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

This week, Aebhric O’Kelly is joined by Dr Michael Klopper, who recently earned his doctorate from CoROM and shares his journey from South Africa to becoming a doctoral candidate in AI, his extensive experience in remote medicine and mountain rescue, and his views on the future of AI in medical research and education. Discover insights on mountain medicine training, AI's role in healthcare, and practical advice for medical professionals in challenging environments.Chapters00:00 Introduction and Dr Klopper's background01:42 Early connection with the College and initial projects04:06 Setting up clinical placements and courses in South Africa05:44 East London clinical work and EMS programs07:28 Dr Klopper's Wilderness Medicine Fellow (FAWM) and future plans11:48 Dr Klopper's PhD thesis on AI in medicine18:19 The importance of search mechanisms and AI in research21:57 Risks and best practices for AI in academic research24:57 Advice for new medical professionals and outdoor enthusiasts28:48 Preparing for deployment in challenging environments29:30 The role of aviation safety and small details in rescue missions32:16 Closing remarks and future plans for Dr Klopper

This week, Aebhric O'Kelly is joined by Dr Aris Exadaktylos and Dr Susie DiMartini to discuss the critical need for specialised maritime medicine training. They explore the creation of the International Maritime Ships Doctors course, the unique challenges of offshore medical care, and the future of remote healthcare technology. They are the founding faculty for the new Faculty of Offshore and Maritime Medicine from CoROM. Chapters00:00 Introduction to Maritime Medicine Faculty02:14 Personal Journeys in Maritime Medicine05:02 The Need for Maritime Medical Training10:11 The Role and Responsibilities of Ship Doctors16:51 Innovations in Maritime Medical Care25:49 The International Maritime Ship Doctors Course29:03 Future of Maritime Medicine Education

This week, Aebhric O’Kelly is joined by Rhod Jordan and Bill Vasios as they discuss how to create an ICU in the jungle. They discuss setting up and managing a remote ICU in jungle environments, focusing on site selection, equipment, logistics, and medical considerations for field medics and responders.Chapters00:00 Introduction and Content Overview00:41 Premise and Scenario Setup for Jungle ICU01:33 Site Selection Criteria in Jungle Environments02:19 Environmental Challenges: Rain, Creepy Crawlies, and Hypothermia03:08 Privacy, Lighting, and Visibility in Remote Settings03:53 Creating a Functional Jungle Clinic Layout04:34 Lighting and Visibility Strategies at Night05:31 Accessibility and Zone Planning in Field Clinics06:09 Assessing Capacity: Multiple Patients and Beds07:01 Monitoring Equipment: Minimum and Advanced Options08:04 Power, Water, and Communication Logistics08:42 Prolonged Casualty Care and Exfil Planning09:59 Medical Supplies: Drugs, Medications, and Sterility10:42 Camp Craft and Bushcraft Skills for Remote Medics11:35 Wildcrafted Plants and Improvised Medicine12:12 Communication Strategies in Dense Canopy Environments13:08 Team Coordination and Role Assignments14:08 Dealing with Critical Patients and Exfil Decisions14:57 Infection Control and Hygiene in the Field15:54 Personal and Team Safety Measures16:39 Additional Non-Medical Gear for Remote Operations17:16 Lighting Solutions and Bug Management at Night18:08 Medications and Drugs for Jungle Medicine18:45 Over-the-Counter and Emergency Medications19:34 Special Considerations for Malaria and Vector-borne Diseases20:04 Infection Control and Hygiene Protocols20:56 Water Purification and Boiling Techniques21:35 Field Sterilisation and Maintaining Sterility22:25 Managing Glove Supplies and Hand Hygiene23:00 Dermatology and Common Skin Conditions23:38 Malaria Prophylaxis and Treatment Strategies24:32 Infection Control and Personal Hygiene25:14 Power and Charging Solutions in Remote Areas26:04 Water Supply and Filtration Methods26:45 Field Sterilisation and Water Boiling Techniques27:21 Camp Craft and Bushcraft Skills for Field Survival27:56 Wildcrafting and Medicinal Plants in the Jungle28:47 Communication Equipment and Strategies in Dense Canopy29:41 Team Coordination and Medical Decision-Making30:17 Water Safety and Potable Water Management31:05 Team Safety and Preventing Illness in the Field32:04 Bushcraft Skills for Remote Medical Operations32:58 Survival Skills and Improvised Medicine33:48 Communication Tools and Emergency Signalling34:28 Exfil Planning and Evacuation Protocols35:14 Prolonged Casualty Care and Equipment Needs36:01 Medical Kits and Supplies for Extended Operations36:51 Decision-Making in Critical Situations37:23 Non-Medical Essentials: Woobies, Tools, and Comfort Items38:10 Maintaining Morale and Team Cohesion38:42 Summary and Final Tips for Jungle ICU Setup

