

Wilderness Medicine Updates
Patrick Fink, MD
The podcast for medical providers at the edges, bringing you digestible updates at the growing edge of Wilderness Medicine, Wilderness EMS, Search and Rescue, and more. 
Episodes
Mentioned books

Nov 15, 2024 • 42min
Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm
 Dive into the life-saving techniques behind the ICAR resuscitation algorithm for avalanche victims. Discover the critical factors that determine survival, from burial duration to airway management. Detailed explanations of Basic and Advanced Life Support algorithms make complex protocols accessible. Real-life case studies illustrate practical rescue scenarios, emphasizing the urgency of quick action and the impact of hypothermia. Essential listening for anyone involved in avalanche emergencies! 

Nov 5, 2024 • 17min
Ep. 16 - Medications for Alpine Hut Trips
 Dive into a thrilling tale of survival during a backcountry hut trip in Colorado where a surprise medical crisis unfolds. Discover the harrowing diagnosis of high-altitude pulmonary edema and the emergency response that follows. The discussion highlights essential medications and tools required for remote expeditions. Learn about the crucial lessons on preparedness and how to navigate medical emergencies in the wild. This is a must-listen for anyone venturing into the great outdoors! 

Oct 16, 2024 • 11min
Ep. 15 - Airway Patency in Avalanche Victims
 Explore how airway patency heavily influences survival rates for avalanche victims. The discussion delves into a meta-analysis revealing that many victims manage to keep their airways clear, despite being buried. Current safety technologies receive scrutiny for their effectiveness, highlighting the need for advancements. The importance of better incident reporting and ongoing research is emphasized, shedding light on critical factors that could enhance rescue efforts and survival outcomes. 

Aug 7, 2024 • 14min
Ep. 14 - Spinal Immobilization Guidelines Update
 Explore groundbreaking updates on spinal injury management in wilderness settings. The discussion emphasizes a goal-oriented approach for protecting spinal cords while maintaining neutral alignment. Discover the innovative lift and slide technique and learn about the vacuum mattress—an effective alternative to traditional backboards. Plus, dive into the open-access Wilderness Medical Society guidelines that are revolutionizing how we think about spinal immobilization! 

Apr 3, 2024 • 49min
Ep. 13 - The High Route: Arguments for Avalanche Airbags
 In this discussion, Jason Albert, editor of The-High-Route.com and former Wild Snow editor, dives deep into the importance of avalanche airbags for backcountry enthusiasts. He argues that these backpacks should be standard gear, exploring their effectiveness in enhancing safety. The conversation also touches on the evolution of these safety devices, their impact on skiers' decision-making, and how advancements have made them more accessible. Listeners will gain insights into wilderness preparedness, the essentials of emergency kits, and the blend of adventure and safety in the backcountry. 

Jan 26, 2024 • 19min
Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology
 Dive into the chilling physiology behind resuscitating avalanche victims. Understand how burial time and core temperature impact survival chances. Explore the stark realities of cardiac arrest from trauma versus hypoxia. Discover why CPR training is essential for outdoor enthusiasts and the intricate challenges of reviving those trapped under snow. Learn about the importance of assessing a victim's condition and the surprising role of potassium in treating severe hypothermia. Get ready for a complex yet crucial discussion on wilderness medicine! 

Nov 17, 2023 • 54min
Ep. 11 - After the Avalanche with Michael Buchanan
 In this engaging discussion, Michael Buchanan, a flight paramedic and founder of Mountain Medical Academy, delves into the nuances of caring for avalanche victims. He sheds light on essential first aid techniques, like effective airway clearance and CPR protocols specific to avalanche situations. The conversation emphasizes the critical role of psychological care for rescuers and survivors alike. Buchanan also shares valuable tips on survival gear and the significance of mental resilience in backcountry emergencies, ensuring outdoor enthusiasts are well-prepared. 

Oct 23, 2023 • 7min
Ep. 10 - Tourniquets from Space Blankets
 Discover the intriguing study on improvised tourniquets using space blankets in remote medical situations. The discussion highlights their effectiveness compared to standard options and the crucial need for proper application during emergencies. Delve into the challenges and potential risks associated with these makeshift solutions. Plus, hear about the open access availability of the study, encouraging listeners to dive deeper into the fascinating world of wilderness medicine. 

11 snips
Oct 11, 2023 • 33min
Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki
 In this discussion, Dr. Graham Brant-Zawadzki, an EMS and Wilderness Fellowship-trained ER physician from Utah, shares his experiences with FEMA's Urban Search and Rescue Task Force during a deployment in Lahaina, Hawaii. He delves into the intricacies of training, essential gear, and the collaborative efforts of diverse teams in disaster responses. Dr. Brant-Zawadzki also highlights the crucial role of healthcare providers and their canine partners in ensuring effective rescue operations. Listeners gain insights on how they can get involved in these critical missions. 

Jul 28, 2023 • 16min
Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment
 Explore the heightened risks faced by Search and Rescue providers during mountain operations, with revelations from a 20-year study on injury prevalence. Learn about the injury patterns among professionals versus volunteers, and dive into a harrowing tale of traveler's digestive distress. Uncover the symptoms and causes of traveler's diarrhea, especially when venturing into developing nations. Gain insights into treatment options and the careful consideration needed for antibiotics, alongside engaging with the wilderness medicine community for more shared experiences. 


