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Our national leadership team
The UK DRI brings together multidisciplinary expertise in dementia research, in programmes of work shaped and delivered through a team of directors. Our leadership team work collaboratively to form the scientific strategy of the institute, and ensure it meets its ambitious goals, reporting to the UK DRI Board of Trustees chaired by William Rucker.
Bart De Strooper - UK DRI Director
National director, based at UK DRI at UCL
Prof Bart De Strooper is a world-renowned Alzheimer's disease researcher, formerly based at the KU Leuven in Belgium. He was Director at the Vlaams Instituut voor Biotechnologie and led a neuroscience department of over 250 researchers. Professor De Strooper's research has focused on understanding the fundamental mechanisms that underlie Alzheimer's and Parkinson's disease. He is the recipient of several prestigious prizes in recognition of his work, such as the Brain Prize, the Potamkin prize, the Metlife Foundation Award for Medical Research and the Alois Alzheimer's prize.
Prof Bart De Strooper's Research Profile
Dr Adrian Ivinson - UK DRI Director, Operations
National director, based at UK DRI HQ at UCL
Dr Adrian Ivinson completed his undergraduate and graduate training in the UK before moving to the US where for eight years he was part of the Nature Publishing Group, including Editor of Nature Medicine and Publisher of the Nature monthly journals. He joined Harvard Medical School in 2001 as the founding Director of the Harvard NeuroDiscovery Center. After 12 years leading the centre, Dr Ivinson took the position of Director of Translational Research, allowing him to focus on those programmes with a more overt translational emphasis, and transitioned to Brigham and Women's Hospital.
Giovanna Mallucci - Cambridge
UK DRI at The University of Cambridge
Prof Giovanna Mallucci is Professor of Clinical Neurosciences at the University of Cambridge and an Honorary Consultant Neurologist at Addenbrooke's Hospital, specialising in dementia. She combines clinical work and basic research, having previously led groups in the MRC Prion Unit and MRC Toxicology Unit. Her research is advancing understanding of common mechanisms in neurodegenerative diseases and pioneering the development of interventions targeting these pathways for the treatment for dementia. Prof Mallucci has received numerous awards for her work, including a SciAm50 award for leadership in research as one of the top 50 scientific innovators worldwide.
Prof Giovanna Mallucci's Research Profile
Julie Williams - Cardiff
UK DRI at Cardiff University
Professor of Neuropsychological Genetics at Cardiff University and Chief Scientific Adviser to the Welsh Government since 2013, Prof Julie Williams is a world renowned expert in the genetics of Alzheimer's disease. Having led global studies identifying new Alzheimer's disease risk genes, her collaborative discovery of three such genes was recognised by TIME Magazine as one of the top ten medical breakthroughs of 2009. Julie is one of four leaders of the International Genomics of Alzheimer's Project (IGAP) and Deputy Director for the MRC Dementias Platform UK (DPUK). She was awarded a CBE in 2012 for her contribution to Alzheimer's research.
Prof Julie Williams' Research Profile
Giles Hardingham - Edinburgh
UK DRI at The University of Edinburgh
As Professor of Molecular Neurobiology at the University of Edinburgh, Giles Hardingham's research looks into signalling between neurons and glia in the brain. His aim is to characterise the interactions that maintain brain homeostasis, and how these mechanisms break down in diseases that cause dementia. Having started his career at the University of Cambridge, Professor Hardingham worked at the MRC Laboratory of Molecular Biology before moving to Edinburgh, obtaining a Royal Society University Research Fellowship, and latterly a MRC Senior Non-Clinical Research Fellowship. Professor Hardingham is a former EMBO Young Investigator and Colworth Medal winner.
Prof Giles Hardingham's Research Profile
Paul Matthews - Imperial
Prof Paul Matthews is Head of the Division of Brain Sciences in the Department of Medicine at Imperial College London. He was the founding director of two internationally leading research imaging centres, the University of Oxford Centre for Functional Magnetic Imaging of the Brain and later, the GlaxoSmithKline Clinical Imaging Centre. As well as extensive academic experience, Professor Matthews served as Vice President of GlaxoSmithKline Medicines Discovery and Development between 2005 and 2014, and currently leads the imaging network for DPUK. His research aims to translate advances in brain imaging into clinical applications in neuroscience, including accelerating drug development. Professor Matthews was awarded an OBE in 2008 for services to neuroscience.
Prof Paul Matthews' Research Profile
Chris Shaw - King's
UK DRI at King's College London
In addition to being Professor of Neurology and Neurogenetics at the Institute of Psychiatry, Psychology and Neuroscience at King's College London, Prof Chris Shaw is also Head of Department of Basic and Clinical Neuroscience, Director of the Maurice Wohl Clinical Neuroscience Institute and an Honorary Consultant at King's College Hospital. Following clinical training in New Zealand, Chris developed his research career at the University of Cambridge before moving to King's where his research focuses on the genetic, molecular and cellular basis of motor neurone disease and frontotemporal dementia. His team has discovered many new genes that highlight the major disease pathways and present new therapeutic opportunities. Chris has received lots of recognition for his work, including the Sheila Essey Award and a 2019 Kea World Class Award.
Prof Chris Shaw's Research Profile
Karen Duff - UCL
Associate Director (spring 2020)
UK DRI at UCL
With over 15 years' experience working in Alzheimer's disease and currently Professor of Pathology and Cell Biology at Colombia University, we are privileged that Prof Karen Duff will be returning to the UK in spring 2020 as Associate Director of the UK DRI's hub in UCL. Completing a PhD in the Cambridge lab of Nobel Prize winner Sydney Brenner, Karen is now a leader in the field of neurodegenerative disease, having shared the prestigious Potamkin Prize in 2006. Her most notable work has been in the development of several transgenic research models, which have driven the field forward in its mission to find therapeutics for these devastating conditions.
David Sharp - Care Research & Technology at Imperial
UK DRI at Care Research & Technology at Imperial
With a background in traumatic brain injury, Prof David Sharp is in an expert in the use of advanced neuroimaging to study the human brain, with a particular focus on causes of cognitive problems across the brain network. After studying medicine at the Universities of Oxford and London, he obtained his PhD from the latter in 2006. David became an NIHR Professor at Imperial College London in 2012. He brings his expertise to the UK DRI Care Research & Technology Centre at Imperial, where as Associate Director, he will lead a ground-breaking research programme using technology to transform diagnosis and care for people living with dementia.
Prof David Sharp's Research Profile


Notable visitors during February, which I didn`t manage to capture on camera, included US Navy Fairchild Swearingen C-26D 900528, present on the 1st. N475LC Gulfstream 4 SP (2nd); Finnish Challenger CL604 OH-WIC, US Learjet 25B N102VS and Spanish Bombardier BD700 EC-LTF (all 3rd); Embraer EMB-500 Phenom 100 M-KELY (5th); Learjet 31A D-CGGG; Boeing 767-36N(ER) G-POWD Titan Airways and Thomson Boeing 787-8 G-TUIE on the 13th. The Dreamliner, which I think had been to Barbados, returned the following morning. PH-MJP Fokker FK100 Greenland Express (14th).
easyJet Airbus A319-111 G-EZDE in the airline`s new colour scheme.
Emirates Triple-seven A6-EBJ called in on 17 February.
Above left: Football related traffic arriving with Italian fans for the Celtic v Inter Milan game on Thursday the 19th comprised Boeing 737s EC-LAV Alba Star (pic in above gallery), OM-GTB of Go2Sky, and I-NEOU of Neos, seen here flying over the Netherlands-flagged tanker Bit Oktania which is a frequent visitor to Clydebank`s Rothesay Dock Oil Terminal. The vessel was built in 2004 by the Edward shipyard, Shanghai, China. Above right: Photographed on Friday 27 February is Canadair CRJ-900 D-ACNE of Eurowings.
Some of these views, including this one, were taken from the raised area known locally as The Mound which is adjacent to the playing fields and boundary of the Paisley Moss Nature Reserve at the southwest perimeter. It is a particularly good vantage point when Runway 05 is operational although there`s quite a bit of unavoidable foreground clutter and, if the normally quite marshy ground is saturated, the approach can feel more akin to wading through a swamp!
A Loganair Saab 340 being towed to the company`s hangar.
On Thursday 12 February, British Army Lynx AH-9A ZG919, destined for Area Juliet, conveniently flew low along half the length of Runway 23 before turning back for landing. No doubt the controllers in the tower got a wave from the helicopter crew on their way past.
German Air Force C-160D Transall 50+82 night-stopped on the 21st and it was joined by 51+12 (below) which arrived on the 22nd. The first Transall departed Glasgow during the afternoon of the 22nd while the second left on the 23rd. Another military visitor, namely RAF BAE 125 CC3 ZD620 also called in briefly on the 23rd, around lunchtime.
The C-160 was designed and produced as a joint venture between France and Federal Germany, Transall being an abbreviation of the specially formed consortium Transporter Allianz, comprising the companies of MBB, Aerospatiale and VFW-Fokker. In addition to serving with the French and German Air Forces, the aircraft has also been exported to South Africa and Turkey, as well as a small number to civilian operators. The C-160 has now been operating for more than 50 years but is due to be replaced in French and German service by the Airbus A400M Atlas.


Which Card Game do you think is the best?
I agree Future card buddy fight is absolutely awesome. The first two trial decks are coming out on the 24th of Jan and the first Booster set is coming out on the 31st of Jan.


