Click here to view the Avalanche POV video clip.

I viewed the link below this PM and am still shaking my head. The introduction to this clip notes:

“This is simply a very sobering and unbelievable video. However, you should take away from this video all the positive things that you can learn from it. Yes there are risks to the backcountry – but with proper gear, training, and guide(s) with avalanche and EMT training – you can greatly lower your chances of getting caught in an avalanche in the first place … and coming back alive if you ever were to get caught in a slide.”

I always thought that we were supposed to AVOID getting swept up in avalanches by steering clear of high risk areas.

David Johnson



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banner1Wilderness Medical Associates to be a Exhibitor at the 2009 Wilderness Risk Management Conference

In addition to four Wilderness Medical Associates’ instructors presenting at the conference, the company will staff a booth in the vendor hall.

Please stop by to say hello and find out what’s new at WMA.  Anne Rugg, the WMA General Manager,  is looking forward to talking with current or potentially new sponsors and WMA grads!

WMA Instructors Teaching at the Wilderness Risk Management Conference




Medical Topics – New, Controversial and Old

More about the 2009 Wilderness Risk Management Conference

wheres the man - arien herrmann Instructor for Wilderness Medical Associates and Expat Paramedic Advisor for International SOS, Arien Herrmann, submitted this great photo. This week the man is in the jungles of Irian Jaya!

Don’t forget! At the end of the year, we will select the 3 best submissions. The winners will receive $100 cash prizes.  Send in a picture of yourself wearing your WMA course t-shirt to in order to be eligible for the prizes.

2009 Wilderness Risk Management Conference

, WMA lead instructor and Safety Director for , will be conducting a presentation on navigating risk in international locales.  Bill will review the hazard landscape, research that is available, and best practices.

Specific topics will include:

– Info acquisition
– Transportation
– Medical Care
– Communications

Resources and Updates About the Wilderness Risk Management Conference:

Toxicologist Frank Walter published in the Clinical Toxicology Journal. The report reviews snakebite incident data collected over several years by the American Academy  of Poison Control Center.

Materials You Need:

  • Download a blank SOAP Notes page .
  • Download the list of abbreviations

Wilderness and Rescue Medicine Case Study

The story:

A 40 year old female tripped while descending a companionway amidships of a sailboat. Witnesses reported that she landed on her back on a salon table at the base of the stair, rolled onto the floor, and was found gasping for breath. As her companions started their assessment at 1100, the pts. respiratory distress quickly improved and the pt. stated that she had the wind knocked out of her in the fall. The patient complained of lower back pain but had no other complaints. She stated that she remembered tripping and falling and did not think she hit her head or neck. She had tenderness in the left flank but no bruising was noted. The abdomen was found to be soft and non-tender. The spine exam was unremarkable and she had normal CSM in all four extremities. She had no allergies, took no regular medications, and had breakfast that morning about 3 hrs. prior to the fall. Her Pulse: 98, Respirations: 22 and easy, B/P: 122/78, Skin: pale, and she was alert and anxious.

Put the appropriate information from the story above into the correct spaces provided in the SOAP note.

After you’ve completed the Subjective and Objective sections, develop an Assessment for 1100hrs. with Anticipated Problems and an appropriate Treatment Plan listed in the columns to the right.

At 1130, the pt. reported that her pain had diminished somewhat although a repeat exam revealed persistent left flank tenderness with some developing bruising. Her abdomen remained soft and non-tender. Vitals were repeated: Pulse 72, Skin: warm and normal in color, Respirations 14, B/P: 116/76, and her AVPU: AOx4.

Again, transfer any appropriate information to the SOAP note and update the Assessment as needed. Be sure to note the time when you update any information.

Questions:

1.      Do you feel more or less comfortable with your patient at 1130?

2.      If the patient did suffer significant internal bleeding from her kidney injury, what early signs might you notice during your assessment?

3.      If evacuation to shore was delayed for days, what options might you have for dealing with you patients’ potential spine injuy?

Using Case Studies as a Risk Management Teaching Methodology

Wilderness Medical Associates lead instructor will be presenting a free workshop to Wilderness Risk Management Conference attendees. The workshop will inform audience members on how case studies can be utilized to improve risk management and safety.  Those attending will review a case study and then apply key concepts in risk management planning. The workshop will be held on October 14, 2009.

, written by Deb Ajango.

More About the 2009 Wilderness Risk Management Conference

Dustin was spotted sporting at Robber Baron Cave in Texas.

Don’t forget! At the end of the year, we will select the 3 best submissions. The winners will receive $100 cash prizes.  Send in a picture of yourself wearing your WMA course t-shirt to [email protected] in order to be eligible for the prizes.

Wilderness Medical Associates’ instructor, , will be presenting a pre-conference workshop, PCIA Outdoor Climbing Instructors Course Provider Training, at the Wilderness Risk Management Conference 2-3 hours away from Durham, NC.

About the Workshop

The workshop is intended for experienced climbers and educators that wish to become providers of the PCIA Outdoor Climbing Instructor Courses.

Training will be held 2-3 hours away from Durham, NC and you will receive more information regarding logistics upon registering. Check out the Wilderness Risk Management Conference website for more information.

More About the Wilderness Risk Management Conference

Denise submitted this photo of herself taken while celebrating the 4th of July, with her backpacking friends at Hour Glass Lake in the White Cloud Mountains of Idaho.

Don’t forget! At the end of the year, we will select the 3 best submissions. The winners will receive $100 cash prize.  Send in a picture of yourself wearing your WMA course t-shirt to [email protected] in order to be eligible for the prizes.