Wilderness Medicine Podcast December 2019 - Wilderness & Environmental Medicine Live
Dec 17, 2019
Scott McIntosh, lead author of the 2019 Wilderness Medical Society frostbite guidelines, shares expert insights on frostbite prevention and treatment. He advises controlled rewarming in water baths and discusses surprising findings, like the potential low harm in walking on frostbitten extremities. The discussion also touches on improvised medicine techniques, including using coconuts for IV fluids and innovative suturing methods. Additionally, climate change's impact on health is covered, with attention to glacier retreat and wildfires.
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Climate Change Drives Diverse Health Risks
- Climate change affects health via heat, storms, flooding, air quality, and shifting infectious disease ranges.
- Daryl Macias urges stewardship and preparedness rather than panic-driven solutions.
Blender Demo Shows Flood Contamination
- Daryl demonstrated increased infectious risk after flooding by mixing 'drought,' 'industrial waste,' and 'raw sewage' then drinking it.
- The visual showed how floods spread sewage-related pathogens and increase diarrheal disease risk.
Make Simple Improvised Airway Barriers
- Use improvised airway devices: glove-finger barriers, improvised NPAs/OPAs, and barrier devices for mouth-to-mouth.
- Practice these techniques beforehand and prioritize seal and protection when possible.
