WEML#6 Show Notes CME available: wms.org/members 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 #1: Prophylactic Acetaminophen or Ibuprofen Result in Equivalent Acute Mountain Sickness Incidence at High Altitude: A Prospective Randomized Trial Authors: Nicholas C. Kanaan, Alicia L. Peterson, Matiram Pun, Peter S. Holck, Jennifer Starling, Bikash Basyal, Thomas F. Freeman, Jessica R. Gehner, Linda Keyes, Dana R. Levin, Catherine J. O’Leary, Katherine E. Stuart, Ghan B. Thapa, Aditya Tiwari, Jared L. Velgersdyk, Ken Zafren, Buddha Basnyat DOI: http://dx.doi.org/10.1016/j.wem.2016.12.011 Presenter: Buddha Basnyat, MD Reviewer: Amy Biondich, MD Part 2: Host Darryl Macias, MD discusses the just-published special edition of WEM with guest editor Brad Bennett, PhD. Tactical Combat Casualty Care: Transitioning Battlefield Lessons Learned to Other Austere Environments Guest Editors: Brad Bennett, PhD; Frank Butler, MD; Ian Wedmore, MD Volume 28, Number 2S, 2017 Articles discussed: 1. Bleeding Control Using Hemostatic Dressings: Lessons Learned Author: Brad L. Bennett DOI: TK 2. Treatment of Thoracic Trauma: Lessons from the Battlefield Adapted to All Austere Environments Author: Lanny F. Littlejohn DOI: TK The full TCCC Guidelines can be found here: http://cotccc.com News items discussed in this podcast: • WMS Summer Conference registration: https://www.wms.org/conferences/Breck17/ • ISMM 2018 meeting: Save the date! November 2018, Kathmandu, Nepal. • 2nd International Master Course In Mountain Emergency Medicine: http://www.mastermedicinadimontagna.com/download/International-Master-Course-in-Mountain-Emergency-Medicine.pdf

WEML#5 Show Notes CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article discussion: Article 1: Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Non-Avalanche Snow Burial Accidents Christopher Van Tilburg, MD; Colin K. Grissom, MD; Ken Zafren, MD; Scott McIntosh, MD, MPH; Martin I. Radwin, MD; Peter Paal, MD; Pascal Haegeli, PhD; William “Will” R. Smith, MD; Albert R. Wheeler, MD; David Weber, FP-C; Bruce Tremper, MS; Hermann Brugger, MD Presented by author Christopher Van Tilburg, MD Reviewed by Jason Williams, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.10.004 MORE WMS Guidelines: SUPPLEMENT: WILDERNESS MEDICAL SOCIETY PRACTICE GUIDELINES FOR WILDERNESS EMERGENCY CARE—A 2014 UPDATE http://www.wemjournal.org/issue/S1080-6032(14)X0002-5 Part 2: Bonus discussion: WEML host Darryl Macias and guest Joe Alcock discuss the following article from the March issue: The Effects of a 36-Hour Mixed Task Ultraendurance Race on Mucosal Immunity Markers and Pulmonary Function. David Bellar, PhD; Kellie A. Murphy, MS; Ritvik Aithal, BS; Greggory R. Davis, PhD; Tim Piper, MS Article DOI: http://dx.doi.org/10.1016/j.wem.2016.12.001 WMS News & Announcements: See WMS.ORG for more information. • Registration for The Wilderness Medicine Conference and 34th WMS Annual Meeting is now open! This conference will be held in beautiful Breckenridge, CO July 27 - August 1. The conference has been designed to appeal to all austere medicine enthusiasts, novices to veterans, of diverse medical backgrounds. Enjoy a wide variety of lectures, small group sessions, workshops, research sessions, and social activities. • Also, we are now accepting research abstract submissions for the conference. Accepted abstracts will be presented as posters at the meeting, with a selection chosen for oral presentations. And, we have an exciting update for this year: One oral presentation will be selected for the 2017 WMS Outstanding Research Presentation Award ($500 cash award)! The deadline to submit is April 28. • The WMS has several adventure courses that still have space available. • Wilderness & Environmental Medicine is planning a special issue on Climate Change & Human Health. The journal is seeking manuscripts describing evidence-based scholarship evaluating human health and human health threats related to a changing environment. Accepted papers will be compiled in a special issue of the journal. The deadline for submissions is June 2017.

CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Articles: Article 1: Pressures of Wilderness Improvised Wound Irrigation Techniques: How Do They Compare? John B. Luck, Danielle Campagne, Roberto Falcón Banchs, Jason Montoya, Susanne J. Spano Presented by author Susanne J. Spano Reviewed by Aaron Reilly Article DOI: http://dx.doi.org/10.1016/j.wem.2016.09.002 Article 2: Management of Burn Injuries in the Wilderness: Lessons from Low-Resource Settings Cindy C. Bitter, Timothy B. Erickson Presented by author Cindy C. Bitter Reviewed by Jonathan Drew Article DOI: http://dx.doi.org/10.1016/j.wem.2016.09.001 Part 2: Discussions from host Darryl Macias: - Rock climbing injuries. Excerpt taken from the UNM Mountain Medicine podcast (http://www.unmmountainmed.com/mountainmedblog/2015/8/13/mountainmed-podcast-4-climbing-injuries). - The new Avalanche Resuscitation Guidelines, discussed at the recent International Commission of Alpine Research. - An update on the Nepal Diploma in Mountain Medicine program.

CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Articles: Article 1: Thermoregulation During Extended Exercise in the Heat: Comparisons of Fluid Volume and Temperature. Hailes WS, Cuddy JS, Cochrane K, Ruby BC Presented by author Brent C. Ruby, PhD Reviewed by Linda Sanders, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.06.004 Article 2: HEMS in Alpine Rescue for Pediatric Emergencies Taubenböck S, Lederer W, Kaufmann M, Kroesen G Presented by author Wolfgang Lederer, MD Reviewed by Bruno Durrer, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.03.001 Part 2: Interviews from the World Congress of Mountain & Wilderness Medicine Telluride 2016 Conference: Steve Roy Peter Bartsch Linda Keyes Emmanuel Cauchy

CME available: http://wms.org/members World Congress of Wilderness Medicine registration: http://wms.org/conferences/telluride Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Articles: 1. Outdoor activity and high altitude exposure during pregnancy: a survey of 459 pregnancies Presented by author Linda Keyes, MD Reviewed by Darryl Macias, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.02.010 2. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning Presented by authors Justin Sempsrott, MD and Tracy Cushing, MD Reviewed by Jay Gupta, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2015.12.019 WMS Practice Guidelines soon to be available on: Wilderness Medicine Magazine: http://www.wms.org/magazine/ Case Reports: 1. Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test 2. Lightning Strike in Pregnancy With Fetal Injury 3. Avalanche Survival After Rescue With the RECCO Rescue System: A Case Report 4. Fatal Honey Poisoning Caused by Tripterygium wilfordii Hook F in Southwest China: A Case Series 5. Corneal Opacity in a Participant of a 161-km Mountain Bike Race at High Altitude 6. Traumatic Amputation of Finger From an Alligator Snapping Turtle Bite 7. Twostriped Walkingstick Targets Human Eye With Chemical Defense Spray 8. First Reported Case of Fatal Stinging by the Large Carpenter Bee Xylocopa tranquebarica 9. Snakebite by the Shore Pit Viper (Trimeresurus purpureomaculatus) Treated With Polyvalent Antivenom 10. Bitten by a Dragon

Show Notes Conference Registration: http://wms.org/conferences/telluride/default.asp Abstract Application: http://wms.org/research/default.asp?t=a Wilderness & Environmental Medicine journal online www.wemjournal.org WMS awards: Description and previous winners: http://wms.org/about/awards.asp Jay Lemery email (for WMS awards): lemery18@gmail.com WEM Live email: wemlive@wms.org 1. The 6-Minute Walk Test as a Predictor of Summit Success on Denali Presented by co-author Patrick Bagley Reviewed by Amy Bionditch Lazio paper: doi: 10.1016/j.wem.2010.09.003 http://www.wemjournal.org/article/S1080-6032(10)00295-4/pdf 2. Primary Care in Extreme Environments: Medical Clinic Utilization at Antarctic Stations, 2013-2014 Presented by lead author James Pattarini Reviewed by Rebecca Blue 3. A New Proposal for Management of Severe Frostbite in the Austere Environment Presented by coauthor Chris Davis Reviewed by Matthew Sholl 4. Portable prehospital methods to treat near-hypothermic shivering cold casualties Presented by author Sam Oliver Reviewed by Jay Gupta A novel application for cognitive evaluation in mountain ultramarathons: olfactory assessment Presented by author Alessandro Tonacci Reviewed by Garreth Debiegun