Wilderness Medicine Updates podcast

#Fitness #Medicine #Patrick Fink MD #Wilderness Medicine #Wilderness Ems #Search And Rescue #SAR #Disaster Medicine #Austere Medicine

39:04

For the first time, Skip Intro goes to The Paris Theater in Manhattan to sit down with Rebecca Ferguson who stars as Captain Olivia Walker in A HOUSE OF DYNAMITE . Directed by Oscar-winning Kathryn Bigelow, the film was screened this month at the historic 535-seat theater — NYC’s longest-running arthouse cinema. Ferguson shares what it was like to read the powerful script written by Noah Oppenheim and how working with Bigelow was unlike any other experience on set. The Mission Impossible actor also talks about jumping off the roof of the Vienna State Opera with Tom Cruise, Denis Villeneuve’s love of veils and jingle jangles in Dune , and teases Netflix’s upcoming Peaky Blinders movie with Cillian Murphy. Video episodes available on Still Watching Netflix YouTube Channel. Listen to more from Netflix Podcasts .…

Wilderness Medicine Updates

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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.

30 episoder

Wilderness Medicine Updates

updated for 24 dage siden

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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.

30 episoder

#Fitness #Medicine #Patrick Fink MD #Wilderness Medicine #Wilderness Ems #Search And Rescue #SAR #Disaster Medicine #Austere Medicine

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Fast Push #2: Safeback SBX for Avalanche Asphyxia Prevention 17:59

for 24 dage siden17:59

17:59

In this episode of Wilderness Medicine Updates, host Patrick Fink delves into groundbreaking technology designed to improve safety during avalanche events. The focus is on SafeBack SBX, a Norwegian-developed device that supplies air to users buried in avalanches, potentially extending survival time. Patrick reviews new research published in the Journal of the American Medical Association, which demonstrates significant efficacy in delaying hypoxia during simulated avalanche burials. The episode provides an in-depth analysis of SafeBack SBX, its mechanisms, study results, and its comparative and complementary role alongside existing safety technologies like airbags. Concluding with potential applications and limitations, Patrick aids listeners in deciding whether SafeBack SBX is a worthy addition to their avalanche safety gear. Links Eisendle F, Roveri G, Rauch S, et al. Respiratory Gas Shifts to Delay Asphyxiation in Critical Avalanche Burial: A Randomized Clinical Trial. JAMA. Published online October 08, 2025. doi:10.1001/jama.2025.16837 Articles I've written about Safeback: Suffocation or Survival: A Crucial Factor in Avalanche Burials Avalanche Safety: Assessing the Safeback SBX System First Look: Safeback SBX Avalanche Safety System Chapters 00:31 Overview of SafeBack SBX Technology 02:55 Importance of SafeBack in Avalanche Safety 05:40 Details of the SafeBack Study 07:53 Study Results and Analysis 11:07 Implications and Future Directions 15:50 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 26 - Physical Training for Mountain Rescue Professionals with Rob Shaul of Mountain Tactical Institute 47:54