By: District Attorney Raúl Torrez, published in the Albuquerque Journal, Feb. 8, 2017, found here.
As a native of Albuquerque I am, like so many of you, frustrated and angry about rising crime in this community. I worry about my parents, my children, and more than anything, about the future we are jeopardizing by our collective failure to meet this crisis head on. As the newly elected district attorney of Bernalillo County, I am committed to fighting for our families and our futures by doing everything in my power to stand up for victims of crime. Part of that responsibility also requires that I give citizens an honest assessment of the resources we need to make this a safer and more prosperous community.
As a career prosecutor I am well aware of the fact that the core elements of the criminal justice system – the police, courts, prosecutors and public defenders – have all been historically underfunded both in this state and around the nation. However, I was shocked to discover that the Bernalillo County District Attorney's Office is underfunded even by comparison to those other critical institutions.
Simply put, we lack both the personnel and the basic resources necessary to provide adequate justice to the citizens of this community.
What does that mean for victims of crime?
It means half as many investigators to find key witnesses, track down critical evidence and help ensure that we can process cases within the strict time constraints that only apply to this county.
It means an insufficient number of advocates to make immediate contact with victims of domestic violence and sexual assault, often resulting in failed communication about important court settings and an unacceptably high dismissal rate.
It means underpaid and inadequately trained prosecutors who are worked to their limit and who, when faced with an insufficient budget for litigation support, have resorted to paying for trial exhibits out of their own pocket or begging experts to testify for free.
Now imagine that you or a member of your family was the victim of a violent crime in this community. How would you feel if our ability to be an advocate for you or your loved one was in any way dependent on our ability to hire an expert, order a transcript or have an investigator to track down a key witness?
For far too long our public dialogue about rising crime has been entirely focused on whether and by how much we should increase penalties for particular types of crime, while little if any attention is paid to the fact that the people who work on the front lines simply don't have what they need to enforce existing law.
Of course I recognize that falling revenue has placed extraordinary pressure on our state budget, and I do not envy the position of members of the Legislature who are faced with competing demands for spending on economic development, infrastructure, health and education.
But I also know that our inability to get a handle on crime – particularly violent crime – will continue to have a real and dramatic effect on our ability to attract investment, develop a stable economy, and retain our best and brightest.
Fortunately, we have the ability to change our future, build a safer community, and create a smart, tough and innovative criminal justice system that not only makes us safe but also makes us proud. I say this with confidence because I have the privilege of working with extraordinary public servants who come to work every day to serve and support victims of crime with few resources, little pay and even less recognition.
Why do they do it? Because they believe in this place, they are committed to you and to the community we are trying to build for ourselves and our families.
It's long past time to recognize their commitment and give them the tools they need to get the job done. Our future depends on it.


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The 2000 Formula Nippon Championship was  contested over 10 rounds. 13 different teams, 21 different drivers, 2 different chassis and only 1 engine competed.

Teams and drivers

Calendar
All races were held in Japan.

Note:

Race 1 stopped due to rain and restarted, originally scheduled over 35 laps.

Race 8 stopped due to an accident and restarted, originally scheduled over 50 laps.

Championship standings

Drivers' Championship
Scoring system

Teams' Championship

External links
2000 Japanese Championship Formula Nippon

Formula Nippon
Super Formula
Nippon

redpajama_set_name: RedPajamaWikipedia


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Home Animals Sheep & Goats Boosting Merino potential with lucerne
Boosting Merino potential with lucerne
Ben Lategan is the national runner-up of the National Wool Growers Association/FNB best economically classed clip in South Africa for 2009/10. His Merino enterprise on 6 000ha in the Burgersdorp district of the Eastern Cape includes 180ha of irrigated lucerne, allowing him to get the most from his sheep. Mike Burgess reports.
Ben Lategan's 180ha of flood-irrigated lucerne is a green swathe of feed that has remained the productive heart of the Sunnyslopes Merino enterprise, and smaller beef enterprise, for the past half century, thanks to careful management. "I saw the possibilities here with water and the establishment of lands," says Ben (72) pointing across a large expanse of water – one of three irrigation dams he built in the first decade after settling on the farm in 1966. Grazing irrigated lucerne lands enables his Merinos to produce wool and meat under optimal conditions, and Ben is able to harvest lucerne for dry feed when needed.
But it requires careful management, as green lucerne can cause sheep to bloat and die when they graze it. This condition occurs when natural foaming agents in legume plants get trapped in the sheep's rumen. These tiny bubbles cause the sheep to bloat and compress the lungs to such a degree that breathing becomes impossible and the process of tissue oxygenation and effective blood flow is compromised.
Reducing the risk of using lucerne
"As young man I was moedeloos at the stock I lost on lucerne lands," recalls Ben. "You can never beat bloating,but with the correct management you can win at least 90% of the time."The first step is to ensure sheep aren't hungry or thirsty before letting them onto the land. Sheep rushing in expecting a feast will almost undoubtedly end up bloated and gasping for breath.Step two is to always handle sheep slowly and calmly to ensure they're exposed to as little stress as possible.
If sheep are tired, hungry or thirsty, they'll simply get stuck into the lucerne around them, says Ben. On Sunnyslopes, Merinos are never handled or bothered in the heat of the day – and all lands are fringed with willows Ben planted to offer sheep plenty of shade at all times. Dosing is only done in the cool hours of dusk and dawn. "Minimum handling is important," reiterates Ben. "You never work with sheep in the heat of the day – that gets them bloating quickly."
Step three is making sure sheep always have a source of clean water. Each land on Sunnyslopes has its own trough of water to which Ben adds a handful of Hypo crystals, his preferred anti-bloating remedy, twice a week. Finally, before moving sheep onto young lucerne (especially during exceptionally hot days) they're dosed with a teaspoon of sulphur and Bloat Guard (50/50 mixture), followed by a dose of water to make sure the sheep gets it down.
For Ben, the benefits of using lucerne far outweighs the risks, not least because of the plant's dual purpose. It also guarantees enough feed before and during the lambing of 2 200 ewes every September. Lambing percentage on Sunnyslopes has averaged between 134% and 140% in the past two years – incidentally the driest in almost 20 years. Also, there have been significant numbers of twins – 500 sets have already been born this year.
Managing lucerne lands
Irrigating and managing lucerne lands is fairly easy and inexpensive. For example, only small sections are irrigated by water pumped from the Stormbergspruit. Most of the 180ha is flood irrigated via gravity, cutting down considerably on irrigation costs. Because the lands are used predominantly for grazing, older lands are left for up to 10 years before being re-established with lucerne, despite the slow penetration of grass into the crop. When the 20ha of old lucerne lands are ploughed annually and planted to a rotation crop like oats, it's done cost-effectively by using minimum till techniques, thanks to the careful initial levelling of lands.
"I never rework a section of land. It's levelled once and that's it, so I need only work with tined implements, rotavators and planters when establishing new lucerne," says Ben. This new lucerne, especially the best-producing three-year-old batches, are what provide most of the 20 000 bales produced and stored in five sheds. Along with "chocolate maize", this dry feed helps round off lambs and culls for the market, and supports stock through dry and cold spells. Because of such abundant feed, Ben's Merinos never see a lick on the veld, only salt blocks. "I tried to use licks, but it didn't work out economically," he says.
Breeding a larger dual-purpose merino
"Merinos demand the most attention of all the breeds, but they pay," explains Ben. "There are few breeds that can beat a Merino."He seeks to breed an open-faced, smooth-bodied Merino with good body conformation that can produce quality meat and significant wool. Currently, Sunnyslopes Merinos produce wool between 18,9³ and 19,2³ for young sheep and just over 20³ for mature sheep. Mature sheep shouldn't produce less that 6kg of quality B-length wool if shorn at 10 months.
Regarding meat, Merinos are more than competitive. Ben's most recent batch of hamel lambs – weaned at between 14 and 16 weeks – slaughtered out at an average of 46,1kg from a batch of six- to eight-month-old animals. "This is all because they get food from before birth via the mother, and because of the food I get a little more wool too," says Ben.
To breed a Merino perfectly adapted to Sunnyslopes, Ben started a stud in the late 1970s. Its registration has currently lapsed, but he selected his best ewes to mate with the often expensive stud rams he bought. But in the early 1990s he started using laparoscopic insemination techniques on his 250 selected stud ewes, with semen sourced from breeders with tried-and-tested gold and silver merit Merino rams.
The switch was brought about after buying disappointing untested stud rams that mostly never performed as expected, explains Ben. "Don't believe a ram will always breed the way he looks. In earlier years I used to buy rams, but realised that although they were beautiful, I wasn't getting results. Laparoscopic insemination has let my flock improve drastically," he says.
Currently, Ben keeps between 15 and 20 rams bred on the farm for mating with his commercial ewes, while he markets about 30 rams a year to long-term clients."The rams I keep for myself are the top wool length rams and I get the money spent on laparoscopic insemination back with the rams I sell," he explains.Selecting the correct replacement ewes for his flock is as important to Ben as selecting the correct sires. For example, any of his 700 to 800 selected replacement ewes that don't conceive are immediately culled. "An ewe that didn't lamb mustn't be sold as breeding stock, it must be culled," he insists.
Contact Ben Lategan on 051 653 1650.
ben lategan
national wool growers association
Caxton Magazines
MORE FROM FARMER'S WEEKLY
Sheep farmer creates her own work and success
Kalahari Red goats: A solid reputation built on great genetics

redpajama_set_name: RedPajamaCommonCrawl


The Austin Global Exchange (AGX) allows users to get information on and trade cryptocurrencies online. The site covers many cryptocurrencies, including BitCoin, LiteCoin, and DogeCoin. The AGX Trade API allows users to manage their wallets, place or cancel orders, perform status checks, and retrieve data and statistics for the last 24 hours.


