers and trekking through the notorious Himalayan weather, Gaby braved near-death experiences and made life-altering decisions at nearly 30,000 feet.

Adventuring and medicine, the two very separate entities that somehow merge into a symbiosis of passion in her life. From doing outreach work in rural clinics of Tanzania, volunteering in disability centres in Cambodia to working on the frontline in South Africa during the Covid pandemic; Gaby has always taken every opportunity to explore our world and contribute in any capacity she can. Growing up in South Africa with her youth spent running around like a wild child in the African bush, her love for exploring began. This continued into her adult life and after graduating from the University of Western Australia, she endeavoured to take every opportunity to provide medical assistance wherever needed alongside her adventures which simply grew more extreme. Alongside her love for emergency medicine and surgery, mountaineering became her interest area. From Kilimanjaro to Everest she continues to challenge herself and live by the motto “climb your own climb" Starred with moments challenging her professional obligation as a doctor and being a climber up against the odds of Everest, Gaby’s story is as riveting as it is inspiring. Navigating through the treacherous complications of frostbite, altitude sickness, and climbing setbacks, she emerged a survivor and a beacon of human spirit. So, brace yourselves as we delve into her journey, from comforting her family miles away, to being rescued and her subsequent recovery journey, featuring experiences that transformed her views on life, her career and the mountains. Welcome to a journey of ascents, descents, survival, and the immersive odyssey of Everest with Gaby Nel.

On today's episode we have an emergency medicine doctor, Dr. Luke Mueller, sharing his harrowing story of survival following a mountaineering accident on the Isle of Skye. He recalls the day he set out on the Dubh ridge Scramble alone, subsequently leading to a big void in his memory and awakening to a painful reality weeks later in a hospital. Dr. Luke will dive deep into the details of his rehabilitation, traumatic brain injury impacts, and his continuing journey on balancing his love for outdoor activities and his medicinal career. You'll hear his thoughts on patience as a virtue during recovery, the importance of having a strong support system, and how returning to work post-recovery drastically changed his perspective on patient care. See the details of his gripping experience and more, brought to you by his former partner, who experienced a trauma of her own when she had to report him missing. A story of strength, resilience, and gratitude, stay tuned for an inspiring conversation.

Luke Mueller is a Junior Doctor based in North Wales with a background and interest in Emergency Medicine. He has a passion for Mountain medicine and anything that maximises his time outdoors. He is currently studying the diploma in mountain medicine, hoping that this prepares him for future opportunities for expedition and mountain medicine work. In August 2020 Luke was very fortunate to survive a traumatic mountaineering accident on the Isle of Skye . This led to a challenging rescue by the Skye MRT and a subsequent 7 week hospital stay which included a 10 day ICU stay . Since surviving this and being left with his associated traumatic injuries he gives his unique insights into his rehab process physically and mentally thus far and his journey getting back into working as a Doctor whilst keeping up with enjoying his outdoor passions. 

In this conversation, we will examine some of the current reflections on the Ukraine crisis with David and Shawn. We will examine what it is currently like on the ground, some of the emerging needs and how David and Shawn believe they can be met. We dig into David and Shawn’s background in Ukraine and how this has evolved over time. We will look at our guest's anecdotal reflections on the conflict currently and some of the main factors that have changed and some that have remained over time such as the Ukrainian resiliency and mindset.

David is a special rescue paramedic who specialises in austere environments and low-resource medicine. Often working solo in international theatres, David doubles as a REMS team leader and team barista. In addition to his operational work, David is a professor of prehospital medicine teaching paramedicine, crisis and crew resource management and human factors.

When not working you can usually find him with a book, classic cocktail and cigar.

Shawn Brodzik has over nine years of experience in prehospital and emergency medicine. He has a passion for wilderness medicine, having started his career in Wyoming and Buffalo, New York. In addition to his wilderness experience, Shawn has spent six years serving communities in need around the world, providing capacity building, support to diplomatic missions and performing medevacs for critically ill patients in conflict zones. With his experience in critical care, tactical and austere medicine, Shawn has a wealth of knowledge and expertise to offer. His deep commitment to helping others and providing quality medical care in the most challenging of circumstances has earned him a reputation as a compassionate and skilled medic.

