Extreme Medicine Conference Series
International World Extreme Medicine Conference & Expo
Medicine, the most exciting job on earth

Programme

We have extremely exciting content and globally renowned speakers lined up for November’s World Extreme Medicine Conference, under the key areas of Expedition, Wilderness, Extreme, Disaster, Humanitarian and Pre-hospital medicine.

Speakers and content are subject to change, please check back regularly for updates to the schedule in the run-up to the conference. Thank you.

The World Extreme Medicine Conference is organised as ‘Not for Profit’ activity by WEM.

We are still in the process of finalising the 2017 programme, please check back regularly for updates!

Event overview
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Day 1
(Saturday, November 25th)
Extreme, Expedition & Wilderness Medicine and workshops/ seminars
  • Extreme, Expedition & Wilderness Medicine

  • BIOSPHERE

    07.30 – 08.30Registration & Coffee

    08.30 – 08.30Welcome

    08.30 – 09.00Mark HannafordIntroducing Extreme Medicine

    09.00 – 9.30TBC

    09.30 – 10.00Andrew Murray
    Minimising Illness & Maximising PerformanceThe difference between Olympic Gold and 4th place is on average 0.4%. Small things, done consistently can be the difference between a successful expedition and failure. Dr Andrew Murray shares top tips for maximising performance both in the elite, and extreme environments, and simple concrete actions that can prevent illness and help people spend more time on the trail and less time sitting on the toilet.

    10.00 – 10.30Chris Press
    Title TBC

    10.30 – 11.00Morning break

    11.00 – 11.30Luca Carenzo
    Ultrasound in Austere Environments

    11.30 – 12.00Nathan Smith
    Temporal dynamics on long-duration missionsDuring this presentation Nathan Smith will discuss the time-based changes in psychological functioning that occur during long-duration missions. Various stage-adaptation models will be explored before raising some contentious and heavily-debated topics, including the existence of a ‘third-quarter phenomenon’. Together, we will examine how knowledge of critical phases in relation to psychological functioning might allow us to design effective countermeasures to mitigate against breakdown. Current measurement advances will be highlighted and new approaches for monitoring cognition, affect and behaviour in extreme settings will be discussed. The presentation will finish by considering the applied implications of this work for expedition medics, as well as pinpointing opportunities for future research. Throughout the talk, examples will be drawn from space exploration missions, military deployments, and expeditions to remote parts of the Earth.

    12.00 – 12.30Mike Barratt, Chris Press, Martin Rhodes, Alex Kumar and Chris Imray
    Panel: Opportunities in Austere Medicine

    12.30 – 13.00Dr Dan Roiz de SaHeat IllnessDan will give an update into heat illness, including that caused by exertion, its prevention, recognition & treatment. And will discuss the crossover with exertional rhabdomyolysis and deciding when it is safe to return to exercise activity after suffering from the effects of exertion related hyperthermia.

    13.00 – 14.00Lunch

    14.00 – 14.30Mike TiptonCold Water Immersion; Hazards, Protection & Treatment

    14.30 – 15.00Mike BarrattHuman Performance in Austere Environments; Lessons from NASA

    15.00 – 15.30Adrian MellorAcute Mountain Sickness; Role of Exercise in Pathogenesis

    15.30 – 16.00Nick CarterOcean Medicine

    16.00 – 16.30Afternoon break

    16.30 – 17.00Marc O GriofaNEEMO

    17.00 – 17.30Pen HaddowClimate Change

    17.30 – 18.30Mark Beaumont & Laura PenhaulAround the World in 80 Days

  • Salisbury Room Practical Sessions

    07.30 – 8.30Registration & Coffee

    08.30 – 9.00Rachel Anderson
    Everest Base Camp Clinic

    09.00 – 9.30Nathan Smith Psychological Profiling and Behaviour ObservationIn this workshop we will cover a variety of psychological profiling tools for assessing the personality, personal values and coping strategies of expedition team members. The measures discussed will be well-grounded in psychological theory and have been used extensively in extreme environment settings. Based on your own responses to the survey, you will build a personal expeditioner profile and identify how your characteristics might affect your response to stress. The workshop will finish by examining a method for observing behaviour in extreme settings. Throughout this interactive session, discussions will be supported by contemporary findings from extreme environment research. By the end of the session you will:
    – Be aware of measures for assessing individual differences (personality, personal values, coping strategies) in extreme settings
    – Have built your own expeditioner profile
    – Understand how your expeditioner profile might impact your behaviour when faced with stress
    – Be able to identify optimal and non-optimal behaviour in extreme settings
    – Have an awareness of psychological research in extreme settings

    9.30 – 10.00Joe Rowles Medical training for Anti-Poaching teams in The Democratic Republic of CongoGaramba National Park is one of Africa’s oldest national parks, located in the northern part of the Democratic Republic of Congo where it borders South Sudan. Fifty years ago it contained over 20,000 elephants, now there are less than 1,200. Civil unrest throughout the region has seen a huge increase in poaching activity in the last few years. Heavily armed poachers, often former members of the Lord’s Resistance Army or Sudan People’s Liberation Army, have killed 4 rangers in the last year. As part of the response to increasing levels of violence and poaching the park’s managers have enlisted a UK organisation to provide training and mentoring for the park rangers. Dr Joe Rowles is the lead for medical training and will discuss the challenges of providing training to local rangers in such a remote and hostile environment.