Sriz Beauty Blog: My Envy Box June 2015 Edition Review!!!
Its time for Happiness again as I received the 'My Envy Box' June 2015 Edition today,which has a good mix of products ranging from Skin care,Hair care to Makeup. I am super impressed with this month's Box as it contains two full sized product from two luxurious brands.
You can also subscribe for My Envy Box,which promises to deliver you with 5 samples(typically 2-10 ml) from Luxury/Prestige Beauty Brands every month at your door step. The subscription Cost of My Envy Box is Rs.850/month, Rs.2250/3 months, Rs 5100 4350/6 months and Rs 10200 85oo/ 1 year.And one more Good news is that if you book Envy Box subscription from June 1st to August 1,using the following codes,you can get even more discount.
1) Catrice Smokey Eye Pencil(1.6 gm) : Rs. 365:: This is my 4th product from Catrice and the first full sized product in this box. I got the shade 010 The Black Earl, which is a dark color.It comes with an integrated brush applicator,which is very soft.
2) Kerastase Elixir Ultime Oils : Rs.2450 for 125 ml : I got 2 X 3ml samples.I have heard many positive reviews on it and I am excited to try it asap.
3) Hedonista Face Souffle : INR 1650 for 115 gr::This is the second full sized product in this box. I absolutely love this chocolate & rhassoul Clay.I have used this just before writing this post and its smells yummy and it makes skin super soft and supple. I will review this separately soon.
4) Natio Meditate Hand Cream :RS.595 for 100 ml :: I have used Natio Shower gel before and exfoliator before,liked both of them.Now this Hand cream is very light and has a very mild fragrance.I am going to use this from today itself.
5) See by Chloe Eau De Toilette (1 ml) : Rs.4875/5975 for 50 ml/75 ml :: An irresistible mix of floral and fruity aromas which is fresh and elegant.I am going to use this on my birthday next week.
Final Conclusion About 'My Envy Box' June 2015 Edition Review : This June box is a good mix of products ranging from skin care to make up from well known luxury brands like Natio,Kerastase,Hedonista,Chloe and Catrice.A perfect Combination kit for this season!!! Those who have not subscribed yet....Subscribe to this wonderful box asap before it gets sold off!!!


Under this plan, the premiums paid by you, after deduction of charges, will be credited to the Policyholder's Account maintained separately for each policyholder. The risk cover will be provided by deduction of mortality charges from the Policyholder's Account.
If all due premiums are paid, the amount held in your Policyholder's Account will earn an annual interest rate of 6% p.a. which will be guaranteed for whole of the policy term. In addition to this guaranteed return, if all due premiums are paid, your account may earn an additional return depending upon the experience under this plan.
You will also have an option to pay additional (Top-up) premiums without any increase in risk cover.
Loan facility will also be available immediately after first policy anniversary.
1. PAYMENT OF PREMIUMS: You may pay premiums regularly at yearly, half-yearly, quarterly or monthly (through ECS mode only) intervals over the term of the policy.
Policyholder's Regular Premium Account – to which regular premiums, net of charges, shall be credited.
Policyholder's Top-up Premium Account – to which Top-up premiums, net of charges, shall be credited.
Top-up premium: Sum total of Regular Premiums paid upto the date of payment of top-up.
Annualized Premiums shall be payable in multiple of `1000 for all modes other than ECS monthly. For monthly (ECS), the premium shall be in multiples of `250/-.
Minimum Sum Assured: 10 times the annualized premium.
A) Expense Charge: This is the percentage of the premium appropriated towards charges from the premium received. The balance part of the premium will be credited to the Policyholder's Regular Premium Account or Policyholder's Top-up Premium Account, as the case may be.
Mortality Charge – This is the cost of life insurance cover which is age specific and will be taken every month from the Policyholder's Regular Premium Account appropriately. This charge shall depend upon the Sum Assured.
Service Tax Charge – A service tax charge, if any, shall be levied on Mortality charge deducted from the Policyholder's Regular Premium Account on a monthly basis as and when the corresponding Mortality charges are deducted.
The level of this charge will be as per the rate of service tax as applicable from time to time. Currently, the rate of Service Tax is 10% with an educational cess at the rate of 3% thereon and hence effective rate is 10.30%.
Alteration Charge – This is a charge levied for an alteration within the contract, such as change in mode of payment to higher frequency and decrease in sum assured and shall be a flat amount of `50/- which will be deducted from the Policyholder's Account and the deduction shall be made on the date of alteration in the policy.
Top-up Premium: You can pay top-up premiums in multiple of `1000/-. The additional premiums paid shall be credited into the Policyholder's Top-up Premium Account after deducting the expense charge. However, there would not be any increase in the sum assured under the policy. The total of top-up premium at any point of time shall not exceed the sum total of regular premiums paid upto that point of time. Such additional premiums can be paid only if all due premiums have been paid under the policy.
Decrease in benefits: This plan offers you the flexibility of reducing the sum assured during the term of the contract subject to the minimum limit. When the sum assured is reduced, such change will be effective from the policy anniversary coinciding with or next following the date of request.
A grace period of one-month but not less than 30 days will be allowed for payment of premiums under all modes of premium payment.
If due premium is not paid within the days of grace, the policy becomes paid-up. A paid-up policy can be revived within 12 months period from the due date of first unpaid premium or before maturity, whichever is earlier. During this revival period, the life cover will cease and no mortality charge shall be deducted.
The revival shall be made on submission of proof of continued insurability to the satisfaction of the Corporation and the payment of all the arrears of premium without interest.
The Corporation reserves the right to accept the revival at its own terms or decline the revival of a paid-up policy. The revival of a paid-up policy shall take effect only after the same is approved by the Corporation and is specifically communicated in writing to the Policyholder.
In case the policy becomes paid-up without payment of at least 2 years' premium and is not revived during the period of revival, the policy shall compulsorily be terminated on expiry of revival period. No charges shall be deducted and no interest will be credited from the date of compulsory termination. The balance in the Policyholder's Account shall be refunded on completion third policy anniversary.
In case the policy become paid-up after payment of 2 full years' premium and is not revived during the period of revival, the policy shall continue.


