Wilderness Medicine

Wilderness Medical Society Meeting WFA Discussion

On Sunday evening July 25 th Tony Islas MD, president of the Wilderness Medical Society (WMS) hosted a meeting of wilderness medicine providers at the summer meeting of the WMS. All of the major providers were represented, including the Red Cross and...

Published 07-26-2010 12:54 PM by Tod Schimelpfenig

Filed under: Wilderness Medical Society, scope of practice, WFA

Consensus Altitude Guidelines

Folks The Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema and high altitude pulmonary edema. These recommendations are published...

Published 06-26-2010 9:31 PM by Tod Schimelpfenig

Filed under: high altitude cerebral edema, acute mountain sickness, high altitude, high altitude pulmonary edema

WFR Scope of Practice Draft

The group of wilderness medicine providers working on scope of practice documents have completed a draft of a Wilderness First Responder (WFR) Scope of Practice (SOP) Guideline to accompany the Wilderness First Aid (WFA) SOP published last fall. We’re...

Published 05-21-2010 9:26 AM by Tod Schimelpfenig

Filed under: scope of practice, wilderness first responder, WFR

Bacterial Diarrhea

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Foodborne bacterial diarrhea is a common problem of backpackers, kayakers, divers - of anyone who ventures into the outdoors and is therefore associated with ingestion...

Published 05-02-2010 6:04 PM by Paul Auerbach

Filed under: wilderness medicine, diarrhea, bacterial diarrhea, infectious diarrhea

Evolving Snake Venom

Have you heard the story of evolving snake venom? Apparently snake venom in general is becoming more potent and, gasp, snakes have been interbreeding and sharing potent neurotoxins. Alas, while this is good stuff for horror movies, it’s not yet...

Published 04-18-2010 10:56 PM by Tod Schimelpfenig

Filed under: snake venom

Raynaud's Phenomenon and Altitude

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog In a past issue of Wilderness and Environmental Medicine (Volume 20, Number 2, 2009), Andrew Luks and colleagues published an article entitled “Can People with...

Published 03-21-2010 8:22 PM by Paul Auerbach

Filed under: high altitude, cold exposure, Raynaud's phenomenon

Wilderness First Aid Scope of Practice Update

Folks This is an update on the wilderness first aid scope of practice process and documents. Our group of colleagues have been working steadily on these documents.We have circulated several drafts of the Wilderness First Aid (WFA) Scope of Practice document...

Published 03-12-2010 4:08 PM by Tod Schimelpfenig

Filed under: wilderness first aid, scope of practice

Tick-Borne Illness

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog This is the next post based upon a presentation given at the Wilderness Medical Society Annual Meeting held in Snowmass, Colorado from July 24-29, 2009. The presentation...

Published 03-06-2010 5:02 PM by Paul Auerbach

Filed under: wilderness medicine, lyme disease, ehrlichiosis, tick, permethrin

Pain Management in Children for Broken Bones

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Pain management is a hot topic in medicine in general and certainly in medicine for the outdoors. Injuries in particular, and many illnesses, cause pain, which in...

Published 02-07-2010 8:24 PM by Paul Auerbach

Filed under: wilderness medicine, broken bones, ibuprofen, pain management

Proper Hydration at High Altitude

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog The standard dictum when advising persons who travel to high altitude, and thus expose themselves to a lower atmospheric oxygen concentration, is to stay "well...

Published 01-31-2010 6:19 PM by Paul Auerbach

Filed under: altitude, hydration, hyperhydration, hypohydration

SAM Splint versus Philadelphia Collar

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog In an issue of Wilderness and Environmental Medicine (Volume 20, Number 2, 2009), Todd McGrath and Crystal Murphy have written an article entitled “Comparison...

Published 01-24-2010 5:41 PM by Paul Auerbach

Filed under: cervical spine immobilization, Philadelphia collar, SAM Splint

Frozen Autoinjectors and Armpits

I recently exchanged emails with a fellow who asked if it was acceptable to freeze the auto-injector in his first aid kit. I told him of course not, you may not have time to thaw the medication. Now curious, I intentionally froze four expired EpiPens®...

Published 01-17-2010 5:05 PM by Tod Schimelpfenig

Filed under: autoinjector, epinephrine, temperature

Posterior Cruciate Ligament Injury

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog We're in ski season and so a few unfortunate individuals will suffer few knee injuries. A while back, a reader asked me to describe an uncommon injury, which is...

Published 01-10-2010 8:31 PM by Paul Auerbach

Filed under: posterior cruciate ligament, knee, ligament injury

Canadian C-Spine Rule

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Christian Vaillancourt, MD and his colleagues recently published an article in the journal Annals of Emergency Medicine (2009;54:663-671) entitled "The Out-of...

Published 12-13-2009 11:18 AM by Paul Auerbach

Filed under: wilderness medicine, C-spine, cervical spine, neck injury

Helmets for Active Sports

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog The National Highway Traffic Safety Administration reported an analysis of motorcycle helmet use in fatal crashes. What was discovered is not surprising - namely,...

Published 12-06-2009 8:51 PM by Paul Auerbach

Filed under: bike, motorcycle, helmets, snow boarding, skiing, cycling

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