Claim OwnershipWorld Extreme Medicine Podcast
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We’re committed to ensuring extreme medicine education can reach all medical, healthcare and supporting professionals working in austere environments.
With regular updates, our team brings you the latest from across the broad spectrum of extreme medicine disciplines, including expedition, space, remote, pre-hospital and humanitarian medicine as well as a range of topics across performance and non-technical skills. Enhance your ability to tackle challenges with new skills you can take home or out into the field.
Push the boundaries of your medical career!
With regular updates, our team brings you the latest from across the broad spectrum of extreme medicine disciplines, including expedition, space, remote, pre-hospital and humanitarian medicine as well as a range of topics across performance and non-technical skills. Enhance your ability to tackle challenges with new skills you can take home or out into the field.
Push the boundaries of your medical career!
211 Episodes
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Ben LaBrot, founder and CEO of Floating Doctors, joins us this episode where he shares his incredible journey of delivering healthcare to remote, underserved communities around the world.
Ben discusses the challenges and rewards of providing medical care in resource-limited settings, the importance of building trust with patients, and the profound impact that humanitarian work can have on both healthcare providers and the communities they serve.
From his accidental beginnings in Tanzania to his current work in Panama, Ben offers valuable insights into the world of global health, the power of experiential learning, and the importance of persistence and adaptability in the face of adversity. He also shares his vision for the future of Floating Doctors and how others can get involved in this life-changing work.
Whether you're a healthcare professional, a student, or simply someone passionate about making a difference, this episode will leave you feeling inspired and motivated to take action. Join us as we explore the incredible world of Floating Doctors and discover how one person's passion can change countless lives.
In this podcast episode, we sit down with Jessica Thomas-Mourne, a specialist paramedic in critical care working with Devon Air Ambulance in the UK.
Jessica shares her research on gender inequality within the pre-hospital emergency medicine environment, highlighting the challenges faced by women in this field and offering practical recommendations to bridge the gender gap.
From biased recruitment processes to the need for better work-life balance, Jessica provides valuable insights into creating a more diverse and inclusive environment in air ambulance services.
To read Jessica's recommendations, click here.
In this captivating episode, we are honoured to be joined by the esteemed Dr. Michael Harrison, MD PhD MPH FAsMA, a leading authority in the field of aerospace medicine.
Dr. Harrison currently serves as the Chief Medical Officer of Hercules Medical Group, a renowned Texas-based entity dedicated to providing comprehensive medical care and
consultation to Axiom Space and their astronauts.
With an impressive background spanning over 12 years in aerospace medicine, Dr. Harrison also holds the prestigious position of Chief Medical Officer for Axiom Space.
In this role, he advises the company's C-Suite on all aspects of human health and safety, offering invaluable risk analysis for off-nominal commercial spaceflight missions.
Throughout the episode, Dr. Harrison delves into the unique challenges and considerations involved in packing medical kits and supplies for space missions. He shares his wealth of
knowledge on managing health issues in microgravity environments and provides exclusive insights into the groundbreaking developments taking place at Axiom Space in the realm of commercial spaceflight.
Join us as we explore the intricacies of packing both your medical kit and the rest of your gear for space, with special considerations that are essential for the success and safety of any mission.
Don't miss this opportunity to learn from one of the foremost experts in the field and gain a deeper understanding of the fascinating world of space health and medicine.
In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Marius Rehn, Editor-in-Chief of the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, about the ins and outs of publishing research in an academic journal.
They discuss the importance of aligning research with the scope of the chosen journal, common mistakes authors make when submitting manuscripts, navigating the peer review process, and tips for increasing publicity of published work. Rehn emphasises the importance of passing the "so what" test - ensuring research addresses a fundamental question that will benefit the community of practice and ultimately patients.
He also highlights the need for brevity and conciseness, keeping in mind the busy clinician audience.
Tune in for valuable insights on smoothly navigating the academic publishing journey from an expert editor's perspective.