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New Everest movie and EWM to provide medical support
22nd December 2013 William MealyeaExpedition & Wilderness MedicineEverest, film, Jake Gyllenhaal, josh brolin, khumbu, media medical support, mountain safety, Nepal
Jake Gyllenhaal and Josh Brolin lined up to scale new Everest movie and EWM to provide medical support
Josh Brolin, Jake Gyllenhaal, Jason Clarke and John Hawkes are all in line to star in the mountain-climbing disaster movie Everest, according to the Hollywood Reporter.
Iceland's Baltasar Kormákur (The Deep, Contraband) will direct for production company Working Title. Everest is based on real-life events that took place in 1996 when a freak storm hit the world's tallest mountain, leaving eight climbers dead. The story was made famous by Jon Krakauer in the book Into Thin Air, which described how he survived to tell the tale. Kormákur's take follows two separate expedition groups whose lives come under threat.
Clarke is being sought to play New Zealand climber Rob Hall, leader of one of the teams, while Gyllenhaal is set to play Scott Fischer, his opposite number with the other expedition. Brolin is in line to play a doctor named Beck Weathers, who is forced to spend a night on Everest, while Hawkes (The Sessions) will be cast as a slow climber who causes his team to be late setting out on their journey up the peak.
The project was previously in play with Christian Bale as Hall, but the British-born actor no longer seems to be involved. Kormákur hopes to shoot the film in Iceland in October.
It is unclear what Everest's move towards production means for another film with the same title which is currently in the works. The latter project is being overseen by Bourne Identity director Doug Liman, and has Tom Hardy attached to play Sir George Mallory, the famous British mountaineer who attempted to be the first to reach the top of the Himalayan peak in the 1920s.
Source: http://www.theguardian.com/film/2013/jul/18/jake-gyllenhaal-josh-brolin-everest
Mountain Medicine Course – Nepal
Expedition Medicine Courses
Christmas cheer for Norway Polar Medicine Course
22nd December 2013 William MealyeaExpedition & Wilderness MedicineAustere Medics, expedition medicine, Norway Polar Medicine Course, remote medical training
Cracking polar courses for 2014 – the perfect gift to yourself!
Tired of shopping for gifts for others? Treat yourself to the course of a lifetime with Expedition & Wilderness Medicine!
If Christmas shopping is getting you down, pick yourself up by booking the ultimate expedition for the new year. Whether you want to tick off an experience from your bucket list, or are looking for a new medical challenge, we've got a couple of polar crackers for you:
Polar Medicine in the Arctic Circle – cold weather training, dog sleds, northern lights and first rate medical training! ** see our Christmas super deal below!
Join Paul Auerbach, wilderness medicine 'guru', Nat Geo and EWM travelling to Antarctica!
or something a little more 'mountain'?
Glacier Safety & Mountain Medicine- with Dr Luanne Freer, founder of EverestER in Iceland
Mountain Medicine – trekking to Everest Base Camp with Everest Medic Dr Rachel Anderson
Go ahead – treat yourself; we know you deserve it!
Wishing you a very merry Christmas and a wilderness medicine-filled 2014.
The EWM team!
** Book your place on our Polar Medicine course in Norway between now and Christmas Eve and get £100 towards your equipment. Only applies to new bookings paid in full – offer ends midnight 24 Dec 2013 GMT.
To claim your equipment fund please drop us an email quoting this 'Happy Christmas Polar Medics claim your equipment bursary' in the title of your email once you have made your booking…
Dr Rachel Anderson from EverestER joins the EWM family…
22nd December 2013 William MealyeaExpedition & Wilderness Medicineeverest er, high altitude medics, himalayas, mountain medicine, Nepal, Remote medicine, wilderness medical training
EWM is honoured to welcome Dr Rachel Anderson of EverestER and Antarctic Expedition & Logistics fame to the EWM family as the course director of the 2014 Nepal Mountain Medicine Course…
Mountain Medicine Nepal Course Director
Rachel is an Emergency Medicine registrar in the UK who has worked in the expedition environment in Nepal and Antarctica.
She has worked for Everest ER for two seasons as a base camp medic as well as at Union Glacier and the South Pole for Antarctic Logistics and Expeditions. She has recently completed the Diploma in Mountain Medicine (DIMM) and was lead lecturer on a wilderness medical expedition to Aconcagua in 2013.
She is a keen mountaineer and spends time in Scotland, the Alps and at high altitude venues such as the Himalaya. She also has an interest in humanitarian work and has the Diploma in Tropical Medicine and Hygiene and has worked in South Africa. Her next planned trip is to work as part of the mountain rescue team on Denali this summer.
Mountain Medicine Nepal
Extreme Medicine Conference
BMJ reviews Polar Medicine course
6th December 2013 William MealyeaExpedition & Wilderness MedicineExpedition Doctor, extreme medical training, fawm, polar environments, polar medic, wilderness medicine
Laura Patterson shares her experiences of a chilly but fascinating week spent in the frozen north, learning how to lead a cold weather expedition.
Earlier this year I set off on an unusual week's study leave to Alta in northern Norway, just inside the Arctic Circle. The course was designed to equip a medic with enough knowledge to safely lead an expedition in a polar environment. The course was based around outdoor activities and lectures, and culminated in a challenging rescue designed to use all the team skills. At the time I did wonder if the safety of the postgraduate centre would have been wiser, but I can recommend this fantastic week's study leave.
What did the course involve?
The course is based over five days. Outdoor activities are organised to make maximum use of daylight hours. Our team's first venture was skidoo travel. We set off on a 60 kilometre round trip, up onto the plateau with our local arctic adviser. We quickly mastered the skidoo, although I did manage to fall off several times. We also became experts on the workings under the bonnet, and I certainly now know more about the mechanics of a skidoo than my own car. I recall how quickly the weather changed as the sun disappeared when we travelled back down into the valley. My fingers became cold and painful and the biting wind, coupled with feeling tired, made concentration extremely difficult.
The second day for our team was spent dog sledding. This for me was the best day of the whole course. We were each given a team of dogs to harness up, and some instruction on how to operate the dogs and sled. Out onto the plateau the snowy desert was beautiful. The sound of the dogs was the only thing to be heard as they glided across the fresh snow. Lunch was taken on a frozen lake with flasks of hot chocolate and of course a few snowball fights. Our return journey was in the shadow of an amazing red fiery sunset. Descending again into the valley was a real test of skill, nerves, and upper body strength. The rollercoaster ride meant holding on very tight. The dogs raced downhill through the twisted forest path at high speed with little concern for their drivers, and consequently I had a few more encounters with deep snow.
The following day we tried our hand at cross country skiing—I am still sure that skis were never meant for going uphill. This day was probably the most exhausting. Snowshoeing was another challenging mode of transport we encountered. We had a lovely but exhausting walk through the picturesque local forest with the sun glinting on the snow.
As well as learning many new skills in negotiating the new terrain we also learnt a few survival techniques. We spent time learning to create emergency shelters, including digging snow holes. There was also an opportunity to immerse oneself into the waters of a frozen lake. Not for the fainthearted, but at least plenty of medics on hand if required. The course culminated in a rescue scenario. All the skills we had learnt were vital in rescuing our casualty. I was most fascinated to find that absolutely everyone found his or her role in the team and we managed to return our casualties to base, warm, and with no further injuries.
Of course this was study leave, and some lectures were included in the timetable after we returned from our outdoor activities. I congratulate the course organisers for such a good balance. We were informed about communication systems, clothing systems, hypothermia, public health, and frostbite. There were also lectures in pre-expedition and casevac planning, as well as aero medical evacuation and an opportunity to inspect and become familiar with all the kit that might be available
What are the requirements for the course?
No specific requirements are needed for the course except enthusiasm, willingness to participate, and a reasonable level of fitness. Some of the course members had previous expedition experience, but it is certainly not a prerequisite. Every effort was made to tailor all activities to suit the individual. Expedition Medicine (further information box) sends an impressive induction pack and clearly tells you what kit is required and what is provided for you. The temperature can go down to –30°C so plenty of layers are important.
Who would benefit most from the course?
Any doctor with an interest will be made welcome. Those with a background in expedition medicine or trauma experience will probably benefit most from the course, especially if you are considering accompanying a cold weather expedition in the future. There were doctors of all grades, from preregistration house officers to consultants. The course I attended also had two nurses participating, and paramedical staff are also made welcome.
What did I learn?
The course reminded me how important it is to work as a team, and how enjoyable it is to work as a team in an environment with which most of us were unfamiliar. Every day we faced new challenges and learnt some new skills.
How about accommodation and food?
Accommodation was in simple cosy wooden chalets shared between two. The meals were hearty, traditional, and enjoyed by all. There was plenty of tea, coffee, and cake in the afternoons, and a well stocked bar for the evening. After lectures there was plenty of time to relax, shower, jump into the hot tubs or enjoy a drink at the ice bar before dinner.
Organisation and additional holiday plans
The UK office staff were very helpful and very efficient. I was also able to use their local agent in Norway to book an additional night in the ice hotel and arrange transfers. Nothing was too much trouble for the agent and any additional arrangements were made via email direct to the agent, which seemed to work very well.
Course strengths
Excellent pre-course information was sent before the course. Excellent course material was given on CD so that extensive note taking was not required. All the course leaders had wide experience, which they were keen to share.
Course weaknesses
There are no specific weaknesses of the course. Without a background of previous expeditions, or trauma and acute care medical experience, however, I am not sure that this course alone would give you enough knowledge to feel completely confident as the sole medic on a cold weather expedition.
Hand warmers were really very useful, and I discovered some that were for once only use that would fit in my shoes. Bliss. The ice hotel is definitely worth a visit. For a small fee we were able to arrange to spend an evening at the ice bar in the hotel during our course.
I think this was an amazing week and a high quality course. It is great for networking for those interested in expedition medicine, as there is such a wealth of experience—not just from the course leaders but from those on the course who have already done expeditions. It's refreshing to learn some new skills in an extreme environment with a bunch of likeminded individuals. I definitely recommend you give it a go and I certainly came home very refreshed.
Competing interests: None declared.
Laura Patterson general practitioner The Park Surgery, Old Tetbury Road, Cirencester [email protected]
Cite this as BMJ Careers ; doi:
NEXT POLAR MEDICINE COURSE http://www.expeditionmedicine.co.uk/index.php/products/events/-/pt-0011.html
CBS news features EWM Disaster Medicine workshop in Boston
2nd December 2013 William MealyeaExpedition & Wilderness MedicineExpedition & Wilderness Medicine, Greg Ciottone, harvard, International Extreme Medicine Expo, mark hannaford, medical training, trauma
As a pre conference workshop to the main Extreme Medicine Conference, hosted at Harvard Medical School, Expedition & Wilderness Medicine organised along with our partners at Harvard a really very realistic workshop to focus on the challenges of mass casualties in disaster area – more from CBS….
Terror simulation draws lessons from Boston Marathon, past disasters
OTIS AIR NATIONAL GUARD BASE, Mass. — First responders need to be ready for anything, whether it's a massive natural disaster or a terrorist attack.
Few know that like the emergency physicians training in Harvard's Disaster Medicine/Emergency Management Fellowship. Two weeks ago, five of the Harvard fellows were dispatched to the Philippines to respond to Typhoon Haiyan. Just a few weeks earlier, the Harvard fellows were hosting a major terror simulation that drew lessons from the Boston Marathon bombing and other past, man-made disasters.
"The unique thing about disaster response that makes it different from almost everything else is the fact that you're responding to a unique event — every disaster is unique, in nature and both modality and scenario and environment in which it happens," Greg Ciottone, the director of the Harvard program, told CBSNews.com.
Ciottone was a commander of one of the first federal disaster teams on the scene at Ground Zero after the Sept. 11, 2001 terrorist attacks. While no one can predict the scenarios where first responders will be needed, disaster simulations are still crucial, he said.
"We're forced to respond using a multitude of agencies and personnel that don't normally work together," he said, "so what you don't want to have happen is have all these different agencies come together for the first time in a real live disaster event, and that's why we conduct these drills as often as we can."
Disaster simulations are common in the post 9/11 era, but the one that Ciottone and his team conducted at the Otis Air National Guard Base in Massachusetts was unique in its size and scope. The Harvard event brought together the National Guard, the Cambridge Police, the Massachusetts Reserve Corps, paramedics, ER physicians and others. It was coordinated to coincide with the Second Annual International Extreme Medicine Expo — hosted this year in Boston — so the participants and observers came from around the world.
The event started by applying makeup — in this case, called moulage — to 92 volunteers pretending to be victims. Kathy Cardeiro, a retired nurse from Bourne, Mass., joined the Massachusetts Reserve Corps (MRC) a couple of years ago, but the volunteer work has meant more to her since the Marathon bombing.
"I think we've probably learned a lot from that, how to cope and also learned a lot that people in general all want to help, whether they're MRC, there are a lot of people that step out, and step up," she said.
Ciottone and his team created a scenario that started with a lone shooter — a scene now all too common in the U.S. Police arrived to find more than a dozen injured. Paramedics started to arrive, but the scene was complicated by a second incident — a bomb exploding.
This kind of second attack — typically designed to target first responders — has become a common tactic around the world. It may have been what the Boston bombers intended to do with their second device.
