Medicine in austere environments strips practice back to its essentials. This chapter explores how care is delivered when resources are limited, infrastructure is fragile, and improvisation becomes necessary.

In this audio deep dive, we consider clinical decision-making in remote, disaster, humanitarian, and low-resource settings. You’ll hear how prioritisation shifts, how diagnostic uncertainty increases, and how ethical decisions become inseparable from logistical realities.

This chapter reminds us that medicine is not defined by technology, but by adaptability, judgement, and human presence — even when conditions are harsh and support is distant.

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