#242 Wilderness Medicine: Prepare for Disaster

Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet.

Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible. We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures. This episode is truly wild!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

• Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
• Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
• Cover Art: Kate Grant, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
• Guest: Thomas DeLoughery MD, MACP, FAWM

Sponsors:

Provider Solutions and Development

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• Sponsor - VCU Health CE curbsiders.vcuhealth.org
• 00:00 Intro, disclaimer, guest bio
• 03:45 Guest one-liner, advice and Picks of the Week*
• 08:10 Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• 09:00 Case of mountaineering; What is Wilderness Medicine?

• 12:05 What’s in your first aid kit?

• 21:36 Altitude sickness: acute mountain sickness, high altitude cerebral edema and High altitude pulmonary edema

• 31:25 Hypothermia
• 39:36 Frostbite 

• 47:25 Hyperthermia: Heat exhaustion and Heat stroke; How much water should you drink?

• 51:55 Bat bites and rabies

• 58:20 Snake bites

• 66:03 Wound care and tourniquets

• 75:40 Take Home Points; Outro; Bonus clip
• Sponsor - VCU Health CE curbsiders.vcuhealth.org

Links*

1. De Gaulle by Julian Jackson
2. Command and Control by Eric Schlosser
3. Auerbach's Wilderness Medicine, 2-Volume Set
4. Whatever book Paul said he was reading, sounds nerdy (The First Law Trilogy)
5. Wilderness Medicine Society
6. Stop The Bleed: Home
7. Into Thin Air: A Personal Account of the Mt. Everest Disaster by Jon Krakauer
8. National Outdoor Leadership School
9. Advanced Wilderness Life Support
10. Inside the ER at Mt. Everest
11. Annapurna by Maurice Herzog
12. K2, The Savage Mountain: The Classic True Story Of Disaster And Survival On The World's Second-Highest Mountain– by Charles Houston and Robert Bates

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goal

Listeners will learn the basics of wilderness medicine and how to approach a few common conditions.

Learning objectives

After listening to this episode listeners will…

1. Appreciate Wilderness Medicine as a medicine subspeciality and understand why or how someone might pursue this clinical focus area
2. Recognize signs and symptoms of high altitude sickness
3. Develop an approach to treating animal bites and injuries
4. Learn high yield tips for administering first aid in the wilderness including field hemostasis

Disclosures

Dr DeLoughery reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Citation

O’Glasser AY, Gorth D, Deloughery T, Williams PN, Watto MF. “#242 Wilderness Medicine: Prfor Disaster”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date November 16, 2020.

Tags

Wilderness Medicine, Travel medicine, first aid, first aid kit, altitude sickness, acute mountain sickness, high altitude cerebral edema, high altitude pulmonary edema, acetazolamide, dexamethasone, hypothermia, frostbite, frostnip, heat exposure, heat exhaustion, heat syncope, hyperthermia, hyponatremia, animal bites, bats, rabies, snakes, antivenom, wound care, tourniquet, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student