After the explosion, there were dozens of more victims to treat, and seven of the first responders were "killed." The remaining responders — who were not told ahead of time what the scenario would be — suddenly had to reassess the situation and shift their priorities.
"It started off almost textbookish in terms of the initial wave of responders doing their job appropriately, then it broke down a little bit when we lost that first group of responders," said Jonathan Siegel, a paramedic and supervisor with Cataldo Ambulance Service who participated in the simulation. "The next group of responders came in and were not able to recognize that the command and control roles needed to be backfilled in order for the rest of this to run smoothly."
After the event, Ciottone explained that the first responders spent too much time triaging and assessing each potential victim — typically the right move — except in a case like this, where quick, immediate action like applying a tourniquet can save lives. In fact, tourniquets were only recently added as standard equipment for Boston EMS, but they proved crucial on April 15.
"The amputations — we saw them the Boston Marathon," Ciottone explained to the event participants. "The reason that only people two or three killed at the Boston Marathon were from the bombing itself and nobody else was killed, despite the fact there were 30 to 40 life threatening injuries… people jumped quickly with those tourniquets."
Knowing when to stop to triage a victim is stressful enough, but first responders also have to think about logistics. With dozens of victims down, several ambulances were called to the scene. Ciottone explained after the fact that the scene was inspired by the 1990 Avianca plane crash, when ambulances approached the Long Island, New York crash scene on a narrow road. Once they were there, the ambulances were stuck in a bottleneck.
"We did put a couple obstacles there, they were the blasted out ambulances from the first responders," he said. "But what we were hoping was you would actually complete that circle, realize that someone needs to get out and help maneuver and move around those obstacles. Instead, what was done, the ambulances came up and made their own route a different way, which had some pluses and minuses to it."
In many ways, the drill went nothing like it was planned, said Mike Rubin, one of the Harvard fellows who helped organize the event — but that, in a sense, made it more realistic.
"There's no definite protocol to follow, so you have to reinvent the wheel with every disaster to accommodate the factors," Rubin said. "It requires some snap decisions and there's no time to question whether you're doing the right thing or not."
Next Extreme Medicine Conference
Polar Medicine in Norway – A delegate review.
2nd December 2013 William MealyeaExpedition & Wilderness MedicineExpedition & Wilderness Medicine, fawm, medics travel, norway, polar medicine, wilderness medicine in cold environments
A participant's write up – Polar Medicine Training Course
The setting for this year's polar medicine training course was Alta, a small settlement, 72 degrees north and well within the arctic circle. A place with a deserted high street where you would be lucky to see one other passer by every 15 minutes, easily explained by a temperature at least ten degrees below freezing and a good foot of snow on the ground.
Our Base camp was a 40 km drive along icy roads to a picturesque mountain lodge by the name of Ongajoksetra. At the higher altitude the temperature was that much lower and if a wind was blowing, temperatures as low as minus fifty could be achieved. We were introduced to the Scandinavian team who would teach us methods of navigation across such tough terrain in harsh conditions and also to the Expedition Medicine team who would teach us polar medicine in a series of lectures and practical sessions both in the classroom and in the field. One more group I must not forget to mention is the team of fifty sled dogs who would provide another mode of transport across the snow.
My first day involved skidooing up a mountain demonstrating the importance of protective clothing, navigation aids and preparation for travel in severe blizzards with visibility of approximately two metres, sudden drops in temperature and rapid weather changes. I realised that without our trustworthy guide, Espen Ottem, we could become hopelessly lost in such conditions where you would be unable to survive more than a couple of hours at most. Our dog sledding guide, Pre-Thore was the perfect example of this as he told us of the time where inadequate preparation resulted in frostbite, blackening of his fingertips but fortunately no amputation. This story made me somewhat paranoid about the daily pain and numbness in my hands and feet when outside in the cold for prolonged periods. A "buddy system" was paramount to preventing frostnip. Simply by having that small exposed area of skin, pointed out to you to cover up.
Dr Leslie Thomson, a consultant anaesthetist who had first – hand experience of polar medicine after spending several years in Antarctica taking part in the British Antarctic Survey gave an excellent lecture on hypothermia, bringing home how hypothermia is not just a condition seen near the poles but also in the Saturday night party goer who collapses under the stars, the homeless and the elderly. We were taught how to treat by various re-warming methods and when to commence C.P.R in the hypothermic patient sending home the message of not pronouncing death until warm and dead in certain individuals. This information was demonstrated by the story of Dr Anna Bagenholm , a 29 year old doctor who fell into icy water whilst skiing in Northern Sweden, immersed for approximately an hour, her body temperature was 13.7 degrees centigrade. C.P.R continued for three and a half hours alongside re-warming techniques such as bypass, bladder / stomach / peritoneal lavage and warm intravenous fluids. She survived to become the person with the lowest body temperature ever to survive.
Expedition & Wilderness Medicine obviously feel that first- hand experience is the best way of teaching and as a result each member of the group had to undergo cold water immersion. Prior to undertaking this challenge we were kindly taught about the cardiac arrhythmias that can be induced by the shock of entering the water, the short term cold water gasp reflex increasing the chance of aspiration and swimmers failure! One by one we stepped up to an ice hole in our thermal underwear and in the more daring members of the group a little less! to swim across icy water. I can confidently say that was the coldest I had ever been. As if several knives had been plunged into my body, breath taking and inducing chest pain, I swam across water of ridiculously low temperature to attempt getting out of the hole using my ski polest
Our nights spent in the field we were taught how to construct snow holes. Five hours later our own little home with two double beds, stove, cupboards and shelves for our candles was constructed. It was as comfortable as it could be on a mountain side with winds blowing outside dropping the temperature to twenty below. I was amazed that the snow hole was so warm at five degrees compared to the outside however a slight air of nervousness was in the back of my mind as my avalanche detector slowly flashed in the corner and a rope attached to a spade inside connected our holes to other holes in case of us having to be dug out. The course perfectly demonstrated how to survive in such conditions
In summary the course prepared 25 everyday doctors to be able to traverse the polar landscape, recognise and competently treat local cold injury and hypothermia as well as to be safe expedition medics capable of caring for their groups and evacuating when required. To spend a week in such a location gave me the upmost respect for those who live in these regions and cross the landscape as part of everyday life, as well as a great respect for the land. In a day and age of global warming and melting of the polar ice caps it becomes paramount to look after our environment, to take only photographs and to leave only footprints.
Dr Claire Roche, Clinical Fellow in Emergency Medicine Countess of Chester Hospital. See the BMJ article.
To see the full range of World Extreme Medicine courses here.
Very happy to add Dr Alex Kumar to the EWM facualty
19th November 2013 William MealyeaExpedition & Wilderness MedicineAntarctica, expedition medical training, mike stroud, polar medic, remote doctor, travel medic, white mars project, wilderness medicine
Alexander Kumar isn't your average medical doctor. British-Indian in origin and having grown up in Whaley Bridge (Peak District, UK) and with family in Delhi, he developed an appreciation from an early age for the natural world and life abroad.
(c) reproduced from http://www.alexanderkumar.com/
See Alex's Tedx talk…
Realizing knowledge and a sense humour weigh nothing, Alex travels light, armed only with a stethoscope and curiosity for life.
Aged 30 years, he has lived, worked and travelled through over 70 countries and has led and worked as an expedition medic to many expeditions in remote areas of the world, providing onsite advice and support. He based in UK where he works as an acute care doctor.
Alex is the youngest of four children. His parents, both retired Professors of Cancer Research, combined the best of both English and Indian family heritage, instilling their passion and love for art and science. His eldest brother is also a doctor, whilst his sister is an accomplished artist (www.natashakumar.co.uk) and his closest brother is a film-maker.
After wriggling free from the restriction of his school years, he spent the next year living in Nepal teaching English, at the time of the tragic massacre of the Nepalese Royal Family. He later graduated with a Medical Degree from Guy's, King's & St. Thomas' in London, following numerous medical placements including in India, Israel, Shetland and the Amazon. He also holds a first class honours degree in International (Public) Health.
Passion for Science and Research
Since a young age, he has been fascinated by life in the Polar regions.
He followed his heart to the Canadian Arctic, where he completed his dissertation conducting the first piece of research on HIV among Inuit.
Alongside holding extensive experience in Polar Medicine, he holds a special research interest in snake bite- having witnessed its devastating effects to communities in Asia, Africa and South America.
Drawing Attention to Global inequality
He uses film and photography to help raise awareness about issues he feels strongly about – global health inequality -including indigenous peoples' health status, the impact of humans on the planet and complex human-wildlife conflict.
Planet Concordia ©
100 years on from Scott and Shackleton, Alex travelled to Antarctica and spent around one year (2012) living at Concordia, a joint French-Italian inland Antarctic research station, employed by the French Polar Institute as the Human Spaceflight Research MD to conduct research for the European Space Agency. This research will be used to help understand how far human physiology and psychology can be pushed towards a future manned mission to Mars.
Living and over-wintering as the only British national among a team of 13 Europeans in the most extreme and remote environment on the planet, enduring over 3 months of complete 24-hour darkness, alongside the world's coldest temperatures dropping down below minus 80 degrees Celsius, the crew survived in complete isolation with no means of escape for 9 months- simulating life on the surface of another planet.
Alex coined the term Planet Concordia – the name of his blog covering this period – describing his adventures, experiences and dreams.
Living at Concordia Station is breath-taking – located high up at 3800m equivalent altitude the crew suffers the effects of chronic hypobaric hypoxia. Located on Dome Charlie (Dome C) in the East Antarctic Plateau- the world's largest desert- Concordia is one of the closest analogue environments to long space missions that is available anywhere on Earth.
'Keep Calm and Carry On'
Faced by the loneliest and coldest job in the world, sometimes you can only Keep Calm and Carry On … Just 3 weeks before the period of isolation began, the Italian medical doctor due to provide cover for the winter-over period at Concordia, returned home. Alex was then faced with a difficult decision- to take on the additional role as the station doctor. Alex took on this role and has not looked back. Before winter-over, he left Concordia and travelled to an US Antarctic Programme base where he gained useful, last minute Dental training. He is the first and last doctor to have graduated from 'Antarctica's School of Dentistry'.
He is the first Research MD at Concordia station to take on the additional position as the Antarctic Station's doctor, holding full responsibility for the health and well-being of his multinational crew. This is the first time since the station's creation and first winter in 2005, that there was only one doctor overwintering at Concordia.
This is Antarctica. The Real Antarctica
This website and blog offers rare insight into his unique experience and the reality of the challenges, in surviving life at the extreme and the worse winter our planet has to offer and in many other extreme, interesting and peculiar environments around the world.
Building Support & Partnerships
Alex became the first doctor in the world to be supported by Crocs footwear. He tests expedition equipment for other supporters also.
He supports and acts as a patron for several environmental and educational not-for-profit organisations including:
1. Ibex Earth – http://www.ibexearth.com
2. Oceans Project Georgia – http://www.oceansproject.com/
White Mars for Sir Ranulph Fiennes' Coldest Journey
The Coldest Journey, involving the first attempt at a land crossing of Antarctica during its winter, has created a unique opportunity for science. Alex was invited to help set up and organise a substantial Human Sciences research project for The Coldest Journey.
Working with Dr Mike Stroud, building upon Alex's previous research and a report by NASA suggesting polar traverses as an excellent analogues for space research – the White Mars Project was born. Although fixed polar bases have been used for spaceflight studies, similar work had never been performed on a small travelling group who are truly isolated, permitting The Coldest Journey White Mars research study to provide the first opportunity to study the physical and psychological effects 'at the extreme' on this expedition crew, particularly: a prolonged period of complete isolation, altered day-night cycle, chronic hypobaric hypoxia and exposure to extreme environments.
For further details see:
http://www.thecoldestjourney.org/science/the-white-mars-project/
Shackleton Epic Expedition 2013
In early 2013 Alex joined the Shackleton Epic team, under-taking one of several re-creations of Sir Ernest Shackleton's famous escape from Antarctica. The expedition having been filmed for the Discovery Channel will appear as a 3 part television series, 'Shackleton: Death or Glory' in October 2013. Alex appears as the onscreen expedition medical doctor and scientist and provided still images, recreating some of Frank Hurley's images for the documentary.
The expedition crew of six, led by Tim Jarvis, sailed across the Southern Ocean, departing Elephant Island sailing to South Georgia, in a life boat called the Alexandra Shackleton – a near replica of the James Caird with one key difference.. The Alexandra Shackleton contained a waterproof cabin with a seal-able hatch, unlike Shackleton's original James Caird, which was an open lifeboat with just a canvas cover, hurriedly fashioned on the ice.