for 5 weeks siden47:54

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On this episode of Wilderness Medicine Updates, host Patrick Fink shifts focus from the science and literature of wilderness medicine to practical fitness tips for search and rescue personnel, ski patrollers, and outdoor rescuers. Patrick interviews Rob Shaw, founder and head coach of the Mountain Tactical Institute, about his specialized training programs for various types of mountain athletes, including those in industrial and tactical roles. They discuss the nuances of preparing for seasonal work, the distinct fitness demands of ski patrollers versus search and rescue members, and the importance of chassis integrity and mental fitness. Rob highlights minimal equipment training plans that can be effective for mountain professionals and recreational athletes alike, and offers a special discount for the show's listeners. Additional topics covered include Rob's nutritional recommendations and the concept of the 'quiet professional,' someone deeply committed to the craft of their work. Offer Are you involved in mountain or wilderness rescue? Rob is offering the first 50 listeners who reach out to him a 20% discount on a training plan. Send your rescue or professional credentials to rob@mtntactical.com to secure your discount. Links Training Plans Patrick Likes: Mountain Base Fitness Greek Heroine Series Busy Dad Training Packet Backcountry Ski Preseason Training Plan Exercises Discussed: Leg Blasters Scotty Bobs Touch Jump Touch Rob's Resources: Ideal bodyweights for mountain athletes Nutritional guidelines Mountain/Wilderness SAR Fitness Assessment Training Plan Resilience vs. Discipline vs. Perseverance: Why the Distinctions Matter in Mental Fitness The 8 Core Attributes of Mental Fitness Chapters 00:00 Introduction to Wilderness Medicine 00:46 Guest Introduction: Rob Shaw from Mountain Tactical Institute 04:38 The Evolution of Mountain Tactical Institute 06:58 Training for Mountain and Tactical Athletes 11:43 Fitness Demands for Ski Patrol 19:13 In-Season Training and Professionalism 24:47 Fitness for Search and Rescue Volunteers 25:10 Integrating Training with Da As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 25 - Tree Well Burial Study / Wilderness Med Careers AMA with Zack Majd 1:01:23

for 8 weeks siden1:01:23

1:01:23

In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well burial, analyzing the findings and their implications for skiers and outdoor rescue personnel. We then transition to a special Q&A session with pre-med student Zack Majd, tackling questions about forming a career in wilderness medicine. Patrick discusses the necessary educational paths, the benefits and limitations of fellowships, and the essentials of wilderness medical training. Additionally, the episode highlights upcoming educational events and provides practical advice on wilderness medical gear, psychological support techniques, and the integration of wilderness medicine with other medical disciplines. A must-listen for anyone interested in advancing their career in the field of wilderness medicine. Links: Kanaan NC, Abdul Cader J, Krakker J, Beasley H, Grissom CK, McIntosh SE. Simulated Avalanche vs Tree-Well Burial Effects on Human Physiology. Wilderness & Environmental Medicine . 2025;36(3):361-367. doi: 10.1177/10806032251337476 Van Tilburg C, Paal P, Strapazzon G, et al. Wilderness Medical Society Clinical Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents: 2024 Update. Wilderness & Environmental Medicine . 2023;35(1_suppl):20S-44S. doi: 10.1016/j.wem.2023.05.014 Fink PB, Wheeler AR, Smith WR, et al. Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update. Wilderness & Environmental Medicine . 2024;35(2):198-218. doi: 10.1177/10806032241248422 EP. 21 - Snow Immersion Suffocation Chapters: 00:00 Introduction and Episode Overview 00:43 Upcoming Events in Wilderness Medicine Part 1 02:07 Tree Well Burials vs. Avalanche Burials 05:36 Study Findings and Analysis 08:23 Limitations and Implications of the Study Part 2 11:21 Q&A: Careers in Wilderness Medicine 12:48 Zach's Journey and Career Questions 20:35 Balancing Wilderness Medicine with Other Careers 26:05 Pathways to Wilderness Medicine 30:32 Debating the Value of Wilderness Medicine Fellowships 32:21 Personal Experience with Wilderness Medicine Fellowship 34:29 Research in Wilderness Medicine 37:05 Essential EMS Gear for Wildland Firefighters 39:19 Prioritizing Care in Wilderness Settings 47:31 Psychological First Aid in Wilderness Medicine 50:49 Preparing for Wilderness Medicine Challenges 53:55 Future of Wilderness Medicine 57:33 Signoff As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 24 - Airway Management in Austere Environments with Dr. Nicholas Weinberg 46:15

