March 2017 - Wilderness And Environmental Medicine Live

Mar 1, 2017

Joe Alcock, a Professor of emergency medicine at the University of New Mexico and an advocate for evolutionary medicine, shares fascinating insights on wilderness and environmental health. He discusses updated avalanche rescue protocols and the importance of using airbag technology. The conversation also delves into how ultra-endurance races affect athletes’ immune systems, particularly the impact of sleep deprivation and ibuprofen use. Listeners will gain valuable knowledge on the intersection of extreme sports, health, and safety in wilderness settings.

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INSIGHT

Avalanche Prevention Insights

Airbags and under-snow breathing devices significantly reduce avalanche burial mortality more than traditional rescue gear.
Good judgment remains the most critical prevention factor in avalanche safety.

ADVICE

Avalanche Rescue Priorities

In avalanche rescue, first assess airway patency, trauma, and burial time before resuscitation.
Air pockets improve survival by diluting carbon dioxide near the airway.

ANECDOTE

Avalon Device Survival Demo

Daryl Macias shared his personal experience buried under snow with an Avalon device for 30 minutes comfortably.
Trials showed Avalon users maintained good oxygenation compared to rapid suffocation without.

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WEML#5 Show Notes CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article discussion: Article 1: Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Non-Avalanche Snow Burial Accidents Christopher Van Tilburg, MD; Colin K. Grissom, MD; Ken Zafren, MD; Scott McIntosh, MD, MPH; Martin I. Radwin, MD; Peter Paal, MD; Pascal Haegeli, PhD; William “Will” R. Smith, MD; Albert R. Wheeler, MD; David Weber, FP-C; Bruce Tremper, MS; Hermann Brugger, MD Presented by author Christopher Van Tilburg, MD Reviewed by Jason Williams, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.10.004 MORE WMS Guidelines: SUPPLEMENT: WILDERNESS MEDICAL SOCIETY PRACTICE GUIDELINES FOR WILDERNESS EMERGENCY CARE—A 2014 UPDATE http://www.wemjournal.org/issue/S1080-6032(14)X0002-5 Part 2: Bonus discussion: WEML host Darryl Macias and guest Joe Alcock discuss the following article from the March issue: The Effects of a 36-Hour Mixed Task Ultraendurance Race on Mucosal Immunity Markers and Pulmonary Function. David Bellar, PhD; Kellie A. Murphy, MS; Ritvik Aithal, BS; Greggory R. Davis, PhD; Tim Piper, MS Article DOI: http://dx.doi.org/10.1016/j.wem.2016.12.001 WMS News & Announcements: See WMS.ORG for more information. • Registration for The Wilderness Medicine Conference and 34th WMS Annual Meeting is now open! This conference will be held in beautiful Breckenridge, CO July 27 - August 1. The conference has been designed to appeal to all austere medicine enthusiasts, novices to veterans, of diverse medical backgrounds. Enjoy a wide variety of lectures, small group sessions, workshops, research sessions, and social activities. • Also, we are now accepting research abstract submissions for the conference. Accepted abstracts will be presented as posters at the meeting, with a selection chosen for oral presentations. And, we have an exciting update for this year: One oral presentation will be selected for the 2017 WMS Outstanding Research Presentation Award ($500 cash award)! The deadline to submit is April 28. • The WMS has several adventure courses that still have space available. • Wilderness & Environmental Medicine is planning a special issue on Climate Change & Human Health. The journal is seeking manuscripts describing evidence-based scholarship evaluating human health and human health threats related to a changing environment. Accepted papers will be compiled in a special issue of the journal. The deadline for submissions is June 2017.