Alex studied the expedition crew members, attempting to understand the difference in the psycho-physiological reserve and state Shackleton's men endured 100 years ago, during his epic escape, compared to that today.
Guide Dogs
Alex is a huge fan and supporter, hoping to raise a significant amount of money for one of his favourite charities, Guide Dogs for the Blind (www.guidedogs.org.uk) – here is a video made in support of Guide Dogs – http://www.youtube.com/watch?v=U4PNCWhITDA
Polar Medicine in Norway or in New Zealand
Antarctica Wilderness Medicine Conference
Emergency Medicine Doctor, Locum, Papua New Guinea
18th November 2013 William Mealyea.members, .Newsletteremergency medicine, head medical, jobs, Locum, mark hannaford, medical locum, Papua New Guinea, Remote medicine
***POSITION NOW FILLED**** Head Medical have a 4-8 week locum post available in Papua New Guinea, located in the south-western Pacific Ocean, PNG is one of the most challenging, culturally diverse and exotic countries in the world.
You will be working with the world's leading international healthcare and medical services company starting December 5th 2013
You must have 4 years + Emergency Medicine experience working as a Middle Grade, Snr Registrar or Consultant and have ATLS & ACLS as a minimum.
Paid flights and secure accommodation provided.
• Minimum of 4 years appropriate postgraduate Emergency Medicine experience • ATLS/ACLS • You must have obtained your primary medical degree in the UK, Europe, North America, South Africa or Australasia
Head Medical are espiecally interested to hear from 'Expedition Medicine' medics so please do mention us when making contact!
• Overseas experience in a remote location
In return you will receive:
• An excellent rate of pay plus benefits, including accommodation and travel expenses • An opportunity to broaden your international experience
If you'd like to find out more about this job or have an informal chat, please get in touch with us:
Yan Scouller
Expedition Medicine Course
Extreme Medicine 2013 – to the delegates
15th November 2013 William MealyeaExtreme Medicine EXPO, Extreme Medicine EXPO Boston, International 'World Extreme Medicine Conference & Expo', International Extreme Medicine' ConferenceExtreme Medicine Conference, harvard medical school, humanitarian, mark hannaford, medical, medicine, remote, tactical
Extreme Medicine 2013
We hope that you enjoyed our inaugural conference in the US as much as we did! What an amazing week topped off by the Red Sox winning the World Series (some of us might have questioned how it can be a world series when there aren't any international teams but that's just us!!)
Below you will find a link to an online survey where you can feed back to, we would really appreciate it if you could take the time to let know your views and its essential if you want to claim CME and FAWM points for the conference and pre conference workshop
Extreme Medicine '14
26-29 October 2014
Next years location is still a bit up in the air …London … Abu Dhabi … London but the dates are confirmed so make sure your free!
Details for be confirmed by December 2013
We have a new website address, please make sure you bookmark it!
www.extrememedicineexpo.com
New Course Launch
Remote Medicine and Glacier Safety Skills led by Dr Luanne Freer 10 CME
Join us on a 6 day CME accredited Wilderness Medicine and Glacier Safety Skills course set in stunning southern Iceland led by Dr Luanne Freer.
Dr Freer is the Medical Director of Yellowstone National Park, ex President of the Wilderness Medical Society and subject of the documentary 'Everest ER' which features her work running the field hospital at Everest Base Camp
If you would like to stay in contact with Child in Hand, Extreme Medicine's 2013 charity partner, please find their website here
Everest ER, beneficiary of income from theEWM Mountain Medicine course in Nepaleach year, can be found here…
What are our team up to?
Dr Paul Auerbach is leading our Antarctic Wilderness Medicine Conference aboard the National Geographic Explorer in 2014 and we invite you to join him on what promises to be an amazing experience – click here to find to find out more…
If you are free in couple of weeks to travel to Galapagos you be able to hear from the inspiring EverestER founder Dr Luanne Freer as she is leading our conference aboard the National Geographic Endeavour for a trip departing the 28 November, its last minute but if you are free read more here… might you also be tempted by a remote medicine and glacier skills course in Iceland?? See here for more…
Dr Amy Hughes EWM's medical director is in the Philippines leading the UK's national response to the tragedy unfolding there and also our next Expedition Medicine course in England –find out more here…
Conference Book Deal
Paul Auerbachs iconic book 'Wilderness Medicine' is offered to you at a conference only discount just use this code at your point of purchase fromElsevier at the website here…
'Quickly and decisively manage any medical encountered in the great outdoors! Proven, practical guidance for effectively diagnosing and treating the full range of emergencies and health encountered in the wilderness makes this an indispensable resource for rescuers, first responders,and treating physicians!'
Use promotional code DM53394 to SAVE 10% on this title atus.elsevierhealth.com
Please let us know how we did and complete to claim you CME points…
Please make sure you make it to the bottom of the survey as there are a couple of questions you need to answer.
Email [email protected] or
Expedition Doctor needed in Central America
14th November 2013 William Mealyea.membersexpedition, Expedition Doctor, job, medforce, Remote medicine, trekforce, wilderness medical
Expedition Medicine In Central America: Doctor needed for one month to train Expedition Leaders In January 2014.
Trekforce is the number 1 gap year expedition organisation. We run the leading Expedition Leader Training Course for those that want to go on a lead youth expeditions.
Due to a last minute situation we urgently require a Doctor, who along with our in country trainers, can provide pre-hospital training to a small team of around 8-10 leaders. Based in the jungle training to cover: Triage, sutures, IV etc as well as testing scenarios for our team. Please call us for full details +44 (0)207 3843028
Return flights to Belize and all in county costs are included. Dates: Start around January 4 to February 1-6, 2014. An exciting and interesting opportunity in an amazing location.
Trekforce are espiecally keen to hear from Expedition & Wildermess medics so please mention our name.
www.gapforce.org
Great film about the pre conference workshop
31st October 2013 William MealyeaExtreme Medicine EXPO, Extreme Medicine EXPO Bostonhumanitarian medical, mark hannaford, mass casualty, trauma medicine
Prior to the World Extreme Medicine Conference in Boston we ran, with the very generous assistance of numerous Boston emergency services organisations an amazingly worthwhile pre conference workshop concentrating on the learnings from dealing with mass casualties.
This video explains more;
WARNING SOME GRAPHIC SIMULATED IMAGES
Pre-Trauma Disaster Simulation Workshop from Gloria Tokics on Vimeo.
Amazing Pre conference workshop for Extreme Medicine 2012
27th October 2013 William MealyeaExtreme Medicine EXPO, Extreme Medicine EXPO Boston, International Extreme Medicine' Conferencemass casualty
Pre confer workshop for Extreme Medicine 2013 from Expedition & Wilderness Medicine on Vimeo.
Coming to Harvard Medical School Conference Center this weekend – don't miss out!
25th October 2013 William MealyeaExpedition & Wilderness Medicine
EXTREME MEDICINE 2013 – GET YOUR TICKETS HERE….
Coming to Harvard Medical School Conference Center this weekend – don't miss out!
Winners announced for EWM Awards for Excellence in Remote Medicine
25th October 2013 William MealyeaExtreme Medicine EXPO, Extreme Medicine EXPO Boston, International 'World Extreme Medicine Conference & Expo'excellence in remote medicine, extreme medicine awards, prizes in wilderness medicine, quikclot, survival
The 2013 winners
The awards will be presented at the World Extreme Conference on October 28th 2013 at the Joseph B. Martin Conference Center.
It gives us great please to announce the winners of the EWM Awards for Excellence in Remote Medicine; the winners are…. (drumroll please)….
Company or Organisaiton of the Year
This award is presented to the company or organisation that has made an exceptional impact on extreme medicine: one that has strived to excel and has set new standards in their fields of expertise, whether it is in research, product or leadership.
2013 Winner – The Beth Israel Deaconess Medical Center in Boston for their utter professionalism in reaction to the tragedy of the Boston Bombing
'Boston's trauma centers have been widely praised for saving dozens of Marathon bombing victims, treating one person after another who arrived at their doors with limbs torn off or mangled, some patients having lost most of their blood'. Boston Globe
'When bombs went off at the Boston Marathon on April 15, Beth Israel Deaconess Medical Center (BIDMC) CIO John Halamka found himself dealing with the kind of the emergency few drills could ever prepare you for. As bombing victims were brought into his downtown hospital and the city went into lockdown, Halamka and his team began to parse a nightmare situation…. Then it got worse. Suspect Dzhokhar Tsarnaev was bought to Beth Israel… and Halamka, a prominent figure in the bioinformatics world, had to deal with a very unique challenge'
This award recognises outstanding healthcare professionals who have made a significant contribution to the specialised area of extreme medicine. These contributions, whether they have been in research, leadership, innovation or mentorship, must have had a lasting impact in extreme medicine and nominees must have demonstrated a lifetime commitment to developing this specialised industry.
This years Person of the Years awards will be announced at the prize giving ceremony at Harvard Medical School on the evening of the 30th of October
Product of the Year. A new catagory for 2013. A single product which exemplory in its design and usage.
This years winner is the new generation QuikClot Gauze
'Every major conflict throughout history produces a medical miracle. This conflict's miracle is QuikClot'. Dr. Sanjay Gupta, CNN
(embedded with the U.S. Marines 2003) Z-Medica website.
'For the first time in history, we've put the ability to quickly stop bleeding from superficial wounds, minor cuts and abrasions into the hands of anyone who can tear open a package and follow a few simple directions. In addition to products for emergency response, we continue to innovate and deliver life saving products – for the soldier, fireman, first responder, law enforcement officer and surgeon. When blood loss is the concern, QuikClot® is the answer'.Z-Medica website.
The EWM awards are geared to keep all of us in the industry motivated and are dedicated to everyone involved in extreme medicine, no matter how great or small their involvement.
The awards recognise the achievements of some of the most inspiring personalities and companies that are associated in one form or another in the growth of the Remote Medicine industry.
Never Off Duty? the daily routine of an expedition doctor
23rd October 2013 William Mealyea.members, .NewsletterAdventure, Adventure Medics, Jungle medicine, mountain doctor, Nepal, polar medical training, travel medic, wilderness medic. travelling
Never Off Duty?
Katie Hawkins / General Practitioner / Scotland
Another great article curtesy of Adventure Medics
So, you're a doctor and you want to go on holiday somewhere exotic? Have you it through before you go? Dr Katie Hawkins, newly married and a recently qualified GP, tells us the tale of her honeymoon trek in remote Nepal. Her story beautifully illustrates some of the problems that can be encountered as an off-duty medic in a remote place. Katie also includes some excellent advice to help you deal with such problems yourself, while giving us the lowdown on the GMC and defence unions' views on Good Samaritan Acts. Despite her honeymoon, Dr Hawkins remains happily married and is now working for the International Porter Protection Group in Nepal. (Photos: Sam Hawkins)
Big plans
Imagine this: it's your honeymoon, and you've been dreaming of a big trip – to go away together, to be just the two of you. You love mountains, climbing, walking and adventures. Finally you manage to arrange time off work. You've not managed to get time like this since University days, trekking in Nepal. It's a must, and you've earmarked a trek you've heard only a few people do. It will be bliss.
There are a few mutterings from friends:
Have you met the people you're going with?
Don't worry, we've been assured that they're all super fit and anyway, if we get bored of each other at least we've got company.
The day before you leave a kind colleague thrusts some dexamethasone and nifedipine in to your hand and says 'this might be useful'. Also by chance you ordered the book Pocket First Aid and Wilderness Medicine by Jim Duff and Peter Gormly. This arrives on the morning of your departure.
On arrival, there are the standard problems of missing luggage, retained passports and road blocks. However somehow, later that evening and despite the chaos, you find yourself eating veg thali and sipping on a cool beer. Well here we are.
However, it's not just the two of you. You're sitting at the table with your trekking group, all in their 60s. You think:
This can't be right. Well if they're not young then they must be fit
They are really lovely people and are filled with the same enthusiasm for the mountains that you have. For some of them though, it's even more than this – this is their adventure of a lifetime! You decide not to be ageist. They seem lovely and you look on the bright side.
However, a few warning shots are fired. One man pipes up that this is his first trekking trip. It seems he hasn't camped or trekked before. He is also recovering from a broken leg.
Then it emerges that your group also has a woman recently recovered from an episode of vestibular neuronitis, and a man who had a pneumothorax last year. The man with the broken leg is not able to take big steps does not trust it on uneven surfaces. Still you're all a team now and you get along well. You're still enthralled by the sights, sounds and smells around you, so you decide to appreciate being here and try not to let it all worry you.
Funnily enough it's slowly dawning on you that although you're on your romantic holiday, you're still a doctor. Well are you? The inevitable conversation at the start of the trek begins, what do you do back home?' Will you say it? What harm can it do? 'Okay, I'm a doctor'. 'Ah, she's a doctor', someone says to the trek leader… Help.
You come to the first village and due to their excessive loads, many of the porters have blisters. It seems that the trek leader's kit has no tape in it, so you offer them some of your Compede. 'She's a doctor' they all say and soon you have 5-10 people coming up to you for help. 'You should get your local nurse to see to that' you say to the man with a nasty sore. 'There isn't one for miles'. A quick check of the other people, and alarm bells are ringing. Only treat people in an emergency, you think to yourself. Is that right? What should I do? You soon escape the village, having handed over iodine solution and some plasters and realise you need a rethink. 'I am a doctor, but I'm on holiday', you tell the trek leader. Phew that should sort it.
Diarrhoea starts spreading around the porters, another comes to you with really painful athletes' foot. Another porter bashes his head and is sent home (alone?) before you've even set eyes on him. Where does my responsibility lie?
