Oxford Handbook of Expedition and Wilderness Medicine (Oxford Medical Handbooks)

Fully revised for its third edition, the Oxford Handbook of Expedition and Wilderness Medicine continues to be the essential resource for all expedition medics and well-informed travellers, as well as nurses, paramedics, medical students, and other expedition members travelling in remote, wilderness areas of the world.

Now containing more guidance about caving medicine, the third edition includes revised and additional illustrations and essential maps of the spread of diseases. Clear and concise, readers can rely on this handbook to provide the key knowledge and practical advice they need. It enables efficient preparation and planning before the journey, advises on camp logistics, risk management, and medical problems during the expedition, as well as highlighting rare but important risks to those visiting remote areas. Focusing on preventative measures, it also contains chapters dealing with crisis management, emergency care, and evacuation from challenging environments, with guidance about the obligations of a clinician joining an expedition, ethical approaches to such work, and medicine in various extreme environments.

This edition will give you the confidence and skills you need to travel to any extreme or remote environment. Incorporating the combined knowledge and experience of a team of experienced clinicians and expeditioners, this is a practical, easy-to-use guide to all aspects of expedition and wilderness medicine.

• Provides authoritative, practical advice for use in remote environments, including latest treatment guidelines
• Written and edited by experienced expeditioners, suitable for doctors, paramedics, nurses, and travellers overseas
• Provides comprehensive coverage to enable efficient planning and preparation before your journey
• Gives practical advice on camp logistics, risk management, and medical issues
• Chapters include crisis management, emergency care, and evacuation from challenging environments
• Previous BMJ winner in the Primary Care category

New to this Edition:

• Fully re-written chapters on caving medicine and analgesia/anaesthesia
• Extensively reviewed and updated with the latest treatment guidelines

1: Expedition medicine
2: Preparations
3: Caring for people in the field
4: Ethics and responsibilities
5: Crisis management
6: Emergencies: diagnosis
7: Emergencies: trauma
8: Emergencies: collapse and serious illness
9: Treatment: skin
10: Treatment: head and neck
11: Treatment: dental
12: Treatment: chest
13: Treatment: abdomen
14: Treatment: limbs and back
15: Treatment: infectious diseases
16: Psychological and psychiatric problems
17: Risks from animals
18: Plants and fungi
19: Anaesthesia in remote locations
20: Cold climates
21: Mountains and high altitude
22: Inland and coastal waters
23: Offshore
24: Underwater
25: Hot, dry environments: deserts
26: Hot, humid environments: tropical forest
27: Caving
28: Medical kits

Edited by Jon Dallimore, GP; Medical Officer, Severn Area Rescue Association, UK, Sarah R. Anderson, Consultant in Public Health, UK Health Security Agency, Chris Imray, University Hospital, Coventry and Warwickshire NHS Trust; UHCW NHS Trust, Coventry; Professor, Warwick Medical School; Professor, Coventry University; Professor, Exeter University, Chris Johnson, Retired Consultant Anaesthetist, James Moore, Director, Travel Health Consultancy, and Shane Winser, Expeditions advisor, Royal Geographical Society, London, UK

Jon Dallimore is a General Practitioner in Chepstow. He has been on many expeditions as a doctor and or leader and has spent more than 2 years in the field on various expeditions. These expeditions have been in many different environments - from the deserts of Namibia, Sinai and Northern Kenya to the jungles of Sulawesi, Belize, Thailand and Ecuador. He loves the mountains and has undertaken many high altitude climbs and treks from the European Alps to the Andes. Jon is an International Mountain Leader, a member of the Alpine Club and has taught on the UK Diploma in Mountain Medicine since 2004. In 2016 Jon became a Director of the International Diploma in Expedition and Wilderness Medicine at the Royal College of Physicians and Surgeons of Glasgow. Jon is medical consultant to World Challenge Expeditions and has taught about expedition medicine since 1991. He is a longstanding member of the Royal Geographical Society's medical cel

Sarah Anderson is a Public Health Consultant in the Programme Delivery Unit of the UK Health Security Agency (UKHSA). In this role she provides systems leadership to UKHSA's regional Health Protection Teams. Prior to this Sarah was the National Lead for TB Strategy & TB Programme Delivery at Public Health England where, over 5 years, she delivered a 29% reduction in TB incidence and for this was awarded the 2019 Bisset Hawkins Medal of the Royal College of Physicians. She has previously worked as a Regional Epidemiologist, a Consultant in Health Protection, a clinician and a GP. She has a long affiliation with expeditioning; her expedition experience includes the outback of Australia, Arctic Norway, Nepal, a variety of trips to African and the Royal Geographical Society's Shoals of Capricorn Programme. Sarah is a medical adviser to the RGS and co-edits the OHEWM.

