About Sean Rothwell

Emergency physician with a passion for Wilderness Medicine, emergency ultrasound, echocardiography and health management. Working with adventure companies to provide medical assistance in extreme and remote areas. + Sean Rothwell | Contact

Lightning Injuries

An expert panel from last year’s Wilderness Medical Society Annual Meeting have produced Guidelines for the Treatment and Prevention of Lightning Injuries. ¬†Of course, there is not a great deal of high quality evidence in this area but the guidelines are a good summary of expert opinion. To provide guidance to clinicians about best practices, […]

Kokoda part 2 – On the Trail

Fluids Your body’s fluid balance will be placed under considerable stress while hiking in the humid mountain jungle of Papua New Guinea. Risks of dehydration include strenuous exercise, hot climate and illnesses such as diarrhoea. Some blood pressure medications called diuretics can also increase your risk of dehydration. Symptoms include increased thirst, dry mouth, decreaed […]

Kokoda part 1 – Preparation

Three important medical considerations before embarking on the iconic Kokoda Trail are immunisation, assessment of medical fitness and, last but not least, malaria. Immunisations Current recommendations are for immunisation against Typhoid Hepatitis¬†A A combination Typhoid/Hepatitis A vaccine (Vivaxim) is available. This should be given at least 14 days (preferably one month) prior to risk of […]

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