In this episode we will look at the recent changes to the newly revised second edition of ABC of Prehospital Emergency Medicine. We will examine some of the updates to PHEM covered in the book and the recent evidence-based practice and expert opinion that encompasses the PHEM training curriculum. We will examine the three main domains that the updated edition addresses which are operational, clinical and system considerations of PHEM. Other aspects of the conversation will cover updates to monitoring and ultrasound, recent changes to prehospital management of medical, trauma and psychiatric emergencies. We will also examine changes to the considerations in mass casualty and chemical, biological, radiation, and nuclear incidents.

Clare Bosanko is a PHEM consultant with Devon’s Air Ambulance and trained in the Midlands. Clare also works as an Emergency Medicine consultant at University Hospitals Plymouth. She is also a co-host of the PHEM-Cast podcast and a contributor to the new edition.

In today's episode we delve into the critical topic of responder wellbeing. We are joined by Matt Walton who offers insights into the psychological support often lacking in the field and the importance of acknowledging the impact of traumatic events on responders. Among the issues we'll be discussing are the prevalence of PTSD symptoms, the effects of night shifts, and the role of leadership in protecting mental health. Our guests also share personal experiences and provide valuable tips for preserving wellbeing amidst the stress of resuscitation efforts. Additionally, we explore the Resuscitation Council Wellbeing Resource, a comprehensive guide developed to support responders. So, join us as we navigate the complex world of responder wellbeing and delve into meaningful discussions that shed light on this critical aspect of emergency medicine.

Matt is a Doctor working in A+E in Newcastle with an interest in pre-hospital care and wilderness medicine.

Matt has focussed most of his medical career on promoting public campaigns to support frontline staff wellbeing and resilience. He studied medicine at Cambridge University and developed amateur filmmaking skills, subsequently creating a documentary on Responder Wellbeing for the BBC.

He last spoke with WEM from the COVID front line in London following the release of an academic paper for the European Heart Journal guiding support for staff mental health. Matt has just led the creation of the first ever Resuscitation Council UK Responder Wellbeing Resource, which we will discuss in the podcast.

Matt also instructs on the diploma in mountain medicine and the World Extreme Medicine Expedition & Wilderness medicine courses. He has recently travelled to high altitude with WEM and Bear Grylls to make a Netflix film.

Welcome back to the World Extreme Medicine Podcast! In today's episode, this time, we dive into the world of composed sailing medicine with our special guest, Dr. Jamie Jordan. Jamie is an experienced adventurer with vast knowledge in remote and austere settings. He is no stranger to the challenges of providing medical care while sailing in the vast oceans. Join us as we delve into Jamie's remarkable experiences sailing across the Atlantic three times and spending three months in the treacherous Southern Ocean. His most recent adventure took place aboard the Europa, a magnificent tall ship used for tourism, photography, and scientific projects. We'll discover the intricacies of maritime medicine in such a remote and dynamic environment.

Dr Jamie Jordan is a General Practitioner with over a decade of experience in expedition, maritime and remote environment medicine. He thrives on the challenge of providing high quality care in austere environments and has enjoyed applying his skills throughout the world, from sub-Saharan Africa to the Arctic and Antarctica. He provides consultancy services to organisations operating in a diverse range of extreme settings.

Jamie has endless enthusiasm for all forms of adventure and loves exploring travel plans and developing creative health solutions. He has a particular passion for sailing, with tens of thousands of miles of offshore experience including three Atlantic crossings and voyages to the Southern Ocean, Antarctica and Svalbard, plus many trips closer to home.

Alongside his devotion to all things nautical, Jamie is an enthusiastic climber, caver, kayaker, cyclist and outdoor swimmer. He has competed at a high level in a range of endurance sports including the Transcontinental Race, 24-hour mountain bike marathons and the Devizes-Westminster Canoe Marathon. Other personal challenges have included cycling the length of the Rocky Mountains from Canada to Mexico, spending days at a time underground whilst exploring the deep caves of the Picos de Europa, and crossing the Arctic tundra of northern Alaska in a folding canoe.

Welcome back to the World Extreme Medicine podcast, where we delve into fascinating and sometimes unexpected stories from the world of expedition medicine.

