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

This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan will host an open discussion on managing austere burn patients, covering airway management, fluid resuscitation, infection control, and pain management. The speakers emphasise the complexity of burn cases and the importance of accurate assessment and treatment protocols. They also highlight the need for effective communication and patient involvement in care, as well as the use of innovative techniques like topical morphine for pain management.TakeawaysBurns are incredibly complicated, but they're complex patients.Managing an individual patient's airway has to be factored in.You want to protect and secure the airway and avoid obstructions.The goal is to achieve maximal accuracy in fluid resuscitation.You can infuse that fluid rectally if you don't have IV fluids.Prophylactic antibiotics are not indicated in burn patients.Topical morphine works really, really well for pain management.Involving the patient in their care has a positive effect.Infection control is the means of preventing infection.Burn management is more art than science.Chapters00:00 Introduction to Burns Management03:08 Airway Management in Burn Patients05:52 Assessing Burn Size and Fluid Resuscitation09:00 Fluid Administration Techniques11:38 Oral vs IV Resuscitation14:53 Monitoring and Adjusting Treatment17:36 Dynamic Management of Burn Patients25:18 Vital Signs Monitoring in Critical Care28:01 Continuous Assessment and Patient Management32:07 Patient Involvement in Vital Signs Monitoring35:10 Urine Output and Fluid Resuscitation41:33 Infection Control in Burn Management48:20 Pain Management Strategies in Burns

This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February. You can join us using the link below.https://corom.edu.mt/medicine-in-the-mediterranean-2026/

This is a brief introduction to the AI roundtable to be held at the Medicine in the Mediterranean conference, running from 31 January to 2 February. You can join us using the link below.https://corom.edu.mt/medicine-in-the-mediterranean-2026/

This is a short introduction to the two lectures that Dr Slaven Bajic will be giving at the Medicine in the Mediterranean conference running from 31 January to 2 February. You can join us using the link below.https://corom.edu.mt/medicine-in-the-mediterranean-2026/

This week, Aebhric is joined by Bill Vasios and Rhod Jordan, who recorded during the November 2025 CoROM Conversations. They discuss Practical Prolonged Casualty Care, a PDF from the US Military University, designed to equip lay responders with foundational skills for managing casualties over extended periods. The speakers underscore the critical role of clear communication, the value of structured training for non-medical personnel, and the practical relevance of the book’s guidance in real-world scenarios. They highlight the importance of engaging patients actively in their own care, as well as the inherent challenges associated with preparing laypersons for such responsibilities. Considerations of cultural context and the necessity of a collaborative, team-based approach to patient management are also brought to the forefront.TakeawaysThe book is designed for laypeople to understand basic medical care.Effective communication is crucial in patient care.Training non-medical personnel can enhance patient outcomes.Involving patients in their own care is beneficial.Cultural considerations play a significant role in patient care.The book provides practical techniques for prolonged casualty care.Regular assessment and monitoring are essential for patient safety.Lay responders should be trained to recognise nonverbal cues of discomfort.The importance of maintaining a regular routine for patients is emphasised.Cross-training team members can improve overall care.Chapters00:00 Introduction to Prolonged Casualty Care02:50 Deep Dive into the Book's Content06:04 Engaging Laypersons in Medical Care08:55 Communication and Patient Interaction11:37 Training Non-Medical Personnel14:49 Practical Applications and Techniques17:51 Understanding Patient Needs20:39 Challenges in Training and Implementation23:28 Cultural Considerations in Patient Care26:16 Conclusion and Future Directionshttps://www.usuhs.edu/sites/default/files/2025-09/Layperson%27s_Guide_to_Prolonged_Casualty_Care_090825_ACC.pdf