    10.00 – 10.30Martin Rhodes Antartic Logistics

    10.30 – 11.00Morning break

    11.00 – 11.30Laura PenhaulPhysio for Extreme Environments

    11.30 – 12.00Will SmithMountain Medicine; Where Ambulances Can’t Go

    12.00 – 13.00Ted Welman & Jack FaulknerDoctors AdriftTed and Jack are two junior doctors who rowed across the Indian Ocean in support of Médecins Sans Frontières during their “FY3” year. This lecture is the story of how they fought the elements in their 7 metre rowing boat, “Hope”, to complete the 3,600 mile journey from Western Australia to Mauritius. The boys spent 56 days battling extreme heat, 50ft waves and dodging their fair share of cargo ships before reaching Mauritius in record time. During the lecture, they will be sharing tales from their incredible adventure as well as discussing some of the medical problems they encountered en route, including salt sores, hand contractures, severe weight loss and sleep deprivation.

    13.00 – 14.00Lunch

    14.00 – 14.30Matthew BoulterAn exertional heat injury triage tool for the jungle environment

    14.30 – 15.00Jamie Facer-Childs & Alex BrazierAn Antarctic Journey: The adventure and what we learnt from itThe story of the first British Team to traverse Antarctica. 67 days on the ice, surviving the Antarctic environment and the team work of a prolonged expedition. A doctor’s perspective on medical problems in a remote wilderness. What we learnt from the expedition. A brief overview of research findings from the expedition and what more can we do to understand physiology in the extreme.

    15.00 – 15.30Alex KumarTBC

    15.30 – 16.00Paul SnapeA year working with the San Bushmen in the Kalahari Desert

    16.00 – 16.30Afternoon break

    16.30 – 17.00Alex KumarTerrestrial Envenomation

    17.00 – 17.30Will SmithBringing Combat Medicine to the Wilderness

  • Hutton RoomWorkshops with Zac Poulton & Josh Bakker-DyosOutdoors skills package, polar travel, crevasse rescue, simple rope techniques, improvised stretchers.

  • BoardRoom: Workshops

    TBC

  • Class RoomUSS Workshop

    9.30 – 12.00Burjor Langdana Expedition Dentistry Burjor gives his unmissable practical session on the management of common dental conditions with limited resources in austere environments.

    * Draft programme only. Content subject to confirmation closer to conference time

Day 2
(Sunday, November 26th)
Disaster and Humanitarian Medicine
  • Disaster & Humanitarian Medicine

  • Biosphere: Disaster & Humanitarian Medicine

    07.30 – 08.30Registration & Coffee 

    08.30 – 08.30Welcome

    08.30 – 09.00Saleyha Ahsan and Natalie RobertsMedics Under Fire

    09.00 – 9.30TBC

    9.30 – 10.00Saleyha Ahsan & Mark Hannaford
    Peoples Convoy

    10.00 – 10.30Karen OneillSave the Children Migrant Crisis Response: Search and Rescue – Saving Lives at SeaThe Migrant Crisis in the Mediterranean: an unprecedented number of people have embarked on the perilous journey from the shores of North Africa attempting to cross the sea to seek a safe life in Europe. Insecurity, extreme poverty, torture, abuse, sexual violence and exploitation are some of the reasons that push people to flee in overcrowded unseaworthy small rubber and wooden boats owned by smugglers and people traffickers.

    In the absence of safe and legal passages, the central Mediterranean route from Libya to Italy is the primary entry point to Europe. Since the start of 2017, there has been a significant increase in the number of people who have made this journey, and a higher number of drownings and loss of life compared to 2016. In conjunction with the Italian Coastguard, several Non-Governmental Organisation vessels have been working in difficult conditions at sea to conduct rescues to save thousands of lives each month. Save the Children is one of the charities conducting this fundamental life-saving work at sea. Karen worked as an emergency nurse on board their ship, the Vos Hestia. In her presentation, Karen will share with you her two-month journey of working as a nurse on board the ship and what it was like to care for people rescued from the water. Some people required vital emergency care, whilst others, having not had access to health care for long periods, were frail and in poor condition and in much need of medical attention. Karen describes the experience as a significant challenge yet one of the most rewarding jobs she has ever done and a real privilege to have been able to help people at a time of such desperate need.