This week, Aebhric O'Kelly talks with Eirik Holmstrom about the newly updated MIC MEC and Pharm CPD courses, which have been combined into a new online CPD programme called 'Austere Primary Care.' This APC is a package that includes Disease and Non-Battle Injuries (DNBI) encountered on expeditions, in military operations, at remote clinical sites, and in resource-limited environments. You can find up-to-date information on our course webpage https://corom.moodlecloud.com/

This week, Aebhric O’Kelly talks with Dr Csaba Dioszeghy about the redesign and upgrade of the MSc Austere Critical Care programme. Every 5 years, the degree programmes undergo reaccreditation. The College has decided to double the programme's size following feedback from graduates. Chapters00:00 Introduction to the New Masters of Austere Critical Care Program01:03 The Complete Rehaul of the Curriculum01:57 Flexibility and Pathways in the New Program02:51 Comparison with UK Advanced Practice Programs03:46 Four Pillars of the New Curriculum04:41 Special Focus: Medical Support to Resistance Healthcare07:02 Innovations in Improvised Medicine08:21 Practical Modules: Ultrasound and Tropical Medicine09:44 Student Research and Thesis Projects11:30 Program Launch and Future Outlook

This week, Aebhric O’Kelly is joined by Splinter Knoppert, who is a 2nd-year BSc student attending the Intensive Care for Austere and Remote Environments (ICARE) course in Malta. They discuss his experiences during the week, including the practical skills, teamwork, resource-limited environments, and innovative teaching methods.Aebhric is then joined by Dr Csaba Dioszeghy, and they discuss the origin of the ICARE course 14 years ago. Chapters00:00 Introduction to the ICARE Course in Malta00:58 BSc Student Splinter talks about his experience in ICARE02:04 Diverse Participants and Their Backgrounds02:53 Skills Gained: Ultrasound, Central Lines, and Improvisation03:47 Blue Time: Practice and Muscle Memory05:06 Overview of Scenarios: Crush Injuries, Tropical Diseases, and Trauma05:52 Building a Remote ICU: Key Components and Challenges06:30 Setting Up an ICU in the Jungle: Precautions and Planning07:14 Impact on Paramedic Practice and Future Plans08:16 Introduction to Dr Csaba Dioszeghy and Critical Care Education09:06 Origins of Critical Care Teaching and Collaboration10:51 Simplifying Critical Care for Resource-Limited Settings13:07 Development of the MSc in Critical Care14:29 Teaching Principles: Using Critical Care Without Fancy Equipment15:26 From Aeromedical Transport to Specialised Critical Care Training16:22 Addressing the Gap in Critical Care Education16:47 Curriculum Focus: Basic to Advanced Critical Care Concepts17:43 Teamwork and Non-Technical Skills in Critical Care18:40 The Importance of Crew Resource Management20:20 Simulation-Based Training for Teamwork and Skills21:15 Elective Courses and International Participation22:10 The Future of the MSc Program and Crew Resource Management24:04 Technical Skills Practice: Ultrasound, Suturing, and Intubation24:57 The Value of the iCare Course and Its Evolution25:50 Upcoming Deep Dive into the Masters of Austere Critical CareWe will have questions about the episode icon, which is a picture of an ancient carving of the Rod of Asclepius. This is on a church outer wall in Mdina, Malta, with origins in the Knights Hospitaler.