In today's episode, we join host Ffyon Davies as she takes us on a journey to the Himalayas, where a team of doctors finds themselves facing unique challenges and making life-saving decisions in a high-altitude, low-resource setting. From treating common colds to unexpected cases like a yak herder's rectal wound, our medical student-turned-expedition doctors Matt and Priya shares their experiences and the moral dilemmas they faced in providing care.

Join us as we explore the intricacies of delivering medical help in a remote and unpredictable environment, where practice guidelines may need to be adapted, and where limited resources can shape life or death outcomes.

In this episode, we speak to our new World Extreme Medicine host Marcus Stevens. 

Marcus is a GP with a longstanding interest in expedition and remote medicine and years of experience working in a variety of resource poor settings. Whilst at medical school he was President of the Oxford Wilderness Medicine Society and in his final year completed his elective with Simien Mountains Mobile Medical Service in Ethiopia’s remote Simien Mountains, a charity for which he now serves as Vice President.

In this episode we delve into the extraordinary world of remote medicine and the opportunities it offers. Marcus takes us on a journey through his own experiences, sharing fascinating tales from his time working in Mali, Scotland and Tibet. Marcus' passion for medical work outside traditional settings takes us to the heights of the Himalayas and the Ethiopian Highlands. We'll hear stories of braving the Sahara to drive to work in a thirty year old Land Cruiser, joining extreme medical expeditions, and being thrust into unexpected roles as an expedition doctor. 

Throughout these adventures Marcus emphasises the importance of solid medical training and the ability to adapt to different cultural practices.

Welcome to part two of the conversation between Dr. Ffyon Davies, and Dr. Benjamin Alba. Ben has gone on to be the doctor for an Everest Base Camp trek and has just finished a season as one of the Everest Base Camp doctors. Following his experiences at Everest Base Camp, he was inspired to write an open essay entitled 'Everest 2023: The Season of Death,' highlighting some of the misconceptions and challenges on Everest.

By the end of the season, there had been 12 confirmed deaths, with 5 missing, assumed dead, bringing the total to 17. Since the 2010 season, 114 people have been killed on Everest. The average number of deaths per season is 8. Besides the avalanche of 2014 that killed 15 and the earthquake of 2015 that killed 20, this makes this season the worst on record for deaths on Everest without a natural disaster.

Welcome to the World Extreme Medicine Podcast. Our host, Dr. Ffyon Davies, an emergency medicine and expedition doctor, speaks with Dr. Benjamin Alba. Ben has gone on to be the doctor for an Everest Base Camp trek and has just finished a season as one of the Everest Base Camp doctors. Following his experiences at Everest Base Camp, he was inspired to write an open essay entitled 'Everest 2023: The Season of Death,' highlighting some of the misconceptions and challenges on Everest.

By the end of the season, there had been 12 confirmed deaths, with 5 missing, assumed dead, bringing the total to 17. Since the 2010 season, 114 people have been killed on Everest. The average number of deaths per season is 8. Besides the avalanche of 2014 that killed 15 and the earthquake of 2015 that killed 20, this makes this season the worst on record for deaths on Everest without a natural disaster.

From the jungles of Cambodia during the final days of the Khmer Rouge in 1979 to the chaos of Baghdad in 2016, Combat Civilian is the powerful story of the response to human catastrophe over four decades.

Turning his back on the convention of a comfortable career in a family business, Gilbert Greenall has quietly dedicated the last four decades of his life to helping others through forty humanitarian aid missions and the delivery of British emergency assistance in eighteen conflicts.

He charts the changes in humanitarian assistance, revealing contradictions and triumphs, from the uncoordinated activities of a few small charities to the multi-billion dollar operations of today. The book guides the reader through wars, famines, earthquakes, floods and volcanic eruptions, yet there is time for humorous observations of misadventure and the absurdity of some decision making.

Greenall describes how it feels to race down the Mostar road under fire in Bosnia and the difficulties of changing a wheel on a Boeing 727 in the midst of a battle in the Angolan highlands, as he risks his life for the goal of humanitarian assistance.

Combat Civilian is a fast moving narrative, an emotional journey and a true-to-life description of the military risks and political constraints demanded by international relief work.

