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The Purchon Papers

    • Africa
    • AIDS and COVID-19: Two Pandemics, Forty Years Apart — and One Long Scientific Lesson
    • Altered Body Image in Footwear Fitting: How Assumptions, AI Research and Poor Measurement Lead to the Wrong Shoe
    • America’s
    • An Introduction to Congenital Cardiac Defects
    • Anaesthetic Revision Cards for perioperative students
    • Anyone Can Be a Manager — But Not Every Manager Can Be a Leader
    • Aoraki/Mount Cook: Why New Zealand’s Highest Mountain Remains a Mountaineer’s Summit
    • Aortic Stenosis and Pulmonary Stenosis
    • Aortopulmonary Window
    • Asia
    • Austrialsia
    • Barefoot Shoes: Evolutionary Answer or Modern Footwear Fad?
    • Before It Disappears: War, World Heritage and the Case for Travelling Through the Middle East
    • Beyond Hydrostatic Head: Understanding Tent Flysheets, Fabrics and the Climate They Are Designed For
    • Beyond Kilimanjaro: Where Does Trekking End and Mountaineering Begin in East Africa?
    • Blue Babies
    • Cardiac Surgery
    • Check Your White Privilege? No — Check Your Assumptions
    • Clinical inspiration
    • Coarctation of the Aorta
    • Covid Pandemic Clinical Images
    • Cultural Appropriation, Cultural Appreciation and People Looking for Something to Be Angry About
    • Do You Really Need Gore-Tex for Kilimanjaro ?
    • Double Aortic Arch
    • Double Outlet Right Ventricle
    • Double-Lumen Endobronchial Tubes
    • Ebstein Anomaly
    • Endo Tracheal Tube cuffs, which is more effective negative or positive pressure testing?
    • Europe
    • Everest 1996 v 2026: Thirty Years of Lessons Learned?
    • Everest 1996: The Decisions That Led to Disaster. A timeline analysis of the deaths of Rob Hall and Scott Fischer
    • Everest as an Intensive Care Laboratory: What Caudwell Xtreme Everest Taught Us About Human Survival
    • Everest at a Crossroads: Access, Responsibility and the Ethics of the World’s Highest Mountain
    • Everest from North and South: An Unbiased Review of the Nepalese and Tibetan Approaches
    • Facilitation of Students. Practising Sellick’s manoeuver for Rapid Sequence Induction Anaesthesia.
    • Free Rescue or Personal Responsibility?The Growing Debate Over Mountain Rescue in the Alps
    • From Theatre Technician to Controlled Drug Practitioner
    • Gender Identity and Biological Reality in Anaesthesia
    • Has Human Resources Got It Wrong?
    • Hot Weather Clothing and Equipment
    • Human Factors in Healthcare
    • Icarus in a Lab: Hubris Manifest in the Age of AI
    • Inclusivity, Proportionality and Common Sense in the NHS
    • Interrupted Aortic Arch
    • Into the Death Zone, All the Gear and No Idea?
    • Jamaica, Reparations and the Problem of Historical Justice
    • Kilimanjaro 2025: The Ethos Remains
    • Klettersteig: Where Hiking Ends and Climbing Begins
    • Leadership, Work & Society
    • Major Aortopulmonary Collateral Arteries — MAPCAs
    • Map, Compass and UTM: Why Traditional Navigation Remains Irreplaceable
    • Medicine & Clinical Practice
    • Mont Blanc in 2026: When the Grade No Longer Describes the Risk
    • More Rescues, Fewer Deaths: What Is Really Happening in the Alps?
    • Mount Elbrus and Mont Blanc: When the Hardest Part of a Mountain Is Getting There
    • Mountain Medicine & Human Performance
    • Mountains & Mountaineering
    • North Africa After the Arab Spring: Two Models of Reconstruction
    • Original Artwork by Richard Purchon
    • Outdoor Equipment & Fieldcraft
    • Pain Is Weakness Leaving the Body!
    • Partial Anomalous Pulmonary Venous Return
    • Patent Ductus Arteriosus — PDA ASD & VSD
    • Pink Babies
    • Plantar Fasciitis: Are Running Shoes Really the Answer?
