Frostbite Urban Search and Rescue Hypothermia
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the adventure medicine magazine adventure medicissue 2 / winter 2013 frostbite urban search and rescue hypothermia skiing the haute route º the manaslu disaster º electives +in nepal photo essay south º georgia º astrophotography º seal bites º ski first aid º mountain medicine courses student photo competition º gear, news and reviews work to live elcome to the second issue of Adventure Medic. We've been Woverwhelmed by the response to our first edition and the hundred or so pages of this new issue reflects the wonderful range of contributions we've received. In this instalment, we bring you expert articles by Professor Chris Imray and Alistair Simpson, while James Yates surveys the landscape of urban search and rescue. Rachel Anderson give us a taste of the life we could be leading and Paddy Cave talks of lives lost. In addition, we have a truly stunning Portfolio from Sam Crimmin, as well as the winners of our student photo contest, elective and course reviews and much more. Given that we are bursting at the seams with articles, we hope that this will be the last issue involving an unwieldy PDF file. For Issue 3, we plan to craft something a little snazzier and altogether easier to navigate. So, we hope you enjoy this edition and please always remember: Adventure Medic is for you. Read us, write for us and let us know what you think. Send us your favourite videos, show us your best pics. We’ll share them with the world. Matt, Luke, Ellie, Graham, Rowena, Ollie and Greg The Adventure Medic Team Cover image: Mike and Stu Belbas / Verbier Summits / Website Email us your thoughts Adventure Medic is published quarterly and Post on our Facebook will always be free. Follow us on Twitter Browse awe-inspiring adventure To get your free copy every three months videos on our Youtube and via email, please sign-up on our website Vimeo channels Share photos and get them www.theadventuremedic.com featured in AM via Flickr by Dave Hall winter 2013 3 adventure medic news Inside / Winter 2013 News features News, jobs, courses, events and other gems from the world of the Adventure Medic. 24-30 34-43 44-50 The Coldest Journey World Congress on Never known to shy away from a challenge, Disaster and Emergency ‘the world’s greatest living explorer’ Sir Ranulph Fiennes’ latest expedition is perhaps Medicine his most ambitious to date. Aptly named ‘The Frostbite Hypothermia Urban SAR Coldest Journey’, Sir Ranulph and his six-strong The 18th World Congress on Disaster and ‘Ice Team’ prepare to make the 2000 mile Emergency Medicine is coming to Manchester journey across Antarctica unsupported. This from 28-31st May 2013. The focus this year has never before been done in winter. Captain will be on standards, practice and assessment Scott famously ventured 60 miles into the in International Development, Disaster 5-6 News 68-73 Shadows on Manaslu continent in winter 1911, before abandoning it Response and Humanitarian Assistance. Adventure Medicine round-up Talking through the disaster at as ‘the worst journey in the world’. Adventure Medic Paddy Cave Information on registration is found here. Spurred on by the recent successful winter 8-16 To the Ends of the Earth 74-75 Nepal Mountain Medicine Course Arctic crossing by the Norwegians, the team at Nell's Adventures Course Review Coldest Journey are keen to secure Britain on Inside the Travel Lab Nell Anderson Tom Buckman the map as champions of polar exploration. Meet Abigail King, a British doctor who handed 18-19 Good Causes 76-77 Diploma in Mountain Medicine The expedition’s ice-strengthened South in her scrubs and opted instead for a writer’s Get involved with our favourites Course Review African research ship SA Agulhas arrived in life on the open road. Abi completed her Rowena Clark Sav Wijesingha Antarctica's Crown Bay on 20th January. Since medical training at Imperial College, London then the team have been establishing a base before working for several years in Accident 20-23 The Haute Route 78-81 Student Photography Competition camp and making crucial preparations for and Emergency. She also studied Wilderness Cheeky annual leave adventure The winners in all their glory the long journey ahead. On 21st March they Medicine at Oxford University. Now the author Luke Summers Adventure Medic will begin their 6 month slog across almost of a highly successful travel and adventure 4000km of snow and ice to the Ross Sea. blog, ‘Inside the Travel Lab’, Abi’s work has 32 Seal Bites 82-88 Altitude research in Nepal featured in the National Geographic Traveler, Because you just never know Elective account The Ice Team must be entirely self-sufficient, as the BBC and Lonely Planet, to name but a few. Sam Crimmin Mike Freeman no