Bristol – expedition medicine jobs

WMT’s Dr Harvey Pynn would like to spread the word regarding the following fantastic job opportunities; 2 x clinical fellow posts at Bristol Royal Infirmary split between 75% EM and 25% expedition medicine.

Details can be found on NHS jobs and in the BMJ (from this weekend). The closing date will be in two weeks.

Harvey will be the Educational Supervisor and the role involves spending 25% paid time doing anything related to expedition medicine.

These and other Bristol jobs are referenced below.

Job Reference: 387-M-1301
Clinical Fellow in ED with Specialist 20% Interest

Job Reference: 387-M-1302
Clinical Fellow in ED with 30% specialist interest in Cardiac Arrest

Job Reference: 387-M-1303
Clinical Fellow in ED & Expedition Medicine

Job Reference: 387-M-1304
Clinical Fellow in ED with 20% Specialist Interest

Job Reference: 387-M-1305
Clinical Fellow in Critical Care (ITU/EM)

Advanced Medicine course report

Thank you to everyone who attended Advanced Medicine or Far From Help over the recent bank holiday weekend and to instructors Harvey Pynn, Jamie Goodhart and Duncan Gray for teaching this intensive Explorer course for laypeople. As always Glenmore Lodge in Aviemore provided a first class teaching environment, food and facilities against the back drop of beautiful scenery.

Delegate Paul Lewis wasted no time in emailing his feedback and appreciation:

Just back from a busy weekend on the Advanced course and wanted to pass on my thanks. It was a superb course delivered by inspiring and enthusiastic trainers. I really enjoyed it and, although a lot to take on board, the delivery style really helps embed the information.

So, please do pass on my thanks to the guys and a massive thanks to you too. As soon as I can I will write a bit of an account of the course for our blog and it feels good to be onboard with the WMT family.

Hope to catch up sometime and thanks again.

Paul Lewis

Peak Mountaineering

The next 4-day Advanced Medicine course will be held at Glenmore Lodge 1-4 December.

2019 Mountain Medicine on Skis – Chamonix course dates

Planning is well underway for 2019 courses and demand is already high for Mountain Medicine on Skis course dates. These are now live on the website and we are running two courses again – 3-7 February and 3-7 March. The price has been held at 2018 rates. This is our smallest course and the only course that requires a minimum technical standard (of skiing – not climbing/mountaineering). It’s probably our most demanding too. This season, delegates came from across the UK/Ireland, Denmark and Finland. About 40% of delegates had attended a WMT before. These courses normally sell out by mid-autumn. Join us!

Martian medicine & recent private courses

The last few weeks have been busy with Dr Harvey Pynn and Dr Craig Miller teaching Far From Helpp for Golder (a geology firm) and the University of the West of England. The organising client, Dr Dave Molesworth commented, “It was a really great course, and Craig is an absolutely spot on trainer, probably the best I have been trained by. He knows how to pitch it, what we need to know, how to pace the sessions, and I think we all came out feeling confident about what we needed to do. Also, his focus on medicines throughout the training really helped us to think about what we need and why.”

Harvey also delivered a one-day Wilderness Medicine Workshop at the University of Oxford, Department of Earth Science. The orgnising client, Mr Ian Wright commented, “I certainly found it extremely interesting and useful, and definitely a step-up from the more usual run-of-the-mill first aid course. I did, however, miss out one environment from the pre-course admin (brief) – one of the post-grad students who attended works on Martian geology, although to be fair that hasn’t involved any fieldwork in person, as yet!”

Read more about WMT’s private work.

Call for abstracts – Chamonix Expedition Medicine course January 2019

New in 2019 on WMT’s flagship Expedition Medicine course in Chamonix 21-25 January 2019 is a call for abstracts. The abstracts will focus on recent research, interesting case studies or expeditions in the role of medic covering the entire spectrum of wilderness medicine. Accepted abstracts will be presented as posters at the meeting with a selection chosen for oral presentations. The best oral presentation will receive an award. Notification of acceptance will be sent to the principal author after 1 Dec 2018. Abstracts will be scored by a panel of the conference faculty using a validated scoring system from RCEM. WMT call for abstracts Jan 2019 Chamonix course submission guidelines

MDB No 12 counterfeit medicines.

Read the latest MDB – Medical Director’s Bulletin – published 16 March 2018 about counterfeit medicines.

