Wilderness Medicine Podcast

December 2019 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Climate Change and Human Health Darryl summarizes a recent session from the ACEP meeting. Part 2: Improvised Medicine Lab Darryl and his current wilderness medicine fellow, Risa Garcia, discuss takeaways from a recent improvised medicine lab, including improvised BVMs from a bike pump and IV coconuts. BONUS! Suturing video available here: https://youtu.be/3U9TmnBfj1I Part 3: Frostbite Guidelines: Author Interview Darryl sits down with Scott McIntosh to discuss the 2019 update of the WMS clinical practice guidelines for the prevention and treatment of frostbite. DOI: https://doi.org/10.1016/j.wem.2019.05.002 Part 4: Article Review Title: Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Austere Situations Authors: Howard D. Backer, Robert W. Derlet, Vincent R. Hill DOI: https://doi.org/10.1016/j.wem.2019.06.006 CME Available: https://www.wms.org/members Presenter: Darryl Macias Reviewer: Darryl Macias

September 2019 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: Cold Water Immersion Syndrome and Whitewater Recreation Fatalities Authors: David J. Farstad, Julie A. Dunn DOI: https://doi.org/10.1016/j.wem.2019.03.005 CME Available: https://www.wms.org/members Presenter: David J. Farstad Reviewer: Darryl Macias Part 2: Drones in SAR Darryl chats with Jake McRae about his case study, published in the September 2019 issue of WEM, Using an Unmanned Aircraft System (Drone) to Conduct a Complex High Altitude Search and Rescue Operation: a Case Study; article DOI: https://doi.org/10.1016/j.wem.2019.03.004. Part 3: What Exactly is “Wildernational Medicine”?

WEML#14 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: Chemical Heat Packs as an Intervention to Prolong Ultrasound Battery Runtime Authors: Steven Roy, MD; Ryck K. Schielke, MD; Daniel Haffey, MD; Heather Coombs, MD DOI: https://doi.org/10.1016/j.wem.2019.02.005 CME Available: wms.org/members Presenter: Darryl Macias, MD Part 2: Darryl discusses the research possibilities of the terraXcube with Rachel Turner, Damian Bailey, and Sundeep Dhillon. https://terraxcube.eurac.edu Part 3: Darryl explores the idea of diversity in wilderness medicine. Items mentioned in this portion: Diversity in Wilderness Medicine by Roople K Unia, MD: https://www.wms.org/magazine/1233/Diversity_in_Wilderness_Medicine Films: An American Ascent, Stumped Book: The Adventure Gap by James Mills

WEML#13 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: Efficacy of Head and Torso Rewarming Using a Human Model for Severe Hypothermia Authors: Kartik Kulkarni, Erik Hildahl, Ramesh Dutta, Sandra C. Webber, Steven Passmore, Gerren K McDonald, Gordon G. Giesbrecht DOI: https://doi.org/10.1016/j.wem.2018.11.005 CME Available: wms.org/members Presenter: Darryl Macias, MD Part 2: Exploring wilderness EMS education—what wilderness first aid, wilderness first responder, and wilderness EMT trainings are really about. We then discuss a new “wilderness alpine first responder (WAFR),” just taught in the Everest region. Part 3: We catch up with mountaineer Conrad Anker to discuss his upcoming projects.

WEML#12 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: High Altitude Illness: Knowledge, Practice, and Attitudes of Porters in Nepal Authors: Pranawa Koirala, Seth E. Wolpin, Janet T. Peterson DOI: https://doi.org/10.1016/j.wem.2018.06.002 Presenter: Jacob Jensen CME Available: wms.org/members Part 2: Avalanche and Cold Weather Resuscitation Host Darryl Macias prepares us for the upcoming winter season with a discussion of a recent study published in Resuscitation: Hypothermia Outcome Prediction After Extracorporeal Life Support for Hypothermic Cardiac Arrest Patients: The HOPE Score. Article DOI: https://doi.org/10.1016/j.resuscitation.2018.07.349 HOPE survival probability score tool: https://www.urg-admin.ch/hope/ Other articles mentioned in this part: Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents. DOI: https://doi.org/10.1016/j.wem.2016.10.004 “Cold Card” to Guide Responders in the Assessment and Care of Cold-Exposed Patients. DOI: https://doi.org/10.1016/j.wem.2018.07.001