Before you left you had a quick briefing. 'If you get altitude sickness you must go down'. Back in your medical student days you've been to altitude with young, fit classmates. You vaguely remember one chap feeling a bit funny and heading down and not getting to the top, but otherwise everyone seemed okay. How would I recognise altitude illness? How fast should I really be ascending? You've always known it's slow but not really thought about the specifics of how to avoid it and how to diagnose it?
You realise soon enough that the group are looking to you for advice:
Should we take Diamox?
How much water should I drink?
Should my hands be this puffy?
How should I manage my nasty cough at altitude?
One of these seems easier to answer than the rest, or does it? Where's my stethoscope and sats probe? I didn't think I'd need them on holiday.
Somehow you feel you're in a role you were not prepared for. You tell the group that you're interested in mountains but not the expedition doctor. They need to make their own decisions. You will try and help in an emergency but that's it. However, you feel a sense of impending doom.
Altitude blues
You arrive at camp at 4800m. It's been a fairly long day and you've now made it to well above the tree line. You can feel the altitude a bit here, but having trekked up and beyond the previous camps each night, you feel you're acclimatising well. So you kick off a game of Frisbee with the porters. Beautiful light caressing the peaks, glowing with florescent colours. No wonder people used to think the mountains were Gods. You feel small and insignificant with these towering above you. And then the light is gone. A cold wind and chill sweeps through the valley. Although the mountains are tempting you up them, this is a stark reminder that 'this is no place for men'.
Back at the tents you realise that one of the group has started to panic. This has been a recurring theme all the way up but you've got them to this stage so you feel you've done quite well. 'He's cold' they say. Luckily you've been reminding yourself how to treat hypothermia by reading the pocket book. Hot drink, bottles in the sleeping bag and huddling in mess tent. He seems better pretty quickly. In the back of your mid you're thinking is this AMS?
There's the call of 'Dinner is ready'. You see a woman emerge from their tent and stumble, trip, wobble. 'This is how I always walk', she says. This is true in part but how do you distinguish pre-existing vestibular neuronitis from cerebral oedema? You revert to your now trusty text. No advice there. You decide that it would be difficult. It's dark and icy. You say:
It's probably best that you go down
I'll just have my dinner thanks and I'll be fine
Can you argue with that? She's certainly walking a bit better after dinner. You're not sure what to advise, and should you be advising anyway? She refuses to descend so you make sure her tentmate will keep an eye on her.
In contrast, the man hardly eats anything at dinner. 'I've had lots during the day.' You advise him to go down as well but he refuses but agrees to share a tent with one of the other guys who will keep an eye on him. By now alarm bells are not just tinkling, they're ringing loudly. You scribble down some notes before going to sleep; I probably ought to keep some sort of record. However, at the same time you plan a possible escape for the two of you.
At 0030, you have the dreaded feeling of needing a pee. This has been quite normal occurrence over the past few nights. You're just having the same argument with yourself about leaving your warm sleeping bag, when you hear a kerfuffle outside.
Five porters are carrying the man in his sleeping bag to the shelter. Oh help. This is an emergency. I've no choice but to get involved now.
He looks a bit puffier, claims he can't stand up, can't see and his headache has returned. What headache? This time it's 1am, you're feeling the altitude yourself. Armed with your first aid kit and trusty book, you check his finger nose point test, he cannot walk and his respiratory rate is 40. This is an emergency. We've got to get him down. You give him a Diamox whilst the trek leader is ordering soup.
The rivers are bigger at this time of night due to the melt run-off in the day. It's also icy (-20°) and the porters have flimsy plimsolls on their feet. The leader says they can't take him down. You try to treat him. You look up the doses for nifedipine and dexamethasone. Soon after you've fumbled with boxes and books and plucked up the courage to give him the treatment, a decision is made to attempt descent.
You're realising now that altitude sickness is unpredictable. Will descent make him better? You hope so, but now, being this involved you decide that you would not forgive yourself if anything was to happen. You're going down too. The porters and leader prepare a basket with poles across the bottom and strap the man, in his sleeping back, into the basket with a belt. Three able porters then take it in turns to carry the basket, using straps across the fronts of their heads, and down you go.
The streams are bigger, throwing out the melting ice, rubble and dust from the mountains down to the camp below. The porters negotiate these, but also the landslides at top speed. By 5am, still dark, you can hear the familiar sound of the tinkling of Yak bells in the camp below. You're all down safely. The man is feeling better and the porters are your new heroes.
Your only way out now is over a 4900m pass or 7 days of undulating trekking to back your starting point. The man assures you that now he's fine and can continue the trek. You are at least certain of one thing: no chance. Fed up with the commotion and feeling sick with the lack of sleep you start strolling back to the previous day's camp. On your way up you meet the chesty woman, still stumbling, coughing and looks as though she's aged 20 years. Again??
So now, two casualties, both insisting they can carry on trekking, and you're pretty sure that they can't. Luckily the trek leader steps in and is very willing to organise a helicopter. Within two hours it arrives and they are both whisked away. Gone. All that's left is the fluttering in the breeze of the makeshift 'H' made out of loo-roll. A small child is dancing delightedly holding a piece aloft.
From here your trek goes up over a pass and into a still colder and higher valley. From this point, although missing the banter from the others, the pace picks up and there's more time to spend together and stand in awe amongst the towers, pillars and giants above you.
Twenty-eight days finishes with smiles; a wonderful, memorable holiday to a magical place, the mountains of the gods. Yet there are still questions playing on your mind, most notably: did I do the right thing?
My honeymoon, as well as plenty of others' tales, raises some of the issues to consider when going on holiday as a doctor. Although advice and guidance may differ depending on which country you travel to, I have attempted to offer some tips below.
Know when you might/need to help in an emergency
The GMC Good medical Practice Guide states that 'In an emergency, wherever it arises, you must offer assistance, taking account of your own safety, your competence, and the availability of other options for care.' Good Medical Practice applies to all doctors, whether they have a licence to practice or registration only.
In other words, you are in it, whether you like it or not.
Make sure you are aware of what your indemnity covers you for prior to departure.
The latest responses from the three leading UK defence unions from email and telephone advice (Feb 2013) are as follows:
MDU / The MDU is primarily a UK indemnifier. We are not set up to handle claims arising from overseas. For this reason we advise our members to seek indemnity in their destination country for work abroad. There are some circumstances where indemnity might be granted for overseas work but this is on a discretionary basis, We are unable to offer this for the USA, Canada, Australia, Zimbabwe, Hong Kong, Bermuda, Israel, Nigeria.
MPS / As a truly Global organisation, MPS provides indemnity and support to healthcare professionals in over 40 countries, We can offer access to indemnity for our UK-based members who undertake medical work abroad, including those who work as an expedition medic. The rate charged for this will vary largely on the location, nature of work to be undertaken, earnings of the doctor and the time period over which the indemnity is to be provided. Existing members will benefit from reduced subscription costs. MPS is unable to indemnify health professionals working in some countries, including the USA or Canada. If the act is a 'good Samaritan act', the MPS will aim to assist no matter where in the world the care is being provided or action is brought.
MDDUS / Doctors are only covered to go on expeditions provided that they are going on a voluntary basis with a UK registered charity. We require written notification from the charity confirming details of the expedition, and we only cover claims raised within the UK jurisdiction. If the doctor is being paid as the expedition medic and /or the doctor is not going with a UK registered charity, the doctor will not be covered. All members do have worldwide cover through MDDUS membership for Good Samaritan acts in emergency situations.
Think carefully about what you take in your first aid kit.
When you make up a first aid kit to go abroad, you must make decisions based on whether you are providing for yourself, for you and the group, or for everyone including porters and locals. If you are also providing for your group and locals, your treatment is no longer a 'Good Samaritan act'. You would need to contact your defence union to make sure that you have the correct indemnity for this.
Jim Duff and Peter Gormly's book provides a handy resource to help in emergencies. Ultimately, what you decide to take is your own personal decision but there are plenty of resources out there. For example, Adventure Medic's own Resources Section.
If you prescribe for others on the trip think carefully about why you are doing this, especially at altitude. The GMC states:
Wherever possible you must avoid prescribing for yourself or anyone with whom you have a close personal relationship'. If you prescribe for yourself or someone close to you, you must make a clear record at the same time or as soon as possible afterwards. The record should include your relationship to the patient (where relevant) and the reason it was necessary for you to prescribe.
Tell your own or the patient's general practitioner (and others treating you or the patient, where relevant) what medicines you have prescribed and any other information necessary for continuing care, unless (in the case of prescribing for somebody close to you) they object.
You must not prescribe or collude in the provision of medicines or treatment with the intention of improperly enhancing an individual's performance in sport. This does not preclude the provision of any care or treatment where your intention is to protect or improve the patient's health.
If you are prescribing a medicine for somebody overseas which is being dispensed overseas, you should check whether you need to be registered with the country in which you are prescribing.
Specialist?
If you do have mountain medicine experience, be wary of stating you are a 'specialist' as you will be judged against your peers.
When going in a group, make sure you do your best to vet your companions carefully. You may be able to meet before-hand, speak over the phone or email. This will at least give you some idea of what you are letting yourself in for. I found this out the hard way, as problems within the group had been denied by the agency but only revealed themselves on our arrival. Some companies have medical vetting procedures and some don't. It would be worth asking your company about this, even if you are only going on holiday somewhere remote.
Be wary of companies that offer that you can act as Expedition Doctor and get a 10% reduction. This may be tempting but make the decision carefully. Check whether they would provide first aid kits/medications and what they would include. Check your indemnity. The extra cost may actually be considerably more than the 10% reduction.
Treating the locals?
Even if you are not medically qualified, if you employ local porters or guides, you are responsible for their health. They should be treated in the same way as any other member of the group. See the IPPG 'Guidelines on Ethical Trekking' for more on this subject.
The decision as to whether or not to treat local people en route is difficult. Unless the problem is an emergency it is usually best to refer the problem to local health care workers. Treatment may be appropriate if i) the problem is an emergency, ii) you can provide a full course of treatment, iii) you will be around in the area to give the patient adequate follow up.
In the case of chronic illness it may be appropriate to provide a letter for the patient to take to their nearest health care facility.
If a medical problem arises, keep detailed notes of what happened. This is important medico-legally, even if acting as a Good Samaritan. The GMC states 'you must keep clear accurate and legible records, reporting relevant clinical findings, the decisions made, and any other drugs prescribed or other investigations or treatment' and 'make the records at the same time as the event you are recording or as soon as possible afterwards'.
Beware of buying medications abroad. It is common that medication 'is not what it says on the tin'. Also be aware of internet sales as in >59% cases medicines from illegal sites have been found to be counterfeit.
The home office website has some useful advice on where you can take opiates. Make sure you speak to them and also the country of origin prior to travelling, as well as taking all prescriptions with you. It is not advisable to take any opiate through United Arab Emirates countries or Saudi Arabia (5, 6).
Putting the 'surgeon' in Tree Surgeon
Consider the option of not telling anyone you're a doctor. If you really are going on holiday, and fancy a break, there is always the option of not telling anyone you're a doctor, but remember in the event of an emergency, GMC guidance says that you must step in. In such an event, it may then be hard to explain to your companions why a part-time musician/novelist/barmaid has suddenly morphed into a full-time, business-like clinician.
Duff, Jim; Gormly P. First Aid and Wilderness Medicine. Tenth ed. Cicerone Press; 2007. GMC. Good Medical Practice. Point number 11. P. 11. 13th Nov 2006. GMC. Good practice in prescribing and managing medicines and devices. GMC. 31 Jan 2013. World Health Organisation. Medicines: spurious/falsely-labelled/falsified/counterfeit (SFFC) medicines. WHO May 2012. Home Office: licensing for drugs. Accessed 31/1/2013. Home Office: list of UK based Embassies. Accessed 31/1/13.
Adventure Medics
Expedition & Wilderness Medicine course
Extreme Medicine Conference opens in five days!
22nd October 2013 William Mealyea.members, .Newsletter, Extreme Medicine EXPO, Extreme Medicine EXPO Bostonexpedtiion & wilderness medicine, extreme medical conference, harvard medical school, mark hannaford, Remote medicine
Yes, the doors to the Harvard Medical School Conference centre will be opening on Monday the 28th of October.
If – like us, you've been looking forward to seeing the amazing line up of speakers, exhibitors, break out sessions and an amazing networking oppurtunity you make sure you book your ticket now!
Location of Extreme Medicine Conference in Boston
Located within The New Research Building at Harvard Medical School, The Joseph B. Martin Conference Center at Harvard Medical School a cutting edge conference space.
Address: Medical Center Area, Boston, MA 02115 Phone:+1 617-432-8993
Five good reasons to come!
World class speakers from around the globe
Great lecture topics and optional sessions
Amazing networking opportunities
CME, FAWN and MBEMSC medical training credits
Superb location & great fun with some of the world's most inspirational medics!


