Dental problems can wreck an expedition. Choosing the right toothpaste will help mitigate the risk but the bewildering variety of products out there can be confusing. Our own Extreme Dentist Burjor Langdana helps you pick the right one for your trip.

Adventure Medic Editor Graham Dawson and climbing partner Simon Smith set out for the granite big walls of remote Chukotka in Siberia.

As the dust settles following the earthquakes earlier this year, we turn back to the high mountains of Nepal and Dr Sanjaya Karki, who describes the avalanches triggered by the earthquakes and explains why Nepali HEMS should be a national priority.

It is hard to imagine how it might feel to be caught up in a natural disaster. IPPG doctor Olivia Wolff experienced both Nepal earthquakes – they were moments she will never forget.

The rural hill villages of Nepal have been worst affected by the earthquake, yet received the least attention. We asked renowned mountain photographer Nick Mason to give us an insight into life in these areas before the disaster struck to help us make better sense of the current situation.

China defers the vote on ketamine scheduling and the British Government clarifies its position.

This month, the UN Commission on Narcotic Drugs will consider imposing tighter restrictions on ketamine, with a huge potential impact on the safety of developing world anaesthesia.

Sarah Richardson on how to deal with all things creeping and crawling: from botfly to ringworm.

With the best of the winter snow ahead of us, Expedition Skier Baz Roberts and Pre-Hospital Care Consultant Harvey Pynn dig into avalanche medicine.

Our Expedition Dentistry team talk us through anaesthetising a tooth in the field.