Network Five: Environmental Medicine

Network Five: Episode 18 – Environmental Medicine

Guest Speakers – A/Prof. Andrew Coggins (emergency physician), Dr Scott Squires (emergency physician with the Australian Defence Force), Tim Selvaraj (emergency medicine trainee), Sydney – Australia.

Part 1

In this segment, we discuss heat stroke and exertional hyperthermia, and the effectiveness of various cooling techniques.

• Douma MJ, Aves T, Allan KS, Bendall JC, Berry DC, Chang WT, Epstein J, Hood N, Singletary EM, Zideman D, Lin S; First Aid Task Force of the International Liaison Committee on Resuscitation. First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis. Resuscitation. 2020 Mar 1;148:173-190.

Part 2

In this part, we explore injuries encountered during diving, with a particular focus on otology. The interlude will be presented by Dr Scott Squires.

• Livingstone DM, Smith KA, Lange B. Scuba diving and otology: a systematic review with recommendations on diagnosis, treatment and post-operative care. Diving Hyperb Med. 2017 Jun;47(2):97-109.

Part 3

In this fascinating segment, we discuss (1) potential use of parachutes in the prevention of death and major trauma when jumping from an aircraft and (2) some pearls of research and study design. The interlude will be presented by A/Prof. Andrew Coggins.

• Yeh RW, Valsdottir LR, Yeh MW, Shen C, Kramer DB, Strom JB, Secemsky EA, Healy JL, Domeier RM, Kazi DS, Nallamothu BK; PARACHUTE Investigators. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ. 2018 Dec 13;363:k5094.

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