search and rescue operation is possible in We’re a little bit jealous. such a remote and extreme environment. Two 33 Ski First Aid 90-95 Backpages D6N track-type tractors have been modified to Click to learn more about Abi or subscribe to A quick round up Stuff we love tow two large shipping containers which will her blog. Tonya Cruikshank Rowena's Books serve as the team’s living quarters, as well as Videos: Time to Burn house the expedition’s scientific equipment, 65-67 Astrophotography Until Next Time food and fuel for the six month journey. Residential Your how-to guide Adventure Medic Sam Crimmin The expedition aims to raise US $10 million Weekend Course in for the charitable initiative Seeing is Believing, 52-64 portfolio tackling blindness in the developing world. MedIcal French A Year in South Georgia More info here. Or, keep up to date with Skills in medical French are essential for Sam Crimmin progress aboard SA Agulhas at the blog. work or student electives in French-speaking countries worldwide and are highly ► 4 www.theadventuremedic.com winter 2013 5 adventure medic advertisement desirable for work with international relief Wings of Kilimanjaro agencies such as Medicins Sans Frontiers. The Anglo French Medical Society runs a residential Adventure Medic Editors Matt Wilkes and weekend course in medical French, this year Luke Summers have just returned from taking place from 5-7th April 2013 at the providing medical care for this record-breaking University of Warwick, UK. charitable expedition. The course is designed to accommodate for all The venture, brainchild of Australian levels of linguistic expertise, and participants adventurer (and celebrated horse dentist!) are grouped with those of similar ability. Adrian McRae, saw ninety-five paraglider For more information and details of how to pilots and up to six hundred porters summit register, visit their site. Kilimanjaro and bed-down at 5800m in Crater Camp. They were waiting for the weather to lift, in the hope of flying their gliders from the Banff Mountain Film summit to Moshi, down on the plains . Festival Tour Sadly, the weather didn't break and all had to walk down. All bar one that is - Sanu Babu The 2012/13 Banff Mountain Film Festival Sunawar, National Geographic Adventurer of Tour continues with lots of upcoming dates in the year flew off the mountain with his guide An MSF team prepare to anaesthetise a young boy prior to surgery in the east of Democratic Republic of Congo © Dominique Pageot / MSF Europe. Find your nearest screening here. at great personal risk. Médecins Sans Frontières (MSF) complicated. For instance, we had a young help, and you have the required skill, it is Matt and Luke were just happy to get everyone sent me to Walikale, a town in the boy with a typhoid perforation and peri- immensely rewarding. down in one piece, but you can expect a full jungle in the east of Democratic tonitis, on the back of reasonably severe Each and every day you have to expect Skimo Scotland Republic of Congo. During decades of civil malnutrition. He needed a laparotomy, the unexpected. Sometimes it is difficult report and an interview with Babu in the next war, the people and the town had suffered bowel resection, and hence intubation. to cope with such enormous demands, Winter 2013 sees the introduction of ski issue of Adventure Medic. enormously. There was no infrastructure The red rubber endotracheal tubes had and you need to be humble enough to mountaineering (SKIMO) racing to Scotland. to speak of and conditions in the hospital rotted in the heat and I had to dismantle realise that you can’t sort out everything This sport is already well established in North The underlying aim of Wings of Kilimanjaro were decidedly basic, but at least it was and reconstruct the valves in the circuit all of the time. But come and join MSF, America and the European Alps and combines was to raise one million dollars for Tanzanian a brick building, with running water and before it would work. The operation itself and you will be caring for people who intermittent electricity. went well – it just required a bit of DIY. have absolutely nowhere else to go downhill skiing with mountaineering. Skimo charities. Money already donated has been put Most of the anaesthesia I did had to MSF is always on the lookout for for help. Scotland are hosting 4 races across 4 ski to excellent use, and Matt and Luke were able be completely basic – where possible we anaesthetists to work in remote places resorts this winter. to see this first-hand when they visited a new avoided intubation and used intravenous like Walikale. It is not an easy life, and borehole, providing clean water to a number of ketamine to maintain spontaneous venti- you often find yourself well outside your Join in the fun on their website.