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 – 08.15Registration & Coffee

    08.15 – 08.30Mark HannafordIntroducing Extreme Medicine

    09.00 – 9.30Space Panel

    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
    It’ll never happen… (The Polar Bear Incident)Introduction to Svalbard; introduction to Bears; Where we were; what we did; sequence of events from my perspective and the story of what was happening elsewhere; the inquiry and legal process afterwards; lessons to learn and open to discussion.

    10.30 – 11.00Morning break

    11.00 – 11.30Luca Carenzo
    Ultrasound in Austere Environments

    11.30 – 12.00Nathan Smith
    Temporal dynamics on long-duration missionsThe 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’. 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.

    12.00 – 12.30Chris Imray
    Updates in Cold Injuries

    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 – 17.30Simon KingNaked & AfraidFollowing last year’s successful “Naked and Afraid” workshop, new cases and stories will be brought to the session and refined insights regarding the six key skills will be presented. This is the result of ongoing work into the cognitive impact of situational stress and resource deprivation.

    17.30 – 17.45Malcolm HiltonIntroduction to MSc in Extreme MedicineWith the increased awareness of global burdens such as humanitarian crises and sudden onset disasters, more than ever there is a need to be delivering healthcare in highly complex and demanding situations. This unique programme is delivered in partnership between the University of Exeter Medical School and World Extreme Medicine.

    17.45 – 18.30Mark Beaumont & Laura PenhaulAround the World in 80 Days

  • SALISBURY ROOM: PRACTICAL SESSIONSPlaces are limited for these sessions and will be bookable two weeks prior to the conference, a £5 booking fee will be applied.

    07.30 – 8.30Registration & Coffee

    08.30 – 9.00Rachel Anderson
    Everest Base Camp Clinic

    09.00 – 9.30Nathan Smith Psychological Profiling and Behaviour ObservationWe 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.

    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. 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 – 10.30Alex Kumar Terrestrial Envenomation

    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 AdriftTwo 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. 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, Ollie Stoten & 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 – 17.00Luca AlfattiHow to get your first job as an expedition medic

    17.00 – 17.30Will SmithBringing Combat Medicine to the Wilderness

  • HUTTON ROOM: WORKSHOPSZac Poulton & Josh Bakker-DyosOutdoors skills package, polar travel, crevasse rescue, simple rope techniques, improvised stretchers.To book your place and for more information please see our workshops section.

  • BOARD ROOM: WORKSHOPS

    11.00 – 13.00Chris Storey – ATACCPenthrox Administration CoursesTo book your place and for more information please see our workshops section.

    13.00 – 14.00Lunch

    14.00 – 16.00Luca CarenzoUSS SessionsTo book your place and for more information please see our workshops section.

    16.00 – 16.30Afternoon break

    16.30 – 17.30Jason Young Altitude Research: A Student’s PerspectiveJason will recount his experiences as a research lead on the APEX 5 expedition, a high altitude research group that ascended 4,800m in Bolivia last summer. Led by six medical students, 34 Edinburgh undergraduates spent a week at high altitude to study aspects of innate immunity, coagulation, vision and psychology.
    There are limited spaces on this lecture, please email our booking team at operations@extreme-medicince.com to book your place. Please note a £5 administration fee will be applied.

  • CLASS ROOM: WORKSHOPS

    9.30 – 12.00Burjor Langdana Expedition DentistryBurjor gives his unmissable practical session on the management of common dental conditions with limited resources in austere environments.
    To book your place and for more information please see our workshops section.

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 – 10.00Peter Skelton
    WHO Emergency Medical Team Specialist Cells in Disasters The development of dedicated spinal injury and rehabilitation teams for disaster response

    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. 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.

    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’.

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

    12.00 – 12.30Natalie Roberts
    Cholera: the secret killer in conflict zones

    12.30 – 13.00Jon BardenBlurred LinesExploring the appropriate use of civilian and military medical response.

    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 SESSIONSPlaces are limited for these sessions and will be bookable two weeks prior to the conference, a £5 booking fee will be applied.

