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About Us

Prevent | Recognise | Treat Early

About IFRG-UK

The International Frostbite Resource Group UK (IFRG-UK) is the UK branch of the International Frostbite Resource Group. We are a network of doctors, physiologists, and researchers dedicated to improving the prevention, recognition, and treatment of frostbite.

Our goal is simple: ensure the right expertise is available quickly when frostbite occurs.

By combining clinical experience, research, and international collaboration, we provide reliable guidance for patients, healthcare professionals.

What We Do

Rapid Access to Expert Advice

Patients can access evidence based frostbite care quickly, whether they are in the UK or overseas.

Support for Clinicians

UK healthcare professionals can contact experienced frostbite specialists for advice when managing cases.

Prevention for High Risk Groups

Practical guidance for mountaineers, expedition teams, military personnel, and others working in cold environments.

Research and Collaboration

Use audit, research, and international collaboration to improve how frostbite is prevented, recognised, and treated worldwide.

Founding Members and Executive Committee

  • Prof Chris Imray MB BS DiMM, Clin Med Sci PhD, FRCS, FRCP, FFSEM, FRGS
  • Dr Sarah Hollis MBChB, MA, MSc, FRCGP, FIMC(RCSEd), DiMM, DipOM, DipSTI
  • Dr Liam Musto MD, BSc, MRes, MRCS
  • Dr Monica Piris MBChB, DiMM
  • Dr Dave Hillebrandt MBChB, DiMM
  • Dr Hannah Lock BSc, MBChB, DiMM 
  • Mr Dave Strachan MBChB, MA(Hons) DipIMC(RCSEd), DMCC, DipLM, DiMM, MRCS(Ed) FFRRHH(Ed)
  • Dr Isla Wormald  BSc, MBChB, DiMM 
  • Dr Sarah Wysling MBChB, DiMM
  • Dr Sean Hudson MBBS, MBE

Prof Chris Imray

Chris is an academic vascular and renal transplant surgeon at Warwick Medical School and works at University Hospitals Coventry and Warwickshire NHS Trust. An experienced mountaineer and polar traveller, his research focuses on the physiology and pathophysiology of extreme cold and high altitude.

In 2004 he co-founded the British Mountaineering Council (BMC) online frostbite advice service with Dr David Hillebrandt and Dr Paul Richards and has more than 20 years’ experience running the UK Frostbite Service. His work spans field, intermediate, and hospital management of frostbite, including iloprost treatment and novel therapies for severe cold injury.

He has published over 100 cold and altitude related peer-reviewed papers, is a co-author of the Oxford Handbook of Wilderness Medicine, regularly teaches on polar and expedition medicine courses and co-directs Polar Guides, a company specialising in polar training and expedition support.

Chris is Chair of IFRG-UK and a Founding Member of IFRG.

Dr Sarah Hollis

Early in her career Sarah served with a Lake District Mountain Rescue Team before stepping away from medicine to work as an Outward Bound Instructor, developing skills in remote environments. She returned to medicine to support British and Canadian Marines in the mountains of Northern Iraq following the First Gulf War.

After equipping herself with a postgraduate qualification in prehospital medicine, she went on to support numerous overseas expeditions, many at high altitude, and provided medical care in refugee camp settings before eventually settling into UK General Practice with the Ministry of Defence.

Sarah is now the UK Defence Lead for the prevention and management of cold injury, with extensive experience treating both non-freezing cold injury (NFCI) and freezing cold injury (FCI or frostbite). She has treated hundreds of patients with cold injury, regularly collaborates with national and international scientists and clinicians, has published research on cold injury, and represents the UK in NATO environmental medicine forums.

Sarah is Chair of the International Frostbite Resource Group and Secretary of IFRG-UK and the NFCI Independent Senior Advisory Committee (NISAC).

Dr Liam Musto

Liam is a Resident Doctor in Vascular Surgery with a strong interest in research and expedition medicine. He is passionate about delivering remote care in extreme environments and combining his surgical expertise with wilderness medicine.

His field experience spans high-altitude and austere settings across the Himalayas, Eastern Africa, and the mountains of Central America, where he has provided medical support to expedition teams and contributed to research in extreme environment medicine.

