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Wilderness Medicine

Observations, questions and dialogue on wilderness medicine topics.
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  • Wilderness Medicine

    Helmets for Active Sports

    Posted over 4 years ago
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    • 2 Comments
    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,...
  • Wilderness Medicine

    Mouth-to-Mouth Breathing Versus Mask-Assisted Breathing

    Posted over 2 years ago
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    • 2 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog When a person performs cardiopulmonary (heart and lung) resuscitation (CPR), it is sometimes recommended to provide rescue breathing. This is certainly the case when...
  • Wilderness Medicine

    WFR Scope of Practice Draft

    Posted over 3 years ago
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    • 2 Comments
    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...
  • Wilderness Medicine

    The Fully Stocked First Aid Kit

    Posted over 2 years ago
    by
    • 1 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog [Outdoor Ed Note: What goes into a good backcountry first aid kit is always a balancing act between size of group, length and remoteness of trip, first aid expertise...
  • Wilderness Medicine

    Achieving Initial Control with Antivenom in Snakebite Victims

    Posted over 2 years ago
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    • 1 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog When someone is bitten by pit viper snakes (examples include rattlesnakes, copperheads, and cottonmouths) in the U.S., they may or may not become envenomed, depending...
  • Wilderness Medicine

    The Value of Wilderness Medicine Research

    Posted over 5 years ago
    by
    • 1 Comments
    Last week WMI held it’s annual staff meeting in Lander, Wyoming. One of our guest speakers, Stuart Harris MD, is the Director of the Wilderness Medicine Fellowship at Harvard and a high altitude researcher. He talked about hypoxia as a fundamental problem...
  • Wilderness Medicine

    Fluoroquinolone Antibiotics can cause Tendon Rupture

    Posted over 4 years ago
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    • 1 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Outdoor enthusiasts are often stricken with infections for which they might be prescribed antibiotics in the class known as fluoroquinolones, one common member of...
  • Wilderness Medicine

    Subungual Hematoma

    Posted over 4 years ago
    by
    • 1 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog The following is a message that I received from a reader: "Professor Auerbach - I am an avid reader of your blog 'Medicine for the Outdoors.' Your two...
  • Wilderness Medicine

    Wilderness First Aid Scope of Practice

    Posted over 4 years ago
    by
    • 1 Comments
    The concept of consistency in the content of Wilderness First Aid (WFA) and Wilderness First Responder (WFR) programs is receiving much attention. Some folks seem to think there is chaos among the various providers with people teaching widely varying...
  • Wilderness Medicine

    SAM Splint versus Philadelphia Collar

    Posted over 3 years ago
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    • 1 Comments
    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...
  • Wilderness Medicine

    Tick-Borne Illness

    Posted over 3 years ago
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    • 1 Comments
    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...
  • Wilderness Medicine

    Raynaud's Phenomenon and Altitude

    Posted over 3 years ago
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    • 1 Comments
    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...
  • Wilderness Medicine

    Studies Show that Continuous Chest Compression CPR Very Effective

    Posted over 3 years ago
    by
    • 1 Comments
    Tod Schimelpfenig first reported on 'Hands-Only CPR' here in the Wilderness Medicine Blog back in 2008. Two studies just released in the July 2010 edition of the New England Journal of Medicine show that in many cases Compression Only CPR results...
  • Wilderness Medicine

    Hands-Only CPR

    Posted over 5 years ago
    by
    • 1 Comments
    I imagine you have heard of or seen the media splash today on “Hands-only” CPR. It’s not an April’s Fools Joke. It stems from a press release by the American Heart Association (AHA) yesterday (Mar 31) that in turn reflects the position of their Emergency...
  • Wilderness Medicine

    It’s Hot in the Mountains!

    Posted over 6 years ago
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    • 1 Comments
    I’ve just returned from leading a NOLS wilderness course in the Absaroka Mountains on the southern border of Yellowstone National Park. I saw a grizzly bear sow with two cubs close enough to be uncomfortable, heard wolves howl just outside our camp, and...
  • Wilderness Medicine

    Gasping Respirations and CPR

    Posted over 4 years ago
    by
    • 1 Comments
    There have been a number of lay press articles and comments bouncing around the internet about the recent study speaking to gasping breathing and CPR. They are talking about a phenomena known to experienced field medical people; gasping, snorting, gurgling...
  • Wilderness Medicine

    Medical Wilderness Adventure Race (MedWar)

    Posted over 4 years ago
    by
    • 1 Comments
    Yesterday I competed in my first “MedWAR” event in Park City Utah. MedWAR is short for Medical Wilderness Adventure Race. It combines wilderness medical challenges with adventure racing and was developed to provide medical students, residents...
  • Wilderness Medicine

    Injuries and Illnesses in Wilderness Athletes

    Posted over 4 years ago
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    • 0 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog This is the fourteenth post based upon educational sessions and syllabus material presented at the Wilderness Medical Society Annual Meeting & 25th Anniversary...
  • Wilderness Medicine

    Naturally Occurring Toxins 2

    Posted over 4 years ago
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    • 0 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog This is the sixteenth post based upon educational sessions and syllabus material presented at the Wilderness Medical Society Annual Meeting & 25th Anniversary...
  • Wilderness Medicine

    Ginkgo biloba and AMS

    Posted over 4 years ago
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    • 0 Comments
    The current issues of the journals High Altitude Medicine and Biology and Wilderness and Environmental Medicine both have articles on the herbal medication Ginkgo biloba and prevention of acute mountain sickness (AMS). Ginkgo is appealing because, if...
  • Wilderness Medicine

    Travel to High Altitude with Children

    Posted over 4 years ago
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    • 0 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog In the current issue of High Altitude Medicine & Biology (volume 9, number 4, 2008), there is an excellent article entitled "Travel to High Altitude with...
  • Wilderness Medicine

    Anterior Cruciate Ligament Tear

    Posted over 4 years ago
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    • 0 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Outdoor and wilderness athletes put a lot of stress on their joints. Whether you are skiing, climbing, biking, hiking, running, or doing any other activity at which...
  • Wilderness Medicine

    Brown Fat

    Posted over 4 years ago
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    • 0 Comments
    This week’s New England Journal of Medicine has 3 articles on brown fat, which have spawned a number of newspaper articles, and this blog. A high concentration of mitochondria color the fat brown, burn huge numbers of calories and produce lots of...
  • Wilderness Medicine

    Autoinjector Skills

    Posted over 4 years ago
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    • 0 Comments
    There is an interesting article in April 13th edition of the Austin Statesman on whether ambulance and fire dispatchers should instruct people over the phone on use of an autoinjector of epinephrine. It’s another spin on this epinephrine tale. 1...
  • Wilderness Medicine

    Update on Swine Influenza

    Posted over 4 years ago
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    • 0 Comments
    by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog From the Centers for Disease Control (CDC) : Interim Guidance on Antiviral Recommendations for Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus...
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