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International primary care
Published in Patrick Hutt, Sophie Park, A Career Companion to Becoming a GP, 2018
There are several courses which run across the UK and overseas specialising in expedition medicine. Most of these are extremely hands-on, with mock emergency situations in rural areas. Expedition Medicine (www.expeditionmedicine.co.uk) and Wilderness Medical Training (www.wildernessmedicaltraining.co.uk) run such courses. There are also a variety of publications on the subject, including an Oxford Handbook of Expedition and Wilderness Medicine. The Royal Geographical Society (www.rgs.org) publishes a regular bulletin of expedition vacancies. Charity expedition organisations such as Raleigh (www.raleighinternational.org) are often looking for doctors who are essential for the community-based development, adventure and environmental projects they run as a youth development programme. The British Travel Health Association (www.btha.org) and Faculty of Travel Medicine (www.rcpsg.ac.uk) can be useful sources of information. The Wilderness Medical Society, although based in the USA, has some UK affiliations (www.wms.org). To consolidate your learning, you can even sit the Diploma of Mountain Medicine (www.medex.org.uk).
Characteristics of EMS Fellowships in the United States
Published in Prehospital Emergency Care, 2023
Avram Flamm, Kyle Burch, Jeffrey Lubin, Francis Mencl
At the time of this survey, EMS special operations experience was not a specific ACGME program requirement for EMS fellowships. The ACGME does not require that fellows log any experience or procedure related to special operations medicine (10). The core content of EMS Medicine does not list any practice-based learning competencies for EMS special operations. However, special operations and its components are listed by name in the Milestones and the Core Content of EMS (8). There was a wide variety of offerings in special operations but only two were offered in more than half of the programs. The most common was tactical EMS (75%) and fire ground operations (52%); Hazardous Materials operations, an activity generally provided by larger fire departments, was a close third (44%). Twenty-four programs (39%) offered wilderness medicine experience. Currently, EMS fellowships are the only ACGME accredited programs that provide training in this topic, although unaccredited wilderness medicine fellowships were offered at more than 16 institutions as of 2021 (11). Furthermore, there appears to be some overlap in core content between EMS fellowships core content and suggested wilderness medicine core content in topics such as “environmental” (12). As of July 2021 new ACGME requirements include participation in HAZMAT, tactical, confined space and other special operations activities.
The benefits of trauma simulation for medical students – experiences from the University Of Bristol
Published in Medical Teacher, 2018
A typical session involves small groups of students with various scenarios involving a mechanical manikin “Stan.” Sessions conclude with a debrief, discussing clinical reflections and communication skills. Additionally, Bristol students can undertake simulation-based projects. We both participated in an “Expedition and Wilderness Medicine” project. This involved hospital-based simulations plus time in The French Alps undertaking pre-hospital trauma-based scenarios with real actors.
Implementation of a Prehospital Patella Dislocation Reduction Protocol
Published in Prehospital Emergency Care, 2020
Spencer Lord, James Brodell, Heather Lenhardt, Michael Dailey, Jeremy Cushman
Prehospital reductions have not been specifically studied but have been well documented prior to this study. The patellar reduction technique is taught to wilderness medicine enthusiasts through various websites (Wilderness Medicine Newsletter, Center for Wilderness Safety), and Dailey described a successful prehospital patellar reduction on a 13-year-old female (14, 20, 21).