This week, Aebhric OKelly talks with Daniele Manno, a graduate of the CoROM Remote Paramedic programme. He shares his unique journey from being a pilot to a paramedic, emphasising the importance of wilderness medicine and survival training. He discusses his experiences in clinical practice, particularly in trauma care, and reflects on the challenges and rewards of teaching remote life support courses. Daniele also highlights the need for a broader understanding of medical practices in austere environments and offers advice for new medics entering the field. Takeaways Daniele transitioned from a 30-year career as a pilot to medicine at age 50. He emphasises that survival skills alone are insufficient without medical knowledge. Wilderness medicine training is crucial for those leading outdoor activities. Daniele's remote life support courses cover a wide range of medical situations. He believes curiosity is essential for deeper learning in medicine. His clinical experience in Africa provided hands-on learning opportunities. Daniele advocates for the recognition of paramedics in Italy's healthcare system. He stresses the importance of being broad-minded in austere medicine. Daniele's teaching aims to inspire students to pursue further medical education. He encourages new medics to be prepared for diverse medical challenges. Chapters 00:00 From Pilot to Paramedic: A Unique Journey 09:13 The Importance of Wilderness Medicine 15:35 Transitioning to Remote Paramedic Training 27:38 Experiences in Clinical Practice 31:48 Preparing for the Future of Medicine

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