On this episode, host Ffyon Davies speaks with Charlie Mize about his experience establishing specialty care and a prehospital critical care air retrieval program in Bhutan, as well as founding his own aviation consulting company. Charlie also discusses his expertise in emergency medicine and offers insights on providing elite care in low-resource settings. He emphasises the importance of returning to first principles to save lives and prevent morbidity, and shares examples from his own work including a group of nurses providing medical assistance in a remote area of Bhutan. The episode covers a range of medical topics from epidural decompression to wildlife safety, and offers valuable lessons for emergency medicine professionals and enthusiasts alike. Charlie Mize is a trained emergency medicine specialist with experience in both pre-hospital and in-department emergency care. He first trained as a general physician in the US before specialising in emergency medicine and resuscitation. He spent a year teaching at Yale's emergency medicine residency program before moving overseas to work in southeast Asia. While in Bhutan, he helped establish their pre-hospital care system and founded their pre-hospital critical care air retrieval program. This led to the creation of Bear Badger, a company that provides medical consulting, design, and capacity-building services. They work on projects like high-risk cartography to facilitate rescue operations in austere locations. Charlie is currently involved in discussion for another mapping project and aims to focus on creating consistent medical care during treacherous evacuation programs.

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