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Major Henry Crosby Henry is a commissioned Royal Engineer Officer and Chartered Mechanical Engineer. Currently working in a staff role, he has deployed to Afghanistan, the Falkland Islands and Mali. A rock climber, he has also mountaineered around the world including several first ascents in Greenland and first ski descents on Baffin Island.. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1631261256994-FQBTSXDM1WJE6ESWW63P/image002.jpg Our Team - Captain Pat Harper Captain Pat Harper is currently on a General Practice training programme that includes an academic fellowship. As a British Army Medical Officer he has deployed to Canada, Oman, the United States and Kenya providing remote health care, teaching and training to British and host nation service personnel. Pat’s research interests are broad and include nutrition in extreme environments. He is studying for his Masters in Health Research Methods at the University of Birmingham. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1655118253811-T3Z2KHWW2BK8Z5KQAGIQ/Stephanie%2BInnes-Smith.jpg Our Team - LCpl Stephanie Innes-Smith Stephanie has recently resumed her Reservist service with the Intelligence Corps (5MI Battalion) after returning from five years teaching in international schools in Qatar and Oman. She qualified as a family lawyer in 2016 and subsequently worked for a domestic violence charity, supporting women through the court process. Stephanie started running in 2016 and is committed to increasing female participation in arduous exercise, particularly in culturally permissive locations, through her work in schools and as an ambassador for the charity ‘Free To Run’, which endeavours to support women and girls to run in conflict zones. She is excited to be part of the mixed-gender scientific research conducted during the INSPIRE 22 expedition. Stephanie will embark on an MA in Psychotherapy next year and is currently preparing to row across the Pacific in June 2024. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1667066548324-RL6XDHJIOYEXIZJCJEX8/Dr+Jack+Kreindler.jpg Our Team - Dr Jack Kreindler Dr Jack Kreindler is a physician, physiologist, researcher and serial technology entrepreneur. Alongside his career as a doctor in emergency and high altitude medicine, for 25 years Jack has founded and advised pioneering physiological and mental health ventures focusing on transforming what patients are capable of and scaling health system capacity using connected devices, remote monitoring and machine intelligence. In 2007, he founded The Centre for Health and Human Performance in London, applying elite sport science to help not just the greatest athletes, but also those facing their toughest health challenges. Jack advises and lectures globally on the future of medicine, human performance and longevity and serves as an Honorary Research Fellow in Public Health at Imperial College London. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1667066746812-68Z2UYMYVAVDBCS6XC53/Morten%2BTobias%2BRostille.jpg Our Team - Morten Tobias Rostille Expedition Guide Morten is Norwegian, but currently living in the Czech Republic with his fiancée and their dog. He has been working as a guide since 2016, mainly on Svalbard, but also on Greenland, mainland Norway and Nepal. He specialises in skiing expeditions, but has also guided on glaciers as well as skidoo, dogsled, kayak, and sailing expeditions. In his free time he enjoys trout fishing in the Norwegian mountains. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1628716816672-UGRX8MF915M5SM1FZ2EQ/IMG_4342.jpg Our Team - Dr Claire Grogan Claire will be supporting the research proposals and delivery off the ice for INSPIRE 22. Claire is a doctor in emergency medicine with a special interest in expedition and remote medicine, particularly in cold-weather and polar environments. Having completed her medical training in London in 2011, and a BSc in Sports Medicine, she has continued to support expeditions in desert, jungle, high altitude, mountainous and polar environments alongside her NHS work. Claire was the expedition doctor for the Weddell Sea Expedition 2019 in Antarctica, and has completed a 585km Greenland traverse, as well as ski crossings of the Hardanger and Finnmark Plateaus. She regularly teaches on expedition medicine courses throughout the UK and abroad, and enjoys developing high-fidelity simulation scenarios as part of the educational content. She is a Fellow of the Royal Geographical Society, and sits on the RGS Expedition Medicine Advisory Group. She recently contributed to the Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh Updated Guidance for medical provision for wilderness medicine document that was released in March 2020. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1628716765445-BDYDL3E5C6NI766OZ7CJ/Screen%2BShot%2B2020-04-12%2Bat%2B19.37.23.jpg Our Team - Professor Chris Imray Chris is a vascular/renal transplant surgeon who has a sustained interest in austere environments. He started climbing at school and has continued to travel the world to fulfil this passion. Chris is a member of both the Alpine and Climbers Club and sits on the Mount Everest Screening Committee. Recently, he completed a 30-year odyssey by climbing the Seven Summits. He is a world expert in cold injuries and has run the UK telemedicine frostbite service for the British Mountaineering Council for over a decade. In 2017, he co-founded the Global Polar and Altitude Metabolic Research Registry with Claire Grogan to help better understand the challenges of extreme environmental travel. He is Director of the Coventry NIHR Clinical Research Facility. Chris is a co-author of The Oxford Handbook of Expedition and Wilderness Medicine, and although he has published extensively on altitude medicine, cold injury, vascular and renal transplantation surgery (with over 185 peer review publications), he remains an active mountaineer, polar traveller and altitude/cold researcher. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1628716786395-V57CFGXBHBWRHGV410I9/image002.jpg Our Team - Major Natalie Taylor Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1630098015043-U3OK3YZEUOG1OFEVOX5X/RDA+Mount+Rossman.png Our Team - Dr Roger Alcock Roger’s career combines UK Emergency Medicine practice, humanitarian Global Emergency Care and medical care in austere environments with expedition, TV, film and ultramarathon medical support experience in all 7 continents. He currently works as an Emergency Medicine Specialist for an International NGO. He maintains a part-time clinical role as a consultant in Adult and Paediatric Emergency Medicine in Scotland. He is a Research Steering Group member for PERUKI - Paediatric Emergency Research UK and Ireland. He has completed two seasons as a doctor in Antarctica supporting activities and expeditions across the continent. INSPIRE 22 is an opportunity to challenge himself, while researching the effects of extreme physiological stress on metabolism and human performance which can ultimately inform the clinical management of critically unwell patients. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1631307968078-9CMRGOL5K6M196EMPLCL/me5.jpg Our Team - Flight Lieutenant Mike Eager Flight Lieutenant Mike Eager is an anaesthetic trainee in the Royal Air Force, currently working at Worcestershire Royal Hospital. He spent some time training with Lowland Search and Rescue before posting to North Wales where he fell in love with the mountains of Snowdonia. Outside of medical training he has spent time running simulation and research within the Pre-Hospital Emergency Care environment, recently winning the Colt national research award for a project on pre-hospital pain relief. A keen outdoorsman, he aims to combine his interest in robust practical research with his love for adventure. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1631261283999-BXYP98Y113LMI29DAPTV/IMG_3190.jpg Our Team - Private Fiona Koivula Fiona will be supporting the research proposals and delivery off the ice for INSPIRE 22. Private Fiona Koivula is a Combat Medical Technician in the Royal Army Medical Corps Reserves, serving with 202 Field Hospital (D Detachment). In her civilian role, Dr Koivula holds a PhD in cellular and molecular physiology and is a Research Physiologist for the Ministry of Defence, leading on studies investigating human health and performance within environmental extremes as part of the Army Health and Performance Research team. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1639673136734-TUNG1BW3HASBCQ81PRF1/Devon%2BMcDiarmid%2Bpic.jpg Our Team - Devon McDiarmid Expedition Guide After living in Yukon, Canada, Devon recently moved to the Kootenay region of British Columbia, Canada. When not away working in the film industry or guiding, he is either mountain biking, back country skiing or sledding. He has spent about 17 seasons out of the last 21 in Antarctica working as a ski expedition leader or as a camp builder and camp manager at the South Pole. He has guided over 40 people to the South Pole, all on skis, either from the coast or mini expeditions closer to the Pole. He led ALE's first and only non-resupplied, unsupported ski expedition from Hercules Inlet to the Pole. On his most recent ski expedition, he and one other kite-skied back from the Pole to the Antarctic coast after skiing from coast to Pole. He also spent a season on sea ice at the North Pole, working as an assistant guide for Last degrees expeditions. A highlight of Devon’s career was when he kite-skied from the South to the North of Greenland, covering over 3000km with no re-supply, setting a then World Record. Devon also teaches expedition skills in Norway, and has worked as a polar advisor for Antarctic Logistics and Expeditions, helping to vet potential expeditions to Antarctica. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1655118277272-MYUG8OEEFVBOKNX4MR2R/Nadja+Albertsen.png Our Team - Nadja Albertsen Nadja is a medical doctor and health anthropologist based in Aalborg, Denmark. Having finished her medical degree in 2011, Nadja travelled to Greenland in 2013 for a two month-vacancy in a health care clinic, but ended up staying three years working in remote areas, teaching, kayaking and traversing the ice cap on skis in 2016. Always a fan of the cold, Nadja spent 13 months at the Concordia Station in Antarctica as a Research Medic for the European Space Agency from 2018 to 2019 (DC15) and she is now doing a PhD focusing on cardiac arrhythmias in Greenland in a collaboration between Aalborg University and Ilisimatusarfik (University of Greenland). https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1631201391817-7Y5YQ0J1NKWPI5WJTH4Z/image007.jpg Our Team - Surgeon Lieutenant Stefano Capella Surgeon Lieutenant Stefano Capella is a Trauma & Orthopaedic trainee in the Royal Navy currently working at Frimley Park Hospital. Stefano initially commissioned as a Royal Air Force Officer before completing the All Arms Commando Course, deploying to the Falklands and then transferring to the Royal Navy. A keen sportsman and budding adventurer, Stef is hoping to combine these passions with his research interest in bone metabolism and the physiological adaptations that may occur in extreme environments. https://www.inspire22.co.uk/contact daily 0.75 2021-09-29 https://www.inspire22.co.uk/our-story daily 0.75 2022-09-05 https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1628973490507-K8S940D5GNX9HQHJZCOA/img_0753.jpeg Our Story - Inspire 22 The aim of the INSPIRE 22 Expedition is to explore the metabolic cost of sustained polar travel. The team is a mixed civilian / tri-service research team of guides, doctors and physiologists together with a a teacher and an engineer. They will be using proven-state-of-the-art techniques and wearable technologies to to increase our understanding of human metabolism in the austere environment which has potential 'translational' implications for patients. In November 2022 a team of 10 will ski over 900km from ‘the Messner start’ on the coast of Antarctica across the polar plateau to the heart of the continent – the South Pole – at a height of 2835m above sea level. They will be hauling their supplies behind them for up to 55 days. The journey from the Ross Ice Shelf on the edge of Antarctica to the South Pole was first completed on 14th December 1911 by Roald Amundsen’s team and shortly after this on 17th January 1912 by Captain Scott’s team. Scott’s team sadly died on the return journey from hypothermia and malnutrition. Over a century later, the expedition to the South Pole remains an enormous challenge physically, mentally, and nutritionally. Whilst it has successfully been completed many times both by teams and solo expeditions, the number of medical research expeditions can be counted on one hand. Mike Stroud and Ran Fiennes completed the first unsupported Antarctic crossing in 1992/3 and Mike Stroud undertook his seminal work on the metabolic tariff of polar travel and the associated malnutrition. More recently the Global Polar and Altitude Metabolic Research Registry (GPAMS) was set up at the Coventry National Institute for Health Research Clinical Research Facility with support from the Royal Geographic Society and the Mount Everest Foundation. 