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

• 158-ArcLight Project with Andrew and Helena

  This week, Aebhric O’Kelly talks with Dr. Andrew Blaikie and Dr Helena Feasey, from St Andrews University in Scotland. They discuss the ArcLight device, a revolutionary tool designed for eye and ear examinations in low-resource settings. They share insights into the device's features, its development journey, and its potential impact on global health. The discussion highlights the importance of training healthcare workers, the device's telemedicine capabilities, and ongoing research aimed at reducing preventable blindness and deafness in communities worldwide.TakeawaysThe ArcLight device is a portable eye and ear examination tool.It uses solar power and is designed for low-resource settings.The device has been in development for over a decade.It allows healthcare workers to perform comprehensive examinations.The device is robust and can withstand harsh conditions.Telemedicine capabilities enhance its utility in remote areas.Research shows it is clinically equivalent to traditional devices.Training programs are essential for effective implementation.Future research aims to reduce preventable blindness and deafness.The ArcLight project collaborates with various NGOs globally.Chapters00:00 Introduction to ArcLight and Its Creators03:32 The ArcLight Device: Features and Benefits08:49 Clinical Applications and Telemedicine Potential14:06 Research and Development of ArcLight18:58 Future Directions and Community Impact

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• 157-Dental Patient with Tim Cranton

  This week, Aebhric O’Kelly talks with Tim Cranton, who shares his experiences as an offshore medic, detailing a challenging patient case involving dental pain and the complexities of providing care in a remote setting. He discusses the importance of proper patient management, the challenges of medication availability, and the need for improved training in offshore medical practice. Tim emphasises the significance of networking and continuous education for aspiring offshore medics, as well as the potential for developing specialised courses in dental care for medics working in remote environments.TakeawaysTim Cranton is an experienced offshore medic with a background in global health.Managing patients in remote settings requires careful observation and assessment.Antibiotic stewardship is crucial in offshore medical practice.Pain management is a key aspect of treating dental emergencies.Communication with topside medical services is essential for patient care.Remote healthcare often involves waiting for transport due to weather conditions.Continuous education and training are vital for offshore medics.Networking is important for career advancement in offshore medicine.There is a need for more specialised training in dental care for medics.Tim advocates for the development of a dedicated offshore medics course. Chapters00:00 Introduction to Offshore Medicine26:37 Challenges in Remote Healthcare35:19 Future of Offshore Medic Training

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• 156-Academic Paramedicine with James Brogan

  This week, Aebhric O’Kelly talks with James Brogan, a UK paramedic and lecturer at Robert Gordon University, who discusses the unique challenges and opportunities in paramedicine, particularly in rural and remote areas of Scotland. He emphasises the importance of practice-based learning, the role of paramedics in public health, and the evolution of paramedic education towards a more academic and professionalised approach. Brogan also highlights the significance of decision-making skills in austere environments and offers advice for new paramedics entering the field.TakeawaysJames Brogan is a principal lecturer of paramedicine at Robert Gordon University.The university focuses on rural and remote paramedicine education.Practice-based learning is crucial for paramedic training.Paramedics play a significant role in public health initiatives.Austere medicine requires unique skills and decision-making abilities.The evolution of paramedic education has led to a more academic approach.Professionalisation of paramedics is essential for adapting to healthcare needs.Future paramedics will need to be versatile in various environments.Decision-making is more critical than just technical skills.New paramedics should focus on evidence-based practice and holistic care.Chapters00:00 Introduction to Paramedicine in Scotland02:22 The Unique Challenges of Rural and Remote Paramedicine04:56 Practice-Based Learning and Its Importance07:54 The Role of Paramedics in Public Health10:13 Austere Medicine and Prolonged Field Care13:05 The Evolution of Paramedic Education15:32 The Professionalisation of Paramedicine18:17 The Future of Paramedicine20:55 Advice for New Paramedics23:29 Conclusion and Reflections on Paramedicine

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• 155-MiM25 Matt Moront Pediatric Trauma

  This week, we have another presentation from the Medicine in the Mediterranean conference from January 2025. Dr Matt Moront is a pediatric surgeon who provides an in-depth exploration of pediatric trauma care, emphasising the unique anatomical and physiological differences in children compared to adults. The speaker discusses common pediatric injuries, particularly in urban settings, and highlights the importance of airway management, weight estimation for medication dosing, and recognising signs of shock. Techniques for intubation and intravenous access in children are also covered, along with concerns regarding radiation exposure in pediatric imaging. The session concludes with key takeaways for healthcare providers working with pediatric patients.TakeawaysAirway management is critical in pediatric patients.Children are not just smaller adults; they have unique anatomical differences.Most pediatric trauma cases involve motor vehicle accidents and falls.Weight estimation is crucial for medication dosing in children.Children can maintain blood pressure until a significant volume of blood is lost.Intubation in children requires specific techniques and considerations.Radiation exposure in children should be minimised due to their sensitivity.Pediatric patients often present differently than adults in shock situations.Using the right size equipment is essential for pediatric care.Clinical indicators of shock in children are often visual rather than reliant on technology.Chapters00:00 Introduction to Pediatric Trauma Care02:40 Understanding Pediatric Injuries in Urban Settings05:23 Anatomical and Physiological Differences in Children08:34 Airway Management in Pediatric Patients11:21 Weight Estimation and Medication Dosing for Children14:12 Assessing Pediatric Vital Signs and Shock Indicators16:54 Intubation Techniques and Considerations for Children20:08 Practical Tips for Pediatric Emergency Care25:55 Intubation Techniques for Pediatric Patients29:00 Medications in Pediatric Intubation33:57 IV Access in Children40:00 Radiation Considerations in Pediatric Care

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• 154-KCMC Experience with Dmytro Vozniuk

  This week, Aebhric O’Kelly talks with CoROM student Dmitry Vosnyak, who shares his experiences as a remote paramedic student currently completing clinical placements in Kilimanjaro, Tanzania. He discusses his background in emergency medicine, the challenges faced in chaotic environments, and the importance of practical training alongside theoretical knowledge. Dmitry reflects on a mass casualty incident he encountered, emphasising the need for effective pre-hospital care and communication. He also shares insights on how to prepare for such situations and his aspirations for further education in critical care.TakeawaysDmitry has extensive experience as a paramedic in various settings.Studying alongside practical experience enhances learning.The chaotic environment in emergency medicine requires adaptability.Mass casualty incidents highlight the need for pre-hospital care.Preparation and communication are crucial in emergencies.Dmitry emphasises the importance of hands-on training.He values the connections made with local medical teams.Continuous learning is essential for paramedics.Dmitry aims to improve his skills in critical care.He encourages new paramedics to study and gain practical experience.Chapters00:00 Introduction to Dmitry Vosnyak's Journey04:50 The Importance of Practical Training10:53 Clinical Placements and Skill Development17:35 Mass Casualty Incident Experience23:55 Reflections on Improvement and Preparation30:37 Future Aspirations in Critical Care43:03 Advice for new paramedics

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