Chris Imray is a consultant vascular, endovascular, renal transplant and general/trauma surgeon at the University Hospitals Coventry and Warwickshire NHS Trust. He was awarded a personal Chair at Warwick Medical School and Honorary Chairs (Professorships) at Coventry University & Exeter University. He has been Director of the NIHR Coventry Clinical Research Unit running early phase studies since 2016. As of 2022, Chris has more than 190 peer review learned papers listed on PubMed and research interests include frostbite and non-freezing cold injury, carotid surgery, fitness for surgery, cerebral perfusion at high and extreme altitude, and polar nutrition. h-index 42.

Chris Johnson. Medical Officer, Halley Station, British Antarctic Survey 1978-1980. MD in Environmental Physiology, Aberdeen 1981. Fellow of Royal College of Anaesthetists 1988. Fellow of Royal Geographical Society 1999. Contributor to books and papers on Expedition Medicine, Anaesthesia, and Clinical Assessment. College of Anaesthetists Medal, 2011. President of the Society of Anaesthetists of South-West region, 2014.

James Moore is the Director of Travel Health Consultancy, The Exeter Travel Clinic and Course Director for the Royal College of Physicians and Surgeons of Glasgow, International Diploma in Expedition and Wilderness Medicine. He is a Fellow of the Faculty of Travel Medicine, and Fellow of the Royal Geographical Society, where he sits on their Medical Advisory Committee. He has Studied at the London School of Hygiene and Tropical Medicine, and holds a degree in Emergency Care and an MSc in Global and Remote Healthcare.

Shane Winser is the expeditions and fieldwork advisor for the Royal Geographical Society. In this role Shane convenes the. Society's annual expedition planning seminar RGS EXPLORE each November, and the RGS Expedition Medicine Advisory Group. Shane also chairs BSI's technical panel for BS 8848: the British Standard that specifies operational requirements for organisers of overseas ventures. These include adventurous and educational activities abroad including university and academic fieldwork, gap year experiences, adventure holidays, charity challenges and research expeditions A zoology graduate with a postgraduate diploma in Information Science, Shane assisted in the planning and organisation of the RGS's own research programmes to the tropical forests of Sarawak and Brunei, the mountains of the Karakoram, and the drylands of western Australia, Kenya and Oman.

Contributors:

Edi Albert
Senior Lecturer in Remote and Polar Medicine, and Rural Generalist in Emergency Medicine, University of Tasmania, Hobart, Tasmania, Australia; Director, Wilderness Education Group

Sarah R. Anderson
Consultant in Health Protection, Public Health England, London, UK

Jules Blackham
Consultant Emergency Physician and HEMS Consultant, North Bristol NHS Trust and Great Western Air Ambulance, UK

Jim Bond
Specialist in Travel and Expedition Medicine, TrExMed Travel Clinic, Edinburgh, UK

Peter Bradley
Expedition, Medical and Prolonged Field Care Leads (Remote Area Risk International), Anaesthetic Doctor (NHS), UK

Spike Briggs
Consultant in Intensive Care and Anaesthesia, Poole Hospital NHS Foundation Trust; Director of Medical Support Offshore Ltd, UK

Rose Buckley
Consultant anaesthetist, Sheffield Teaching Hospitals NHS Foundation Trust, UK

Tim Campbell- Smith
Consultant Anaesthetist, University Hospitals, Bristol, UK

Nicholas Chilvers
Specialty Trainee in Cardiothoracic Surgery, The James Cook University Hospital, Middlesbrough, UK; Medical Officer, Royal Army Medical Corps, UK

Alistair Cobb
TBC

Robert Conway
Anaesthetist and Expedition Doctor, Wild Medic Ltd, Brighton, UK

Paul Cooper
Consultant Neurologist, Greater Manchester Neuroscience Centre, Salford Royal Foundation Trust, UK

Rachael Craven
Consultant Anaesthetist, University Hospitals, Bristol, UK

Jon Dallimore
General Practitioner and Specialty Doctor in Emergency Medicine, Bristol Royal Infirmary, UK

