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

• 142-DAN Medic Leandra Lynn

  This week, Aebhric OKelly talks with Leandra Lynn, a combat medic and Divers Alert Network (DAN) professional, who shares her experiences and insights into the world of diving medicine. She discusses her journey from being a linguist to a combat medic, the critical role of DAN in dive safety, and the challenges faced in handling emergency calls related to diving injuries. Leandra emphasises the importance of proper medical guidance for divers, the varying standards of diving medicine across the globe, and the benefits of DAN membership for divers. She also advises new medics entering the field of diving medicine, highlighting the significance of utilising available resources and seeking expert guidance.TakeawaysLeandra Lynn is a combat medic and works with DAN.DAN provides a 24-hour emergency hotline for divers.Diving procedures vary by region due to different medical standards.Barotrauma is the most common diving injury reported to DAN.DAN membership offers benefits like medical evacuation and insurance.Divers should consult dive medicine specialists for complex medical histories.Learning to dive in challenging conditions prepares divers for emergencies.DAN assists with global non-emergency dive safety questions.Effective communication is crucial in handling diving emergencies.New medics should leverage resources and ask questions for better outcomes.Chapters00:00 Introduction to Leandra Lynn and Her Work03:01 Diving into the Role of a Combat Medic05:51 Understanding Divers Alert Network (DAN)09:02 Challenges in Diving Medicine Calls12:02 Diving Procedures and Medical Standards Worldwide14:57 The Importance of DAN Membership17:50 Common Diving Emergencies and Injuries20:46 Resources for Diving Medicine24:01 Advice for New Medics in Diving Medicine

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• 141-MiM25 Dr Trevor Abela Prehospital Nurse

  This week, we have another MiM25 presentation. Dr Trevor Abela discusses the unique role of nurses in Malta's emergency services, the historical context of nursing in the region, and the importance of holistic care and building trust in nursing practice. Dr Abela emphasises the need for nurses to focus on the patient as a person rather than just a set of medical needs and highlights the significance of context in providing effective care.TakeawaysMalta has a unique nurse-led ambulance service.Historical context is crucial for understanding current nursing practices.Nurses should focus on the person, not just on medical tasks.Building trust with patients is essential for effective care.Holistic care includes addressing social and psychological factors.Emergency care must go beyond basic medical priorities.Nursing education should emphasise patient-centred care.The relationship between nurse and patient impacts treatment outcomes.Nurses play a vital role in community health beyond hospitals.Clinical outcomes do not solely define success in nursing.Chapters00:00 Introduction to the Quorum Podcast00:44 Nursing in Malta: A Unique Perspective03:11 Historical Context of Nursing in Malta06:34 The Role of Nurses in Emergency Services11:37 Understanding Nursing: Capital N vs. Small n18:02 The Importance of Context in Nursing Care25:42 Holistic Care in Pre-Hospital Settings34:19 Building Trust and Relationships in Nursing40:48 Conclusions and Reflections on Nursing Practice

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• 140-WP-C at SOMSA with Tom and Ella

  In this episode, Aebhric OKelly interviews Dr Ella Corrick and Dr Tom Mallinson to discuss their experiences at the SOMA Conference, focusing on the Wilderness Paramedic Workshop. They explore the common challenges faced in austere medicine, the significance of prolonged field care, and the preparation for the Wilderness Paramedic Certification exam. The conversation also delves into creating educational resources to enhance decision-making skills in wilderness medicine. In this conversation, Dr Tom and Dr Ella discuss their experiences and insights into wilderness medicine, focusing on exam preparation for the Wilderness Paramedic Certification (WP-C) and creating a revision guide tailored for practitioners in austere settings. They highlight the challenges of multiple-choice exams, the importance of distilling complex medical knowledge into practical applications, and the value of interactive learning experiences at conferences like SOMA. The discussion also emphasises the significance of networking, learning from peers, and embracing challenges in medical practice.TakeawaysSOMA Conference fosters a welcoming environment for civilian practitioners.Common challenges in austere medicine include distance to hospitals and limited resources.Wilderness Paramedic Certification covers a broad curriculum that includes environmental medicine.Exam preparation requires understanding both wilderness concepts and core medical principles.Prolonged field care is essential for managing critically ill patients in remote settings.Teaching decision-making in wilderness medicine is challenging but crucial.Educational resources aim to bridge knowledge gaps for WPC candidates.Collaboration between military and civilian practitioners enhances learning.Experience in austere settings improves exam performance and patient care.The integration of nursing and paramedic skills is beneficial in prolonged field care. The challenge was to distil down the knowledge needed for the exam.Multiple choice exams can be misleading in complex scenarios.The WPC revision guide focuses on core concepts for wilderness medicine.Each chapter of the guide could be a whole textbook.The workshop aims to address common blind spots in practice.Exam techniques are crucial for success in certification.Networking at conferences enhances learning opportunities.Embracing challenges leads to better patient care.Learning from others' mistakes accelerates professional growth.Take opportunities that excite you for long-term benefits.Chapters00:00 Introduction to SOMA Conference and Wilderness Paramedic Workshop02:52 Common Ground in Austere Medicine06:03 Overview of Wilderness Paramedic Certification09:12 Exam Insights and Preparation Strategies11:57 Prolonged Field Care and Patient Management14:48 Creating Educational Resources for WP-C18:10 Challenges in Teaching Decision-Making in Wilderness Medicine24:57 Distilling Knowledge for Exam Preparation25:36 Challenges of Multiple-Choice Exams

