Remote Medicine A Textbook for Trainee and Established Remote Healthcare Practitioners Other Related Titles from World Scientific Hazmat Medical Life Support: A Basic Provider Manual by Hock Heng Tan, Mark Leong, R Ponampalam, Chun Yue Lee and Jimmy Goh ISBN: 978-981-4583-15-2 (pbk) Textbook of Occupational Medicine Practice Fourth Edition edited by David Koh and Tar-Ching Aw ISBN: 978-981-3200-69-2 Health Hazards of Environmental Arsenic Poisoning: From Epidemic to Pandemic edited by Chien-Jen Chen and Hung-Yi Chiou ISBN: 978-981-4291-81-1 JJQQuueekk -- QQ00222222 -- RReemmoottee MMeeddiicciinnee..iinndddd 11 22//66//22002200 1111::5566::3399 aamm Remote Medicine A Textbook for Trainee and Established Remote Healthcare Practitioners editors Nelson Norman Emeritus Professor of Environmental Medicine, University of Aberdeen, UK Malcolm Valentine Former General Medical Practitioner and Occupational Physician, Aberdeen, UK World Scientific NEW JERSEY • LONDON • SINGAPORE • BEIJING • SHANGHAI • HONG KONG • TAIPEI • CHENNAI • TOKYO Published by World Scientific Publishing Europe Ltd. 57 Shelton Street, Covent Garden, London WC2H 9HE Head office: 5 Toh Tuck Link, Singapore 596224 USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601 Library of Congress Cataloging-in-Publication Data Names: Norman, Nelson, editor. | Valentine, Malcolm Jack, editor. Title: Remote medicine : a textbook for trainee and established remote healthcare practitioners / editors, Nelson Norman, Malcolm Jack Valentine. Description: New Jersey : World Scientific, [2020] | Includes bibliographical references and index. Identifiers: LCCN 2019049826 | ISBN 9781786347503 (hardcover) Subjects: MESH: Telemedicine | Health Services Accessibility | Emergency Medical Services | Rural Health Services | Wilderness Medicine | Occupational Health Services | Extreme Environments Classification: LCC R859 | NLM W 83 | DDC 362.10285--dc23 LC record available at https://lccn.loc.gov/2019049826 British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. Cover Acknowledgements Top: Telemedicine. Shirley Mackilvenny reading a research paper in the UAE for delivery in at a meeting in Glasgow. Middle right: A remote industrial site in Siberia and an episode of casualty handling. Middle left: The image on the right shows practical first-aid training in the Arabian Desert. Bottom: A caboose situated near Halley bay, some 800 miles from the South Pole. Scientists lived there while studying Emperor Penguins. Copyright © 2020 by World Scientific Publishing Europe Ltd. All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. For any available supplementary material, please visit https://www.worldscientific.com/worldscibooks/10.1142/Q0222#t=suppl Printed in Singapore JJQQuueekk -- QQ00222222 -- RReemmoottee MMeeddiicciinnee..iinndddd 22 22//66//22002200 1111::5566::3399 aamm “6x9” b3847 Remote Medicine © 2020 World Scientific Publishing Company https://doi.org/10.1142/9781786347510_fmatter Contents About the Editors vii About the Authors ix Foreword xiii Preface and Acknowledgements xv Chapter 1 Remote Medicine: History, Development of the Concept and Research 1 J Nelson Norman Chapter 2 First-Aid for Industrial and Remote Settings 15 J Nelson Norman Chapter 3 Preparation for Disasters in Remote Places 53 J Nelson Norman and Graham Page Chapter 4 The Psychological Response to Major Trauma in Remote Locations 61 David A Alexander Chapter 5 Communications and Telemedicine 85 J Nelson Norman Chapter 6 Acute Surgical Problems 95 J Nelson Norman Chapter 7 Diagnosis and Management of Medical Emergencies 111 Thomas French Chapter 8 Remote Healthcare and Psychiatric Emergencies 139 Alison Carroll Chapter 9 Remote General Medical Practice 161 Malcolm Valentine b3847_FM.indd 5 01-07-2020 3.45.14 PM b3847 Remote Medicine “6x9” Contents vi Chapter 10 Delivering Pharmaceutical Services in Remote Locations 193 Brian Wells Chapter 11 Occupational Health in Remote Environments 237 Finlay Dick and Will Ponsonby Chapter 12 Industrial Medicine and Remote Healthcare in Russia 259 Sergey