14 subjects have now been studied including the SPEAR17 and Ice Maiden expeditions. Collaborative research teams from the Universities of Coventry, Warwick, Edinburgh and Leeds Becket and the military have now published 5 peer review papers further outlining the advances in our understanding resulting from the ongoing research. Read articles Exploring nutrition at the limits of endurance Global Polar and Altitude Metabolic Research Registry Ice Maidens conquer Antarctic https://www.inspire22.co.uk/supporters-na daily 0.75 2022-07-05 https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1655129753459-DS4QW6N8GH20HFBZWP9E/resized+logo.jpg Supporters - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1657046321448-6D98V7914C7UBV7L6GSA/Andrew+Croft+Memorial+Fund+logo.png Supporters - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.inspire22.co.uk/patrons daily 0.75 2022-09-05 https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1639672280860-RUZ8IMNY5SHKX3WAHGEQ/Tim+Hodgetts+pic.jpg Patrons - Major General Tim Hodgetts CBE Tim was commissioned in 1983 and trained at Westminster Medical School, qualifying with distinction in 1986. He holds fellowships with the Royal College of Physicians of London, Royal College of Surgeons of Edinburgh, Royal College of Emergency Medicine, Faculty of Pre-hospital Care, Institute of Healthcare Managers, and the Royal Geographical Society. He has a PhD in Public Health (‘A revolutionary approach to improving combat casualty care’); Master’s degrees in Medical Education and Business Administration; and is a Chartered Manager. He graduated from Joint Command & Staff College (psc[j]) in 2011 and the Royal College of Defence Studies in 2018. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1639672103601-CHOM18EF95OQRI6YQ3OC/Prof+Mike+Grocott.jpg Patrons - Prof Mike Grocott Mike Grocott is professor of anaesthesia and critical care medicine at the University of Southampton and director designate of the Southampton NIHR Biomedical Research Centre. He is an NIHR Senior Investigator (2018-22) and was national specialty group lead for Anaesthesia Perioperative Medicine and Pain within the NIHR Clinical Research Network (2015-2021). He is a consultant in critical care medicine at University Hospital Southampton NHS Foundation Trust. He is an elected council member of the Royal College of Anaesthetists and served as vice-president (2019–20). He founded the national Centre for Perioperative Care (CPOC) and is currently vice-chair of the CPOC board. He has served as the chair of the board of the National Institute of Academic Anaesthesia (NIAA) since 2018 and was previously the founding director of the NIAA Health Services Research Centre at the Royal College of Anaesthetists (2011-2016) and founding chair of the HQIP funded National Emergency Laparotomy Audit (2012-2017). In 2007 Grocott summited Everest as leader of the Caudwell Xtreme Everest medical research expedition and is the founding chair of the Xtreme Everest Oxygen Research Consortium. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1639672204630-FTC6WL5P9RD75S1MIPUF/Ran+fiennes+1+.jpg Patrons - Sir Ranulph Fiennes Ran has led over twenty expeditions to remote parts of the world. In 2009 he reached the summit of Mount Everest, succeeding after two previous attempts ended in failure. He is the first man to cross both the polar ice-caps and climb 8,850 metres (29,035ft) to the world’s highest peak. In 2007 he successfully climbed the North Face of the Eiger. Sir Ranulph’s expeditions have raised vast sums for charity, so not surprisingly he has been awarded an OBE for human endeavour and charitable services. In 2010, he was named as the UK’s top celebrity online fundraiser by JustGiving, and in 2007 he was awarded The Greatest Briton’s Sport Award. He undertook the ultimate endurance test in 2003, completing 7 marathons in 7 days, in 7 different continents. What’s more he did this just 4 months after suffering a heart attack. In 1993, he and Dr. Mike Stroud completed the first entirely unassisted polar journey across the Antarctic Continent, the longest polar journey in history. He has and continues to truly live up to his family motto ‘Look for a brave spirit’. https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1639672151040-N9CVSMVJ4QRPAN61TOPO/Mike+Stroud+Pic.jpg Patrons - Prof Mike Stroud OBE Prof Mike Stroud OBE Mike Grocott is professor of anaesthesia and critical care medicine at the University of Southampton and director designate of the Southampton NIHR Biomedical Research Centre. He is an NIHR Senior Investigator (2018-22 and was national specialty group lead for Anaesthesia Perioperative Medicine and Pain within the NIHR Clinical Research Network (2015-2021). He is a consultant in critical care medicine at University Hospital Southampton NHS Foundation Trust He is an elected council member of the Royal College of Anaesthetists and served as vice-president (2019–20). He founded the national Centre for Perioperative Care (CPOC) [6] and is currently vice-chair of the CPOC board. He has served as the chair of the board of the National Institute of Academic