Wilderness Medicine Podcast

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

March 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 >>>Special feature! Check out this special video with Covid-19 advice for medical providers in dealing with a restless public under stay-at-home orders, plus a drone video: https://www.youtube.com/watch?v=CRyWfO5sxxo&feature=youtu.be Part 1: Article Review Title: Pain Is Inevitable But Suffering Is Optional: Relationship of Pain Coping Strategies to Performance in Multistage Ultramarathon Runners Authors: Kevin N. Alschuler, Brian J. Krabak, Anna L. Kratz, Mark P. Jensen, Dave Pomeranz, Patrick Burns, Joshua Bautz, Claire Nordeen, Crystal Irwin, Grant S. Lipman DOI: https://doi.org/10.1016/j.wem.2019.10.007 CME Available: https://www.wms.org/members Presenter: Kevin N. Alschuler Reviewer: Darryl Macias Part 2: Summary of WMS Hypothermia Clinical Practice Guidelines 2019 Update Darryl summarizes the recommendations from the Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update by Dow et al. DOI: https://doi.org/10.1016/j.wem.2019.10.002 Part 3: Avalanche Resuscitation Workshop from WMS 2020 Winter Conference Darryl shares takeaways from the workshop.

December 2019 - 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: Climate Change and Human Health Darryl summarizes a recent session from the ACEP meeting. Part 2: Improvised Medicine Lab Darryl and his current wilderness medicine fellow, Risa Garcia, discuss takeaways from a recent improvised medicine lab, including improvised BVMs from a bike pump and IV coconuts. BONUS! Suturing video available here: https://youtu.be/3U9TmnBfj1I Part 3: Frostbite Guidelines: Author Interview Darryl sits down with Scott McIntosh to discuss the 2019 update of the WMS clinical practice guidelines for the prevention and treatment of frostbite. DOI: https://doi.org/10.1016/j.wem.2019.05.002 Part 4: Article Review Title: Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Austere Situations Authors: Howard D. Backer, Robert W. Derlet, Vincent R. Hill DOI: https://doi.org/10.1016/j.wem.2019.06.006 CME Available: https://www.wms.org/members Presenter: Darryl Macias Reviewer: Darryl Macias

David J. Farstad, an expert on cold water immersion syndrome, discusses the critical risks of cold exposure during outdoor activities and shares preventive strategies for enthusiasts. Jake McRae, a medical student and search-and-rescue member, reveals how drones were pivotal in a high-altitude rescue, showcasing their capability in challenging environments. Both guests highlight the evolving nature of wilderness medicine and its integration with advanced technology, emphasizing safety and innovative solutions in the field.

WEML#14 Show Notes 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: Chemical Heat Packs as an Intervention to Prolong Ultrasound Battery Runtime Authors: Steven Roy, MD; Ryck K. Schielke, MD; Daniel Haffey, MD; Heather Coombs, MD DOI: https://doi.org/10.1016/j.wem.2019.02.005 CME Available: wms.org/members Presenter: Darryl Macias, MD Part 2: Darryl discusses the research possibilities of the terraXcube with Rachel Turner, Damian Bailey, and Sundeep Dhillon. https://terraxcube.eurac.edu Part 3: Darryl explores the idea of diversity in wilderness medicine. Items mentioned in this portion: Diversity in Wilderness Medicine by Roople K Unia, MD: https://www.wms.org/magazine/1233/Diversity_in_Wilderness_Medicine Films: An American Ascent, Stumped Book: The Adventure Gap by James Mills

Gordon G. Giesbrecht, a Professor at the University of Manitoba and an expert on hypothermia, dives into the intricacies of cold-weather survival techniques. He discusses innovative rewarming methods, emphasizing the importance of head heat retention. The conversation also covers the role of esophageal temperature probes in wilderness settings and the latest advancements in wilderness EMS education, including a new alpine first responder training in the Everest region. Insights on the medical training of Sherpa guides highlight the transformative power of wilderness education.

In this enlightening discussion, Jacob Jensen moderates insights from Dr. Seth E. Wolpin, a clinical associate professor with extensive research on porter welfare in Nepal, alongside Drs. Pranawa Koirala and Janet Peterson. They explore the alarming misconceptions surrounding high altitude illness among porters and underscore the need for better education. The conversation also highlights the vital importance of avalanche survival strategies and advancements in emergency response for hypothermic cardiac arrest, showcasing critical public health issues in mountainous areas.

Andrew Nyberg is an emergency physician from Park City, Utah, known for his work on the 2015 Everest Base Camp avalanche response. Matt Wilkes, a doctor at the International Port of Protection Group, explores the use of methoxyflurane for pain management at high altitudes. Together, they discuss the harrowing experiences during the Nepal earthquake, emphasizing the importance of preparedness and communication in crisis response. They also delve into the innovative use of methoxyflurane in austere medicine and its safety for patient self-management, especially in remote environments.

Giacomo Strapazzon, Deputy head of the Institute of Mountain Emergency Medicine, and Oliver Kreuzer, a flight paramedic with Air Zermatt, join to discuss cutting-edge wilderness medicine. They dive into canyoning incidents, emphasizing new guidelines and the complexities of patient management. Strapazzon shares insights on avalanche rescue and hypothermia, while Kreuzer compares helicopter rescue techniques across the Alps, the U.S., and Nepal. Their experiences highlight the necessity of proper training, equipment, and risk assessment in these high-stakes environments.

Joseph Derek Forrester, MD, a general surgery resident and trauma critical care fellow, joins Jake Jensen, a Wilderness Medicine Fellow, to discuss fascinating insights on venomous and non-venomous animal fatalities in the U.S. They reveal surprising statistics about domestic animals and insects as the main culprits, while also addressing common misdiagnoses of spider bites. The duo shares innovative educational practices at the Khumbu Climbing Center, highlighting the importance of mentorship and fair trade for Sherpas, and the challenges of high-altitude health skills.