This week, Aebhric O'Kelly and Bill Vasios host another CoROM Conversations. This month, they discuss the comprehensive nursing interventions, training strategies, and best practices for prolonged field care, emphasising simplicity, effective handovers, and patient safety.https://youtu.be/U63NaFLaxZ0Chapters00:00 Introduction to Nursing Interventions00:53 Exploring CPGs and Nursing Interventions02:25 Comparing Non-Medical and Medical Personnel Guidelines05:50 Simplifying Nursing Interventions for Non-Medical Personnel09:05 Wound Care Disparities in Guidelines11:05 Identifying Gaps in Nursing Care Guidelines12:07 The Need for Simplified Guidelines16:15 Importance of Structured Handover24:03 Trending and Serial Assessment in Patient Care26:17 Understanding Patient Comfort and Injury Prevention27:36 The Importance of Hands-On Nursing28:32 Pressure Injury Prevention Strategies29:52 Efficient Patient Care Techniques31:17 Pain Management in Nursing33:12 Pulmonary Hygiene and Patient Mobility35:14 Nutrition and Hydration in Patient Care35:37 The Role of Checklists in Medical Practice41:33 Infection Prevention and Wound Care43:34 Final Thoughts on Patient Care Practices44:01 Any Questions?

This week, Aebhric is joined by Dr Harrison Steins, who is finishing his MSc in Austere Critical Care with CoROM. He also finished medical school and is starting his emergency medicine training. His master’s thesis was on the complexities of swimming-induced pulmonary oedema (SIPE), a rare condition affecting athletes, particularly in high-altitude environments. The speaker, Harrison Steins, discusses the pathophysiology, clinical presentation, diagnosis, and management strategies for SIPE, emphasising the importance of context in medical practice. He shares case studies, research findings, and future directions for understanding and treating this condition, highlighting the role of ultrasound in diagnosis and the need for tailored prevention strategies.TakeawaysSwimming-induced pulmonary oedema is a rare condition with a prevalence of less than 1%.Understanding the context of patient presentation is crucial for diagnosis.Acute-onset cough and dyspnoea are key symptoms of SIPE.Diagnosis requires a broad differential, ruling out other conditions first.Management focuses on immediate life threats before addressing SIPE.Hydration strategies can prevent SIPE, especially in athletes.Sildenafil may be effective in preventing SIPE, but it is not widely recommended.Handheld ultrasound is a reliable tool for diagnosing pulmonary oedema in the field.Females may have a higher incidence of SIPE at lower elevations than males do.Knowledge of population-specific pathology is essential for effective treatment.Chapters00:00 Introduction to Swimming-Induced Pulmonary Oedema04:47 Understanding the Pathophysiology of Swimming-Induced Pulmonary Oedema09:18 Case Studies and Clinical Presentation13:48 Diagnosis and Imaging Techniques19:26 Management Strategies and Treatment24:17 Research Findings and Future Directions

This week, Aebhric O'Kelly interviews four students from our BSc in Remote Paramedic Practice programme. They discuss the Tropical Travel and Expedition Medical Skills course (TTEMS).

This week, Aebhric O'Kelly is joined by Dr Ella Corrick, Dr Sean Bilodeau and Dr Tom Mallinson as the CoROM faculty attend The Big Sick conference hosted by Air Zermatt. CoROM gave three lectures and two workshops including the Improvised Medicine workshop and the Austere Emergency Care workshop. TakeawaysThe challenge of compressing prolonged field care education into short workshops.Engagement of diverse professional backgrounds enhances learning experiences.Realistic simulations provide valuable insights into emergency care.The importance of bridging the gap between pre-hospital and hospital care.Innovations in emergency medicine practices are crucial for improving patient outcomes.Data plays a significant role in shaping emergency response strategies.Continuous education is essential for adapting to new medical practices.The value of informal discussions among professionals at conferences.Understanding the unique challenges faced by pre-hospital care providers.The need for a shift in perception regarding the role of EMS professionals.Chapters00:00 Introduction to the Big Sick Conference02:34 Challenges in Prolonged Field Care Education05:43 Diverse Professional Backgrounds in Medical Education08:09 Learning Through Realistic Simulations11:04 Bridging the Gap Between Pre-Hospital and Hospital Care13:39 Innovations in Emergency Medicine Practices16:46 The Role of Data in Emergency Response19:10 Future Directions in Pre-Hospital Care21:39 Conclusion and Reflections on the Conference