    09.00 – 9.30Charlie Peschardt – Team RubiconSelf-sufficiency In Austere Environments (kit)What happens when things go wrong? Planning for a casualty evacuation

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

    10.00 – 10.30Sarah WookeyIs There Wine in The Congo?Why Sarah chose MSF and her thoughts on Chad

    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 – 12.00Matt NewportRats, Rain & Fufu: The More Bizarre Challenges of Running Sierra Leone’s Busiest Ebola Treatment CentreAn interactive workshop highlighting the day to day realities and challenges of humanitarian assistance

    12.30 – 13.00Tim ByromLeadership In The Disaster SettingThere are plenty of well-known models on leadership, but what actually makes a true leader? Are leaders naturally graced with the ability to lead, or do they nurture their ability? Tim examines leadership in the disaster response setting drawing on his experiences in the military, NHS and UKEMT.

    13.00 – 14.00Lunch

    14.00 – 15.00Peter Higgins & Nigel HarlingSecurity on the Disaster Deployment

    15.00 – 17.30Russell Drew & Nick CranfieldLiving Out of a Vehicle

  • HUTTON ROOM: PRACTICAL SESSIONS

    08.30 – 10.30Benjamin Black & Pippa LetchworthWomens Health: Is prevention is better than cure?Making a difference with limited experience and resources

    10.30 – 11.00Morning break

    11.00 – 13.00Benjamin Black & Pippa LetchworthWomens Health: Is prevention is better than cure?Making a difference with limited experience and resources

    13.00 – 14.00Lunch

    14.00 – 16.00Pete SkeltonEarly Rehabilitation In A Disaster SettingHow to adapt clinical practice

    16.00 – 16.30Afternoon break

  • BOARD ROOM: WORKSHOPS

    11.00 – 13.00Chris Storey – ATACCPenthrox Administration CoursesTo book your place and for more information please see our workshops section.

    13.00 – 14.00Lunch

    14.00 – 16.00Luca CarenzoUSS SessionsTo book your place and for more information please see our workshops section.

    16.00 – 16.30Afternoon break

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 AfghanistanDevelopments 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.

    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 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 – 12.00Simon Leigh-SmithPHEMWhat can we learn from our gaelic cousins

    12.00 – 12.30Mark ByersChemical & Biological Weapons Terrorist Event in the UKHow likely is a chemical or biological terrorist event in the UK? This lecture will explore, through open source media, the factors that make this a possibility and consider how we would recognize an event and how we should prepare.

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

    13.00 – 14.00Lunch

    14.00 – 14.30Simon KingThe Elephant On The HillA re-creation of an actual elephant incident in which two people suffered serious penetrating injuries when gored by the tusks.

    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. With some basic number crunching it is possible to ascertain which factors caused the death of the submariners.

    15.00 – 15.30TBC

    15.30 – 16.00Simon Leigh-SmithPHEMTension Pneumothorax ‘time for a re-think’ – 15 years later……………….

    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 speaks of his road to recovery through the power of mental resilience and willingness not to be defeated. Eoin Walker the attending flight paramedic and trauma lead for WEM 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: PRACTICAL SESSIONSPlaces are limited for these sessions and will be bookable two weeks prior to the conference, a £5 booking fee will be applied.

    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 – 11.30Phil MurrayThe 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: PRACTICAL SESSIONS & SEMINARSPlaces are limited for these sessions and will be bookable two weeks prior to the conference, a £5 booking fee will be applied.

    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 MosulJohn has had many opportunities to work within disaster and war medicine; as a pre medical student, EMT, paramedic, global health diplomat and doctor. John will tell his 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.

    12.00 – 12.30Liam TownendBlood on the Floor and Four More – visual estimation of external blood loss by UK pre-hospital clinicians.Haemorrhage accounts for 30-40% of trauma deaths globally with delays in recognising and treating hypovolaemia resulting in poorer patient outcomes. Liam will be presenting the results of a project involving the use of simulated trauma scenarios with information gathered from a wide range of pre-hospital clinicians. Discussion will cover the accuracy and usefulness of visual estimation and its place in the trauma handover at ED.

    12.30 – 13.00Dan FletcherIdentifying CBW Agents In Low Resource Environments

    13.00 – 14.00Lunch

    16.00 – 16.30Afternoon break

  • BOARD ROOM: WORKSHOPS

    11.00 – 13.00Chris Storey – ATACCPenthrox Administration CoursesTo book your place and for more information please see our workshops section.

    13.00 – 14.00Lunch

    14.00 – 16.00Luca CarenzoUSS SessionsTo book your place and for more information please see our workshops section.

    16.00 – 16.30Afternoon break

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