This week, Aebhric O’Kelly talks with Greydon Ratushny about his master’s thesis. He recently graduated from the MSc Austere Critical Care programme. They discuss the significant challenges faced in delivering quality healthcare in remote and rural areas of British Columbia. Greydon emphasises the critical role of pain management in improving patient experiences and outcomes, particularly in paramedic services. Ratushny highlights the immediate impact that effective pain management can have on patients and its importance in their overall healthcare journey.TakeawaysThere are significant challenges in delivering quality healthcare in rural areas.Pain management is a key focus for improving patient outcomes.An immediate impact on pain can enhance the patient experience.The quintuple aim concept is essential in healthcare delivery.Paramedics play a crucial role in managing pain effectively.Rural communities require tailored healthcare solutions.Understanding patient experiences is vital for healthcare improvement.Effective pain management can influence long-term patient recall.Healthcare delivery must adapt to the unique needs of remote areas.Research and innovation are needed to address rural healthcare challenges.Chapters00:01 – Introduction and guest welcome02:30 – ACC learning experience and placements06:15 – Motivation for choosing ACC09:50 – Curriculum gaps and collaboration13:55 – Programme redesign and electives15:40 – Thesis focus: austere nerve blocks20:10 – Scope of practice and POCUS24:30 – Pain management in prolonged transport29:40 – Rural healthcare equity challenges32:50 – Doctoral research ambitions35:40 – Advice to future candidates36:30 – Closing reflections

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