This is the most critical podcast episode we’ve made available to date on the show. As human flight junkies we participate in activities that let’s face it- are dangerous. In this episode we sit down with Matt Wilkes, an anaesthesia and intensive care doctor based in Edinburgh, Scotland who specializes in extreme physiology and remote medicine to walk us through best practices when things go wrong. Matt takes us through what we need to be carrying in our first aid kit; how to operate in a wilderness environment; how to assess a casualty and make a scene safe; how to care for a victim including the use of narcotics and pain killers; how having a lack of equipment and difficult access to medicine can be overcome; the affects of cold and altitude on pilots (hypoxia); how an accident scene needs to be managed; best practices for trauma management (including splinting, binding the pelvis, the lethal triad and keeping people warm, pain relief, head injuries, tourniquets…); controversies about spinal immobilization and a lot more.