Anaesthesia (NIAA) since 2018 and was previously the founding director of the NIAA Health Services Research Centre at the Royal College of Anaesthetists (2011-2016) and founding chair of the HQIP funded National Emergency Laparotomy Audit (2012-2017) In 2007 Grocott summited Everest as leader of the Caudwell Xtreme Everest medical research expedition and is the founding chair of the Xtreme Everest Oxygen Research Consortium https://www.inspire22.co.uk/our-team-copy daily 0.75 2022-10-15 https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1665829158733-91KN86JD7EVGMTUMKTM6/Screenshot+2022-10-15+at+11.19.06.png Science - Make it stand out Images by Caudwell Xtreme https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1665828598546-6IZNHK4SU0SS0HW8K364/IMG_8030.jpeg Science - Our Research As human beings, we have adapted and learned to inhabit almost every land-based environment on earth and this adaptability is key to our success as a species. All species require nutrition to maintain the complex body chemistry necessary for survival. Measuring the energy of that complex body chemistry, usually termed metabolic energy, is the focus of our research where we look at the food we take in as fuel and the ways we utilise different components of our food (carbohydrate, fat and protein - called substrate utilisation) for life and activity. Evolutionary changes have allowed us to respond to changes in our environment that occur over millennia, but we must use the scientific knowledge about our bodies to adapt our behaviour and diet to sudden changes, for example: diseases and their treatments; natural disasters (fire, flood, famine & accidents); and exploratory travel on land, space and the deep oceans. As we climb from sea level, the pressure of air above us (the atmospheric pressure) reduces, as does the pressure of oxygen in the air and, as a result, the amount of oxygen in our blood (hypoxia) also reduces. Diseases, particularly respiratory diseases, can also produce hypoxia and research carried out on healthy volunteers ascending 8,000m mountain peaks, particularly Everest, has given insights into the functioning of muscles(1,2) functioning of the heart(3), blood flow to the brain(4), treatment of lung disease, particularly for patients in intensive care units (ICUs)(5) and the pre-hospital treatment of emergencies(6,7) https://images.squarespace-cdn.com/content/v1/60de1a2d825e274add201a7a/1665828682615-DTVAXBWSO71APAQN4EAT/IMG_8027.jpeg Science - Why do research in Antarctica? Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. 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The team is a mixed civilian / tri-service research team of guides, doctors and physiologists together with a a teacher and an engineer. They will be using proven-state-of-the-art techniques and wearable technologies to to increase our understanding of human metabolism in the austere environment which has potential 'translational' implications for patients. In November 2022 a team of 10 will ski over 900km from ‘the Messner start’ on the coast of Antarctica across the polar plateau to the heart of the continent – the South Pole – at a height of 2835m above sea level. They will be hauling their supplies behind them for up to 55 days. The journey from the Ross Ice Shelf on the edge of Antarctica to the South Pole was first completed on 14th December 1911 by Roald Amundsen’s team and shortly after this on 17th January 1912 by Captain Scott’s team. Scott’s team sadly died on the return journey from hypothermia and malnutrition. Over a century later, the expedition to the South Pole remains an enormous challenge physically, mentally, and nutritionally. Whilst it has successfully been completed many times both by teams and solo expeditions, the number of medical research expeditions can be counted on one hand. Mike Stroud and Ran Fiennes completed the first unsupported Antarctic crossing in 1992/3 and Mike Stroud undertook his seminal work on the metabolic tariff of polar travel and the associated malnutrition. More recently the Global Polar and Altitude Metabolic Research Registry (GPAMS) was set up at the Coventry National Institute for Health Research Clinical Research Facility with support from the Royal Geographic Society and the Mount Everest Foundation. 14 subjects have now been studied including the SPEAR17 and Ice Maiden expeditions. Collaborative research teams from the Universities of Coventry, Warwick, Edinburgh and Leeds Becket and the military have now published 5 peer review papers further outlining the advances in our understanding resulting from the ongoing research.