Dr Monica Piris

Monica has been a doctor on high-altitude expeditions since 2007, supporting more than 20 expeditions to some of the world’s highest peaks, including Everest, Lhotse, Cho Oyu, Makalu, and Manaslu. Her work has ranged from monitoring team health, treating locals and visitors, managing frostbite and severe altitude-related illnesses, to providing diagnostic and therapeutic advice over radio for climbers being rescued above 8,000m.

With modern communication tools, Monica continues to provide remote medical support for high-altitude expeditions worldwide.

Her clinical practice is as a part-time Emergency Medicine Clinical Fellow at Oxford University Hospitals Trust.

Monica can offer advice in English, Spanish, and French.

Dr David-Hillebrandt

Dave is a semi-retired rural GP in Devon with over 60 years of climbing experience on sea cliffs and big hills. He completed the Diploma in Mountain Medicine (DiMM) alongside Professor Chris Imray 20 years ago.

Following an initial approach from the British Mountaineering Council (BMC), Dave helped establish the UK frostbite advice service, recognising the need for practical, prompt guidance for frostbitten mountaineers. A steady stream of enquiries continues to bring variety and enjoyment to his working life, reflecting his enduring passion for mountains and expedition medicine.

He is the honorary medical advisor to the British Mountaineering Council (BMC) and the British Mountain Guides (BMG). He is also a past president of the UIAA (International Climbing and Mountaineering Federation) Medical Commission and vice president of the ISMM (International Society for Mountain Medicine).

Dr Hanna Lock

Hannah is an Emergency Medicine Specialty Doctor based in North Wales with extensive experience in expedition and mountain medicine. She works as a high-altitude expedition doctor, supporting trekking and mountaineering teams in remote environments around the world.

Alongside her clinical work, Hannah is passionate about teaching mountain medicine. She works as a freelance educator for several expedition and medical training organisations and runs her own online mountain medicine learning platform.

Outside of medicine she is a keen mountaineer, climber, skier, and runner, with a strong personal and professional interest in the challenges of medicine in extreme environments.

Mr Dave Strachan

Dave is an Army Vascular Registrar, BASICS doctor, and Mountain Rescue doctor, with extensive experience as an event and expedition medic. He has worked and climbed across mountain ranges on five continents, combining a career in vascular surgery with a passion for medicine in extreme environments.

With a background in Scottish Mountain Rescue and as an experienced winter climber, Dave developed a particular interest in cold injury, linking his mountain experience with the limb salvage challenges of vascular surgery.

His clinical and research interests include trauma, prehospital critical care, and the full pathway of cold injury management, from prevention and point of injury care through rescue, hospital treatment, and rehabilitation.

Dr Isla Madeleine Wormald

Isla is an Emergency & Pre-Hospital Emergency Medicine SpR based in Sheffield, UK. A former mentee of the late Dr Emmanuel Cauchy at the Institute of Training & Research in Mountain Medicine, Chamonix Hospital, France, she has served as a doctor on mountain and polar expeditions, including Sabine Land (Svalbard), Mera Peak (Nepal), Loppa Peninsula (Norway), Manaslu (Nepal), and has completed five seasons with Antarctic Logistics & Expeditions.

Passionate about education, Isla is a faculty member for Faraway Medicine, Outdoor Medicine, UIAA/ICAR/ISMM/UCLan MSc & PGDip Mountain Medicine, and World Extreme Medicine. She is also an AWLS instructor and helped deliver the first UIAA/ICAR/ISMM Nepal DiMM course, combining her field expertise with a commitment to training the next generation of expedition medics.

Dr Sarah Wysling

Sarah has a specialist interest in high-altitude and polar medicine and has provided medical support for expeditions in some of the world’s most remote locations, including the Himalayas (Nepal & India), Arctic Norway, Siberia, and the Pamirs. Each year, she travels south to work with Antarctic Logistics & Expeditions, providing medical cover in extreme environments.

She is also a passionate educator, serving as faculty on the UK Diploma in Mountain Medicine (DiMM) and through her company, Faraway Medicine, delivering training in remote and wilderness medicine. When not on expedition, Sarah is based in North Wales, working as an anaesthetist and Pre-Hospital Emergency Medicine doctor.

Dr Sean Hudson

Sean is a GP and prehospital care physician based in northern England. He has completed four seasons in Antarctica with the continent’s largest commercial operator. His expertise focuses on trauma care in extreme and cold environments.