Why might cooling and hypoxia differ between burial types?

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.

Connect with us by email at wildernessmedicineupdates@gmail.com.

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