This week, we hear from Burjor Langdana, who runs the Wilderness and Expedition Dentistry workshop for CoROM. Burjor discusses the management of dental pain, focusing on assessing sensitivity, identifying causes, and evaluating treatment options. It emphasises the importance of patient care, oral hygiene, and antibiotic use in the management of dental conditions. The discussion also covers cultural considerations and improvisation in emergency situations, providing valuable insights for dental practitioners.https://wildernessdentistry.com/TakeawaysUnderstanding the characteristics of dental sensitivity is crucial.Location and duration of pain are key indicators.Aggressive brushing can lead to gum recession and sensitivity.Clove oil can be effective but should be used cautiously.Flossing is essential to prevent food buildup and gum irritation.Antibiotics may be necessary for managing infections.Improvisation is important in emergency dental care.Cultural beliefs can impact patient care and treatment acceptance.Communication with patients about procedures is vital.Managing expectations regarding treatment outcomes is essential.Chapters00:00 Introduction to Managing Dental Pain00:57 Understanding Sensitivity: Duration and Location06:32 Identifying Causes of Sensitivity12:12 Managing Sensitivity with Home Remedies12:40 Addressing Food-Related Pain18:37 Techniques for Filling Cavities29:11 Improvising Without Instruments29:39 The Role of Salt Water in Oral Health34:53 Managing Tooth Pain and Food Impaction39:06 Understanding Fillings and Their Complications45:42 Gumboils: Causes and Management49:48 Skills for Remote Dental Care56:04 Cultural Sensitivity in Dental Treatment

This week, Aebhric O’Kelly is again joined by Dr Sam Slishman. They discuss medical innovation and Aebhric’s invention called the AirBase. They discuss medical innovation, focusing on inventions, such as the Slishman Traction Splint and the Airbase. They emphasise the importance of evidence-based medicine, particularly in the use of tourniquets and bleeding control techniques. The discussion also addresses the challenges of marketing medical devices, the role of 3D printing in healthcare, and advice for aspiring medical professionals in austere environments.TakeawaysInnovations in medical devices can significantly impact patient care.Tourniquets are effective but should be used with caution.Direct pressure is often more effective than tourniquets for certain injuries.The Airbase serves multiple purposes during emergencies.3D printing can revolutionise medical device development.Standard of care is not static and can vary by location.Patient comfort is crucial in emergency medicine.Research in austere medicine faces unique challenges.Continuous learning and adaptation are essential for medics.Chapters00:00 Introduction to Dr Sam Slishman01:31 Innovations in Medical Devices04:25 Tourniquet Efficacy and Research09:38 Direct Pressure vs. Tourniquets17:50 The Airbase: A New Medical Tool24:14 Challenges in Medical Device Development31:20 The Role of 3D Printing in Medicine39:19 Advice for Aspiring Medics

This week, Aebhric O’Kelly is joined by Rabbit, who is an EU SOF medic who shares his extensive background in military medicine and his current focus on researching the effects of higher education on individuals with PTSD. He discusses his personal experiences with PTSD and how education has played a role in his recovery. The conversation also touches on the importance of engaging the younger generation in military medicine, adapting to the changing battlefield, and the need for collaboration between special operations and conventional forces. Rabbit emphasises the significance of education and teamwork in improving outcomes for those affected by trauma.TakeawaysRabbit has a rich background in military medicine and education.His PhD research focuses on PTSD and higher education.Education can provide hope and support for individuals with PTSD.There is a need for specialised programs for military personnel with PTSD.Engaging the younger generation is crucial for the future of military medicine.Collaboration between special operations and conventional forces is essential.Rabit emphasises the importance of teaching and enabling others in medicine.The battlefield is evolving with new technologies and challenges.Personal experiences with PTSD can inform research and treatment.Teamwork is vital in prolonged field care situations.Chapters00:00 Introduction to Rabbit and His Background02:52 Exploring PTSD and Higher Education10:22 Personal Experiences with PTSD and Education17:12 The Role of SOMA and Engaging the Younger Generation26:57 Advice for New Medics and Collaboration in Medicine

