#37: Climate Change: Recreation at Risk Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Climate Change Impact on Outdoor Organizations Today Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241296526 CME Available: wms.org/members Part 2 MythBustsers Hypothermia Lab: Takeaways from participants of the DiMM winter course experiential lab at the UNM. Audio editing: Tom Conklin (www.tomconklinvoice.com)

Dr. Dirk Haslow, a pediatrician and epidemiologist, joins Dr. Nick Weiss from UNM and wilderness medicine fellow Dr. Josh Markham to dive into treestand safety and catfish injuries. They reveal that tree stand injuries surpass projectile injuries among Arkansas hunters, emphasizing critical safety protocols. The trio also shares shocking insights on catfish puncture wounds, discussing both unique medical treatments and unexpected dangers. Funny anecdotes about catfish encounters add a lighthearted touch to their informative discussion.

In this insightful discussion, Dr. Mike Green, an expert in emergency medicine and mountain rescue, delves into the complexities of managing mildly hypothermic patients in wilderness settings. He highlights the surprising benefits of ambulating such patients during rescues, redefining traditional protocols. The conversation also covers the innovative use of CPAP masks for improving oxygenation at high altitudes and the vital role of medical directors in search and rescue operations, emphasizing effective communication and continuous education in wilderness practices.

A significant norovirus outbreak among Colorado River rafters and backpackers garnered attention for its impact on public health in the Grand Canyon. The challenges of managing gastrointestinal illnesses in remote areas are explored, emphasizing timely communication and hygiene practices. The podcast shares thrilling details about rafting while highlighting the critical role of water treatment methods in keeping visitors safe. By focusing on preventative measures, listeners learn how guides and outfitters collaborate to mitigate health risks during outdoor adventures.

Darryl, a seasoned expert in wilderness medicine, dives into intriguing discussions about marine envenomation and spinal cord protection. He addresses common myths surrounding jellyfish stings and reveals that hot water is an effective treatment. The conversation also covers the local healthcare response to marine injuries in Okinawa and reassesses traditional cervical spine immobilization practices, advocating for a patient-centric approach. Listeners will gain insights into managing marine bites and the gentle nature of sea snakes.

Explore the fascinating world of finger strength training and its importance for climbers, revealing that over 40% face chronic injuries. Discover targeted techniques to enhance grip strength while ensuring core stability. Delve into the initiatives driving wilderness medicine education in Chile, bolstering mountain rescue skills and community collaboration. Hear insights from experienced clinicians about the significance of proper nutrition over supplements for athletic performance, emphasizing a balanced diet for injury prevention.

Experience the adrenaline of wilderness rescues, featuring a dramatic mission to free a hiker trapped under a boulder using high-pressure airbags. Learn about the complexities of emergency response in rugged terrains and the innovative techniques employed. Explore intriguing insights on muscle protein synthesis among Alaskan hunters, emphasizing energy balance and recovery. Discover how omega-3 fatty acids might enhance muscle health, particularly for older adventurers. Each story highlights the blend of teamwork, advanced medical practices, and the unpredictable nature of wilderness challenges.

Jennifer N. Wray, a contributor to the Wilderness & Environmental Medicine journal, joins Zachary P. Soucy, Nicholas J. Daniel, Nicholas E. Weinberg, and G. Michael Krauthamer, MDs specializing in wilderness and diving medicine. They delve into groundbreaking research on ultrasound gel alternatives, revealing how everyday liquids can enhance medical imaging in remote settings. The discussion shifts to the critical nuances of diving medicine, addressing challenges faced at high altitudes and during underwater emergencies. Listeners will discover innovative techniques and essential safety measures for outdoor medical practices.

Gordon Giesbrecht, an authority in wilderness medicine, discusses thrilling and practical topics. He shares a gripping hypothermia case handled with innovative techniques. The conversation dives into solar water disinfection, showcasing how sunlight can purify water even at high altitudes. Giesbrecht also explores the challenges of mountain rescue operations and highlights essential training for volunteers. Additionally, he navigates marine medicine, covering risks from shark bites and microbial threats, urging a confident, informed approach to nature.

Join medical doctor Esteban A. Valle and experts Andrew P. Cobourn, Spencer JH. Trivitt, Jordy Hendrikx, and Jerry D. Johnson as they dive into the world of backcountry skiing and avalanche safety amid the pandemic. They discuss the challenges faced by novice skiers and the increasing avalanche risks. The conversation shifts to toxinology, unpacking snake bites and the complexities of venom. Listeners will learn about the myths surrounding Amanita mushrooms and the importance of timely medical intervention for venom-related emergencies.