    10.30 – 11.00Morning break

    11.00 – 11.30Hamish De Bretton GordonChemical Weapon Use In The Middle East – The New Norm?When the international community didn’t act after the Redline was crossed on 21 Aug 2013 and up to 1500 people were killed by the deadly nerve agent Sarin in East Ghouta, the 100 year taboo over the use of chemical weapons was well and truly broken, possibly forever, until possibly President Trumps air strikes after the 4 April 2017 Sarin attacks in Syria. Chemical weapons are now the ‘norm’. We hear regularly of threats of CW use to the streets of London and other capitals; Security Minister Ben Wallace and Commissioner of London Fire Brigade Danny Cotton last week stated this unambiguously – this is entirely of our own making, in my opinion. ISIS use CW regularly in Syria and Iraq, and the Regime have continued to use them to very good effect to suppress the Opposition, not least because they are morbidly excellent weapons, especially in built up areas – it forces soldiers into restrictive gas masks and civilians above ground. The defeat of East Aleppo is the case in point. On 17 of the last 21 days of the siege before Christmas, the Regime dropped multiple chlorine barrel bombs which forced civilians out of underground shelters and into the open where they were shredded by mortars and artillery – this ultimately led to surrender after 4 years of opposition. We see the same now in Wadi Barada north of Damascus, and uncovered by the press, President Bashir of Sudan has used mustard agent on around 27 occasions in Dafur in 2016 allegedly killing over 250 of his people.

    11.30 – 12.00Henry Dowlen
    Dancing on the Heads of Snakes – A Yemen Perspective on Humanitarianism and Development

    12.00 – 12.30Natalie Roberts
    Topic TBC

    12.30 – 13.00John Bardon
    Topic TBC

    13.00 – 14.00Lunch

    14.00 – 14.30Tony Redmond
    The UK’s Emergency Medical Team; How we are responding to national and international disasters

    14.30 – 15.00Nick Gent
    Topic TBC

    15.00 – 15.30TBC

    15.30 – 16.00TBC

    16.00 – 16.30Afternoon break

    16.30 – 17.00TBC

    17.00 – 17.30Paul ConroyEscape from Syria

  • Salisbury Room: Practical Sessions

    09.00 – 9.30RubiconTBC

    9.30 – 10.00Chrissy AlcockMedicine as a Weapon / Health in Conflict

    10.00 – 10.30TBC

    10.30 – 11.00Morning break

    11.00 – 11.30Sean HudsonWhats in my bag?What do you pack for a trip/deployment/expedition? What are the essential items you shouldn’t be without?

    11.30 – 12.00Pete SkeltonSpecialist

    12.00 – 13.00TBC

    13.00 – 14.00Lunch

    14.00 – 15.00TBC

    15.00 – 16.00Peter HigginsSecurity on the Disaster Deployment

    16.00 – 16.30Afternoon break

    16.30 – 17.30Living Out of A Vehicle

  • Hutton Room: Practical Sessions

    08.30 – 10.30Kate YarrowWomens Health: Is prevention is better than cure?.. Making a difference with limited experience and resources

    10.30 – 11.00Morning break

    11.00 – 13.00Kate YarrowWomens Health: Is prevention is better than cure?.. Making a difference with limited experience and resources

    13.00 – 14.00Lunch

    14.00 – 14.30Pete SkeltonTopic TBC

    14.30 – 16.00TBC

    16.00 – 16.30Afternoon break

    16.30 – 17.30Pete SkeltonValue of Rehabilitation Post Disaster

Day 3
(Monday, November 27th)
Pre-Hospital Medicine
  • Pre-Hospital Medicine

  • Biosphere:Pre-Hospital Medicine

    07.30 – 08.30Registration & Coffee

    08.30 – 08.30Welcome

    08.30 – 09.00TBC

    09.00 – 09.30Emily Mayhew Life Beyond the Point of Wounding: First responders and unexpected survivors from the war in AfghanistanEmily talks about the developments that have made today’s cohort of unexpected survivors so important not just to military medicine and extreme medicine but to trauma medicine in general including how the role of First Responders is being reconceived not just to secure survival but also better long term outcomes.

    09.30 – 10.00Matt EdwardsHEMs Missionary – Square Pegs and Round Holes

    10.00 – 10.30Jon ChristensenHow do you train the best medics in the world?In this talk – Jon B. Christensen, the Chief of Medical Training for the International Special Training Centre will discuss how NATO Special Operations Combat Medics (NSOCM) are on the cutting edge of medicine. Discussion will cover how using an international cadre of Subject Matter Experts, is shaping the future generation of combat medics into “critical thinkers.

