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

This week, Aebhric O’Kelly talks with David Steade, who shares his journey through emergency medical services and military service. He details his experiences in Germany, his transition to the 160th Special Operations, and the challenges of flight medic training. He emphasizes the importance of continuous learning in the medical field and offers valuable insights for new medics and nurses entering...

This week, Jason Jarvis joins Aebhric O’Kelly on a deep dive into malaria, covering the lifecycle, symptoms, diagnostic tools, treatment options, and the latest vaccine developments. The discussion emphasises the importance of understanding malaria's complexities, the challenges in diagnosis and treatment, and the promising advancements in vaccine research to eradicate this deadly disease. Takeawa...

This week, Aebhric O’Kelly talks with Dr Daniel Grace, who shares his journey into expedition medicine, discussing his unconventional path from general practice to working in the outdoors. He emphasises the importance of academic frameworks in expedition medicine, the human factors influencing pre-hospital care, and his experiences with mountain rescue and tropical medicine initiatives. Dr Grace a...

This week, Aebhric O’Kelly talks with the new CoROM faculty, Dr Sean Bilodeau, an emergency physician and EMS fellow, and discusses his experiences and insights into the field of emergency medicine, mainly focusing on pre-hospital care and the evolving roles of paramedics. He highlights the differences between the US and European models of emergency medical services, the importance of education an...

This week, Aebhric O’Kelly talks with Dr Derrick Tin, a professor of critical care and director of counterterrorism medicine at Harvard University, and discusses the multifaceted field of disaster medicine. He explains the importance of providing quality care in resource-limited environments and the various pathways for medical professionals to get involved in this speciality. Dr Tin shares his jo...

This week, we explore various topics related to academic medicine in remote and austere environments that were presented during the Medicine in the Mediterranean conference in February 2025. The discussions include ventilation techniques in challenging settings, the impact of human factors in pre-hospital care, the importance of nursing care, and the complexities of treating critical casualties. W...

This week, Dr Sean Keenan gives the keynote address for the Medicine in the Mediterranean 2025 conference held last week in Malta. He discusses the evolution and current practices of Prolonged Field Care (PFC) in military and austere environments. Dr Sean Keenan discusses the importance of adapting medical practices to meet the challenges of remote and resource-limited settings, emphasising the ne...

This week, Aebhric O’Kelly talks with a fellow Green Beret, Dr Glenn Barnes, who shares his unique journey from Special Forces to becoming a nursing educator specialising in aerospace and extreme environments. He discusses his military background, the transition to nursing, and his experiences in private military contracting. Dr Barnes emphasises the importance of innovative nursing education, par...

This week, Aebhric O’Kelly talks with Dr Hannah Evans who shares her experiences as a rural GP and pre-hospital doctor, discussing her work in remote locations, including Antarctica. She highlights the importance of telemedicine in austere environments and her role in advising the ambulance service in Scotland. Dr Evans also talks about her fellowships in wilderness and humanitarian medicine, her...

This week, Aebhric O’Kelly talks with Dennis Jarema from the Prolonged Field Care Working Group. They discuss his journey from military service to nursing, emphasising the importance of prolonged field care in austere environments. They discuss the challenges faced in military medicine, the evolution of medical practices, and the establishment of the Prolonged Field Care Working Group. The convers...

This week, Aebhric OKelly talks with Michael Templeton, a flight paramedic for International SOS, and shares insights into his role, training, and experiences working in Guyana. He discusses the daily routines of a flight paramedic, the importance of training and qualifications, and the challenges faced in a tropical environment. Michael emphasises the need for confidence and leadership skills in...

This week, Aebhric OKelly talks with Daniele Manno, a graduate of the CoROM Remote Paramedic programme. He shares his unique journey from being a pilot to a paramedic, emphasising the importance of wilderness medicine and survival training. He discusses his experiences in clinical practice, particularly in trauma care, and reflects on the challenges and rewards of teaching remote life support cour...

This week, Aebhric O’Kelly reflects on the highlights of 2024, showcasing insights from various guests who have contributed to the field of austere and remote medicine. The conversation covers prolonged casualty care, the importance of guerrilla medicine, and the challenges medics face in rural settings. The guests share their experiences and advice for new medics, emphasising the need for continu...