Matthew Davies
Solicitor-Advocate. Remote area legal and Travel Risk Management/Duty of Care Subject Matter Expert at Remote Area Risk International. BS: 8848 & ISO: 31030 committee member

Ian Davis
General Practitioner and Polar Explorer, UK

Richard Dawood
Medical Director, Fleet Street Clinic, London, UK

Matthew Dryden
Director of Infection, Rare and Imported Pathogens Department, Public Health England, Porton, Hampshire Hospitals NHS Foundation Trust and Southampton School of Medicine, UK

Matthew Ellis
TBC

Derek Evans
TBC

Jonathan Ferguson
Consultant Cardiothoracic Surgeon, The James Cook University Hospital, Middlesbrough, UK

Simon Flower
General Practitioner, Bristol, UK

Prof Karen Forbes
Professorial Teaching Fellow and Consultant in Palliative Medicine, University of Bristol, UK

Prof Larry Goodyer
Head of the Leicester School of Pharmacy, De Montfort University, Leicester, UK

Penelope B. Granger
TBC

Rebecca Harris
Freelance TV Producer, London, UK

Peter Harvey
Risk Management Specialist, Hampshire, UK

Dr Debbie Hawker
Clinical Psychologist, InterHealth Worldwide, London, UK

Roderick Hay
Professor of Cutaneous Infection

Craig Holdstock
Consultant Cardiothoracic Anaesthetist

Amy Hughes
Clinical Lecturer in Emergency Response, Humanitarian & Conflict Response Institute, University of Manchester, UK

Chris Johnson
Consultant Anaesthetist, North Bristol NHS Trust, Westbury- on- Trym, Bristol, UK

Clive Johnson
Polarsphere, Polar Logistics, Buxton, UK

Stephen Jones
Operations Manager, Antarctic Logistics & Expeditions LLC, UK

Burjor K. Langdana
General & Expedition Dental Practitioner, General Dental Practitioner Leeds, Dentist to British Antarctic Survey Medical Unit, UK

Nick Lewis
TBC

Tom Mallinson
Rural GP and Co-Director of Prehospital Care, BASICS Scotland, Sandpiper House, Aberuthven, Auchterarder, UK

Carey M. McClellan
Advanced Physiotherapy Practitioner, Clincal Director, getUBetter, Bristol, UK

Iain McIntosh
Travel Health Consultant, St Ninians Travel Health Research Centre, Stirling, UK

Alastair Miller
Consultant Physician (Infectious diseases), Royal Liverpool University Hospital & University of Liverpool, UK

Ben Molyneaux
Dentist

James Moore
Director and Nurse Specialist, Travel Health Consultancy, Exeter, UK

Paddy Morgan
Consultant Anaesthetist, North Bristol NHS Trust, Westbury- on- Trym, Bristol, UK

Daniel S. Morris
Cardiff Eye Unit, University of Wales, UK

Harvey Pynn
Consultant in Emergency Medicine and Pre-hospital Emergency Medicine, Bristol; Defence Consultant Advisor in Pre-hospital Emergency Care, UK

Paul Richards
General Practitioner & Travel Medicine Specialist. Honorary Lecturer, Centre for Altitude, Space & Extreme Medicine (CASE), UCL, London, UK

Barry Roberts
Director, Wilderness Medical Training

Marc Shaw
Travel and Geographical Medicine Consultant; Professor, School of Public Health, James Cook University, Townsville, Australia; Medical Director, Worldwise Travellers Health Centres, New Zealand

Julian Thompson
Specialist Registrar in Anaesthesia and Intensive Care, Oxford University Hospitals, UK

Dr Lesley F. Thomson
Consultant Anaesthetist, Derriford Hospital, Plymouth, UK

Clare Warrell
Tropical Medicine Registrar, Hospital for Tropical Diseases, London

Prof David A. Warrell
International Director, Royal College of Physicians; Emeritus Professor of Tropical Medicine, University of Oxford, UK

Dr Andy Watt
Consultant Physician, Ayrshire and Arran NHS, UK

Dr Jane Wilson- Howarth
General Practitioner and Medical Director, Travel Clinic Ltd., Cambridge and Ipswich, UK

Dr Jeremy Windsor
Consultant in Anaesthesia and Intensive Care, Chesterfield Royal Hospital, Derbyshire, UK

Shane Winser
Geography Outdoors: the centre supporting field research, exploration and outdoor learning, Royal Geographical Society (with IBG), London, UK

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