In this episode, Sarah Spelsberg is joined by the brilliant Mabli Davies, an anaesthetics trainee and expert in women's health in extreme environments.
Mabli shares her personal experiences and research on managing menstruation, pregnancy, and reproductive health in the world's most challenging conditions.
Drawing from her master's dissertation on menstruation management and suppression in austere environments, Mabli provides invaluable insights, practical tips, and strategies for women facing physical, psychological, and environmental challenges during their menstrual cycles on expeditions.
The conversation delves into the importance of preparation, hygiene, fitness, and sleep in supporting women's health in the wilderness.
Mabli also discusses the role of expedition medics in promoting inclusivity and breaking the stigma surrounding women's health in extreme environments.
This podcast is a must-listen for anyone interested in the intersection of women's health and adventure medicine.
Welcome to Diversity Week!
In this special episode, a diverse panel of medical professionals, eye surgeon and Sikh warrior Pavandeep Singh, NHS & wilderness expedition Dentist Burjor Langdana, emergency physician and paediatrician Terez Malka, explorer, aquanaut, MD & Director of space medicine group Astronautics Institute Shawna Pandya, UK GP studying tropical medicine Chern Lim, and GP & humanitarian doctor Hareen Di Silva, share their unique journeys into expedition medicine.
Despite coming from various backgrounds and facing challenges, they found their passion for practicing medicine in extreme environments by seizing opportunities, developing skills, maintaining fitness, and believing in themselves.
The guests discuss the importance of mentorship, support networks, and the welcoming nature of the expedition medicine community.
They emphasise that it's never too late to get started and encourage aspiring wilderness medics to dream big and take steps to pursue this fulfilling career path.
Sign up to our newsletter & never miss an episode & find out about future releases before everyone else.
In this episode, Niccolo Stomeo, an anaesthesia and intensive care resident at Humanitas University in Milan, joins us to discuss his groundbreaking study on the role of remote teleradiology, X-ray, and POCUS at mass motorcycle events. Nico shares his firsthand experience from the 2021 International Six Days of Enduro, a challenging and dynamic race spanning a vast area between Lombardia and Piemonte in Italy.
Throughout the conversation, we delve into the utility, limitations, and decision-making benefits of having portable digital X-ray and telemedicine available in remote field hospital settings. Nico highlights the importance of having a full team, including a radiology technician, nurses, doctors, and an orthopaedic surgeon, to maximise the effectiveness of this technology.
We explore the challenges faced during the study, such as power supply, radiation exposure, and the need for reliable Wi-Fi and cellular connections to enable remote consultation with radiologists. Nico also shares the direct benefits observed, including the ability to provide definitive treatment on-site, reduce the burden on local healthcare systems, and allow athletes to continue racing when injuries are ruled out.
Looking towards the future, Nico emphasises the need for larger, well-controlled studies to further validate the findings and improve external validity. He also stresses the importance of data collection and analysis in pre-hospital care settings to identify areas for improvement and advance the quality of care provided.
Join us for this captivating discussion on the cutting-edge of emergency medicine in extreme environments, and discover how remote teleradiology is shaping the future of medical care at mass sporting events.
To read Niccolo’s study, click here.
In this riveting episode of the World Extreme Medicine Podcast, we sit down with WEM faculty Lucy Williams, a seasoned paediatric nurse who recently returned from a life-altering deployment to Gaza with Médecins Sans Frontières (MSF).
From the relative normalcy of Egypt to the war-torn streets of Gaza, Lucy takes us on an emotional journey through her experiences working in a hospital mere meters away from the heart of the conflict.
She shares powerful stories of resilience, hope, and heartbreak, including the tale of a family struggling to survive the aftermath of a devastating blast.
Discover the challenges faced by humanitarian workers in one of the world's most volatile regions, as Lucy provides a rare glimpse into the day-to-day realities of delivering critical care in the face of unimaginable adversity.
