Oxford Handbook of Expedition and Wilderness Medicine 3rd Edition

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.

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, 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.