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Rural Health Innovation - Aebhric O'Kelly - College of Remote and Offshore Medicine
Manage episode 407445151 series 3560319
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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 info@corom.edu.mt
Email Aebhric at: aok@corom.edu.mt
Thank you for listening to the Rural Road to Health.
Contact me at: ruralroadtohealth@gmail.com
48 episodes
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