Whether you're a healthcare professional considering a career in humanitarian aid or simply someone looking to better understand the human cost of conflict, this episode offers a raw, unfiltered look at the courage and compassion of those who risk everything to help others in need.
You can also watch this episode over on our Youtube channel here.
In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC).
Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management.
Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC.
We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition.
With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion.
Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care.
Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events.
This paper is also mentioned in the episode:
Sudden cardiac arrest in a marathon runner: a case report
Please note: this episode was originally aired on The Pre-Hospital Care Podcast. World Extreme Medicine was given permission by the podcast host to share this episode.
In this episode of the World Extreme Medicine Podcast, we're taking you on a journey through the rugged, untamed wilderness of Sardinia, Italy, as we explore the legendary Selvaggio Blu expedition.
Join host Eoin Walker as he sits down with Luca Alfatti, an experienced expedition leader, advanced paramedic, and faculty member with World Extreme Medicine, to uncover the secrets of this awe-inspiring trek.
Listen as Luca takes you on an unforgettable journey through the rugged wilderness of Sardinia, Italy, exploring the legendary Selvaggio Blu expedition.
Discover the challenges, triumphs, and life-changing moments that define this awe-inspiring trek, and learn valuable lessons in self-reliance, adaptability, and teamwork.
Whether you're an aspiring expedition medic or an adventurer seeking to push your limits, this episode will inspire you to embrace the unknown and conquer the wild blue of Sardinia.
To watch this episode, click here.
In this episode, we explore the fascinating world of drowning and cold water immersion with Mike Tipton, a leading UK academic in the field. Mike shares his insights on the current guidelines for pre-hospital management of drowning, the epidemiology of drowning, and the important efforts in public awareness and prevention.
We delve into the drowning process, including the pathophysiology from the point of submersion and the concept of autonomic conflict. Prof. Tipton also discusses the prognostic factors for drowning survivors and the remarkable case reports of prolonged submersion in cold water.
Additionally, we learn about the background of the "Float to Live" campaign and the challenges faced by organisations like the RNLI in effectively dealing with drowning prevention.
Join us for an insightful discussion that takes us from the lab to lifesaving, as we explore the science behind one of the world's most overlooked public health issues.
Please note: this episode was originally aired on The Pre-Hospital Care Podcast. World Extreme Medicine was given permission by the podcast host to share this episode.
Join us welcoming Ryan Atkinson, an award-winning hostile environment trained cameraman, back to the World Extreme Medicine podcast.
In this thrilling episode, Ryan shares his experience filming the 2016 expedition to the heart of Africa, where he and a team of scientists immersed themselves in the active Nyiragongo volcano to study and discover the warning signs of a potential eruption.
Ryan discusses the challenges of filming in one of the most remote and dangerous locations on Earth, the Virunga National Park in the Democratic Republic of Congo.
He shares insights on the complex logistics, the ever-present environmental and human risks, and the emotional impact of witnessing the profound hope and resilience of the local communities living in the shadow of the volcano.
From navigating the unpredictable weather conditions and noxious gases to managing team dynamics and conflicting goals, Ryan takes you on a captivating journey through the highs and lows of this life-changing expedition.
He also emphasises the importance of effective teamwork, shared understanding of risk, and the role of experienced leadership in ensuring the success and safety of the mission.
Tune in to this episode for a fascinating look at the world of extreme filmmaking and the power of storytelling to shed light on the complex interplay of nature, conflict, and the human spirit.
You can learn more about Ryan's work here.
In this fascinating episode, we are joined by Jen Pond, a Doctor who has practiced medicine in some of the most remote and challenging environments on all seven continents.
From providing primary care in the Indian Himalayas and managing anthrax outbreaks in rural Zambia, to supporting climbers at Everest Base Camp and treating severe frostbite in Antarctica, Jen has built an incredible breadth of experience in expedition and wilderness medicine.