A Antipov, Andrey B Karpov and Ergena R Badmaeva Chapter 13 Work and Experience of an Oil Industry Remote Medical Practitioner 289 Harry Horsley Chapter 14 Hyperbaric Medicine and Diving 309 J Nelson Norman Chapter 15 Environmental Medicine: The Physical Environment — Heat and Cold 331 J Nelson Norman Index 349 b3847_FM.indd 6 01-07-2020 3.45.14 PM “6x9” b3847 Remote Medicine About the Editors Professor Nelson Norman MB ChB, PhD, MD, DSc, FRCS (Edin & Glasg), FFOM, FRSB, CB is a graduate of the Universities of Glasgow and Aberdeen. He is President of the International Remote Healthcare Association and a Senior Research Fellow at Glasgow University. Former posts held were President of the Institute of Remote Healthcare, Director of the British Antarctic Survey Medical Unit, Professor of Community Medicine at the UAE University, Medical Director RGIT Survival Centre Ltd., Director RGIT Centre for Offshore Health, Professor of Environmental Medicine, University of Aberdeen and Consultant Surgeon, Grampian Health Board. Dr Malcolm J Valentine MB ChB, MD, FRCGP, DRCOG is a graduate of the University of Aberdeen. He researched causes of medical evacuations from offshore installations, practiced Hyperbaric Medicine, was a HSE Appointed Radiation Doctor and Occupational Health Doctor — parallel to his career-long role as a General Practitioner. He was for a number of years Editor of the Journal of the IRHC. b3847_FM.indd 7 01-07-2020 3.45.14 PM b2530 International Strategic Relations and China’s National Security: World at the Crossroads TTTThhhhiiiissss ppppaaaaggggeeee iiiinnnntttteeeennnnttttiiiioooonnnnaaaallllllllyyyy lllleeeefffftttt bbbbllllaaaannnnkkkk b2530_FM.indd 6 01-Sep-16 11:03:06 AM “6x9” b3847 Remote Medicine About the Authors Professor David A Alexander MA (Hons), CPsychol, PhD, (Hon) DSc, FBPS, FRSM, (Hon) FRCPsych is Emeritus Professor of Mental Health in Aberdeen. Formerly, he was a Professor of Mental Health in the Faculty of Medicine, Aberdeen University; Consultant in Charge of the Regional Traumatic Stress Clinic and Director of the Aberdeen Centre for Trauma Research. He has worked with the Scottish Police for over 20 years, and is an Associate Member of both the Scottish Institute for Policing Research and the Scottish Police College. He has also been deployed operationally to local, national and international incidents of a serious nature. He is one of three Principal Advisors to the UK police services for the most serious incidents. Over a seven- year-period he was a Visiting Consultant at HMP Peterhead, when it was Scotland’s maximum-security prison. Professor Sergey Antipov PhD, Professor of Siberian State Medical University, General Director of CCM LLC (Russia). From 1992–1999 Dr Antipov worked as a surgeon in the Research Institute of Oncology of Tomsk Scientific Center, Siberian Branch of Russian Academy of Medical Sciences. Since 1996 he has been holding a teaching fellow position with the Department of Oncology at Siberian State Medical University. He has published more than 85 scientific papers with much of his research focused on the early diagnosis, prevention and treatment of gastric cancer. Sergey Antipov obtained a Doctor of Medical Sciences (PhD) degree in 2012 and was appointed as a Professor in the Department of Surgery and Oncology in 2013. Dr Antipov is particularly interested in innovations and investments in healthcare services. In 2006 he founded a company specializing in providing occupational medicine services. By 2014 Dr Antipov had founded several companies that were consolidated by the managing company CCM LLC. Today CCM LLC provided various industrial medicine and healthcare services in Russia and abroad. Erzhena Badmaeva PhD student, Siberian State Medical University. She works as the Head of the Health Department of the Tomsk region. Erzhena has been involved in telemedicine research for over 5 years. She’s currently conducting a joint research with the Association of Remote Healthcare (Russia) on remote healthcare issues. b3847_FM.indd 9 01-07-2020 3.45.14 PM