Wemcast

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 jour

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.

Joining us in this episode is the remarkably resourceful Kate Dawson, a rural general practitioner who has cared for the rugged Scottish islands of Uist for over 30 years. From managing trauma cases with scarce resources to coordinating care across isolated communities, Kate brings us her invaluable perspective from the remote frontlines. She reveals the personal touches in building longtime doctor-patient relationships, the intricacies of rural healthcare logistics, and the nuanced understanding needed while operating in an austere setting. We'll also uncover how Kate's medical career blossomed from an early international health volunteering stint in Nigeria to settling into island life in the Outer Hebrides. Together, we grapple with the demands of serving as a rural GP - leading tiny teams, handling emergency situations, and keeping up with ever-evolving best practices. Most excitingly, Kate sheds light on the rewards of being part of a remote island community, musing on the resilient spirit of Sco

Joining us in this episode is the remarkably knowledgeable Amy Boalch, a GP trainee with an inexhaustible passion for sports, exercise medicine, and the gruelling world of long-distance running. From tackling the contentious issue of race clearance forms to the disparities in health screenings across borders, Amy brings us her invaluable perspective. She reveals the personal touches in her coaching life, the intricacies of medical advice versus coach guidance, and the nuanced understanding of both roles. We'll also uncover why France might seem like an overachiever when it comes to racing health certificates, and how Amy's love for running and her medico-athletic career blossomed in the serene city of Bath. Together, we grapple with the demands of learning on the job while pursuing advanced degrees and the ever-present shadow of doping controversies in sports. Most excitingly, Amy sheds light on the fervent race toward athletic glory, musing on the tantalising possibility of a sub two-hour marathon on

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

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 you

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

In this episode we dive deep into the extraordinary experiences of Marc-David Munk, an emergency doctor who served as a flight surgeon in 11 East African countries. We explore his newly published book, Urgent Calls from Distant Places, which documents his time in Africa and the challenges he faced in providing healthcare amidst severe trauma, disease, and diverse pathology. Marc shares his journey from an uncertain university student to becoming a doctor, and ultimately finding his purpose in serving the medical needs of African communities. We unpack the themes of empathy, self-discovery, and the "hero's journey" within the context of extreme medicine. Join us to gain insights into Marc's compelling narrative and the profound impact of his experiences. You can order Urgent Calls from Distant Places January 30, 2024, There'll be a Kindle version on Amazon.

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 t

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 r

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 t

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.

In this episode, we sit down with Jen Dorwood, 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 consulta

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 d

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 profess

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

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 re

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 H

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