Currently, Jen works in Nunavut, Canada, delivering healthcare to the indigenous Inuit population in resource-limited settings, often as the sole doctor for hundreds of miles.
She shares captivating stories and hard-earned wisdom from her diverse career journey. Jen discusses the challenges and rewards of practicing medicine in different cultures, the importance of being adaptable and finding support networks, and the privilege of a profession that allows one to connect with people in meaningful ways worldwide.
Her inspiring reflections will resonate with anyone curious about the joys and difficulties of providing care in remote, underserved areas.
Tune in for a compelling exploration of the art and science of medicine at the edges of the map, and hear Jen's advice for those aspiring to unconventional and fulfilling careers:
"Take opportunities...We're so lucky, we have this profession that's transferable into every place with every person with every culture...Take advantage of it. Learn from it."
You can contact Jen directly at jpfernie@gmail.com
Join us as we explore the groundbreaking work of the Norwegian Air Ambulance (NOLAS), one of the world's most advanced HEMS services, with special guest Marius Rehn, a luminary in pre-hospital critical care.
Marius, a consultant anaesthesiologist, senior researcher, and professor, brings unparalleled insights into NOLAS's unique service model, which employs flight crews of nurses and doctors to deliver life-saving care across Norway.
We'll delve into NOLAS's three key domains of service improvement—research, skill training, and innovation—and discover how they synergistically elevate patient outcomes. From cutting-edge studies on stroke care and cardiac arrest to the development of safe flight routes and a dedicated research helicopter, NOLAS's commitment to pushing boundaries in emergency medicine is truly inspiring.
Marius will also share invaluable lessons for aspiring professionals seeking to emulate NOLAS's ethos of excellence in pre-hospital care.
Buckle up for a captivating journey through the vanguard of HEMS, as we uncover the secrets behind this remarkable service.
In this episode Jamie Pattison, a winch paramedic, recounts his deployment to Morocco with UKISAR (U.K. International Search and Rescue) following the devastating earthquake.
He shares the emotions of arriving onsite to mass destruction and loss of life, the resilience required for working 16 hour shifts, and the camaraderie that develops between rescue teams.
Jamie compares the rigorous training that prepares UKISAR volunteers to the harsh realities witnessed, and discusses the mental health support available for aid workers. From aftershock tremors to minor injuries that disguise the true impact, Jamie gives a sobering account of the Morocco earthquake while highlighting the humanity and hope that emerges during crisis.
Joining us in this episode is the remarkably resourceful Kate Dawson, a rural general practitioner who has cared for the rugged Scottish islands of Uist for over 30 years. From managing trauma cases with scarce resources to coordinating care across isolated communities, Kate brings us her invaluable perspective from the remote frontlines.
She reveals the personal touches in building longtime doctor-patient relationships, the intricacies of rural healthcare logistics, and the nuanced understanding needed while operating in an austere setting.
We'll also uncover how Kate's medical career blossomed from an early international health volunteering stint in Nigeria to settling into island life in the Outer Hebrides. Together, we grapple with the demands of serving as a rural GP - leading tiny teams, handling emergency situations, and keeping up with ever-evolving best practices.
Most excitingly, Kate sheds light on the rewards of being part of a remote island community, musing on the resilient spirit of Scotland’s rugged outposts. Her trailblazing career shines bright, with hopes her experience will inspire the next generation of rural and remote specialists.
So prepare your rain jacket and hiking boots for an episode packed with survival stories and insights from over 30 years as a rural Scottish GP.
You can find out more about Kate's work here.
Joining us in this episode is the remarkably knowledgeable Amy Boalch, a GP trainee with an inexhaustible passion for sports, exercise medicine, and the gruelling world of long-distance running. From tackling the contentious issue of race clearance forms to the disparities in health screenings across borders, Amy brings us her invaluable perspective. She reveals the personal touches in her coaching life, the intricacies of medical advice versus coach guidance, and the nuanced understanding of both roles.
