Rural Health Innovation - Aebhric O'Kelly - College of Remote and Offshore Medicine

Aebhric O'Kelly is a  Former US army Green Beret, a wilderness psychologist, a board certified critical care paramedic, and the dean emeritus of the College of Remote and Offshore Medicine.  He also hosts the CoROM podcast. Overview of episode:  00.45  Aebhric's professional background 02.35  Building international collaborations 05.30  Who works with CoROM? 08.45  CoROM and Malta - starting with courses for paramedics 11.30  CoROM faculty 13.30  Placements through CoROM - Kilimanjaro Christian Medical Centre 20.15  What kind of environments do these clinicians work in? 21.30  Most common health problems in austere environments 22.45  How to prepare clinicians for low resource environments 24.30  Who are the patients? 27.10  How do you get into a remote, offshore, wilderness job? 28.25  What are the challenges? 30.00  Publishing research about austere environments - Field Guide  34.30  What skills are needed to stabilize a casualty in a remote austere environment?  37.30  Is psychological training needed? 40.00  Critical stress debriefing 45.45  How to overcome the overwhelm 47.50  Challenges with developing CoROM 49.00  Feedback from students 52.25  Who is CoROM for? 56.00  Top tips for working in remote and austere environments   Key insights: Since 2019 CoROM gained degree status and has 17 members of faculty based on 4 different continents.  Everything is about relationships and people.  Doctors, paramedics and nurses are attending courses with CoROM.  They will usually see normal general practice presentations, trauma presentations are not common.  "Head knowledge" and "hand knowledge" is important in auster and resource limited environments.  Taking a 2 lead ECG with a watch.  Learning to think outside the box with limited kit.  Prolonged field care: specific skills are needed to take care of someone for hours or days before additional help arrives or extraction is possible.  Critical stress debriefing is important following high pressure situations. What went well, what didn't go well, what can we improve? Communication is key, before an event, during an event and after an event. "Be here now" - be in the moment, awareness of self and your environment.  Know the basics. Be good at the basics. Think outside the box, provide the best you can with what you have. CoROM can be reached at [email protected] Email Aebhric at: [email protected]   Thank you for listening to the Rural Road to Health. Contact me at: [email protected]