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

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

This week, Aebhric and Sam continue their discussion of Medical Support for Irregular Warfare, specifically focusing on the use of the Guerrilla Garden. They discuss the unique advantages of herbal remedies compared to pharmaceuticals, particularly in treating viral infections. He highlights how herbs can effectively slow down virus shedding, repair tissue, and support overall health in ways that pharmaceuticals cannot.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.Herbal remedies support the mucosal and lymphatic systems.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.Using herbs can lead to better overall health outcomes.Understanding the unique benefits of herbs is crucial for health.Chapters00:00 Intro to Guerrilla Gardening and Nutrition01:48 Foraging and Wildcrafting for Food04:45 The Importance of Cooking Wild Foods07:33 Identifying Nutrient-Dense Plants10:06 Sprouting Seeds for Quick Nutrition13:06 Microgreens and Mushrooms as Food Sources16:17 Safe Mushroom Identification21:00 Planning for Sustainable Winter Nutrition24:27 Utilising Humanure for Soil Health26:04 Guerrilla Gardening Techniques33:37 Top Edible Plants for Guerrilla Medics

This week, Aebhric OKelly talks with Sam Coffman about the Guerrilla Medic and supplementing Medical Support for Irregular Warfare using locally procured plants. They discuss their training as Green Berets in MSIW and how the medic on the ground can learn and use plants to support the Guerrilla Clinic. This first episode lays the groundwork for this concept. They discuss the integration of herbal medicine with Western medical practices, emphasising the unique benefits of herbal formulas, particularly in treating viral infections and repairing tissue. The discussion highlights the potential of herbal medicine to address acute health issues where pharmaceuticals may fall short, and encourages practitioners to find specific niches where herbal remedies excel.Episode two drops next week and focuses on the use of plants to supplement the nutritional requirements for acute casualties and healthcare staff working in a hidden, remote clinic in semi-permissive environments. TakeawaysHerbs provide unique benefits that pharmaceuticals do not.Acute care is a significant area for herbal medicine.Finding niches for herbs can enhance treatment efficacy.Herbal medicine can complement Western medical practices.Viral infections can be treated with herbal treatments.Integrating herbal and Western medicine can support the Guerrilla clinic.Practitioners can easily master specific applications of herbs.Chapters00:00 Introduction to Herbal Medicine and Survival Gardening02:50 Sustainable Food Production in Crisis Situations05:38 Integrating Herbal Medicine into Resistance Healthcare12:16 Acute Care and Herbal Remedies14:28 Food Sources for Resistance Healthcare19:17 Foraging and Utilising Local Plants22:26 The Use of Alder and Medicinal Herbs24:45 Lessons from Guerrilla Medicine in WWII26:59 Building a Decentralised Medical System30:38 Wildcrafting: Harnessing Nature’s Pharmacy35:12 Creating a Learning Pathway for Remote Medics42:19 Integrating Herbal Medicine into Resistance Healthcare

This week, Aebhric OKelly talks with Eric Linder, who shares the inspiring journey of Team 5, an organisation dedicated to providing remote medical care in underserved communities. Starting as a small group of friends, Team 5 has evolved over 15 years, focusing on humanitarian work without political or religious affiliations. Eric discusses the importance of education and training in remote medicine, emphasising the need for adaptability and cultural understanding. He also offers valuable advice for aspiring remote medics, highlighting the significance of hands-on experience and proper education in making a meaningful impact in global health.TakeawaysTeam 5 started as a small group of friends wanting to help others.The mission evolved from Belize to Guatemala due to logistical challenges.Team 5 focuses on providing medical care without political or religious affiliations.The organisation has grown, but it aims to keep missions small and effective.Eric Linder integrates educational programs with practical missions for students.Remote medicine requires adaptability and understanding of local cultures.Training in remote medicine is essential for effective humanitarian work.Volunteering in underserved areas can provide valuable experience.Education in public health is crucial for addressing global health issues.Team 5 emphasises the importance of being prepared for challenging environments.Chapters00:00 The Birth of Team 513:16 Expanding Horizons in Remote Medicine26:53 Education and Training in Remote Medicine30:55 Advice for Aspiring Remote Medics

This week, Aebhric talks with Jason Jarvis, a former Special Forces medic and current PhD candidate, and discusses Chagas disease, a tropical disease transmitted by the kissing bug. He explains the life cycle of the bug, the transmission of the disease, its clinical presentation, and the challenges in diagnosis and treatment. The conversation emphasises the importance of awareness and preventive measures, especially as Chagas disease is spreading to new regions, including parts of the United States. The discussion concludes with key take-home messages for healthcare providers and the need for ongoing education in tropical medicine.TakeawaysChagas disease is transmitted by the kissing bug, primarily in Central and South America.The life cycle of the kissing bug involves several stages, including the transmission of the parasite through its faeces.Clinical diagnosis is essential, especially in endemic areas where the disease is prevalent.The acute phase of Chagas disease is easier to treat than the chronic phase, which can lead to severe complications.Preventive measures include avoiding exposure to kissing bugs and ensuring blood products are screened for the disease.Chagas disease can also be transmitted through blood transfusions and organ transplants.Healthcare providers should be aware of the symptoms and risk factors associated with Chagas disease.The disease is now spreading to parts of the continental US, raising public health concerns.Ongoing education and awareness of tropical diseases are crucial for healthcare providers.The conversation highlights the importance of understanding the global health implications of diseases like Chagas. Chapters00:00 Introduction to Chagas Disease and Its Relevance02:36 Life Cycle of the Kissing Bug and Transmission of Chagas Disease04:58 Understanding the Pathophysiology of Chagas Disease07:31 Clinical Presentation and Diagnosis of Chagas Disease10:18 Chronic Phase and Long-term Effects of Chagas Disease12:41 Treatment Options and Challenges in Managing Chagas Disease14:51 Preventive Measures and Risk Factors for Chagas Disease17:39 Chagas Disease in the Context of Global Health19:42 Take-Home Messages for Healthcare Providers22:20 Future Considerations and Closing Thoughts