We'll also uncover why France might seem like an overachiever when it comes to racing health certificates, and how Amy's love for running and her medico-athletic career blossomed in the serene city of Bath. Together, we grapple with the demands of learning on the job while pursuing advanced degrees and the ever-present shadow of doping controversies in sports.
Most excitingly, Amy sheds light on the fervent race toward athletic glory, musing on the tantalising possibility of a sub two-hour marathon on the men’s side as the women continue to chase monumental strides. Her future shines bright with a finish line that involves integration of sports and exercise medicine into professional medical training and a trailblazing app geared towards runner preparedness.
So tighten those laces and adjust your headphones for an episode packed with endurance, education, and expert insights.
You can find out more about Amy's work here
In this episode we sit down with the multifaceted Tyler Butterworth, an Army National Guard member with an impressive resume including roles as an EMT, firefighter, police officer, detective, and farmer. Tyler, who has embraced his quirky last name "Butterworth duh syrup," brings to the table a unique perspective on using humour as an effective tool to cut through the tension in high-stress jobs, such as those in military service and emergency medicine.
We'll uncover the uplifting story of how a squad leader's humorous approach made a world of difference in Tyler's day. We'll also discuss how choosing laughter over tears can be a valuable coping mechanism in tough situations. Tyler shares insights on reading the room to tailor your humour and the importance of knowing when to switch gears and be serious.
We'll delve into the long-term benefits of good-natured fun on morale, mental health, and even on the homefront, as Tyler credits his wife's unwavering support as a pillar in maintaining his positivity and calm, even in the face of adversity.
In this episode, expedition medic Ben Cooper shares cautionary tales revealing why you should never skip basic wound care in the wilderness.
You’ll hear the story of how a minor cut led to a man’s frostbitten thumb being partially amputated during an Antarctica summit attempt - costing him $70K! It powerfully spotlights why immediate bandaging matters.
Discover essential strategies for backcountry wound management:
Address patients’ full situation first before treating ("bodies before bandages”)
Use Sharpies to monitor infections and antibiotic need
Take daily wound photos to track healing progress
Follow the “4 Ls” to assemble medical kits (Legal, Lightweight, Low-cost, Lots of uses)
With insights for improvising care from sandwich bags to dental floss, plus tips on blister prevention, sun protection, and judging evacuation timing, it’s an eye-opening lesson in avoiding nasty medical complications off the grid.
Tune in to hear cautionary tales and essential wound wisdom you’ll want etched on your brain before venturing into the wild!
Whether you're preparing for a high-altitude climb, running an ultramarathon, or embarking on a demanding expedition, today's episode is packed with wisdom that could be pivotal for your success. Joining us is Ben Turner, the Avenger coach, a former soldier turned extreme endurance challenger, ready to share his incredible insights into the fuel that drives exceptional physical feats.
Ben's expertise stems from his profound personal journey through the challenges of nutrition and fitness. After serving in the British military, he faced the harsh realities of inadequate nutrition and bounced back by diving deep into evidence-based nutritional practices. As Ben guides us from high-calorie foods to the nuances of hydration and electrolytes, he uncovers the secrets to effective fuelling strategies tailored to lofty adventures.
We'll unpack the vital role of macronutrients and micronutrients, decipher the myths surrounding common diet biases, and scrutinise the relationship between our food choices, our environment, and our overall health. Ben emphasises the need for a simple, balanced approach, with a strong focus on the fundamentals of good nutrition, minus the distraction of trendy "clickbaity" fads.
We look at the importance of training your mind as much as your body, as Eoin and Ben explore the practicalities of preparing your digestive system for extreme conditions, the impact of biases on our understanding of health, and the paramount importance of individualised nutrition. Whether you're looking to manage weight, enhance performance, or simply maintain a healthy diet amidst your active lifestyle, this episode is an essential listen for anyone who wants to make food a cornerstone of their well-being.
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