Welcome back to the World Extreme Medicine podcast. Today we have a fascinating conversation with Scott King, a highly experienced paramedic and instructor. He has trained individuals in hostile environments around the world with NGOs and militaries.

We delve into the challenges of preparing teams for these demanding conditions. Scott shares insights on effective training approaches, drawing on his vast experience. He highlights tailoring the training to the audience, incorporating high realism through simulations, and the power of kinaesthetic learning.

Topics include:

• The mixed effectiveness of past trainings
• Differing expectations of military vs NGO participants
• Fidelity concepts for impactful learning
• Benefits of high realism in live scenarios
• Challenges instructors face with language barriers and knowledge transfer
• The growth of simulation training and the role of facilitators
• Key elements like safety, mission planning, and muscle memory

If you want to learn more about operating in hostile environments, be sure to check out our new Hostile Environments Medicine course. It's the perfect way to gain crucial hostile medical skills following Scott's insights.

In this episode we will look at the benefit and utility of Methoxyflurane, more commonly known as Penthrox. Penthrox is a volatile, self-administered inhalation analgesic indicated for short-term pain relief. Penthrox is a portable, lightweight, non-invasive inhaler for self-administration of the Methoxyflurane vapor. The Methoxyflurane vapour provides analgesia when inhaled at low concentrations. At analgesic therapeutic doses, pain relief can reduce and mitigate even severe pain yet has a short half-life. In this episode I will be speaking to Will about it’s use and limitations within the expedition environment and how and when it can be optimally used as either a sole adjunctive pain relief agent or as part of a larger pain relief strategy.

Will is our Joint Medical Director and provides clinical oversight for all World Extreme Medicine’s activities. Will is a jobbing Devon based GP, educator and adventure addict who thrives in wild places with newly formed teams and limited resources.

He has provided medical cover for dozens of very different expeditions and projects; including commercial high-altitude treks in The Himalayas and The Andes, a luxury Trans-Siberian private train, a reality TV show in the South Pacific and he has worked with UNICEF out in forgotten corners of Myanmar.

We speak to some of the most extreme medics in some of the world's most remote locations, due to this there can sometimes be an issue with sound quality, so there are a few quality dips in this episode, but we felt it was an important conversation to share.

Welcome back to the podcast that explores the exhilarating world of extreme medicine. In today's episode, we delve into the impact of PTSD and PTSI on individuals in high-stress professions like the military. Boxxy shares personal experiences and insights, emphasising the importance of acknowledging emotional trauma and fatigue and the need for early intervention and open communication about mental health. Join us as we uncover the evolving landscape of military medicine, survival training in extreme environments, and the rewarding nature of saving lives. Stay tuned for an adventurous journey into the world of extreme medicine.

On this episode, our guest Klara Weaver talks about Wedel seals farting in her face in Antarctica, peeing in a Nalgene in the middle of the night (and the need to practice in the shower), sexism in expedition medicine, the role of social media in expedition medicine self promotion and keeping it grounded, the importance of ‘mentally’ unpacking after expedition, shout out to our supportive family friends and partners who put up with us! And her love affair with grass post Antarctica. 

We also discuss the allure of buying new kit for hobbies and how it has inspired her side hustles. Klara shares her passion for arts and crafts, being outdoors, and her interest in business and small businesses. Klara also talks about her foray into carpentry and making things with power tools when converting a campervan. During her time in Antarctica, Klara learned crochet as a distraction and a way to quiet her mind. She emphasises the importance of having something outside of medicine, whether it's a hobby, sport, or other skill. Klara believes that having a side hustle can bring valuable skills back into medicine and make it more interesting. She mentions the potential for quality improvement projects in medicine inspired by business practices. Having diverse interests makes one a more well-rounded doctor and makes the less exciting aspects of medicine more enjoyable. Klara shares that her family and friends have a short attention span when it comes to her experiences in Antarctica. She highlights that people often want her 20-month expedition to be condensed into a few sentences, not fully understanding the challenges and intensity of the experience. She warns that social media can give a misleading perception of expeditions, emphasizing the behind-the-scenes work, anxiety, and potential risks involved.

