

December 2016 - Wilderness And Environmental Medicine Live
Dec 1, 2016
In this engaging discussion, Aaron Reilly, an expert at the International Mountain Medicine Center, presents insights alongside Susanne J. Spano, who focuses on wound irrigation techniques, and Cindy C. Bitter, a specialist in burn injuries. They delve into innovative improvised medical practices in wilderness settings, the new avalanche resuscitation guidelines, and personal anecdotes about rock climbing injuries. The conversation also highlights the importance of training programs like the Nepal Diploma in Mountain Medicine and their impact on enhancing emergency response skills.
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Effective Improvised Irrigation Pressures
- Improvised wound irrigation pressure varies widely but some backpacker-prevalent tools achieve effective pressures. - The sports top water bottle mimics hospital irrigation device pressure well for wilderness use.
Choose Water Bottle for Irrigation
- Avoid 10ml syringes for wound irrigation due to impractical volume delivery despite sufficient pressure. - Use a water bottle with a sports top to replicate clinical irrigation effectively in the field.
Adapt Burn Care to Resource Setting
- Fluid resuscitation practices in burns from developed countries may increase mortality in low-resource settings. - Over-resuscitation and overestimating burn surface area in malnourished children may cause harm in these populations.