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

This week, Aebhric O’Kelly talks with Jonathan Downham, an advanced critical care practitioner, who shares his journey and insights into the evolving role of advanced practitioners in healthcare. He discusses the training pathways, responsibilities, and the importance of collaboration with junior doctors. Jonathan emphasises the need for continuous learning, research opportunities, and the future...

This week, Aebhric talks with Mark Lopshire, who shares his extensive experience in humanitarian medical support, particularly in crisis zones. He discusses the challenges faced in providing medical care in conflict areas, the innovative solutions developed in austere environments, and the importance of training in wilderness medicine. Mark emphasises the need for flexibility and cultural understa...

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 tr...

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...

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 p...

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 highlight...

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 in...

This week, Dr. Slaven Bajic we have another presentation from our Medicine in the Mediterreanean conference from January 2025. In this lecture, Slaven discusses the importance of ultrasound in pre-hospital settings, its advantages, limitations, and a case study demonstrating its application in trauma care. The discussion emphasises the need for clinical judgment alongside ultrasound findings and t...

This week, Aebhric O’Kelly talks with Bryony Palmer, who shares her unique journey as a nurse who transitioned to sailing and humanitarian work. She discusses her experiences in offshore medicine, the challenges of providing medical care at sea, and her efforts to improve training and safety within the sailing community. Bryony also recounts a harrowing incident involving her husband's dislocated...

This week, we have another presentation from the Medicine in the Mediterranean conference, held in January 2025. CoROM faculty member Vish Rajan delves into the intricacies of hyperbaric medicine, exploring its history, types of chambers, notable accidents, and the human factors that contribute to safety and efficacy in treatment. Takeaways Hyperbaric medicine has a rich history dating back centur...

This week, Aebhric O’Kelly talks with Andy Bell, Deputy Director of Paramedicine for St. John's Ambulance in Western Australia, who shares his extensive experience in paramedicine, discussing the evolution of the profession, the role of critical care paramedics, and the challenges faced in remote healthcare settings. He emphasises the importance of academic advancement in paramedicine and the...

In this episode of the CoROM Podcast, Dr. Sean Bilodeau discusses the intricacies of pre-hospital medicine, focusing on thoracostomy techniques and the challenges paramedics face in emergency medical services. Through case studies, he highlights the importance of evidence-based practices in needle decompression and the need for improved training methods for paramedics. The conversation emphasises...

This week, Aebhric O’Kelly talks with Alan O'Brien, OB, who is a paramedic from Ireland with a military background; they discuss his journey from the Irish Army to becoming a paramedic. He shares insights into the evolution of paramedic training in Ireland, the importance of academic pathways for military medics, and the significance of the NATO Special Operations Combat Medic (NSOCM) programme. T...

This week, we have another Medicine in the Mediterranean Conference speaker from January 2025. Our Vice Dean Eric Bauer talks about the PHACTORS mnemonic for managing patients in the post-intubation phase, emphasising the importance of understanding and addressing post-intubation hypotension, the role of positive pressure ventilation, and the need for ongoing resuscitation efforts. The discussion...

This week, Aebhric O’Kelly talks with Dr Matias Nocetto, the Vice President of Divers Alert Network (DAN), who shares his journey from Argentina to becoming a key figure in diving medicine. He discusses DAN's unique operations, the importance of understanding diving-related medical issues, and the challenges faced in diagnosing and treating divers. Dr. Nocetto emphasises the significance of tr...

This week, Aebhric O'Kelly speaks with Jason Jarvis, a former Special Forces medic and current PhD student, about his experiences in military medicine, the evolution of prolonged field care, and the development of the 'SHEEP VOMIT' mnemonic for patient care in austere environments. They discuss the importance of nursing care, the practical applications of medical knowledge in the field...

This week, Aebhric O’Kelly talks with Professor Enrico Brunetti about his extensive experience with ultrasound in infectious diseases and tropical medicine. He shares insights into the evolution of ultrasound technology, its applications in clinical practice, and the importance of education in this field. The discussion also covers the short course he developed at the University of Pavia, the chal...

This week, we have another MiM25 presentation from Dr John Quinn discussing Damage Control Resuscitation in large-scale combat operations, particularly in Ukraine. He shares insights from his extensive experience in emergency medicine and highlights the unique challenges faced in combat medicine, including medical logistics, terminology, and telemedicine. Dr. Quinn emphasises the importance of tra...

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 im...

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 signif...

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 educ...

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...

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 discus...

This week, Dr Jon Christensen discusses the critical role of mindset in medical practice, particularly in remote and resource-limited environments. He emphasises the importance of psychological first aid, decision-making under stress, and building resilience through self-care practices. Drawing from personal experiences and historical examples, Dr Christensen illustrates how mindset can shape outc...

This week, Aebhric O’Kelly talks with Francois Duquette, a Quebec nurse who shares his unique experiences working in remote northern communities. He discusses the challenges of providing emergency care without immediate physician support, adapting nursing practices, and using technology like point-of-care ultrasound in austere environments. Francois recounts intense experiences, including multiple...