Wilderness Medicine Podcast

Dr. Russ Reinbolt, an ultramarathon runner and ER doctor, shares insights on wilderness medicine and endurance challenges. He discusses the innovative use of intranasal fentanyl for pain management in ski patrol rescues. The conversation then dives into his experiences with shark encounters, highlighting the importance of emergency preparedness for divers. Reinbolt also opens up about training in extreme heat and strategies for balancing hydration and electrolytes during intense races, making for a thrilling blend of medical expertise and adventurous tales.

Isla McKerrow Johnson and Joseph Shatzel, co-authors of groundbreaking research on travel-associated venous thromboembolism (VTE), share insights on the risks of long-distance travel and tips for prevention, including the use of compression stockings. Sven Olson, Tovah Kohl, Andrew Hamilton, and Thomas G. DeLoughery delve into how telemedicine is revolutionizing wilderness healthcare, discussing tech's role in enhancing safety and accessibility in remote settings. Chris Davis emphasizes the balance between technology and the wilderness experience, highlighting innovations like drones in healthcare delivery.

Dive into the world of wilderness medicine with thrilling discussions on the latest clinical guidelines for anaphylaxis treatment. Discover the challenges of managing allergic reactions in remote settings and the critical role of timely epinephrine administration. Explore the practical use of space blankets at high altitudes and innovative reflective foils for insulation. Celebrate the Full Circle Everest Expedition, highlighting the importance of representation and mentorship in climbing as they blaze trails for underrepresented communities.

Benjamin Ho, an emergency physician and expert on tick-borne illnesses, leads a fascinating discussion on the rising threats of Lyme disease and other tick-borne diseases in the Midwest. He emphasizes the importance of awareness, effective prevention strategies, and the need for informed public health approaches. Insights on tick prevention—like using permethrin and the history of the Lyme disease vaccine—are explored. The evolving landscape of wilderness medicine is also examined, showcasing its increasing importance within emergency medical services.

Taylor A. Docter, an emergency medicine resident known for his research on stingray barb detection, joins Christanne Coffey, an emergency physician and diving medicine expert. They dive into the dangers of stingray encounters and share innovative strategies to prevent injuries. The duo discusses a pivotal study comparing imaging techniques for detecting embedded stingray barbs, revealing x-ray's superior sensitivity. They also address drowning prevention and the vital role of immediate response, making this a must-listen for ocean adventurers!

Volker Schöffl, a world expert on climbing injuries and author, dives into the critical nature of finger flexor pulley injuries in rock climbers. He shares anecdotes reflecting on how climbing culture has evolved, emphasizing injury awareness and safety. The discussion highlights the benefits of indoor climbing gyms and the significance of comprehensive training for injury prevention. Schöffl also explores nutrition's role in athlete recovery, balancing supplementation with a sound diet. This engaging conversation is a treasure trove for climbing enthusiasts!

March 2021 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 (1:49) Journal Club Title: Utilizing Drones to Restore and Maintain Radio Communication During Search and Rescue Operations Author: Jake N. McRae DOI: https://doi.org/10.1016/j.wem.2020.11.002 CME Available: https://wms.org/members Presenter: Jake N. McRae Reviewer: Darryl Macias Part 2 (29:35) Darryl chats with Mike Lauria about working under stress, how to mitigate stress, and why it’s important for wilderness medicine practitioners. Part 3 (1:13:50) Highlights from talks from the WMS 2021 winter conference.

December 2020 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 Darryl chats with WMS president Linda Keyes. Part 2 Article Review Title: Emerging Tickborne Viral Infections: What Wilderness Medicine Providers Need to Know Author: James H. Diaz DOI: https://doi.org/10.1016/j.wem.2020.06.011 CME Available: https://wms.org/members Presenter: James H. Diaz Reviewer: Darryl Macias BONUS: Videocast of part of James and Darryl's discussion available: https://youtu.be/moRnkYoWgjk

September 2020 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 Article Review Title: Visitor Incidents in Western Australian Protected Areas, 2011–2017 Author: Anna Maria Gstaettner DOI: https://doi.org/10.1016/j.wem.2020.05.006 CME Available: https://www.wms.org/members Presenter: Anna Maria Gstaettner Reviewer: Darryl Macias Part 2 Darryl chats with longtime WMS member and fellow WEM section editor Ken Zafren on life, sunscreen, and COVID.

June 2020 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Article Review Title: Total Energy Intake and Self-Selected Macronutrient Distribution During Wildland Fire Suppression Authors: Alexander N. Marks, Joseph A. Sol, Joseph W. Domitrovich, Molly R. West, Brent C. Ruby DOI: https://doi.org/10.1016/j.wem.2020.01.009 CME Available: https://www.wms.org/members Presenter: Brent C. Ruby, PhD Reviewer: Jamie Newberry, MD