for 12 weeks siden46:15

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In this episode of Wilderness Medicine Updates, Dr. Patrick Fink discusses airway management in austere situations with Dr. Nicholas Weinberg. They explore two cases published in the Wilderness Medicine Journal, detailing the decision-making processes in managing critically injured patients. Dr. Weinberg shares his background in emergency and wilderness medicine, and highlights the importance of flexibility and the application of basic life support techniques in the wilderness. The episode emphasizes the significance of understanding the limitations and capabilities of the available tools in wilderness settings. Links WEM Article Photo: Ledge from the fallen climber Photo: Himalayan clinic resuscitation Connect with Dr Weinberg: Nicholas.E.Weinberg@hitchcock.org Timeline 00:00 Introduction and Overview 00:26 Meet Dr. Nicholas Weinberg 01:48 Dr. Weinberg's Background and Career 03:55 Case Introduction: The Climbing Accident 05:38 On-Scene Response and Initial Assessment 08:11 Airway Management and Rescue Coordination 11:05 Patient's Condition and Medical Interventions 18:34 Patient's Recovery and Conclusion 21:01 Reflecting on a Remarkable Case 21:30 Discussing the Second Case 22:59 Experiences in Wilderness Medicine 25:24 Challenges and Strategies in Remote Medical Care 30:31 Managing Airway in Austere Environments 37:42 Advice for Aspiring Wilderness Physicians 42:24 Concluding Thoughts and Listener Shoutouts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 23 - Inhaled Xenon Gas for Altitude Adaptation 19:34

for 21 weeks siden19:34

19:34

Exploring Xenon Gas for Altitude Acclimatization and Sport Performance In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the use of inhaled xenon gas for sports performance enhancement and altitude acclimatization. The discussion is prompted by a recent claim from a UK climbing team that xenon helped them achieve a rapid ascent of Mount Everest. Xenon, a noble gas traditionally used as an anesthetic, has been shown to trigger hypoxia response pathways and boost EPO levels in animal studies. However, human trials have yet to demonstrate significant performance benefits or lasting changes in blood composition. The episode also examines the safety concerns and potential risks associated with unsupervised xenon use. While xenon shows some promise, current evidence suggests it may be more of a placebo effect rather than a reliable tool for enhancing athletic performance or altitude adaptation. Join us on social! Instagram - Wildmedupdates Bluesky - wildmedupdates.bsky.social X - Wildmedupdates YouTube - WildernessMedicineUpdates Chapters 00:00 Introduction to Wilderness Medicine Updates 00:19 Xenon Gas in Sports and Altitude Acclimatization 02:26 The Science Behind Xenon Gas 06:13 Human Studies on Xenon Gas 12:19 Risks and Side Effects of Xenon Gas 15:50 Conclusion and Final Thoughts 18:04 Social Media Announcement Sources Dias, K.A. et al. (2019). Effect of acute and chronic xenon inhalation on erythropoietin, hematological parameters, and athletic performance. Journal of Applied Physiology, 127(6), 1503-1510 Lawley, J.S. et al. (2019). Safety, hemodynamic effects, and detection of acute xenon inhalation: rationale for banning xenon from sport. Journal of Applied Physiology, 127(6), 1511-1518 Ma, D. et al. (2009). Xenon preconditioning protects against renal ischemic-reperfusion injury via HIF-1α activation. Journal of the American Society of Nephrology, 20(4), 713-720 Pappas, S. (2023). “Did Inhaling Xenon Gas Really Help Mount Everest Climbers Reach the Summit in Record Time?” Scientific American Hackett, P. (2025). “Xenon Gas and High-Altitude Performance: What We Know As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue. 1:28:50

for 28 weeks siden1:28:50

1:28:50

In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly four decades of experience globally. Moose discusses his extensive career from being an Outward Bound instructor to working with Yosemite Search and Rescue, and his role as a Family Liaison Officer for the National Park Service. The conversation touches on the challenges faced by search and rescue teams, the importance of robust communication skills, and how to build resilience against trauma in high-stress professions. Moose also shares his personal experiences, reflecting on the value of mentorship, the significance of team dynamics, and the essential need for compassionate support during crises. The episode includes practical advice for those in the field of wilderness medicine and search and rescue, highlighting the necessity of emotional balance and continuous learning. Connect with Moose: Website Blue Sky Instagram Substack Book: Searching Book: When Accidents Happen Did you enjoy this episode? Contribute to YOSAR! Links from the show: The Stress Continuum Responder Alliance Quell Foundation Dr. Nicola Lester: trauma informed practice More Reading: Ranger Confidential Nature Noir The Cold Vanish The Last Season CHAPTERS 00:00 Introduction and Guest Welcome 00:19 Moose Motlow's Background and Career 01:58 Challenges in Search and Rescue 02:58 The Importance of National Parks 05:23 Moose's Nickname and Early Career 07:07 Transition to the US and Outdoor Adventures 10:54 Search and Rescue Experiences 15:20 Swift Water Rescue Operations 19:38 Training and Mentorship in SAR 30:18 Role of Family Liaison Officer 45:24 Managing Emotio As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 21 - Snow Immersion Suffocation 23:36