This week, Aebhric talks with students from the University of Pavia in Italy who were attending the Austere and Prehospital Ultrasound course. They discuss innovative teaching methods of ultrasound in medical education, particularly focusing on peer-to-peer learning and the integration of ultrasound training with anatomy education. The students share their experiences with the CoROM ultrasound course, emphasising the practical approach that enhances their understanding of anatomy and clinical skills. They also discuss the challenges of implementing ultrasound training within the medical curriculum and the importance of hands-on experience in mastering ultrasound skills. The conversation highlights the need for supportive faculty and the potential for peer-to-peer teaching to improve learning outcomes in medical education.TakeawaysThe CoROM ultrasound course emphasises practical learning over theoretical knowledge.Peer-to-peer teaching enhances understanding and retention of ultrasound skills.Integrating ultrasound training with anatomy education provides a dynamic learning experience.Students benefit from hands-on experience in real clinical settings.Ultrasound is a skill-based tool that requires practice to master.The importance of having supportive faculty in implementing new teaching methods.Innovative teaching approaches can make learning more engaging and effective.Students are motivated to continue learning and teaching ultrasound skills.There is a need for a standardised curriculum for ultrasound training in medical education.Continuous assessment and practice are key to becoming proficient in ultrasound. Chapters00:00 Introduction to the Quorum Podcast and Course Overview01:04 Experiences with the Quorum Ultrasound Teaching Method03:26 Integrating Ultrasound with Anatomy Education06:29 Peer-to-Peer Teaching in Ultrasound Training08:53 The Role of Ultrasound in Clinical Education11:43 Challenges and Support in Implementing Ultrasound Training15:09 Innovative Teaching Approaches in Ultrasound Education17:57 Understanding Ultrasound Through Hands-On Experience19:53 Future Plans for Ultrasound Curriculum Integration23:43 The Importance of Peer-to-Peer Learning in Medicine26:51 Advice for Beginners in Ultrasound Training

This week, Aebhric talks with Andrew Azelton, a CoROM MSc student, discussing his journey through the EMS field and the challenges faced in pursuing advanced practice as a paramedic. He highlights the lack of master's programs in the U.S. that focus on clinical experience, contrasting it with the more developed systems in Europe. The discussion explores state regulations, the variability of care across different regions, and potential pathways for paramedics to advance their roles within the healthcare system.They explore the concept of an advanced practice paramedic, comparing EMS systems in the U.S. and Europe, discussing funding challenges, and the potential for creating new pathways for paramedics. It emphasises the need for advanced education and training, as well as the importance of funding in implementing changes in the EMS system. The discussion also touches on the future of paramedic education and offers advice for new medics entering austere medicine.TakeawaysAndrew Aselton is pursuing a master's program in EMS.The U.S. lacks master's programs focused on clinical experience for paramedics.The EMS system in the U.S. is fractured and varies by state.In Europe, paramedics have their own licenses and greater autonomy.State regulations have a significant impact on the practice of paramedics in the U.S.Advanced practice paramedics are emerging in some states, like Kentucky.There is a need for a structured pathway for advanced practice paramedics in the U.S.The conversation highlights the differences in EMS practices between the U.S. and Europe.Waving a magic wand could lead to significant changes in paramedic education.The discussion raises questions about the future of paramedics in advanced roles.An advanced practice paramedic should have field experience and a graduate degree.Hands-on learning and clinical attachments are crucial for paramedic education.The EMS system in the U.S. varies significantly by state and funding.Funding challenges hinder the implementation of advanced practice paramedics in the U.S.EMS is often not considered an essential service, which can impact funding and resources.Data shows that treatment release can save money and reduce hospital admissions.A national support system is needed for advanced practice paramedics.Creating a nurse practitioner pathway for paramedics could be beneficial.Funding disparities exist between tax-based and for-profit EMS systems.New medical professionals should seek appropriate training and be prepared for the challenges of working in austere environments.Chapters00:00 Introduction to Andrew Aselton and His Journey02:37 Challenges and Growth in the Master's Program05:10 The State of EMS Education in the U.S.07:47 Advanced Practice Paramedics: A Path Forward10:41 The Future of EMS and Advanced Practice Opportunities12:00 Designing the Advanced Practice Paramedic14:52 Comparing EMS Systems: U.S. vs Europe18:00 Funding Challenges in EMS21:50 The Role of Advanced Practice Providers24:08 Creating a New Pathway for Paramedics29:59 The Future of Paramedic Education32:59 Advice for New Medics in Austere Medicine