A year as a prehospital physician in the Outer Hebrides, Scotland

Responding in the Scottish Outer Hebrides presents a number of challenges above and beyond standard prehospital work owing to its remoteness in terms of reaching definitive care, and the limited resources available on the island. As a prehospital physician, it is important to have an excellent working relationship with all local emergency services and with the wider community. One's emotional resilience will be tested when responding and living in a rural setting, when you are far less removed from the tragedies you encounter when providing prehospital care.