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• 139-MiM25 TacMedNorth Ukraine

  This week, we have another Medicine in the Mediterranean conference presentation. We will hear from Tactical Medicine North, a volunteer medical unit operating in Ukraine. The discussion covers their formation, mission, and challenges in training combat medics on the frontlines. Key topics include injury patterns, trauma management, blood logistics, and improved training in prolonged casualty care. The presenters emphasise the importance of adapting medical practices to the unique challenges of combat situations in Ukraine.TakeawaysTactical Medicine North was formed out of necessity due to the war in Ukraine.Training combat medics is crucial for effective frontline care.Injury patterns in Ukraine reveal a high incidence of non-combat injuries.TCCC is essential but needs adaptation to local conditions.Blood management logistics are a significant challenge in combat zones.Tourniquet use and wound management require more comprehensive training.Prolonged casualty care is often neglected in training programs.Collaboration with international organisations enhances training effectiveness.Understanding the unique challenges of Russian casualties is important for medical personnel.Future training must focus on nursing skills and prolonged care techniques.Chapters00:00 Introduction to Tactical Medicine in Ukraine02:49 The Formation and Mission of Tactical Medicine North05:12 Training and Challenges on the Frontline09:51 Understanding Injury Patterns and Casualty Statistics13:00 Trauma Challenges: TBI and Pre-Hospital Care20:28 Blood Management and Logistics in Combat23:43 Tourniquet Use and Wound Management26:58 Challenges with Russian Casualties and Evacuation30:23 Prolonged Casualty Care and Training Needs34:41 Conclusion and Future Directions

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• 138-CoROM Paramedic Cory Igo

  This week, Aebhric OKelly talks with Cory Igo, who is an alumnus of the CoROM Remote Paramedic programme. Cory shares his journey from being a United States Marine to becoming a remote paramedic, highlighting his experiences in veteran rehabilitation through Brazilian Jiu Jitsu, the challenges of working in remote medical settings, and the lessons learned from his deployments in Ukraine. He discusses the importance of adaptability in medicine, especially in challenging environments, and offers insights into the future of rehabilitation for injured veterans.TakeawaysCory Igo is a former Marine turned remote paramedic.Brazilian Jiu Jitsu aids in the rehabilitation of veterans.The transition from military to medical work can be challenging.Choosing the right paramedic program is crucial for practical skills.Cory's first paid job involved a reality show in Tanzania.Altitude sickness can affect individuals differently during climbs.Ukrainians are innovating in medical practices amidst conflict.3D printing is becoming significant in medical applications.Learning to adapt is essential for new medical professionals.Cory emphasises the importance of local knowledge in medicine.Chapters00:00 Introduction to Corey Igo03:01 The Role of Brazilian Jiu Jitsu in Veteran Rehabilitation06:04 Transitioning from Marine to Paramedic08:57 Choosing the Right Paramedic Program12:08 Experiences in Remote Paramedicine15:07 First Paid Job as a Paramedic17:57 Altitude Medicine and Climbing Kilimanjaro21:08 Working in Ukraine and Lessons Learned24:06 Future Aspirations in Rehabilitation27:09 Advice for New Medical Professionals

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  35:18

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