Lockdown. Inside Prison Medicine with ER Physician, Dr. Jeffrey Keller.

peerspectrum podcast- Jeffrey Keller

 

Name: Jeffrey E. Keller, MD

Location: Idaho Falls, Idaho.

Specialty: Emergency Medicine.

 

 

All right welcome back. Here’s a quick trivia question, which group of US patients are constitutionally guaranteed access to free medical care? And no this is not a trick question. The answer…prisoners.

Today we’re jumping into an area of medicine few, if any of us, know much about. Let’s be honest, how many of you out there have even seen the inside of a prison of jail? Not many, we guess. Criminal records and professional medical licensing don’t mix well.

For those of you who’ve been with us for awhile, you know this isn’t a political program. I say this because I’m going to read a few stats here. Don’t worry, we’re not gearing up for a policy discussion on prison reform. It is an important issue, but outside the scope of our conversation today.

As of 2016, there were 2.1 million people incarcerated in the US. That makes us the world leader both in the total number incarcerated and a per-capita incarceration rate (655 per 100,000). That rate beats everyone, even places like China, North Korea, Russia, Kazakhstan and Saudi Arabia. As of 2015, the US population represented only 4.4% of the global population, while we held a whopping 21% of the global prison population.

We’re reading these stats to show just how big US prison medicine is. That’s over two million people who are constitutionally guaranteed free medical care. Just imagine how many doctors, nurses and other medical professionals it takes to deliver that amount of care. Today’s guest is one of them.

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Emergency Medicine at 30,000 Feet: Dr. Paulo Alves, Global Medical Director for Medaire.

peerspectrum paulo alves- medaire

Name: Paulo M. Alves, M.D., MSc, FAsMA

Location: Phoenix, AZ.

Specialty: Cardiologist & Global Medical Director for Medaire/ International SOS

If you fly often, it’s only a matter of time before you hear those not so welcome words over the intercom: “Is there a doctor or medical professional aboard?”

So, do you hit your flight attendant button, or wait for someone else to do it first?

When you’re stuck at 30,000 feet, options are limited. You might even feel a little like our past guest, Dr. Gavin Francis, serving as the only doctor available in a remote Antarctic research base.

So what are your options? Who can you call for assistance? Is there medical equipment available? What are your legal risks and ethical responsibilities? How often does this stuff actually happen?

Today we’re going behind the scenes with Dr. Paulo Alves, global medical director for Medaire, a company contracted with most the world’s commercial airlines to provide real-time medical assistance from their emergency command center in Phoenix, Arizona. If that’s not exciting enough, they also specialize in emergency medical evacuations, crew training, and medical and security preparations for private jets, yachts and even cruise ships.

It’s a fascinating world many of us know very little about. With that said let’s get started…

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Solo Practice at the World’s Edge. Author, Explorer & Antarctica Base Physician, Dr. Gavin Francis

Gavin Francis on PeerSpectrum Podcast

Name: Gavin Francis, MD

Location: Edinburgh, Scotland

Specialty: General Practitioner, Emergency Medicine

Dr. Gavin Francis is a general practitioner based in Edinburgh Scotland. He’s also a prolific traveler and an incredibly talented writer.

Today we’re going the explore the 15 months Gavin served as the sole physician at Halley, the British research station in Antarctica. Gavin was it. With no medical team, no back up and pretty limited equipment, Gavin had to be ready for any medical emergency, large or small. During the winter months, Halley is completely cut off from the rest of the world. Ships can’t enter, planes can’t land and you won’t see the sun until spring. It’s hard to imagine being farther off the grid than this. Even the international space station has a Soyuz spacecraft ready for an emergency escape.

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