Critical Care Scenarios Episode 27: Wilderness medicine with Ross Hofmeyr
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Mar 21, 2021 In this engaging discussion, Dr. Ross Hofmeyr, an anesthesiologist and co-founder of WildMedix, dives into the complexities of wilderness medicine. He shares insights on managing high-altitude illnesses like HAPE and HACE, and the importance of acclimatization for adventurers. The conversation takes a thrilling turn as they explore harrowing rescue scenarios, including specialized techniques for spinal stabilization in challenging environments. Dr. Hofmeyr also discusses advancements in evaluating intracranial pressure and the transformative opportunities in this exciting field.
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Mountain Rescue Priorities
- Prioritize team safety in mountain rescue, as the patient is statistically most at risk.
- Use the locate, access, stabilize, and transport (LAST) protocol, adding wilderness environment, materials/manpower, and exit strategy to your assessment.
Managing Suspension Trauma
- In a suspension situation, prioritize getting a trained rescuer to the patient quickly.
- Establish independent safety and belay lines, ensuring the rescuer can perform a thorough assessment and provide immediate care.
Spinal Stabilization Challenges
- Spinal stabilization is difficult in midair suspension situations and should be addressed after a stable position is achieved.
- Address life-threatening concerns first, such as suspension syndrome and fall injuries.