This week, Aebhric O’Kelly talks with Zach Andrews, a SOF medic, to discuss his journey through the MSc in Austere Critical Care, with a focus on his thesis on microcirculation in resource-limited settings. He shares insights into the challenges and learning experiences of his studies, the development of the AMSS score for assessing microcirculation, and his future aspirations in medicine, particularly in rural EMS and education.TakeawaysZach is on active duty in the U.S. Army as a SOF medic.He works as a critical care paramedic in a rural county.His thesis focused on microcirculation in resource-limited settings.He explored noninvasive methods for assessing microcirculation.Zach developed the mottling score to evaluate microcirculation.He emphasises the importance of basic medical skills.Zach plans to pursue a doctorate in the near future.He aims to validate his Microcirculatory Integrated Severity Scale (AMSS) in real-world settings.Zach believes in the significance of education in rural healthcare.He appreciates collaborative problem-solving in medical training.Chapters00:00 Introduction to Zach Andrews and His Journey06:08 Exploring the Master's Program in Osteo-Critical Care13:20 Thesis Topic: Microcirculation in Resource-Limited Environments20:24 Developing the Microcirculatory Integrated Severity Scale (AMSS)24:25 Future Plans and Advice for New Practitioners

This week, Aebhric O’Kelly and Bill Vasios host an online discussion on the JTS sepsis CPG. CoROM students and members of the college join this live discussion about how to assess and treat the septic casualty in remote and austere environments. Chapters00:00 Introduction to C-Circulation Problems01:34 Understanding Sepsis and Its Management09:17 Early Warning Systems for Sepsis14:15 Clinical Acumen in Remote Care20:20 Monitoring and Assessing Patient Status27:52 Antibiotic Administration in Remote Settings33:02 Malaria Treatment Protocols37:33 Resuscitation Strategies for Sepsis42:52 Point of Care Ultrasound in Patient Monitoring48:12 Final Thoughts and Future TopicsYou can download the JTS CPG on Sepsis here. https://jts.health.mil/assets/docs/cpgs/Sepsis_Management_PFC_28_Oct_2020_ID83.pdf

This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan will host an open discussion on managing austere burn patients, covering airway management, fluid resuscitation, infection control, and pain management. The speakers emphasise the complexity of burn cases and the importance of accurate assessment and treatment protocols. They also highlight the need for effective communication and patient involvement in care, as well as the use of innovative techniques like topical morphine for pain management.TakeawaysBurns are incredibly complicated, but they're complex patients.Managing an individual patient's airway has to be factored in.You want to protect and secure the airway and avoid obstructions.The goal is to achieve maximal accuracy in fluid resuscitation.You can infuse that fluid rectally if you don't have IV fluids.Prophylactic antibiotics are not indicated in burn patients.Topical morphine works really, really well for pain management.Involving the patient in their care has a positive effect.Infection control is the means of preventing infection.Burn management is more art than science.Chapters00:00 Introduction to Burns Management03:08 Airway Management in Burn Patients05:52 Assessing Burn Size and Fluid Resuscitation09:00 Fluid Administration Techniques11:38 Oral vs IV Resuscitation14:53 Monitoring and Adjusting Treatment17:36 Dynamic Management of Burn Patients25:18 Vital Signs Monitoring in Critical Care28:01 Continuous Assessment and Patient Management32:07 Patient Involvement in Vital Signs Monitoring35:10 Urine Output and Fluid Resuscitation41:33 Infection Control in Burn Management48:20 Pain Management Strategies in Burns

This week, Aebhric is joined by Bill Vasios and Rhod Jordan, who recorded during the November 2025 CoROM Conversations. They discuss Practical Prolonged Casualty Care, a PDF from the US Military University, designed to equip lay responders with foundational skills for managing casualties over extended periods. The speakers underscore the critical role of clear communication, the value of structured training for non-medical personnel, and the practical relevance of the book’s guidance in real-world scenarios. They highlight the importance of engaging patients actively in their own care, as well as the inherent challenges associated with preparing laypersons for such responsibilities. Considerations of cultural context and the necessity of a collaborative, team-based approach to patient management are also brought to the forefront.TakeawaysThe book is designed for laypeople to understand basic medical care.Effective communication is crucial in patient care.Training non-medical personnel can enhance patient outcomes.Involving patients in their own care is beneficial.Cultural considerations play a significant role in patient care.The book provides practical techniques for prolonged casualty care.Regular assessment and monitoring are essential for patient safety.Lay responders should be trained to recognise nonverbal cues of discomfort.The importance of maintaining a regular routine for patients is emphasised.Cross-training team members can improve overall care.Chapters00:00 Introduction to Prolonged Casualty Care02:50 Deep Dive into the Book's Content06:04 Engaging Laypersons in Medical Care08:55 Communication and Patient Interaction11:37 Training Non-Medical Personnel14:49 Practical Applications and Techniques17:51 Understanding Patient Needs20:39 Challenges in Training and Implementation23:28 Cultural Considerations in Patient Care26:16 Conclusion and Future Directionshttps://www.usuhs.edu/sites/default/files/2025-09/Layperson%27s_Guide_to_Prolonged_Casualty_Care_090825_ACC.pdf