for 32 weeks siden23:36

23:36

In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID) . Unlike avalanches, snow immersion deaths happen silently—often within feet of a groomed run—when skiers and snowboarders fall into deep snow or tree wells and become trapped. We explore the research behind these incidents, where and how they occur, who is most at risk, and the tragic mechanics of asphyxiation in deep snow. Using studies from Van Tilburg, Baugher, and Cadman, we break down ra eal survival story, discuss prevention strategies, and how both bystanders and professional rescuers should respond. Whether you’re a backcountry adventurer, resort skier, or ski patroller, this episode will change the way you think about deep snow safety. Stay aware, ski with a partner, and stay out of tree wells. Must Watch: GoPro Awards: Tree Well Rescue Citations Baugher, P. (2006). Risk trends at U.S. and British Columbia ski areas: An evaluation of the risk of snow immersion versus avalanche burials. In Proceedings of the 2006 International Snow Science Workshop (pp. 584–591). International Snow Science Workshop. URL: https://arc.lib.montana.edu/snow-science/item/2076 Cadman, R. (1999). Eight nonavalanche snow-immersion deaths: A 6-year series from British Columbia ski areas. The Physician and Sportsmedicine, 27(13) , 31–43. URL: (No publicly available link found—may be available through institutional access) Van Tilburg, C. (2010). Non–avalanche-related snow immersion deaths: Tree well and deep snow immersion asphyxiation. Wilderness & Environmental Medicine, 21(3) , 257–261. URL: https://doi.org/10.1016/j.wem.2010.04.004 Van Tilburg, C. S., Grissom, C. K., Zafren, K., McIntosh, S. E., Radwin, M. I., Paal, P., et al. (2017). Wilderness Medical Society practice guidelines for the prevention and management of avalanche and non-avalanche snow burial accidents. Wilderness & Environmental Medicine, 28(1) , 23–42. URL: https://doi.org/10.1016/j.wem.2016.10.001 Chapters 00:00 Introduction: The Hidden Dangers of Snow Immersion 00:37 Understanding Snow Immersion Suffocation 02:58 Historical Context and Research 03:09 Where and How Snow Immersion Happens 04:54 Mechanics of Snow Immersion Traps 06:23 Risk Factors and Victim Profiles 09:27 Prevention and Safety Measures 11:48 Rescue Techniques and Immediate Response 13:34 Professional Rescuer Guidelines 16:12 Advanced Medical Care and Resuscitation 20:11 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 20 - Out of Hospital Airway Adjuncts: King Tube vs LMA 27:27