Here’s an extract:
Many individual small studies have been done over the years looking at the problems of SSFFC medicines. Fortunately, a systematic review of this literature has been undertaken. The top lines from this systematic review are as follows:

The median prevalence of substandard / counterfeit medicines was 28.5% (range 11-48%) across 44 prevalence studies in 25 resource poor countries.
The majority of these studies reviewed antimalarial medications though antibiotics and analgesics were also studied. Only two studies included paediatric formulations in their samples.
93% of studies contained samples with inadequate amounts of active ingredients.
The prevalence of substandard / counterfeit antibiotics was significantly higher when purchased from unlicensed outlets (p<0.0001). Read the full bulletin here.

Teaching Navigation by WMT’s Nigel Williams

Congratulations to WMT’s very popular instructor Nigel Williams on the publication of his first book Teaching Navigation: practical ideas for outdoor tutors. Buy it from HARVEY MAPS online here. Nigel has certainly helped many hundreds of doctors on WMT courses in Chamonix and Morocco think about navigation (an essential outdoor leadership skill) in a different and more effective way.

Teaching Navigation by Nigel Williams

10 discounted med student places just released Expedition Medicine, 22-26 January in Chamonix

To celebrate Christmas and the bumper snow fall already received in Chamonix, WMT has just released 10 places for UNDERGRADUATE MEDICAL STUDENTS for our flagship Expedition Medicine course in Chamonix coming up soon 22-26 January at the foot of Mont Blanc. The normal price is £495 but the student price is just £250 for tuition and some refreshments only. Visit the course page for more details about this incredible programme and line up of speakers and to book online.

Accident report re WMT’s Barry Roberts

WMT’s Commercial Director has been out of action for a few weeks following an accident which explains why some WMT admin/loading of 2018 course dates is behind schedule. Sorry about that.

Here is an update and Bazza’s story:

On 24th Oct I crashed my paraglider in North India, after a week of brilliant mountain flying. I suffered serious facial fractures, a broken nose, 6 broken ribs (L 6-11) and bilateral collapsed lungs. I spent 18 hours on the mountainside at 3900m before being helicopter rescued the next day. It was a very cold night. Thankfully a Russian pilot saw me and landed near me at great personal risk to assist me. He bundled me into a depression out of the wind and stuffed pine branches around me to insulate me.

At dawn, the chopper winched me off the mountain and whisked me to the very close military hospital for stabilisation, then I was moved to the nearby state hospital. The next day I was flown to Delhi where I was operated on for 10.5 hrs to fix my face (base of skull fracture, smashed R eye orbit and broken upper jaw). No treatment for the rib fractures (ouch!) except a chest drain (OUCH!). Impressive xray though. I remained in hospital for about 3 weeks before all the air bubbles in my skull had been absorbed and I was deemed fit to fly. A UK doctor flew out to escort me home. Throughout this ordeal, my friend Ali Westle stayed by my side, having given up most of his flying holiday to do so and then vowing to remain with me for however long it took for me to be well enough to fly home. What an angel.

Miraculously, despite slamming into a granite rock wall, I didn’t injure my spine or any long bones. So I can walk but I’m weak and have a lot of muscle wastage from being bed ridden. My teeth are wired so I’m only eating via a straw. I dropped 14kgs at my low point; now about 5kgs under my ideal wt. Maybe no turkey dinners for me this xmas unless the wires come off.

Many people played a role in my rescue and treatment. I will be forever grateful to “the Russian”, the guys at SPOT, the Indian army for deploying the chopper, the diligence of my travel insurers, the British diplomats who kept tabs on me, Darren Hepple who came back to Delhi with me initially, the brilliant teams of Indian neurosurgeons, plastic surgeons, dental surgeons, physios, dietitians and nurses at the Apollo Hospital who cared for me, my great UK friends Dr Harvey Pynn and Dr Ali Cobb who supervised the care I received in India and who helped and supported Eadaoin in making sense of it all, Dr A J who brought me home, Ali Westle my bedside angel and above all to my wife Eadaoin who held it together, once again, and who now has to endure my grumpiness! And lastly, thank you to my gorgeous daughters Anna and Sophie who appeared by my side in the dark on that cold horrible night and kissed my bleeding face and told me it would be OK. The Eagles were right; “Love will keep us alive”.

I next see the maxfax surgeons in Liverpool 12 December to see where I go from here in terms of further treatment.

Future WMT Medic course delegates can look forward to hearing the full story – with photos!
Take care everybody and happy holidays.
Baz Roberts