This week, Aebhric O’Kelly talks with Nick Hill about his extensive experience in military nursing, detailing his journey from the New Zealand Defence Force to the Danish military. He discusses the roles he has held, the challenges faced in various environments, and the importance of improvisation in medical practice. Nick emphasises the need for continuous learning and adaptation in austere medic...

This week, Aebhric O’Kelly talks with Dr Jørgen Melau. They discuss the intricacies of providing prolonged field care (PFC) in Arctic environments. They emphasise the importance of knowledge over gear, the challenges of managing cold casualties, and the necessity of shelter and improvisation. The discussion also covers protocols for PFC, the difficulties of vapour barriers, transportation strategi...

This week, Aebhric O’Kelly talks with Phill Clark about his journey from a career in product management to becoming involved in medical education at the Masters of Austere Critical Care. He discusses the importance of practical skills in medicine, his role in improving student experiences, and the unique challenges adult learners face. Phil also highlights advancements in digital microscopy and AI...

This week, Aebhric O’Kelly talks with Dr David Newman, an aerospace medicine expert who shares his extensive experience in military aviation, the evolution of fighter aircraft, and the future of human pilots in an increasingly automated world. He discusses his recent presentation at the Taipei International Military Medicine Forum, the importance of aerospace medicine education, and the challenges...

This week, Aebhric O’Kelly talks with Tanguy Bader, a second-year BSc Paramedic student, who shares his journey in paramedicine, discussing his experiences in New Orleans EMS, the importance of continuous learning, and his aspirations for the future. He emphasises the significance of basic skills in emergency medicine, the value of patient interactions, and his desire to contribute to internationa...

This week, Aebhric O’Kelly talks with Katie Beck, director of the Diploma of Tropical Nursing at the London School of Hygiene and Tropical Medicine, who shares her extensive experiences in global health and expedition medicine. She discusses the challenges nurses face in low-resource settings, the importance of cultural competence, and the evolving role of nurses in global health. Katie emphasises...

This week, Aebhric O’Kelly talks with Mike Morrow, the CoROM BSc Remote Paramedic programme coordinator, on his journey from being a paramedic to evaluating organs for transplantation. He discusses the unique challenges faced in emergency medical services, particularly in Africa, and highlights the dedication of students in the BSc Remote Paramedic Programme. Morrow emphasises the importance of ex...

This week, Aebhric, John Clark and Emmanuel Acheampong discuss a new collaboration in Kumasi, Ghana. The College is creating a collaboration with Komfo Anokye Teaching Hospital to enhance medical education and training. They discuss the hospital's capabilities, the emergency department's operations, the triage system, and the potential for student placements and training initiatives. The discussio...

This week, Aebhric talks with Anke Krug, who is a community nurse in Nunavut, Canada, and shares her experiences and challenges in providing healthcare in a remote Arctic environment. She discusses the complexities of medevac nursing, the environmental considerations for patient care, and the importance of collaboration and communication in remote healthcare settings. Anke also highlights the evol...

This week, Aebhric OKelly speaks with Rhod Jordan, a remote paramedic working in Kurdistan, about the intricacies of the Medical Emergency Response Plan (MERP). Rhod shares his experiences and insights on the importance of planning, communication, and training in emergency medical situations. He emphasises the need for thorough assessments of local medical facilities and the significance of buildi...

This week, Aebhric chats with Dr Peter Anders Christiansen (PAC), a former senior medical officer in the Danish Special Forces, who discusses his work in PTSD treatment using Stellate Ganglion Block (SGB) and his role in developing the Nordic Special Operations Combat Medic Course. He shares insights on the effectiveness of SGB for veterans suffering from PTSD, the challenges of medical training i...

This week, Aebhric O’Kelly talks with Dr Jamie Riesberg, who created the separation of Prolonged Casualty Care (PCC) from Prolonged Field Care (PFC). Dr Riesberg has extensive experience in military medicine, focusing on the evolution of prolonged field care and the transition from the Global War on Terror (GWOT) to future conflicts. He emphasises the importance of adapting medical training to cur...