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

Paul Loos and Dennis Jarema, both 18Ds, teach at the schoolhouse in Fort Bragg. They started the Prolonged Field Care Working Group along with Dr Sean Keenan. Paul and Dennis have completed their first year of the MSc Austere Critical Care programme. They discuss their experiences during the first year and what they have learned during the programme. 

Dr Edit Gara discusses Acute Coronary Syndrom, STEMI, NSTEMI and unstable angina.

Aebhric O'Kelly interviews two third-year BSc Remote Paramedic students about the paths that led them to join the CoROM programme. Jim first came to the College for the Remote EMT course seven years ago. He was working for BBC and needed more medical training for the locations he was going. Simon wanted to branch out from his corporate job and learn something very different from his day-to-day job. Listen to their experiences whilst going through the Remote Paramedic Practice degree programme. 

Dr Winston de Mello discusses pulse oximetry and its use during the Covid pandemic. Dr de Mello is an anaesthetist and pain specialist.  Reference:  https://pubmed.ncbi.nlm.nih.gov/35798377/

Dr Francis Sakita is CoROM faculty and runs the Emergency Department in Kilimanjaro Christian Medical Center in Tanzania. Each month he will present a clinical case from KCMC, located at the base of Mount Kilimanjaro.  Today, Dr Francis talks about a patient presenting with difficulty breathing and shortness of breath. 

CoROM faculty Tim Cranton talks with Radan Doubrava about his work in the remote areas of Czechia and his experiences in Ukraine. 

Glib attended the CoROM Remote Paramedic programme whilst working at the Ministry of Health in Ukraine. He brought that curriculum back to his country and requested that the College create an instructor and transition programme to convert the Ukrainian EMS into the US model of the ALS paramedic.  In 2019, the College of Remote and Offshore Medicine Foundation collaborated with the Ternopil National Medical University to offer paramedic instructor programmes. Additionally, they set up TSMU to provide ITLS trauma courses for their doctors and medics.  Aebhric and Glib discuss the current EMS situation in Ukraine and options for improvement as the conflict continues. 

Dr Gara MD PhD teaches in the MSc Austere Critical Care programme. Today she will discuss chest pain and shortness of breath - relating to major vascular events, acute coronary syndrome – STEMI, NSTEMI, unstable angina, haemodynamics – physiology and pharmacology, pulmonary embolism, palpitation, collapse, syncope, arrhythmias, and traumatic heart disease. Dr Gara is a cardiologist based in Budapest, Hungary. She has worked in prehospital medicine on both ground ambulances and HEMS. 

This episode introduces the four CoROM faculty members who will present discussions over the next 12 months focusing on healthcare practice in remote, austere and resource-limited environments.  Dr Winston de Mello is a COL(ret) anaesthetist focusing on burns and pain. He leads discussions on our MSc Austere Critical Care programme and is one of the Founders of the College. Dr Edit Gara MD PhD is a cardiologist with prehospital experience. She will discuss cardiology and critical care. She is the programme lead for our MSc Austere Critical Care and a mentor in our BSc Remote Paramedic Practitioner programme. Tim Cranton is an HCPC paramedic, an offshore medic and a Tropical Nurse working on an oil rig in the North Sea. He has also deployed to Ukraine and other exciting locations. He will be discussing remote and austere medicine from a paramedic perspective. Aebhric OKelly is a former Green Beret and a critical care paramedic. He created the College and is a founder. He will be interviewing various movers and shakers of the austere medical community.