    10.30 – 11.00Morning break

    11.00 – 11.30Mike SmithProlonged Care in Low Resource EnvironmentsThe remote, austere nature of current and future military operations is likely to impose prolonged care of critically ill and injured personnel on forward medical teams. This care may be delivered in a forward location whilst waiting medical evacuation or during a prolonged evacuation phase. Many of the military experiences are pertinent to those who provide medical care in remote, resource limited parts of the world. The presentation will share best practice by introducing an evidence-based clinical framework for the delivery of prolonged care. The intent is to exploit current innovations in “dig data” and sensor technologies to support clinical decision making and optimise patient care during any delay to the delivery of damage control surgery and resuscitation.

    11.30 – 12.00TBC

    12.00 – 12.30Mark ByersChemical & Biological Weapons Terrorist Event in the UK

    12.30 – 13.00Andrew MottTrauma care on the front lines: Mosul Iraq

    13.00 – 14.00Lunch

    14.00 – 14.30TBC

    14.30 – 15.00Lewis HalseyIn a Deteriorating Environment, What Factor is First to Kill? The Tragedy of the Kursk Submarine AccidentIn 2000 the Russian submarine ‘The Kursk’ suffered a catastrophic accident that sent it crashing to the bottom of the Barents Sea. The few men that survived this initial event were trapped in the final two aft compartments of the submarine, and had to endure a challenging and rapidly deteriorating environment. Tragically, these men could not be rescued and succumbed after a few days. Multiple key environmental factors within the submarine changed during those fateful days, from oxygen levels to ambient temperature. With some basic number crunching it is possible to ascertain which of these factors caused the death of the submariners.

    15.00 – 16.00TBC

    16.00 – 16.30Afternoon break

    16.30 – 17.00Eoin Walker and Dan RichardsFrom Ruin to Recovery: A Soldiers StoryRoyal Fusiliers Soldier Dan Richards suffered a near fatal motor bike accident in 2009 which changed his life forever. After tearing his right arm off and breaking multiple bones throughout his body – Dan speak of his road to recovery through the power of mental resilience and willingness not to be defeated. He speaks of his highs and lows and how he has leant to rock climb, row and cycle through this life changing injury. Eoin Walker the attending flight paramedic and trauma lead for WEM then gives his account of events and how it led to the ‘save of a lifetime’ and the inspiration that Dan is to everyone he meets.

    17.00 17.30TBC

  • Salisbury Room: Workshops & Seminars

    08.30 – 09.30Eoin WalkerBreaking Bad News in Pre-hospital CareIn the advent of terrorism not every patient and situation turns out well. Little is taught to the pre-hospital clinician about how to break bad news yet critical care practitioners are increasingly drawn upon to deliver this life changing information. This talk will examine some of the psychology around how families/ friends receive bad news and some of the most robust techniques and experiences of good delivery within critical care.

    09.30 – 10.30Nick GentCBW Overview and Pre-hospital Deacon in Low Resource Environments

    10.30 – 11.00Morning break

    11.00 – 11.30TBCThe Roving Shooter – Managing a Major Incident with Dispersed Multiple Casualties

    11.30 – 13.00Phil MurrayCare Under Fire and TCCC

    13.00 – 14.00Lunch

    14.00 – 15.00Nick GentPre-hospital Chemical Decontamination Scenarios

    15.00 – 16.00Rob AndersonMajor Incident Management Scenarios

    16.00 – 16.30Afternoon break

    16.30 – 17.30Rob AndersonMajor Incident Management Scenarios

  • Hutton Room: Workshops & Seminars

    9.30 – 10.30Keith GoddardTeam & Personal Performance Enhancing Strategies (PESs)

    10.30 – 11.00Morning break

    11.00 – 12.00John QuinnOpportunities for Working in Remote and Austere Environments. My Experience From Conflict Zones – Ukraine to MosulDisaster and war medicine is vast, diverse, constantly changing, challenging to everyone and may be the most rewarding practice of a lifetime. I have been blessed with many opportunities to work within disaster and war medicine as a pre medical student, EMT, paramedic, global health diplomat and doctor. Whether you have interest working in private industry, humanitarian, development or contracting for the military, the opportunities are abound. I plan to tell my story and offer novel avenues for anyone looking to get involved and help their fellow human beings establish health security, especially for those most vulnerable. For those that want to serve in international medicine, for a few weeks or a few years, many avenues may seem closed or out of reach, I am here to tell you the routes are wide open and you are so desperately needed.

    13.00 – 14.00Lunch

    16.00 – 16.30Afternoon break

  • Boardroom: WORKSHOPS

    Schedule TBC

    10.30 – 11.00Morning break

    13.00 – 14.00Lunch

    16.00 – 16.30Afternoon break

  • Class Room: USS Workshop

    Schedule TBC

    10.30 – 11.00Morning break

    13.00 – 14.00Lunch

    16.00 – 16.30Afternoon break

    * Draft programme only. content subject to confirmation closer to conference time

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