Wilderness Medicine

Outdoor Medicine and the Environment Redux

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Earlier this year, I published a series of three posts based upon a commentary I wrote, entitled "Physicians and the Environment," that was published in...

Published 12-14-2008 11:23 PM by Outdoor Ed

Filed under: wilderness medicine, environment, climate change, global warming

Update on AMS and HACE

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog This is the seventh post based upon educational sessions and syllabus material presented at the Wilderness Medical Society Annual Meeting & 25th Anniversary held...

Published 12-01-2008 12:32 AM by Outdoor Ed

Filed under: Auerbach, high altitude cerebral edema, HACE, AMS, high altitude medicine, acute mountain sickness

Sildenafil, altitude and exercise

If you teach wilderness medicine you get used to questions about sildenafil (Viagra) and altitude illness. While there are many drugs considered as prevention or treatment of altitude illness, sildenafil seems to tweak more interest – imagine that...

Published 11-23-2008 10:09 AM by Tod Schimelpfenig

Oral Ondansetron to Assist Oral Rehydration Therapy

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Oral rehydration can be a lifesaving therapy for persons, particularly children, suffering from dehydration. The most common cause of dehydration in children is infectious...

Published 11-17-2008 11:14 PM by Outdoor Ed

Filed under: wilderness medicine, Auerbach, dehydration, oral rehydration therapy

To Thaw or not to Thaw

I was recently asked what to do if you can't make it back to the trailhead in one day with frozen toes and have to spend the night in the field? How do you keep the toes from thawing while keeping the rest of your body warm? This is a practical and...

Published 10-15-2008 1:56 PM by Tod Schimelpfenig

Poison Oak Allergic Contact Dermatitis

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Case Reviews in Clinical Dermatology, Volume 1 Issue 3, had an interesting discussion about certain aspects of poison oak/ivy dermatitis. The following are some of...

Published 10-13-2008 11:58 PM by Rick Curtis

Filed under: wilderness medicine, poison oak, Paul Auerbach, contact dermatitis

Wilderness Risk Management Conference - 15 years later

Fifteen years ago I opened the first WRMC in a large tent at the NOLS base in Conway Washington. Today, amid the beautiful fall colors in Grand Teton National Park, I was looking at my notes from that presentation Opening remarks WRMC 1994. Current Issues...

Published 09-29-2008 8:07 PM by Tod Schimelpfenig

Rabies Vaccine Shortage

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog The American College of Emergency Physicians has just alerted emergency physicians that because of a shortage of rabies vaccine, they need to obtain a confirmation...

Published 09-24-2008 11:08 PM by Outdoor Ed

Filed under: wilderness medicine, Auerbach, rabies

Lightning Precautions

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Spring, summer (peak season), and autumn are the seasons during which we witness most thunderstorms, and during which people and animals are struck by lightning. The...

Published 09-08-2008 11:41 PM by Outdoor Ed

Filed under: lightning

Handwashing, Giardia and old Tales

Once there was a time, days of freedom and ignorance vaguely remembered as the 70’s, when we didn’t worry about wilderness water quality. We drank when and where we pleased. Yes, there was a tale of backpackers in Utah who became ill with...

Published 08-27-2008 10:18 AM by Tod Schimelpfenig

Summer Health Tips

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog I was recently invited by Revolution Health to offer their readers a few summer safety tips to beat the "silent summer spoilers." The following is a modified...

Published 08-03-2008 2:03 PM by Outdoor Ed

Filed under: wilderness medicine, Auerbach, insect repellent, sunburn, poison oak

Epinephrine Roundtable

Last evening I sat on a roundtable discussion on the the use of epinephrine in the backcountry at the 25th Anniversary and Annual Meeting of the Wilderness Medical Society. Dave Johnson MD from Wilderness Medical Associates was the initiative on this...

Published 07-28-2008 2:19 PM by Tod Schimelpfenig

National Estimates of Outdoor Recreational Injuries

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog In Volume 19, Number 2 (2008) of the journal Wilderness & Environmental Medicine appears an original research article entitled "National Estimates of Outdoor...

Published 07-26-2008 12:44 PM by Outdoor Ed

Filed under: outdoor injuries

Splinting

A recent edition of an urban EMT magazine has an article on splinting that opens with a tale of a patient being transported with an un-splinted ankle fracture, and a reference to a study where only 25% of patients with extremity fractures had their injuries...

Published 07-12-2008 1:35 PM by Tod Schimelpfenig

Tomatoes and Salmonella

by Paul Auerbach, M.D. reposted with permission from the Medicine for the Outdoors Blog Let's just say that people who like to be outdoors are often the same people who like to eat tomatoes. Tomatoes are a staple food at cookouts, on backpacking trips...

Published 07-07-2008 11:15 PM by Outdoor Ed

Filed under: wilderness medicine, Salmonella, disinfection, tomato

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