The Curbsiders Internal Medicine Podcast

#242 Wilderness Medicine: Prepare for Disaster

Nov 16, 2020

Join Dr. Thomas DeLoughery, a Professor at Oregon Health & Science University and wilderness medicine expert, as he shares essential survival skills for outdoor adventures. Discover how to manage altitude sickness, frostbite, and animal bites with practical tips. Learn about creating a personalized emergency kit and the importance of thermoregulation. Dr. DeLoughery also discusses the nuances of snake bites, offering crucial first aid techniques, including the effective use of tourniquets. Prepare to explore the great outdoors safely!

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INSIGHT

Definition of Wilderness Medicine

Wilderness medicine involves practicing medicine in austere environments, including outdoors, disaster zones, and even space.
It encompasses treating altitude sickness, hypothermia, frostbite, heat exhaustion, and travel-related illnesses.

ADVICE

Build a Tailored Wilderness Kit

Build a personalized wilderness medical kit tailored to the trip duration and environment.
Include analgesics, rehydration salts, anaphylaxis meds, antibiotics, sun protection, and home meds for chronic illness.

ADVICE

Be Prepared and Cautious Outdoors

Expect overnight stays; always carry extra food, water, and rain gear.
Avoid over-reliance on cell phones for navigation and resist taking risky shortcuts.

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Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet.

Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible. We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures. This episode is truly wild!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Credits

Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
Cover Art: Kate Grant, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Thomas DeLoughery MD, MACP, FAWM

Sponsors:

Provider Solutions and Development

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
Sponsor - VCU Health CE curbsiders.vcuhealth.org
00:00 Intro, disclaimer, guest bio
03:45 Guest one-liner, advice and Picks of the Week*
08:10 Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
09:00 Case of mountaineering; What is Wilderness Medicine? 
12:05 What’s in your first aid kit? 
21:36 Altitude sickness: acute mountain sickness, high altitude cerebral edema and High altitude pulmonary edema 
31:25 Hypothermia
39:36 Frostbite  
47:25 Hyperthermia: Heat exhaustion and Heat stroke; How much water should you drink? 
51:55 Bat bites and rabies 
58:20 Snake bites 
66:03 Wound care and tourniquets 
75:40 Take Home Points; Outro; Bonus clip
Sponsor - VCU Health CE curbsiders.vcuhealth.org

Links*

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goal

Listeners will learn the basics of wilderness medicine and how to approach a few common conditions.

Learning objectives

After listening to this episode listeners will…

Appreciate Wilderness Medicine as a medicine subspeciality and understand why or how someone might pursue this clinical focus area
Recognize signs and symptoms of high altitude sickness
Develop an approach to treating animal bites and injuries
Learn high yield tips for administering first aid in the wilderness including field hemostasis

Disclosures

Dr DeLoughery reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Citation

O’Glasser AY, Gorth D, Deloughery T, Williams PN, Watto MF. “#242 Wilderness Medicine: Prfor Disaster”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date November 16, 2020.