Exile Medics sends enthusiastic doctors, nurses and paramedics to the world's most challenging environments to provide medical support for expeditions and the most extreme events on the planet. Doctors of all grades, nurses, paramedics, physiotherapists and medical students have worked together on every Exile Medics project, and more are becoming available all the time.

Being an Exile Medic tests you and your knowledge, it builds your team working and leadership skills and you find out how resourceful you truly are. It is the toughest medicine you will ever do, but also one of the most rewarding experiences of your life.

The Team


Dr Brett Rocos FRGS MD FRCS (Tr & Orth), Director     brett@exile-medics.com

Brett started Exile Medics in 2009 as a way to travel the world as a doctor. Starting in Brazil as a race doctor in the Amazon rainforest, his experience now covers every type of environment and terrain all over the world. Day to day, Brett works as a senior registrar in trauma and orthopaedic surgeon in Bristol, UK. He teaches and lectures about expedition medicine and surgery in the UK and abroad. Alongside this, he is Chief Medical Officer for World Offshore Powerboats, Honorary Clinical Lecturer in Orthopaedic Surgery and sits on the Royal Geographical Society Medical Cell Executive. Throughout a varied career, Brett has been a Clinical Advisor to the Chief Medical Officer of England, been a doctor at Silverstone and Brands Hatch racing circuits and British Superbikes, worked for the World Health Organisation in East Africa, carried out research into the use of air ambulances in prehospital major trauma, worked as a visiting training spinal surgeon in the USA and has had his passport stolen only once.

Brett fundamentally believes that wilderness and expedition medicine should be accessible to everyone, and that practicing safe and effective clinical medicine in the field is key to successful adventuring and racing.

Katie Ruffles RN MSc, Operations Director     katie@exile-medics.com   (+44) 7971 505430

Katie is the Operations Director for Exile Medics. She oversees all aspects of the organisation from Exile HQ in the UK. If you're an event or race director, a medic, competitor or participant, then Katie is who you need to contact with any queries. Alongside Brett, she has developed Exile Medics into a leading organisation in wilderness medicine. Outside of Exile Medics, Katie is a senior emergency nurse and a snowboarder of awesome proportions. She has literally been round the world with her board looking for a buzz. 

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Dr Adam Brown FCEM, Medical Director     

Adam is our Clinical Director and is a Consultant in Emergency and Prehospital Medicine. There are few things in medicine that he does not know. Based in Bristol's Major Trauma Centre, Adam works in the vanguard of the NHS and has seen it all. He has a broad experience of medicine both in and out of hospital, and in every environment imaginable. Outside of medicine, Adam competes in distance running and skiing events. Adam has been with us from the beginning and is a cornerstone of Exile Medics.

John Warburton MSc, Pharmacy Director

John makes sure that all the medications that we use are stored and used safely wherever we go, and is on hand to help with any question we have about medicines. He is a specialist in critical care pharmacology for the NHS and has published widely in scientific journals about this complex subject. He enjoys travel in his own right, and has been to some spectacular places, and supports our teams wherever they are in the world.

Georgina Elder RN, Nurse Lead

George is our chief nurse and quartermaster. She acts as our liaison with nurses around the world and makes sure that all our kit is squared away and ready to be sent anywhere in the world at any time- not a small job. An Emergency Nurse Practitioner in Somerset by day, George has been involved in Exile Medics for a couple of years now. She's travelled all over the world looking for the best food available and can offer advice on anything nurse related. 


Dr Hannah Browne MCEM, Student Director    


Hannah joined Exile Medics as a student in 2011, and now works as an Emergency Medicine registrar in Scotland. Having worked her way up through the ranks from student to Exile Team leader, she now heads up our student liaison group. If you're a student or Foundation Doctor, and you have questions or want advice regarding your application, then Hannah's the one to contact.

Dr Nadia Tharib RCGP, Senior Exile Team Leader


Nadia was the Exile Medics Fellow in 2016-17. Her usual job is as a GP in North Wales. Nadia's special interests include high altitude medicine, cold related illness and avalanche rescue, and developing the provision of wilderness care through exceptional leadership.

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