Oxford Handbook of Expedition and Wilderness Medicine
Second Edition
Chris Johnson, Sarah R. Anderson, Jon Dallimore, Shane Winser, David Warrell, Chris Imray, and James Moore
Author Information
Chris Johnson, Consultant Anaesthetist, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK,Sarah R. Anderson, Consultant in Communicable Disease Control, North West London Health Protection Team, London, UK,Jon Dallimore, GP and Specialty Doctor, Emergency Medicine, Bristol Royal Infirmary, Bristol, UK,Shane Winser, Manager, Geography Outdoors: the centre supporting field research, exploration and outdoor learning, Royal Geographical Society (with IBG), London, UK,David Warrell, International Director; Emeritus Professor of Tropical Medicine, Royal College of Physicians; University of Oxford, UK,Chris Imray, Consultant vascular and renal transplant surgeon, Warwick Medical School and University Hospital Coventry and Warwickshire NHS Trust, UK,James Moore, Director and Nurse Specialist, Travel Health Consultancy, Exeter, UK
Dr Chris Johnson overwintered in Antarctica and completed a research degree in environmental physiology at a time when both travel and communications were far more tenuous than nowadays. This stimulated a lifelong interest in both travel and medicine in remote areas, and his journeys include regular trips to Scandinavia, Iceland, Greenland and northern Canada, whilst his Caribbean-born wife demands visits to other, hotter, climes.
Working as a consultant anaesthetist in Bristol he has specialised in head & neck anaesthesia, is a keen medical educator, and has been involved in the development of appraisal processes and their associated information systems
Dr Sarah R. Anderson is a Consultant in Communicable Disease Control and works in London. She has a long affiliation with expeditioning; her expedition experience includes the outback of Australia, the arctic north of Norway, a variety of trips to African and the mountains of Nepal. While at University she led an expedition to Uganda and was President of the Cambridge University Explorers' and Travellers' Club. Sarah is a UK Summer Mountain Leader and medical adviser to the Royal Geographical Society's Medical Cell; she co-edited the first edition of the OHEWM, and was co-author of Expedition Health and Safety - a risk assessment (JRSM 2000; 93:557-562). In 2001 Sarah acted as the medical officer to the RGS - Shoals of Capricorn Programme. She has a Diploma in Tropical Medicine and Hygiene and has worked in hospitals in Uganda, Zimbabwe and South Africa, and as a flying doctor in Kenya with AMREF. Sarah has research interests in infectious disease epidemiology and expedition health and safety.
Dr Jon Dallimore is a General Practitioner in South Wales and a specialty doctor in the Emergency Department of Bristol Royal Infirmary. Jon's expedition experience varies from the deserts of Namibia, Sinai and Northern Kenya to the jungles of Sulawesi, Belize, Thailand and Ecuador, and high altitude climbs and treks to Nepal, Greenland, Pakistan, Iceland, Morocco, East Africa and the Andes. Jon is an International Mountain Leader, a member of the Alpine Club and a member of faculty on the UK Diploma in Mountain Medicine.
Jon is medical consultant to four British expedition companies and is regularly involved with training expedition team members and leaders on the medical aspects of travel to remote areas.
Shane Winser is responsible for expeditions and fieldwork at the Royal Geographical Society (with IBG). She heads Geography Outdoors: the centre supporting field research, exploration and outdoor learning (formerly known as the Expedition Advisory Centre) which provides advice, information and training to some 1,500 plus scientific, educational, and adventurous expeditions each year.
Shane has sat on a number of national committees concerned with benchmarking good practice including BSI's technical panel for BS 8848 the British Standard for orgnaising and managing visits, fieldwork, expeditions and adventurous activities outside the United Kingdom.
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.
Professor David Warrell's current post is International Director (Hans Sloane Fellow), Royal College of Physicians, and Emeritus Professor of Tropical Medicine and Honorary Fellow of St Cross College at the University of Oxford, UK. In 2006, he retired as Professor of Tropical Medicine and Infectious Diseases and Head of the Nuffield Department of Clinical Medicine in Oxford.
Chris Imray is a consultant vascular and renal transplant surgeon at UHCW NHS Trust, and is also a Professor at Warwick Medical School.
He started climbing whilst at school and has continued to travel all over the world to fulfill this passion. He took part in the 2006 Xtreme Cho Oyu expedition to Tibet, as one of the medical officers and was the Deputy Climbing Leader of the 2007 Caudwell Xtreme Everest Expedition. He summited both Cho Oyu (8201m) and Everest (8848m) and has the dubious distinction of having the second lowest arterial gases ever recorded in an adult (N Engl J Med. 2009 Jan 8;360(2):140-9)
He has the Diploma in Mountain Medicine and with Dr Paul Richards and Dr Dave Hillebrandt, he runs the UK internet based frostbite service (
).
His real job is as a vascular/renal transplant surgeon with a particular interest in the management of the high risk carotid patient. His PhD is on the hypoxic and ischaemic brain.
James Moore is a travel nurse specialist and Director of Travel Health Consultancy, an independent travel clinic based in Exeter, UK. He consults for a number of companies, charities, schools and organisations on travel health related matters.
His background as an Emergency Department charge nurse and Nurse Practitioner led him to the field of Expedition and Wilderness Medicine, where he also works as an expedition medic and leader for various schools, charities, television production teams and private companies.
James has over 14 years experience in training in expedition medicine. He teaches on the Diploma in Mountain Medicine, the Diploma in Travel Medicine and for the Royal Geographical Society. In addition to mountain leadership qualifications, he has diplomas in Travel Medicine, Tropical Nursing and a degree in Emergency Care.
