// RAW:POCUS (TM) Remote I Austere I Wilderness: Point of Care Ultrasound.

// REM:POCUS (TM) Remote I Expedition Medicine: Point of Care Ultrasound.

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R2Ri is the only Wilderness Medical Society Affiliate headquartered in England and Wales and one of only two WMS Affiliates in the UK - the other being the Faculty of Pre Hospital Care, Royal College of Surgeons (Edinburgh). 

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We run a number of Ultrasound courses - our flagship being the RAW: POCUS - Remote I Austere I Wilderness : Point of Care Ultrasound Course (TM).

The RAW:POCUS (TM) course was designed by an expedition doctor who happens to also be a Consultant Radiologist, along with an ex British Antarctic Survey Doctor with extensive expedition experience and who works as a HEMS Doctor.

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Courses:

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// REMPOCUS - Remote/ Expedition Medicine: Point of Care Ultrasound (TM) & RAW:POCUS (TM)

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First run in 2019, REM:POCUS (TM) was launched as a first in series of Ultrasound courses to introduce the user to hand held Ultrasound equipment as an additional diagnostic and imaging device when operating in remote areas. In 2023, we are also introducing RAW:POCUS - Remote/Austere/Wilderness Point of Care Ultrasound (TM)- A Consultant Radiologist led course, supported by ex British Antarctic Survey Medics with HEMS. SAR and significant remote area expedition experience. RAW:POCUS dates will be published very soon for summer and autumn 2023.

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1 day REM:POCUS Introduction to Pre-Hospital Trauma Ultrasound Course is ideal for Paramedics, Foundation and Core Training Doctors, and Trainee Practitioners interested in PHEM, who haven’t yet undergone formal ultrasound training. It’s also a fantastic refresher for clinicians who want to become more confident in their basic emergency ultrasound skills.

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The course is aimed at remote area medical practitioners and is aimed at harnessing the rapidly evolving (and increasingly affordable) hand portable technologies available or emerging on to the market, providing another diagnostic tool for the remote area medic.

Topics Covered:

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• Introduction to portable Ultrasound

• Care and charging for portable ultrasound in the field

• Limitations

• eFAST for detection of peritoneal free fluid,

  pericardial fluid, tamponade, haemothorax, pneumothorax, and basic

  qualitative assessment of cardiac function.

• Basic Physics and Knobology of Ultrasound

• eFAST and test characteristics and exam limitations.

• Clinical integration of ultrasound findings of the eFAST.

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The course has had excellent reviews from remote area medics including a Consultant Radiologist expedition medic. 

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3 Day RAW:POCUS

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‘This is the best ultrasound course I have attended over 4 continents’.

 

 

In 2023, we are also introducing RAW:POCUS - Remote I Austere I Wilderness Point of Care Ultrasound (TM)- A Consultant Radiologist led course*, supported by ex British Antarctic Survey Medics with HEMS. SAR and significant remote area expedition experience. The course will cover everything in the 1 day course above. 

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The RAW:POCUS course is delivered in a remote area medicine context and is mapped to the Royal College of Emergency Medicine Level 1 Ultrasound in Emergency Medicine syllabus.

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Content:

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Pre course reading (electronic manual), then:

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Day 1

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AM:

Lecture: Intro to US - basic physics & knobology, (governance)

Practical: Knobology, probe orientation, manipulation

 

PM:

Catastrophic Haemorrhage: eFAST scan

(pneumothorax, pleural fluid, cardiac tamponade, abdominal free fluid)

 

Day 2:

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AM: Breathing (lung assessment - a lines “good” lung vs b-lines etc, consolidation, overload…)

PM: Circulation- Cardiac views, basic TTE , Echo in CPR

 

Day 3:

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AM: Circulation Continued:Fluid Status/ IVC/aorta. Vascular access (peripheral and central for L1 compliance).

PM: Basic renal/bladder/liver/GB and pelvis/obstetric

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Additional discussion subjects including case studies:

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• Long bone fractures 

• RA/blocks

• Foreign body, skin (Abscess vs cellulitis)

• basic obstetric

• basic renal/bladder liver/gallbladder

• US in the context of altitude related illnesses

• Optic, transcranial optic nerve sheath diameter (ICP)

 

Summary of course.

 

Next steps including Royal College of Emergency Medicine Level 1 Ultrasound in Emergency Medicine compliance.

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Cost: £395.00

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Course Dates:

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Our next RAW:POCUS courses are: 

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21-23 June 2023. - Bookings open. FULL. Joining instructions have been sent to all delegates., Final instructions (directions/reminder etc) were sent 19.06.23 by email.

 

22-24 September 2023 - Bookings open.

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Accommodation and food are not included as clients tell us that they want flexibility and we wish to be as inclusive as possible. Camping to YHA to accommodation at PYB itself are options.

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* Instructors may vary depending on circumstances outside our control.

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Venue:  Plas y Brenin

Places: 4 places left as of 05.08.23

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How to book:

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The (large black) booking button (below) links to the booking pack. Click the link to access the booking pack. The pack contains an editable pdf. Complete and save the booking form and email it to us. Please only submit a booking form if you intend to enter into a contract with us in line with the terms and conditions (also in the booking pack) which include cancellation charges.

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Important/eligibility:

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This course is for Health Care Professionals. Delegates need to be up to date with medical physiology including Cardiology. The course is an ultrasound course aimed at the use of Ultrasound in relation to the listed subjects and in context of those subjects, with an expectation that the course will discuss the use of ultrasound, rather than being a physiology course. It is not a physiology course. Delegates are expected to have a good working knowledge of medical physiology and that is assumed as a pre requisite.

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​Please note that places on courses are limited. Our 'Why' is supporting organisations and good causes such as NGO's, Rescue Organisations, expedition teams and others that need excellent training at reasonable cost. We support a number of organisations who cycle volumes of delegates through our courses. Priority in terms of bookings/places will be given to operational remote area medics, NGO's and Rescue teams as well as other good causes. This is who we are set up to support. Instructors from or who deliver training for other remote area medical training companies are not eligible to join this course. Simply put, this is a conflict of interest. Our training has taken years to develop and hone and we value our Intellectual Property.  We have a legitimate interest in ensuring that our Project and our 'Why' are not undermined and that our instructors can enjoy delivery of the courses, to maximise learning for our clients. Our priority is training our long standing client bases and to maximise the benefit of our training for those communities -  and not other training organisations. For that reason, delegates should pay particular attention to reading our terms and conditions in this regard, before submitting any Booking Form.  These terms and conditions are in place specifically to safeguard the great work we do for and with great people and to ensure the sustainability of our Project.

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