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redpajama_set_name: RedPajamaStackExchange


1. Ryethill's Bernard, S23164/2006, Äg. Anders Larsson, 274p.
2. Whistlewoods Melrose, S41971/2008, Äg. Ulf Andersson, 190p.
3. Whistlewoods Dahoon Molly, S45751/2007, Äg.Magnus Asp, 176p.
4. Ryethill's Malin, S51726/2007, Äg. Tony Hellkvist, 145p.
5. Whistlewoods Royal Court, S41968/2008, Äg. Jörgen Klein, 144p.


text:
Re'uwen Arazi (ur. 11 maja 1907 w Międzyrzeczu, zm. 18 maja 1983) – izraelski polityk, członek Knesetu z ramienia Mapam i Koalicji Pracy.

Życiorys
Po ukończeniu gimnazjum studiował na Wydziale Prawa Uniwersytetu Warszawskiego, równolegle uczył się w Instytucie Studiów Judaistycznych. Podczas nauki przewodniczył studenckiemu socjalistycznemu ruchowi syjonistycznemu, należał też do Ha-Szomer Ha-Cair. Po ukończeniu studiów początkowo pracował jako prawnik, a od 1933 był zatrudniony w Tarbucie. Po inwazji sowieckiej został aresztowany i w 1940 zesłany za Ural. Do Polski powrócił w 1946 i rozpoczął prace nad wznowieniem działalności Ha-Szomer Ha-Cair, a następnie został sekretarzem generalnym tej organizacji. Równocześnie zaangażował się w działalność Żydowskiego Funduszu Narodowego, był członkiem zarządu. Polskę opuścił w 1949, po przybyciu do Izraela wstąpił do partii Mapam. Od 1959 był sekretarzem generalnym tej partii i zajmował to stanowisko, do 1965, gdy z ramienia Mapam wszedł do Knesetu. W 1969 Mapam zawarł sojusz z Izraelską Partią Pracy tworząc Koalicję Pracy, która wystawiła Re'uwena Araziego do Knesetu, gdzie zasiadał do końca kadencji tj. do 1973 (był zastępcą marszałka Knesetu).

Bibliografia

Absolwenci Wydziału Prawa i Administracji Uniwersytetu Warszawskiego
Członkowie Ha-Szomer Ha-Cair
Izraelscy prawnicy
Polscy Żydzi
Posłowie do Knesetu VI kadencji
Posłowie do Knesetu VII kadencji
Politycy Mapam
Politycy Koalicji Pracy
Urodzeni w 1907
Zmarli w 1983
Ludzie związani z Międzyrzeczem (rejon korecki)
Zastępcy przewodniczącego Knesetu