Posts Categorized: Ask the Expert

Wilderness Medical Associates Experts answer your questions about wilderness medicine. Learn everything from when to use a tourniquet, what to do in the event of an avalanche, advice on giving CPR, and even how to locate a medical director.

Have a question for one of our experts that is not answered here? Fill out our Ask the Expert form, and one of our Wilderness Medical Associates experts will be in touch. Your question may even be featured in the Ask the Expert section of our site.

Heat Stroke Treatment: What is the best way to cool off a heat stroke victim?

What is the best way to cool off a heat stroke victim? The simple answer? Using the resources at hand, aggressively lower the person’s body temperature to 39°C (102.2°F) as quickly as possible.  Anything longer than 30 minutes has the potential to have more profound and long lasting pathophysiologic effects. The debate about treatment revolves… Read more »

Epinephrine, Not Antihistamines, Remain the Treatment for Anaphylaxis

Q:  I have noticed that some outdoor organizations are moving away from carrying injectable epinephrine into the field.  Would an antihistamine (e.g., Benadryl) work just as effectively to treat allergic reactions?  What do you think about the Benadryl strips? Even though some people are reluctant to carry epinephrine (delivered via autoinjectors like Epipens or a… Read more »

Q: Does Wilderness First Responder (WFR) training provide authorization to administer medications in the field?

Q: Does Wilderness First Responder (WFR) training provide authorization to administer medications in the field? I have my WFR training for my camp job.  My boss told me that because of state law I cannot administer any medications to our clients, not even over-the-counter items like antibacterial cream or ibuprofen. There is no one set of laws that uniformly governs this kind… Read more »

Q: Is There a Standard in Wilderness Medicine Training?

Is there a standard in wilderness medicine training? Authors of an editorial and article that appeared in the Wilderness and Environmental Medicine Journal earlier this year (Vol 20, 106 and 113-117) argued that there is no standard in wilderness medicine training for outdoor educators. In addition, they suggested that organizations offering this training have curricula… Read more »