185-Origins of ICARE and Future Plans
06 March 2026

185-Origins of ICARE and Future Plans

CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

About

This week, Aebhric O’Kelly is joined by Splinter Knoppert, who is a 2nd-year BSc student attending the Intensive Care for Austere and Remote Environments (ICARE) course in Malta. They discuss his experiences during the week, including the practical skills, teamwork, resource-limited environments, and innovative teaching methods.

Aebhric is then joined by Dr Csaba Dioszeghy, and they discuss the origin of the ICARE course 14 years ago.


Chapters

00:00 Introduction to the ICARE Course in Malta

00:58 BSc Student Splinter talks about his experience in ICARE

02:04 Diverse Participants and Their Backgrounds

02:53 Skills Gained: Ultrasound, Central Lines, and Improvisation

03:47 Blue Time: Practice and Muscle Memory

05:06 Overview of Scenarios: Crush Injuries, Tropical Diseases, and Trauma

05:52 Building a Remote ICU: Key Components and Challenges

06:30 Setting Up an ICU in the Jungle: Precautions and Planning

07:14 Impact on Paramedic Practice and Future Plans

08:16 Introduction to Dr Csaba Dioszeghy and Critical Care Education

09:06 Origins of Critical Care Teaching and Collaboration

10:51 Simplifying Critical Care for Resource-Limited Settings

13:07 Development of the MSc in Critical Care

14:29 Teaching Principles: Using Critical Care Without Fancy Equipment

15:26 From Aeromedical Transport to Specialised Critical Care Training

16:22 Addressing the Gap in Critical Care Education

16:47 Curriculum Focus: Basic to Advanced Critical Care Concepts

17:43 Teamwork and Non-Technical Skills in Critical Care

18:40 The Importance of Crew Resource Management

20:20 Simulation-Based Training for Teamwork and Skills

21:15 Elective Courses and International Participation

22:10 The Future of the MSc Program and Crew Resource Management

24:04 Technical Skills Practice: Ultrasound, Suturing, and Intubation

24:57 The Value of the iCare Course and Its Evolution

25:50 Upcoming Deep Dive into the Masters of Austere Critical Care


We will have questions about the episode icon, which is a picture of an ancient carving of the Rod of Asclepius. This is on a church outer wall in Mdina, Malta, with origins in the Knights Hospitaler.