for 33 weeks siden27:27

27:27

King Tube vs IGEL for Airway Management In this episode of Wilderness Medicine Updates, Dr. Patrick Fink addresses a listener's question on whether to use a King Tube or an IGEL as an out-of-hospital airway adjunct. The episode begins with an overview of airway management techniques from mouth-to-mouth resuscitation to supraglottic airway devices. Dr. Fink explains the benefits and drawbacks of various airway adjuncts, including oral and nasal pharyngeal airways. The discussion then shifts to a detailed comparative analysis of King Tubes and IGELs based on retrospective and prospective studies. Dr. Fink evaluates the evidence indicating that IGEL may be more effective and easier to use than King Tubes, particularly in pre-hospital cardiac arrest situations. The episode concludes with recommendations for pre-hospital providers and an encouragement for listeners to share their questions and feedback. Links: iGel LMA King Tube Smida T, Menegazzi J, Scheidler J, et al. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation . 2023;188:109812. doi: 10.1016/j.resuscitation.2023.109812 Smida, Tanner & Menegazzi, James & Crowe, Remle & Scheidler, James & Salcido, David & Bardes, James. (2023). A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehospital emergency care. 28. 1-13. 10.1080/10903127.2023.2169422. Lønvik, M.P., Elden, O.E., Lunde, M.J. et al. A prospective observational study comparing two supraglottic airway devices in out-of-hospital cardiac arrest. BMC Emerg Med 21, 51 (2021). https://doi.org/10.1186/s12873-021-00444-0 Chapters 00:00 Introduction and Listener Question 00:55 Understanding Airway Adjuncts 02:12 Basic Airway Management Techniques 06:34 Advanced Airway Devices: King Tube and LMA 11:35 Comparative Studies on Airway Devices 17:35 Prospective Data and Final Thoughts 25:24 Conclusion and Listener Engagement As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 19 - Methoxyflurane, the Green Whistle, with Dr. Ross Hofmeyr 45:28

for 38 weeks siden45:28

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Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of methoxyfluorane, an anesthetic gas for pain management in wilderness settings. Joined by guest Dr. Ross Hofmeyr, an anesthesiologist and wilderness medicine expert from South Africa, the episode delves into the history, usage, benefits, and limitations of methoxyfluorane. Highlighting its efficacy, ease of use, and safety, especially for pre-hospital scenarios, Dr. Hofmeyr shares insights into its ideal applications, contraindications, and personal experiences. The episode underscores the significance of methoxyfluorane as a potent analgesic suitable for acute traumatic pain and procedural analgesia in austere environments. Links Wild Medix Ross Hofmyer on Instagram The Inhaler Device Methoxyflurane at Altitude - Case Report Methoxyflurane in the Outback - Survivor Clip WMS Pain Management Guidelines Chapters: 00:00 Welcome to Wilderness Medicine Updates 00:55 Meet Dr. Ross Hofmeyr 03:14 Dr. Hoffmeier's Background in Wilderness Medicine 04:45 Methoxyfluorine: An Overview 12:20 The Mechanics of Methoxyfluorine Inhaler 20:15 Practical Applications in Pre-Hospital Pain Control 20:53 Analgesic Intervention: Quick and Effective 21:09 Using Methoxyfluorane in Wilderness Settings 22:42 Training Non-Medical Personnel 23:49 Procedural Analgo-Sedation 24:30 Regulatory Considerations and Prescriptions 26:33 Combining Methoxyfluorane with Other Medications 28:10 Monitoring and Safety 29:09 Ambulating Patients with Methoxyfluorane 31:31 Environmental Considerations: Temperature and Altitude 40:10 Cost and Practical Downsides 41:45 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg 45:33