This week, Aebhric O’Kelly talks with Dr Chris Carter, a critical care nurse and academic, who shares his journey from military nursing to working in Zambia, where he has been instrumental in developing critical care nursing programs. He discusses the challenges and innovations in critical care nursing, particularly in resource-limited environments, and reflects on the impact of COVID-19 on the healthcare landscape. Dr Carter emphasises the importance of education, collaboration, and flexibility in nursing practice and offers advice for new professionals entering the field.TakeawaysDr Chris Carter transitioned from military nursing to academia.He is currently working in Zambia to enhance critical care education.COVID-19 highlighted the need for investment in critical care nursing.Collaboration with local stakeholders is crucial for program development.Innovations in critical care can improve patient outcomes.Education programs must be tailored to local needs and resources.There is a growing recognition of the importance of critical care nursing.Flexibility and adaptability are key in austere medical settings.Dr Carter advocates for updates to critical care nursing literature.New professionals should embrace every opportunity in their careers.Chapters00:00 Introduction to Dr. Chris Carter03:35 Journey to Zambia and Critical Care Education09:01 Developing Critical Care Nursing Programs12:34 The Impact of COVID-19 on Critical Care16:13 Innovations in Critical Care Nursing19:52 Future of Critical Care Nursing Education26:51 Advice for New Professionals in Austere Medicine

This week, Aebhric O’Kelly talks with Greydon Ratushny about his master’s thesis. He recently graduated from the MSc Austere Critical Care programme. They discuss the significant challenges faced in delivering quality healthcare in remote and rural areas of British Columbia. Greydon emphasises the critical role of pain management in improving patient experiences and outcomes, particularly in paramedic services. Ratushny highlights the immediate impact that effective pain management can have on patients and its importance in their overall healthcare journey.TakeawaysThere are significant challenges in delivering quality healthcare in rural areas.Pain management is a key focus for improving patient outcomes.An immediate impact on pain can enhance the patient experience.The quintuple aim concept is essential in healthcare delivery.Paramedics play a crucial role in managing pain effectively.Rural communities require tailored healthcare solutions.Understanding patient experiences is vital for healthcare improvement.Effective pain management can influence long-term patient recall.Healthcare delivery must adapt to the unique needs of remote areas.Research and innovation are needed to address rural healthcare challenges.Chapters00:01 – Introduction and guest welcome02:30 – ACC learning experience and placements06:15 – Motivation for choosing ACC09:50 – Curriculum gaps and collaboration13:55 – Programme redesign and electives15:40 – Thesis focus: austere nerve blocks20:10 – Scope of practice and POCUS24:30 – Pain management in prolonged transport29:40 – Rural healthcare equity challenges32:50 – Doctoral research ambitions35:40 – Advice to future candidates36:30 – Closing reflections

This week, Aebhric OKelly and Sam Coffman continue their discussion on the Guerrilla Medic and what to grow in their garden to supplement their ICU. Sam discusses the unique advantages of herbal remedies in treating viral infections. They discuss easy-to-find herbal medicine from your camp kitchen.TakeawaysHerbs can address specific health niches that pharmaceuticals cannot.Herbal formulas are effective for various viral infections.Herbs can help repair and restore tissue health.The mucosa and lymph movement are supported by herbal remedies.Herbs can slow down and stop virus shedding.Pharmaceuticals lack the holistic approach that herbs provide.Herbs can enhance the body's terrain for better health.Herbal remedies can be more effective in certain health conditions.The use of herbs can lead to better overall health outcomes.Understanding the unique benefits of herbs is crucial for health.Chapters00:00 Introduction to Medicinal Herbs10:46 Key Herbs for Upper Respiratory Health14:10 Herbs for Gut and Liver Support17:42 Common Kitchen Herbs to Support your ICU26:56 Honey as Medicine31:26 More Kitchen Herbs35:44 Improvised Medicine Workshop at SOMSA