Great post on Splenic Infarct at Altitude with Sickle Cell Trait

The crew has a very interesting post about a patient that suffered a splenic infarcture on a Peruvian trip.  Something to remember, as this patient had no known history of sickle cell disease or trait.


Thanks for the info!

Great Expedition Medicine Jobs

I was checking out the newsletter from and found myself perusing the “jobs” section. Partially because I am getting closer to finishing my residency and looking for another job and partly because they are just so damn cool!

Check out their list here:

Some of my favorites:

If you would like to witness the spectacle of sunrise on Trishul, Nanda Devi other Himalayan mountain peaks, breathe the mountain air, help wonderful people, make a real difference, work with a dedicated team, change your own life and sleep satisfied after watching the sunset on the Himalayas, then read on . . . A small rural Himalayan Hospital is rapidly nearing completion in the Nainital district of the North Indian state of Uttaranchal. CHIRAG HOSPITAL This has come up through the efforts of an NGO, called CHIRAG – Central Himalayan Rural Action Group, that has been active in various sectors including health, for over eighteen years. ( This hospital is based on the experience of the two rural Himalayan clinics currently running and surveys on the health needs of the local people. It would serve a vital function of providing an inpatient treatment and investigation service for the which currently patients travel over four hours to Haldwani. The core component of these services currently, would be of a General Practice nature, targeted specially at the needs of women and children. Preventive and promotive services remain important. The hospital would be having support from visiting specialists and a network of doctors from India and abroad. In the next phase an operation theatre is planned. Medical camps and meetings to promote health are already a feature, and this hospital would be the hub of educational activities for the future. TWO DOCTORS REQUIRED Ideally General Practitioners, preferably with an interest in women and children’s health. Most important requirement is a ‘passion’ for nature and humanity ! The posts are however, salaried with accommodation provided. Information/Podcast/Contact Uttaranchal is in north India and the hospital is based at a small village called Sarghakhet in the district of Nainital.Click ‘podcast’ to view. CONTACTS: Dr Satyendra Singh Ph. UK 00 44 (0)7804357297 Mr V K Madhavan Executive Director CHIRAG. Please mention Expedition Medicine in your correspondance.


Position; Expedition Medic on GVI’s Amazon Expedition in Ecuador (3 months) Description; Be the Expedition Medics in charge of all medical aspects on a tropical rainforest expedition which is fairly remote. Manage the training of all Expedition Members in wilderness medicine and emergency evacuation procedures. Participate in all forest based surveys as the Expedition Medic. Assist with all areas of the running of the GVI Amazon expedition. Assist leading groups whilst conducting scientific research transects. Work alongside GVI and local biologists carrying out research. Qualifications; Qualified Doctor, nurse or paramedic with minimum 2 years of experience. Expedition or Wilderness experience a definite advantage. Spanish language a bonus. Start dates; January, April, July, and October 2008, preferably a week before the expedition starts. Duration; Min 3 months – short term contract.


The Luangwa Safari Association Medical Fund are seeking a doctor to work at the Kakumbi Rural Health Centre in Zambia. Based in the stunning South Luangwa Valley, one of Africa’s prime safari destinations. Most of the doctor’s time is donated to the Kakumbi Rural Health Centre in Mfuwe near the main entrance to the national park. At the clinic the doctor works as a consultant to the staff nurses seeing patients with a wide variety of health problems ranging from malaria to AIDS to trauma to obstetric issues. The ideal doctor for this position is a GP/family physician or emergency medicine physician with broad clinical training and experience in caring for patients of all ages. Knowledge of tropical medicine is essential, and prior medical work in the tropics or a course in tropical medicine is encouraged but not required. To enjoy the work here, the doctor should be comfortable practicing alone in a remote setting with a limited array of medications and equipment.

Sprayable Bandage

Many thanks to the crew over at for the tip on this pretty interesting type of “bandage”. is the link to a company that is making a spray-on-bandage. This has obvious applications in remote medical settings.

After the large amount of use the rapid hemostatic agents (QuikClot) are seeing in Afghanistan and Iraq, could this be the next line?


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