for 42 weeks siden45:33

45:33

Ketamine Use in Wilderness Pain Management: An Interview with Dr. Chris Van Tilburg In this episode of Wilderness Medicine Updates, host Patrick Fink discusses wilderness pain control with guest Dr. Chris Van Tilburg, focusing on the effective use of ketamine. The episode delves into how ketamine serves as a versatile medication for pain management, sedation, and intubation in emergency and wilderness environments. Dr. Van Tilburg, an expert in wilderness medicine with extensive field experience, shares insights on administering ketamine in challenging rescue scenarios, the limitations and benefits of various medications, and practical considerations for field use. The conversation touches on dose ranges, administration techniques, and patient management during rescues. Additionally, Dr. Van Tilburg talks about his soon-to-be-released book, 'Crisis on Mount Hood: Stories from 100 Years of Mountain Rescue,' celebrating the centennial of the Crag Rats, America's oldest mountain rescue team. Links WMS Guideline: Avalanche and Nonavalanche Snow Burial WMS Guideline: Pain Management in Austere Environments Chris’s Linktree Contact Chris through LinkedIn Preorder Chris’s book “Crisis on Mt Hood” Chris on Wikipedia Crag Rats Mountain Rescue Chapters: 00:00 Welcome and New Year Greetings 00:29 Introducing Today's Guest: Dr. Chris Van Tilburg 03:07 Podcast Shoutouts and Listener Appreciation 03:37 In Conversation with Dr. Chris Van Tilburg 05:58 Challenges of Wilderness Pain Management 09:37 Pain Management Strategies 14:23 Ketamine vs. Other Pain Medications 18:01 Ketamine Dosage and Administration 22:16 Nitty Gritty Tactics: Needle Sizes and Administration 23:02 Intramuscular Injection Sites and Techniques 24:22 Timing and Dosage of Ketamine Administration 25:16 Challenges in Mountain Rescue Situations 27:17 Case Study: Seizure Patient and Ketamine Use 29:18 Considerations for Head Injuries and Ketamine 33:03 Medications in Wilderness Medical Kits 34:02 The Art of Wilderness Medicine 37:54 Protecting Medications in the Field 38:55 Wrapping Up: Upcoming Book and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm 42:23

for 51 weeks siden42:23

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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, such as duration of burial, airway patency, signs of life, and lethal injuries. The Basic Life Support (BLS) and Advanced Life Support (ALS) algorithms are explained in detail, with a focus on the practical application for both amateur and professional rescuers. The episode also includes two detailed case studies that illustrate the application of the resuscitation algorithm, providing listeners with practical scenarios to better understand the protocols. Key insights on the importance of quick action, hypothermia, and ongoing CPR are highlighted, making this episode essential listening for anyone involved in avalanche rescue operations. Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology ICAR Rescue Algorithm ICAR Paper in Resuscitation Chapters: 00:00 Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2 01:26 Review 08:52 BLS Algorithm 14:30 ALS Algorithm 25:30 Interlude 25:30 Case 1: Partner Rescue 31:01 Case 2: Professional Rescue 39:54 Conclusion/Outro As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 16 - Medications for Alpine Hut Trips 17:10

for 52 weeks siden17:10

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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 places. Essential medications and tools needed for handling such emergencies in remote settings are discussed, along with advice on how to prepare for future expeditions. My articles on The-High-Route.com The Hut Medication Card Chapters: 00:00 Introduction and Personal Update 01:31 The Backcountry Hut Trip Begins 03:19 Will's Health Deteriorates 04:38 Diagnosing the Problem 07:04 The Emergency Descent 09:16 Lessons Learned and Preparedness 10:37 Essential Medications for Wilderness Trips 16:19 Final Thoughts and Conclusion As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 15 - Airway Patency in Avalanche Victims 10:35

for 1 year siden10:35

10:35

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 it both affects the way we treat buried avalanche victims, and it helps us to better understand whether technologies like the black diamond Avalung (retired) and the Safeback SBX can help us survive longer under the snow if buried. Full study text HERE The High Route article on the Safeback system HERE Episode 12: Avalanche victim physiology. Listen on web , Apple Podcasts , or Spotify . Episode 14: Spinal immobilization updates. Listen on web , Apple Podcasts , or Spotify . As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 14 - Spinal Immobilization Guidelines Update 13:35

for 1 year siden13:35

13:35

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 guidelines on the right sidebar of this page . The education in this episode is based on the: Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection: 2024 Update If you've never seen a vacuum mattress before, this video (2:10) gives a good introduction. If the brief mention of the Diploma in Mountain Medicine alpine skills course got you interested, you can learn more about the DiMM here . As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 13 - The High Route: Arguments for Avalanche Airbags 48:51

for 2 years siden48:51

48:51

This episode is a repost of an interview that was first posted on The High Route Podcast . Hosted by the editor of The-High-Route.com , Jason Albert, we discuss my background in wilderness medicine, and then move on to discuss the research that support my argument and assertion that the avalanche airbag backpack should be standard equipment for backcountry skiers, snowboarders, snowmobilers, and anyone who regularly works or recreates in avalanche terrain. Check out The-High-Route.com for awesome backcountry ski and ski-mountaineering content that is unbiased by financial relationships with gear companies and advertisers. Show Note Links: - ISSW Research Manuscript from my avalanche airbag study -My personal website, Mountain Lessons - The Backcountry Shit Kit , original post As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology 18:36

