A key issue in remote medicine is the t>asic and ongoing training of those who provide immedidate care for injury or illness sustained in the remote worksite. Training must be provided for and by laymen, nurses, paramedis and doctors.

In order to achieve this it is necessary to establish the pattern of illness and injury which is likely to be met. This has been done for the North Sea and for Antarctic exploration and the results will be presented and discussed in this paper. Data from over 5,000 cases who sustained injuries offshore and were subsequently evacuated to Aberdeen Royal Infirmary have been used for this purpose.

A system of training for health care in offshore and remote places has now been advised in RGIT Survival Centre and this will be descrilbed and discussed. More attention will tse devoted to consideration of who to provide training for, what to teach and how to ensure going training, supervision and feedback.

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