In this episode, we sit down with Dr. Shawn Rowland, a Hawaiian physician who stepped onto the frontlines of the intense Lahaina fire disaster. Dr. Rowland, a board-certified Family Medicine physician and the founder of Jase Medical, brings a unique perspective to the challenges of disaster response. With a background that spans rural and critical access hospitals, as well as international medical work in Mexico and across the United States, Dr. Rowland's experiences are both diverse and impactful. However, it's his involvement in search and rescue that truly sets him apart. Starting with his EMT days at the University of Utah, where he served for six years with the Salt Lake County Sheriff’s Search and Rescue Team, he's honed skills that range from Mountain Rescue to Swift Water Rescue. Currently residing on the tranquil north shore of Oahu, Hawaii, alongside his family, Dr. Rowland's insights into the Lahaina fire disaster are both personal and professional. Join us as we explore his journey through the chaos, his unwavering commitment to saving lives, and the unique challenges that come with responding to a disaster of this magnitude. Tune in for a compelling conversation that sheds light on the experiences of medical professionals who stand strong on the frontlines when their community needs them the most.

On this episode, join host Eoin Walker as he sits down with Jim Bond, an experienced consultant in travel and exhibition medicine, to discuss the critical decline of the African wild dog population across Africa. Jim shares his extensive knowledge and passion for one health, particularly in the context of the rabies risk reduction scheme. Together, they explore the various threats facing the African wild dogs, from persecution and poaching to diseases and habitat loss. They delve into the importance of vaccination and the challenges of reaching remote areas with low population density. Jim also discusses his plans for conducting a real-world prospective study on rabies vaccination in African wild dogs, comparing different methods of vaccination. Throughout the episode, they highlight the need to engage local communities, address vaccine hesitancy, and implement community-led public health approaches. As they wrap up the conversation, they emphasise the urgency of prevention and the goal of eliminating rabies from Africa by 2030. Tune in to this eye-opening episode to learn more about the fascinating African wild dogs, their unique social structure, and the efforts being made to protect this critically endangered species.

Jim Bond is a passionate wildlife enthusiast who has dedicated his life to studying and protecting the African wild dog, also known as the painted wolf. With over 50 names associated with this unique species, Jim is fascinated by its distinct characteristics that set it apart from other members of the dog family. Having diverged from other wolf-like species millions of years ago, the African wild dog's four toes on its front feet allow for an extended stride, making it the most efficient carnivore predator in Africa. Jim is amazed by the success rate of the African wild dog, with a remarkable 70% to 80% success rate in hunts. He is particularly captivated by their large, round ears, which possess an incredible sense of hearing. Jim never ceases to be astounded by the beautifully patterned coat of the African wild dog, which comprises a random mix of blacks, whites, browns, yellows, and even reds. Lastly, Jim admires the species' specially adapted teeth that are second in size only to the hyena's, enabling them to quickly tear apart their prey. To Jim, studying and protecting these fascinating creatures is not only a duty but a deeply rewarding experience that highlights the intricate beauty of the natural world.

In this episode we have a fascinating conversation, we have an incredible interview with a true renaissance man, Emil Sante. With an impressive background as a paramedic, ski patroller, search and rescue member, and even a coroner, Emil has truly seen it all. From his adventures on treacherous mountainsides to the solemn duties of unravelling the mysteries of death, Emil's stories will leave you on the edge of your seat. So sit back, relax, and prepare to be captivated by the remarkable tales of Emil Sante, the composed paramedic, ski patroller, search and rescue hero, and coroner.

Emil Sante is the Lieutenant Paramedic for the Telluride Fire Protection District. He has amassedan incredibly diverse and dynamic career with 26 years in EMS, 25 years in SkiPatrol, 12 years as a extremely rural County Coroner, and 5 years as a flight medic. He has always been willing to step up and serve the needs of hiscommunity in remote San Miguel County Colorado.

Today we have a topical special on heat stroke, following the record-breaking temperatures across Europe recently peaking at 44 degrees Celsius!

Heat stroke is one of the truly terrifying environmental emergencies, with a mortality rate approaching a staggering 33% (when associated with hypotension). Not only does it have an extremely high mortality rate – but also leaves many patients with significant functional impairment with around 1 in 3 having moderate to severe functional impairment at discharge. In a wilderness environment it can be challenging to treat and is a truly time critical emergency where ‘time is organ function’.

