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

September 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: Article Review Title: Cold Water Immersion Syndrome and Whitewater Recreation Fatalities Authors: David J. Farstad, Julie A. Dunn DOI: https://doi.org/10.1016/j.wem.2019.03.005 CME Available: https://www.wms.org/members Presenter: David J. Farstad Reviewer: Darryl Macias Part 2: Drones in SAR Darryl chats with Jake McRae about his case study, published in the September 2019 issue of WEM, Using an Unmanned Aircraft System (Drone) to Conduct a Complex High Altitude Search and Rescue Operation: a Case Study; article DOI: https://doi.org/10.1016/j.wem.2019.03.004. Part 3: What Exactly is “Wildernational Medicine”?

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

WEML#13 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: Efficacy of Head and Torso Rewarming Using a Human Model for Severe Hypothermia Authors: Kartik Kulkarni, Erik Hildahl, Ramesh Dutta, Sandra C. Webber, Steven Passmore, Gerren K McDonald, Gordon G. Giesbrecht DOI: https://doi.org/10.1016/j.wem.2018.11.005 CME Available: wms.org/members Presenter: Darryl Macias, MD Part 2: Exploring wilderness EMS education—what wilderness first aid, wilderness first responder, and wilderness EMT trainings are really about. We then discuss a new “wilderness alpine first responder (WAFR),” just taught in the Everest region. Part 3: We catch up with mountaineer Conrad Anker to discuss his upcoming projects.

WEML#12 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: High Altitude Illness: Knowledge, Practice, and Attitudes of Porters in Nepal Authors: Pranawa Koirala, Seth E. Wolpin, Janet T. Peterson DOI: https://doi.org/10.1016/j.wem.2018.06.002 Presenter: Jacob Jensen CME Available: wms.org/members Part 2: Avalanche and Cold Weather Resuscitation Host Darryl Macias prepares us for the upcoming winter season with a discussion of a recent study published in Resuscitation: Hypothermia Outcome Prediction After Extracorporeal Life Support for Hypothermic Cardiac Arrest Patients: The HOPE Score. Article DOI: https://doi.org/10.1016/j.resuscitation.2018.07.349 HOPE survival probability score tool: https://www.urg-admin.ch/hope/ Other articles mentioned in this part: Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents. DOI: https://doi.org/10.1016/j.wem.2016.10.004 “Cold Card” to Guide Responders in the Assessment and Care of Cold-Exposed Patients. DOI: https://doi.org/10.1016/j.wem.2018.07.001

WEML#11 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: Everest Base Camp Rescue Chain Interview Host Darryl Macias, MD interviews Andrew Nyberg, MD, co-author of the article Wilderness Mass Casualty Incident (MCI): Rescue Chain After Avalanche at Everest Base Camp (EBC) In 2015. DOI: https://doi.org/10.1016/j.wem.2018.03.007 Part 2: Article Review Title: Methoxyflurane for Procedural Analgesia at 4,470 m Altitude Authors: Matt Wilkes, Eleanor C. Heath, Nicholas P. Mason Presenter: Jacob Jensen, MD DOI: https://doi.org/10.1016/j.wem.2018.02.011 CME Available: wms.org/members

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.