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CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

By: College of Remote and Offshore Medicine
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About this listen

Hosted by Aebhric O'Kelly, a critical care paramedic and former Green Beret, CoROM Cast explores wilderness medicine, austere healthcare, tropical diseases, emergency medicine, and remote medical practice. Weekly discussions feature global experts on Prolonged Field Care, Austere Critical Care, disaster medicine, humanitarian response, military pre-hospital care, tropical medicine, expedition healthcare, medical innovation, and practical solutions for healthcare in resource-limited environments. Published by CoROM Press www.corom.edu.mtCollege of Remote and Offshore Medicine Economics Management Management & Leadership
Episodes
  • 174-Austere Burns Management from the JTS CPG
    Dec 19 2025

    This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan will host an open discussion on managing austere burn patients, covering airway management, fluid resuscitation, infection control, and pain management. The speakers emphasise the complexity of burn cases and the importance of accurate assessment and treatment protocols. They also highlight the need for effective communication and patient involvement in care, as well as the use of innovative techniques like topical morphine for pain management.


    Takeaways

    Burns are incredibly complicated, but they're complex patients.

    Managing an individual patient's airway has to be factored in.

    You want to protect and secure the airway and avoid obstructions.

    The goal is to achieve maximal accuracy in fluid resuscitation.

    You can infuse that fluid rectally if you don't have IV fluids.

    Prophylactic antibiotics are not indicated in burn patients.

    Topical morphine works really, really well for pain management.

    Involving the patient in their care has a positive effect.

    Infection control is the means of preventing infection.

    Burn management is more art than science.


    Chapters

    00:00 Introduction to Burns Management

    03:08 Airway Management in Burn Patients

    05:52 Assessing Burn Size and Fluid Resuscitation

    09:00 Fluid Administration Techniques

    11:38 Oral vs IV Resuscitation

    14:53 Monitoring and Adjusting Treatment

    17:36 Dynamic Management of Burn Patients

    25:18 Vital Signs Monitoring in Critical Care

    28:01 Continuous Assessment and Patient Management

    32:07 Patient Involvement in Vital Signs Monitoring

    35:10 Urine Output and Fluid Resuscitation

    41:33 Infection Control in Burn Management

    48:20 Pain Management Strategies in Burns

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    49 mins
  • MiM26 Shorts-AI in Academia with Dr Ella
    Dec 18 2025

    This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February.

    You can join us using the link below.

    https://corom.edu.mt/medicine-in-the-mediterranean-2026/

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    16 mins
  • MiM26 Shorts - AI in Healthcare with Phill Clarke
    Dec 16 2025

    This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February.

    You can join us using the link below.

    https://corom.edu.mt/medicine-in-the-mediterranean-2026/

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    6 mins
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