    • Pop Art inspired work
    • Pulmonary Alveolar Proteinosis
    • Pulmonary Atresia and Tricuspid Atresia
    • Running Shoes: More Than a Colour and a Size
    • Service to the Country
    • Single-Ventricle Physiology Hypoplastic Left Heart Syndrome — HLHS
    • Situational Awareness in Healthcare
    • Spinal Cord Monitoring and Protection in Thoracoabdominal Aortic Dissection Surgery
    • Sporting World Champions
    • Stop Fitting the Ego: Why Your Climbing Shoes Don’t Need to Hurt
    • Stop Selling Shoe Sizes: Understanding the Foot, the Last and the Fit
    • Ten Millilitres of Air Is Not a Cuff Pressure
    • Tennis Elbow in Road Cycling: An Overlooked Overuse Injury
    • Tetralogy of Fallot
    • The AWFLisation of Western Europe
    • The Beauty of Maps and Mountains
    • The Doula Paradox: Support Without Accountability?
    • The Falklands, Historical Reparations and the Problem of Where History Begins
    • The Golden Hour Is a Luxury: Does Hospital-Based Trauma Training Adequately Prepare Clinicians for Prolonged Field Care?
    • The Mosquito: Humanity’s Smallest but Deadliest Adversary Malaria, Zika and the Global Battle Against Mosquito-Borne Disease
    • The Mountains of the Moon: Could the Rwenzori Become Africa’s Next Great Trekking Destination?
    • The Purchon Papers
    • The Right to Stick Things Up Your Arse
    • The Strange Death of the NHS
    • The Survival Gene: What Sherpa Physiology May Teach Intensive Care About Who Survives Hypoxia
    • The Tibetan Question: An Historical Analysis of Tibet Before and After Chinese Rule
    • There’s No Such Thing as Altitude Illness — I Know, I’ve Been Up Mont Blanc
    • Thoracic Surgery
    • Too High, Too Fast: Altitude Sickness, HACE, HAPE and the Case for Proper Acclimatisation
    • Total Anomalous Pulmonary Venous Return
    • Trail Runners on the Camino: Have We Confused Lightweight with Appropriate?
    • Transposition of the Great Arteries
    • Travel, Geography & Geopolitics
    • Truncus Arteriosus
    • Understanding Adult Cardiac Surgery
    • Understanding Outdoor Footwear
    • Understanding Rucksacks
    • Understanding Surgical Approaches to Adult Thoracic Surgery
    • Understanding the ECG
    • Waterproofs After PFAS: Gore-Tex, Pertex and the Changing Science of Staying Dry
    • When a University Stops Teaching Students How to Think
    • When Accountability Undermines Leadership
    • When an Accusation Becomes an Unwinnable Argument
    • When Did Social Justice Stop Asking for Equality and Start Demanding Agreement?
    • When Does Flipping Burgers Pay Better Than Caring for Patients?
    • When Feeling Threatened Becomes a Defence
    • When Foot Problems Meet Outdoor Footwear: Plantar Fasciitis, Morton’s Neuroma and the Importance of Correct Fit
    • When Rights Collide: Have Trans Rights Eclipsed Seventy Years of Women’s Equality?
    • When Social Media Turns Fiction Into Fact
    • When Society Stops Asking “Is It True?”
    • When the Grade No Longer Tells the Whole Story
    • When the Mountains Stop Freezing What the Alps Tell Us About the Future of the Greater Ranges
    • Zanzibar: Paradise on Earth?
    • “Flexible Bronchoscopy for Advanced airway management in Covid 19.”
    • “How Long Does It Last?” — The Not-So-Stupid Question About Camping Gas
    • “I’m Allergic to That!”
    • “Oh my god it’s a patient on ECMO!”
Learn more
North Africa After the Arab Spring: Two Models of Reconstruction
The Tibetan Question: An Historical Analysis of Tibet Before and After Chinese Rule
Zanzibar: Paradise on Earth?
Cultural Appropriation, Cultural Appreciation and People Looking for Something to Be Angry About
Before It Disappears: War, World Heritage and the Case for Travelling Through the Middle East

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