In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well burial, analyzing the findings and their implications for skiers and outdoor rescue personnel.
We then transition to a special Q&A session with pre-med student Zack Majd, tackling questions about forming a career in wilderness medicine. Patrick discusses the necessary educational paths, the benefits and limitations of fellowships, and the essentials of wilderness medical training. Additionally, the episode highlights upcoming educational events and provides practical advice on wilderness medical gear, psychological support techniques, and the integration of wilderness medicine with other medical disciplines. A must-listen for anyone interested in advancing their career in the field of wilderness medicine.
Links:
Kanaan NC, Abdul Cader J, Krakker J, Beasley H, Grissom CK, McIntosh SE. Simulated Avalanche vs Tree-Well Burial Effects on Human Physiology. Wilderness & Environmental Medicine. 2025;36(3):361-367. doi:10.1177/10806032251337476
Van Tilburg C, Paal P, Strapazzon G, et al. Wilderness Medical Society Clinical Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents: 2024 Update. Wilderness & Environmental Medicine. 2023;35(1_suppl):20S-44S. doi:10.1016/j.wem.2023.05.014
Fink PB, Wheeler AR, Smith WR, et al. Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update. Wilderness & Environmental Medicine. 2024;35(2):198-218. doi:10.1177/10806032241248422
EP. 21 - Snow Immersion Suffocation
Chapters:
00:00 Introduction and Episode Overview
00:43 Upcoming Events in Wilderness Medicine
Part 1
02:07 Tree Well Burials vs. Avalanche Burials
05:36 Study Findings and Analysis
08:23 Limitations and Implications of the Study
Part 2
11:21 Q&A: Careers in Wilderness Medicine
12:48 Zach's Journey and Career Questions
20:35 Balancing Wilderness Medicine with Other Careers
26:05 Pathways to Wilderness Medicine
30:32 Debating the Value of Wilderness Medicine Fellowships
32:21 Personal Experience with Wilderness Medicine Fellowship
34:29 Research in Wilderness Medicine
37:05 Essential EMS Gear for Wildland Firefighters
39:19 Prioritizing Care in Wilderness Settings
47:31 Psychological First Aid in Wilderness Medicine
50:49 Preparing for Wilderness Medicine Challenges
53:55 Future of Wilderness Medicine
57:33 Signoff
As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.
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