About this event

  • Date and time Thu 12 Mar 2020 from 8:45am to 5:15pm
  • Location Royal Society of Medicine
  • Organised by Military Medicine

This event is sold out to attend, but you can book to watch the live stream - click here to book (you can watch from anywhere, all you need is a good internet connection).

At this event, top specialists who have been in expeditions to challenging scenarios such as Antarctica and Dhaliguri will explore cold injuries, frostbite, avalanche survival, and physiological monitoring in remote environments. A multidisciplinary faculty will cover wilderness medicine topics, encompassing expedition, mountain, extreme environment, humanitarian and pre-hospital medicine.

Learning objectives:

  • Understand current military activity in both operational and adventurous training “cold” environments
  • Appreciate the constraints of the “cold” environment in the care of military patients
  • Gain insight into current best practice in the assessment and management of cold-related pathology

This meeting, CPD approved and suitable for the use of Standard Learning Credits, will showcase recent activity of Service personnel across all areas of wilderness medicine within Defence and provide an update into the latest evidence-based practice with a focus in extreme cold scenarios. Additionally, the Pugh Society will be launched with voting in of founding committee members. 

The Pugh Society, named after Dr Griffith Pugh, has been established to provide a forum for like-minded individuals to coalesce in order to discuss and develop best-practice in military wilderness medicine. This is the inaugural meeting and launch of the Pugh Society, aiming to ensure robust governance, oversee scientific advancement, and provide a forum for education, training and networking in the field of wilderness medicine within the Defence Medical Services, and the wider Armed Forces.

This program is suitable for the use of Standard Learning Credits.


View the programme

Registration, tea and coffee
Welcome and introduction

Surg Lt Cdr Josh Bakker-Dyos, ST3 Anaesthesia, SE Scotland Deanery and Major Chris Abbott RAMC,   RMO 1 Royal Irish

Morning session: The military experience

Chair: Air Cdre Richard Withnall, Head of Research and Clinical Innovation, Defence Medical Services

Military wilderness medicine research

Col David Woods, Professor of Military Medicine, Royal Centre for Defence Medicine

Developing wearable sensors to augment medical care in remote austere environments

Prof Col Mike Smith, Defence Professor of Military General Practice, Department of Research and Clinical Innovation and Maj Natalie Taylor, Junior Lecture Department of Military General Practice, Department of Research and Clinical Innovation

Medical support to adventurous training

Lt Col HJ Pynn, Defence Consultant Advisor in Pre-hospital Emergency Care, Ministry of Defence

Panel discussion
Tea and coffee break
Endurance, adversity and austerity: The provision of deployed healthcare and the role of the British Antarctic Survey military medicine fellowship

Squadron Leader Jonathon Lowe, Specialist Registrar, British Antarctic Survey Medical Unit

Combat below zero - The Royal Marines mountain leader branch

Sgt Rudi Taylor, Royal Marines Mountain Leader, 45 Commando Royal Marines, Arbroath

Commando Forward Surgical Group in Norway – logistics

Lt RN Thomas Toogood-Smith, Second in Command Medical Squadron, Commando Logistic Regiment

Medical real life support on Winter Deployment 20

Surg Lt Cdr Robert Strachan, RMO CLR, Medical Squadron, Commando Logistic Regiment

Panel discussion
Pugh Society launch and voting in committee

Afternoon session: Clinical cases

Chair: Col Ian Gurney, Consultant in Emergency Medicine, Derriford Hospital, Plymouth

Avalanche survival

Lt Col Pete Davis, Consultant in Emergency and Retrieval Medicine, Defence Medical Services, Queen Elizabeth University Hospital

Freezing cold injury

Professor Chris Imray, Consultant Vascular and Renal Transplant Surgeon, University Hospitals Coventry and Warwickshire NHS Trust, Civilian Advisor to the Army for Vascular Surgery and President, Vascular Society of Great Britain and Ireland

Non-freezing cold injury: A new model of care

Dr Sarah Hollis, Defence Primary Healthcare Non-Freezing Cold Injury Clinical Lead, Regional Occupational Health Team Catterick

Panel discussion
Tea and coffee break
Everest the first ascent

Mrs Harriet Tuckey, Author

Cold water immersion

Mike Tipton, Professor of Human and Applied Physiology, Extreme Environments Laboratory, University of Portsmouth

Concluding remarks
Close of meeting


Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom