Diploma of Remote Medical Practice

   RMI has been negotiating with Middlesex University to grant a Diploma for the wilderness and remote courses. Currently, we are still discussing terms, conditions and pricing but it looks like things will fall into place.
   The structure of the diploma will follow the WEFR/REMT courses and hopefully allow for clinical placements in Dublin, London or Croatia. Those details will emerge later in 2012. The basis of the diploma is outlined below.

The importance of the Pain Scale

   Using your medical assessment skills in remote areas can be challenging. You are limited to what kit you have available and often find yourself with not much more than just your wits and training to deal with traumatic injuries.

Pelvic Fractures in Remote Areas

   For those who enjoy extreme sports such as rock climbing, mountain biking, abseiling, parachuting, paragliding and mountaineering the rewards far outweigh the risks. Still the risks for major injuries are ever present.
   This week we are going to focus on injuries to the pelvis.

How to use Steri Strips

   In a remote setting minor cuts and lacerations can be a huge nuisance or worse transform into a major illness. Having the skills and toys available to clean and close minor cuts can be a benefit for expedition medics.
   Steri Strips, Benzoin Tincture and a Tegaderm dressing can be your best friend.

   *WARNING*
   This blog is not a substitute for treatment from a doctor. If you have a cut DO NOT try this unless you are trained to at least the Wilderness Emergency First Responder level AND unless you are in a Remote & Austere environment!

   Let me introduce you to the Wound Pack.

NPA used for suction

   During our WEFR course we introduce the skill of suctioning a compromised airway of a casualty. For the Wilderness First Aid level of training the best was to clear an airway is to roll the casualty over and let gravity do the dirty work.
   That is still the best option for the medical professional. The difference is that it is important to have a few more skills in your tool box to deal with situations where rolling a casualty might not be the best option.

Wilderness First Responder Course August 2011

We have just finished up with the latest WEFR course. We had eight students and three instructors come from around Ireland come to Killarney for six days of intense medical education.

Improvised head mirror

   Before the use of electronic lights, physicians used a head mirror to look into the patients, eyes, ears, nose and throat. They would have this mirror strapped to their head all day. In fact, most of us older types can remember going to the GP and having them use this device to exam you.
   In the wilderness improvisation is the key. How can one use this obsolete technology in the practise of Austere Medicine?