for 2 years siden18:36

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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 as they are carried in an avalanche, subjected to traumatic injury, and are then buried and begin to asphyxiate and cool. The background of this episode is useful to understand why: -Cardiac arrest from trauma is usually unsalvageable; -Arrest due to hypoxia can happen within minutes or be delayed more than an hour; -Why we care if someone is really, really cold; -Why potassium measurement is useful in the hospital treatment of severe hypothermia; -And why we can largely forget about that other gas, CO2. Look out for the next episode, where I''ll dive into the ICAR Avalanche Victim Resuscitation Algorithm. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 11 - After the Avalanche with Michael Buchanan 53:38

for 2 years siden53:38

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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 backcountry medical care education company. We discuss the medical care of avalanche victims which Michael has made accessible to recreational skiers and riders who don't have a medical background. Other topics that we discuss include: -Finger sweeps to clear the airway -How the presence of an air pocket changes your medical care -How long to perform CPR after an avalanche -What equipment may be useful to a lay rescuer -The importance of psychological care after a critical event And more. Below are links to things discussed in this podcast: Mountain Medical Academy - mountain medical education After the Avalanche - Open source resources for responding medically and psychologically after an avalanche Email Michael to Join a Class or Partner Up Israeli Battle Dressing (affiliate link) - elastic compressive dressing for bleeding control SWAT-T Elastic Tourniquet (affiliate link) - elastic tourniquet also useful in splinting CPR Mask / Oral / Nasal Airways (affiliate link) - tools for rescue breathing / CPR ICAR Avalanche Resuscitation Recommendations for advanced life support personnel Responder Alliance - individual and organizational resilience for rescuers in the face of traumatic stress. Not Alone complete film - Sarah Hueniken - a personal story of recovery from stress injury and trauma by a world class ice climber. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 10 - Tourniquets from Space Blankets 6:56

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6:56

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 that space blankets aren't ready for primetime, I have some thoughts on the matter. In the podcast, I mistakenly say that you need to be a WMS member to access this article, but you don't! It's available open access here: https://www.wemjournal.org/article/S1080-6032(23)00043-1/fulltext As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki 33:18

for 2 years siden33:18

33:18

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 served as a team physician supporting rescue and recovery efforts there. We touch on: -Training and gear -Deployments and schedule -Compensation -The care of canines -How you can get involved, and more! As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment 15:59

for 2 years siden15:59

15:59

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" https://doi.org/10.1016/j.annemergmed.2022.12.015 In the second half, we review the treatment of diarrhea in the returning traveler. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Fast Push #2.2 - Safety Third 8:33

for 2 years siden8:33

8:33

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 Christopher Davis MD et al. Apologies to all who got V1.0-- something weird happened in post that made me sound like a chipmunk. I might be a medical professional, but I'm no AV specialist. Summary: 1. Get the Job Done 2. Have Fun 3. Safety Third As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 7 - Wildfire Smoke and Your Health 26:09

for 2 years siden26:09

26:09

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 smoke harmful? Is there a safe level of exposure? Can we trust the EPA's guideline levels? (Spoiler: no) Does the benefit of exercise outweigh the damage of smoke exposure? If you have to be outside, how can you limit harms? And more. Get ready for a trip down nerd lane. Links from the show: Bad reporting from the NY Times EPA Air Quality Index Infopage Study: Effects of Air Pollution and Habitual Exercise Respro Ultralight Particulate Mask CDC Building Ventilation Info PurpleAir Indoor Air Quality Monitor AwAir Indoor Air Quality Monitor As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki 49:21

