Wilderness Medicine Updates
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
20 episodes
Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm
In episode 17 of Wilderness Medicine Updates, host Patrick Fink delves into the ICAR resuscitation algorithm for buried avalanche victims. The episode reviews the physiology of avalanche burial and discusses critical determinants of survival, s...
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Episode 17
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42:23
Ep. 16 - Medications for Alpine Hut Trips
In this episode, I share an intense story of dealing with a suprise medical condition during a backcountry hut trip in Colorado. I walk through the diagnostic process, treatment options, and the importance of preparation for stays in remote pla...
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Episode 16
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17:10
Ep. 15 - Airway Patency in Avalanche Victims
This episode, I look at a study from the Eurac research group on rates of airway occlusion in critically buried avalanche victims. Eurac looked at this critical feature of avalanche resuscitation triage as...
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Episode 15
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10:35
Ep. 14 - Spinal Immobilization Guidelines Update
Today, we discuss updates in the WMS guidelines regarding the protection of patients with suspected spinal injuries.The Wilderness Medicine Society Clinical Practice Guidelines are all open-access, and you can find links to all of these...
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Episode 14
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13:35
Ep. 13 - The High Route: Arguments for Avalanche Airbags
This episode is a repost of an interview that was first posted on The High Route P...
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Episode 13
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48:51
Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology
This is part 1 of a multi-part series on the resuscitation of critically buried avalanche victims. In this episode we learn the physiology that we need to understand the resuscitation algorithm. To learn the necessary biology, we follow a rider...
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Episode 12
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18:36
Ep. 11 - After the Avalanche with Michael Buchanan
Episode 11 brings you my conversation with Michael Buchanan is a flight paramedic and senior firefighter / paramedic at the West Valley City Fire Department. He is the founder and operation of Mountain Medical Academy, a passion-driven ba...
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53:38
Ep. 10 - Tourniquets from Space Blankets
In this episode, I discuss the article "Arterial Occlusion Effectiveness of Space Blanket-Improvised Tourniquets for the Remote Setting". In this short blast I get into the meat of this article, and though the authors would tell you th...
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Episode 10
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6:56
Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki
In this episode Dr BZ is back to talk about his experience deploying with the Federal Emergency Management Agency (FEMA) Urban Search and Rescue Task Force (USAR). Dr BZ just returned from a deployment with FEMA USAR to Lahaina, HI, where he se...
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Episode 9
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33:18
Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment
In this two-part episode, I review an article from the Annals of Emergency Medicine "Occupational Accidents Among Search and Rescue Providers During Mountain Rescue Operations and Training Events"
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Episode 8
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15:59
Fast Push #2.2 - Safety Third
In this second Fast Push, you get a riff on a great article from JEMS entitled "Safety is Third, Not First, and We All Know It Should Be" by C...
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8:33
Ep. 7 - Wildfire Smoke and Your Health
In this episode I go deep on the health effects of wildfire smoke, answering some key questions that are relevant to recreational athletes, outdoors professionals, wildland firefighters, and industrial athletes alike:Why is wildfire smo...
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Episode 7
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26:09
Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki
In this inaugural interview episode I have the pleasure of grilling Dr. Brant-Zawadzki about operating an urban EMS system at a wilderness boundary.We talk about:- Improvising outside the protocol- Interfacing with SAR, rangers,...
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Episode 6
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49:21
Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue
In this episode we review the available evidence, and the pros and cons, of using mechanical CPR devices like the LUCAS or Autopulse for ski patrol and mountain rescue applications. Episode links:
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Episode 5
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17:55
Ep. 4 - HOPE Score for Severe Hypothermia
In this episode we discuss the HOPE score, a tool that improves our ability to select the severely hypothermic patients who can benefit from warming with extracorporeal life support (ECLS). We begin the with
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Episode 4
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22:27
Fast Push #1 - Beacon Interference
For today, a new format, the Fast Push: Quick updates that you need to know sooner rather than later.This fast push tackles the growing issue of avalanche beacon interference. To see the source post and useful graphics, check out this l...
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8:22
Ep. 3 - Methoxyflurane for Prehospital Analgesia
Methoxyflurane: inhaled gas of the past and prehospital analgesic of the future? Only if we’re talking about ‘the future’ in North America. Used in Australian EMS for almost half a century, this safe and effective medication is only now startin...
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Episode 3
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15:07
Ep. 2 - Pain Management for Scorpion Stings
Today we look at IV acetaminophen vs IV NSAID vs topical lidocaine vs placebo for treatment of pain due to scorpion stings, with some bonus learning on tramadol.Turgut K, Yavuz E, Gülaçtı U, Aydın İ, Sönmez C, Aktaş N, Arslan E. Compari...
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Episode 2
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10:43