WEML#11 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Everest Base Camp Rescue Chain Interview Host Darryl Macias, MD interviews Andrew Nyberg, MD, co-author of the article Wilderness Mass Casualty Incident (MCI): Rescue Chain After Avalanche at Everest Base Camp (EBC) In 2015. DOI: https://doi.org/10.1016/j.wem.2018.03.007 Part 2: Article Review Title: Methoxyflurane for Procedural Analgesia at 4,470 m Altitude Authors: Matt Wilkes, Eleanor C. Heath, Nicholas P. Mason Presenter: Jacob Jensen, MD DOI: https://doi.org/10.1016/j.wem.2018.02.011 CME Available: wms.org/members

WEML#10 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: International Commission for Mountain Emergency Medicine Consensus Guidelines for On-Site Management and Transport of Patients in Canyoning Incidents Authors: Giacomo Strapazzon, MD, PhD; Oliver Reisten, MD, PhD; Fabien Argenone, MD; Ken Zafren, MD; Greg Zen-Ruffinen, MD; Gordon L. Larsen, MD; Inigo Soteras, MD, PhD Presenter: Jacob Jensen, MD DOI: https://doi.org/10.1016/j.wem.2017.12.002 CME Available (06/01/18): wms.org/members Part 2: Helicopter Rescue Host Darryl Macias, MD interviews Oliver Kreuzer, flight paramedic and hoist operator for Air Zermatt, on the differences in helicopter rescue in the Alps, the US, and Nepal.

WEML#9 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Article Review Title: An Update on Fatalities Due to Venomous and Nonvenomous Animals in the United States (2008–2015) Authors: Jared A. Forrester, Thomas G. Weiser, Joseph D. Forrester Presenter: Joseph Derek Forrester, MD Current study: DOI: https://doi.org/10.1016/j.wem.2017.10.004 Prior study: (Fatalities From Venomous and Nonvenomous Animals in the United States (1999–2007); published in 2012) DOI: https://doi.org/10.1016/j.wem.2012.02.012 CME Available: wms.org/members Part 2: Brown Recluse Spider Bites Discussion from host Darryl Macias, MD about the article NOT RECLUSE-A Mnemonic Device to Avoid False Diagnoses of Brown Recluse Spider Bites from JAMA Dermatology May 2017. DOI: https://doi.org/10.1001/jamadermatol.2016.5665 Part 3: Khumbu Climbing Center Feature Host Darryl Macias, MD presents a feature on the Khumbu Climbing Center (KCC) which includes a discussion on coaching/mentoring of climbing instructors; a recap of UNM Emergency Department International Mountain Medicine Center faculty members’ visit to the KCC, and an interview with KCC co-director Peter Athans. Part 4: Working as an Expedition Doctor Article review of Practical Tips for Working as an Expedition Doctor on High Altitude Expeditions from the September 2017 issue of High Altitude Medicine & Biology. DOI: https://doi.org/10.1089/ham.2016.0158

WEML#8 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: Drug Doping Host Darryl Macias discusses the UIAA MedCom Consensus Guide on drug use and misuse in the mountains. Article DOI: https://doi.org/10.1089/ham.2016.0080 Part 2: Article Review Title: Exercise-Associated Hyponatremia, Hypernatremia, and Hydration Status in Multistage Ultramarathons Authors: Brian J. Krabak, Grant S. Lipman, Brandee L. Waite, Sean D. Rundell Presenters: Aaron Reilly, Trevor Mayschak Article DOI: http://dx.doi.org/10.1016/j.wem.2017.05.008 CME Available: wms.org/members Part 3: Helicopter SAR Training Host Darryl Macias provides a taste of what is involved with helicopter search and rescue training. Postproduction audio editing of the WEM Live! podcast is provided by Tom Conklin Voiceover. www.tomconklinvoice.com.

WEML#7 Show Notes Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: [email protected] Part 1: The Life Aquatic: A Discussion on Scuba Diving Injuries Host Darryl Macias, MD discusses scuba diving injuries with Wilderness & Environmental Medicine’s editor-in-chief, Neal Pollock, PhD. The interview took place during the 2017 WMS Meeting in Breckenridge, CO. Part 2: Primer on Sunscreens Host Darryl Macias, MD discusses sunscreens with Joe Alcock, MD. Part 3: Journal Club Article Discussion CME Available: wms.org/members Article: Cervical Spine Alignment in Helmeted Skiers and Snowboarders with Suspected Head and Neck Injuries: Comparison of Lateral C-spine Radiographs Before and After Helmet Removal and Implications for Ski Patrol Transport Authors: Jared Murray, BA; David A. Rust, MD DOI: http://dx.doi.org/10.1016/j.wem.2017.03.009 Presenter: David A. Rust, MD Reviewer: Jacob Jensen, MD

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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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): [email protected] WEM Live email: [email protected] 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