for 3 years siden49:21

49:21

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, and road workers - How response kit and expectations are changed beyond the pavement - What a fellowship in Wilderness Medicine can do for you career And more! Show Links: EMS Fellowship , U of U Wilderness Fellowship , U of U Unified Fire Authority Become world class by combining multiple domains of knowledge (lesswrong) Wilderness Medical Society (twitter) As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue 17:55

for 3 years siden17:55

17:55

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: CPR With a Lucas Device - An example video from EMS training Viglino et. al. - Outcomes of On-Hill Cardiac Arrests - More saves, probably because of younger patients, bystander CPR, shockable rhythms, and shorter time to defib. WMS Guidelines on the Care of Avalanche Victims - Recommends LUCAS use for prolonged transports and extrications. Putzer et. al. - LUCAS in Simulated Helicopter Rescue "Physical strain during a realistic alpine rescue mission scenario at high altitude led to a significant reduction in quality of resuscitation. Resuscitation guidelines developed at sea level are not directly applicable in the mountain terrain." Wang et. al. - CPR Quality at Altitude , Unacclimatized Rescuers Egger et. al. - CPR Quality at High Altitude , Acclimatized Rescuers Cascade Rescue 'Trauma One' Toboggan YouTube: Alyeska Resort Patrol High Performance CPR in Toboggan As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 4 - HOPE Score for Severe Hypothermia 22:27

for 3 years siden22:27

22:27

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 the case of Tayyab Jafar , a young man who was successfully resuscitated from severe hypothermia with both cardiopulmonary bypass and ECMO, but not without incident. We then discuss the derivation and validation studies for the HOPE score. You can calculate and use the HOPE score at HypothermiaScore.org . HOPE score derivation PDF HOPE score validation: not freely available As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Fast Push #1 - Beacon Interference 8:22

for 3 years siden8:22

8:22

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 link to the Utah Avalanche Center: https://utahavalanchecenter.org/blog/74828 TL:DR -Electronics, magnets, heated/foil line clothes near your beacon are bad. -They need to be at least 20cm away from your transmitting beacon, and 50 cm away when you're performing a search. -When using radios or cell phones to call for help, stay at least 50 cm away from anyone who is searching. -Professional digital VHF radios need to be at least 1 m away. -Don't search while on or within 3 m of a snowmobile. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

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Ep. 3 - Methoxyflurane for Prehospital Analgesia 15:07

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15:07

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 starting to get the attention that it deserves outside of the down-under. Today’s paper: Trimmel, H., Egger, A., Doppler, R. et al. Usability and effectiveness of inhaled methoxyflurane for prehospital analgesia - a prospective, observational study. BMC Emerg Med 22, 8 (2022). https://doi.org/10.1186/s12873-021-00565-6 Open access PDF: https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-021-00565-6.pdf Penthrox inhaler “selfie” image: https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-021-00565-6.pdf As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 2 - Pain Management for Scorpion Stings 10:43

for 3 years siden10:43

10:43

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. Comparison of Intravenous Paracetamol, Dexketoprofen Trometamol, or Topical Lidocaine Use for Pain Relief in Scorpion Stings: A Placebo-Controlled, Randomized Study. Wilderness Environ Med. 2022 Dec;33(4):379-385. doi: 10.1016/j.wem.2022.08.002. Epub 2022 Oct 11. PMID: 36229383. https://doi.org/10.1016/j.wem.2022.08.002 As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep. 1 - Fentanyl on the Ski Hill? 15:21

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15:21

Is intranasal fentanyl safe and effective for the treatment of acute severe pain on the ski hill? Lynch TV, Callas PW, Peterson TD, Schlein SM. Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol. Wilderness Environ Med. 2022 Sep;33(3):296-303. doi: 10.1016/j.wem.2022.05.003. Epub 2022 Jul 16. PMID: 35851192. DOI: 10.1016/j.wem.2022.05.003 As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com . You can pay us a compliment and share the show with a new listener on any popular platform here . Connect with us on social! Instagram Blue Sky X…

Wilderness Medicine Updates

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Ep.0 - An Introduction 3:31

for 3 years siden3:31