Eoin and Ffyon discuss the Wilderness Medicine Society's guidelines and their own experiences of managing heatstroke in wilderness environments.

Welcome to part two of Kilimanjaro Diaries!

Ffyon Davies was invited to support a charity trek up Mount Kilimanjaro as the medic last year, alongside Francis Screech. Their first-time ascent of the tallest freestanding mountain in the world was both thrilling and nerve-wracking for her. Although she had prior experience climbing Mont Blanc, Kilimanjaro presented new challenges with its extreme altitude. In this episode, Ffyon and a fellow medic reflect on their adventure to the top by listening to Ffyon's voice recordings made during the climb. They discuss the realities of climbing Kilimanjaro as expedition medics, from managing altitude sickness to the underestimated demands on the body at 19,000ft. Both gained valuable insights from this unforgettable trip to Africa's highest peak.

Welcome, to Kilimanjaro Diaries... Part one!

Ffyon Davies was invited to support a charity trek up Mount Kilimanjaro as the medic last year, alongside Francis Screech. Their first-time ascent of the tallest freestanding mountain in the world was both thrilling and nerve-wracking for her. Although she had prior experience climbing Mont Blanc, Kilimanjaro presented new challenges with its extreme altitude. In this episode, Ffyon and a fellow medic reflect on their adventure to the top by listening to Ffyon's voice recordings made during the climb. They discuss the realities of climbing Kilimanjaro as expedition medics, from managing altitude sickness to the underestimated demands on the body at 19,000ft. Both gained valuable insights from this unforgettable trip to Africa's highest peak.

Stay tuned for part two of the Kilimanjaro Diaries by subscribing to the podcast today so you don't miss out on the next chapter of Ffyon and Francis' journey up Kilimanjaro!

In this session Eoin speaks with Claire Park on a new primary triage tool developed by Claire and a research team. It has been accepted and agreed by NHS England for use by all UK ambulance services and prospectively by National Police and Fire Services. It has also been adopted by the UK MOD to roll out across all UK military personnel internationally.

Claire Park is a Consultant in Pre-hospital Emergency Medicine for London HEMS, and Anaesthesia and Critical Care Medicine at Kings College Hospital in London. She also is an army consultant with over 20 years of deployed military experience. Claire is the medical adviser to the Specialist Firearms teams of the Metropolitan Police Service, and has worked closely with all of the emergency services in London on developing the joint response to high threat incidents, in particular following the attacks of 2017.

She is the Chief Investigator on a UK nationally funded research grant looking at evidence for improving patient outcomes in the hot zone in major incidents and has developed relationships in this area with many members of the Committee Tactical Emergency Casualty Care CTECC over the last 4 to 5 years.

In this session we are speaking with Justin Shook on his experiences as a Parachute Jump Medic (PJ for short) with 131st Rescue squadron Pararescue. Justin is a senior team leader, paramedic, jump master, dive supervisor and instructor, evaluator and chief of weapons and tactics at Moffett Federal Air Field in California.

Get ready for a podcast journey as Justin takes us deep into the captivating world of debriefing, preparedness, and the extraordinary life of a parachute jump medic. Learn how these principles extend beyond the boundaries of mere lifesaving, reaching into the very heart of thriving in both business and military environments.

We dive into the exclusive selection process for pararescue, where candidates are pushed to their absolute limits, both mentally and physically. Justin spills the beans on the intense training program, advanced medical certifications, and even their involvement in space shuttle astronaut recovery.

Plus, we discover the awe-inspiring challenges faced by parachute jump medics in remote areas like Colombia and Mongolia. Justin's gripping accounts of building relationships with local forces and overcoming communication barriers will leave you on the edge of your seat.

Be inspired by the art of improvisation and the unwavering mindset that sets parachute jump medics apart. Justin's tales of resilience and determination will resonate deeply with you as he unveils the never-give-up attitude that defines this extraordinary community.

So, whether you're a thrill-seeker or simply someone hungry for remarkable stories of courage and expertise, this episode promises to take you on an unforgettable rollercoaster ride through the realms of debriefing, preparation, and the incredible life of a parachute jump medic.