He is the Honorary Secretary for the British Global and Travel Health Association and member of the Medical Cell for the Royal Geographical Society.
Contributors:
Dr Edi Albert
Senior Lecturer in Remote and Polar Medicine, and Rural Generalist in Emergency Medicine, University of Tasmania, Hobart, Tasmania; Director, Wilderness Education Group; Australia
Dr Kristina Birch
Consultant in Anaesthetics and Intensive Care Medicine, North Bristol NHS Trust, UK
Dr Jules Blackham
Consultant Emergency Physician and HEMS consultant, North Bristol NHS Trust and Great Western Air Ambulance, UK
Dr Jim Bond
Specialist in Travel and Expedition Medicine, TrExMed Travel Clinic, Edinburgh, UK
Dr Spike Briggs
Consultant in Intensive Care and Anaesthesia, Poole Hospital NHS Foundation Trust; Director of Medical Support Offshore Ltd, UK
Tim Campbell-Smith
Consultant General and Colorectal Surgeon, Surrey and Sussex NHS Healthcare Trust, UK
Mr Alistair R M Cobb
Consultant Oral and Maxillofacial Surgeon, Southwest Regional Cleft Service, Bristol, UK
Dr Robert Conway
Anaesthetist and Expedition Doctor, Wild Medic Ltd, Brighton, UK
Dr Paul Cooper
Consultant Neurologist, Greater Manchester Neuroscience Centre, Saltford Royal Foundation Trust, UK
Dr Rachael Craven,
Consultant Anaesthetist, University Hospitals, Bristol, UK
Dr Claire Davies
Travel health doctor/GP, InterHealth Worldwide, London, UK
Dr Ian Davis
GP and Polar Explorer, UK
Dr Richard Dawood
Medical Director, Fleet Street Clinic, London, UK
Dr Sundeep Dhillon
Honorary Research Fellow, Centre for Altitude, Space and Extreme Medicine (CASE), Institute of Sport, Exercise and Health, London, UK
Dr Rose Drew
Registrar in Anaesthesia and Intensive Care Medicine, Sheffield School of Anaesthesia, UK
Dr Matthew Dryden
Director of Infection, Rare and Imported Pathogens Dept, Public Health England, Porton, Hampshire Hospitals NHS Foundation Trust and Southampton School of Medicine, UK
Dr Linda Dykes
Consultant in Emergency Medicine, Ysbyty Gwynedd, Bangor, Wales, 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
General Dental Practitioner, BASMU, Derriford Hospital, Plymouth, Norrbottens Låns Landsting, Sweden
Rebecca Harris
Freelance TV Producer, London, UK
Peter Harvey
Risk management specialist, Hampshire, UK
Dr Debbie Hawker
Clinical Psychologist, InterHealth Worldwide, London, UK
Dr Amy Hughes
Clinical Lecturer in Emergency Response, Humanitarian & Conflict Response Institute, University of Manchester, UK
Clive Johnson
Polarsphere, Polar Logistics, Buxton, UK
Stephen Jones
Operations Manager, Antarctic Logistics and Expeditions LLC, UK
Burjor K Langdana
General and Expedition Dental Practitioner, General Dental Practitioner Leeds, Dentist to British Antarctic Survey Medical Unit, UK
Dr Jonathan Leach
General Practitioner, Bromsgrove, UK
Dr Carey M McLellan
Extended Scope Physiotherapist in Emergency Care, University Hospitals, Bristol, UK
Iain McIntosh
Travel Health Consultant, St Ninians Travel Health Research Centre, Stirling, UK
Dr Alastair Miller
Consultant Physician (Infectious diseases), Royal Liverpool University Hospital & University of Liverpool, UK
Dr Clare Morgan
Sexual Health Adviser, University Hospitals, Bristol, UK
Dr Patrick Morgan
Registrar in Anaesthesia & Intensive Care Medicine, Bristol School of Anaesthesia; Honorary Senior Lecturer, Institute of Infection and Global Health, University of Liverpool, UK
Mr Daniel S Morris
Consultant Opthalmologist, Cardiff Eye Unit, University of Wales, UK
Dr Howard Oakley
Associate Specialist in Environmental Medicine, Institute of Naval Medicine, Alverstoke, UK
Prof Andrew J Pollard
Professor of Paediatric Infection and Immunity, Department of Paediatrics, University of Oxford, UK
Lt Col Harvey Pynn
Consultant in Emergency Medicine and Pre-hospital Care, University Hospitals, Bristol; Medical Director, Wilderness Medical Training, UK
Paul Richards
General Practitioner & Travel Medicine Specialist. Honorary Lecturer, Centre for Altitude, Space and Extreme Medicine (CASE), UCL, London, UK
Barry Roberts
Director, Wilderness Medical Training, UK
George W Rodway
Assistant Professor, Division of Health Sciences, University of Nevada, Reno, USA
Prof Marc Shaw
Consultant Professor, Travel and Geographical Medicine, School of Public Health, James Cook University, Townsville; 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
Andrew Thurgood
Consultant Nurse - Prehospital Emergency Medicine, Mercia Accident Rescue Service and West Midlands CARE Team, UK
Dr Andy Watt
Consultant Physician, Ayrshire and Arran NHS, UK
Dr Jane Wilson-Howarth
GP and Medical Director, Travel Clinic Ltd., Cambridge and Ipswich, UK
Dr Jeremy Windsor
Consultant in Anaesthesia and Intensive Care, Chesterfield Royal Hospital, Derbyshire, UK
