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    Health

    RAW Medicine

    Physician Seth Collings Hawkins and Paramedic David Fifer take a deep dive into the world of RAW medicine- Remote, Austere, and Wilderness care. From trails to rivers and caves to collapsed buildings, Seth and David break down the practical and philosophical issues of providing good medicine in challenging places.

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    Latest Episodes:
    Episode 17: Wilderness Medical Direction Apr 29, 2024
    Show notes

    Episode 16: Austere Pain Management with Mike Lauria, MD Jun 08, 2023
    Show notes

    Episode 15: US Forest Service EMS May 09, 2022
    Show notes

    We're joined by Dr. Michelle Curry, the new EMS medical director of the U.S. Forest Service (USFS). As of this episode, the USFS EMS program is just now coming into its own, with a uniform set of policies, Local Emergency Medical Advisor (LEMA) physicians appointed for each USDA Region, patient care protocols, and a national credentialing system. However, there are some big differences between the USFS EMS program and that of the National Park Service, to which it is often compared.


    Episode 14: A Conversation with Tod Schimelpfenig & David Johnson May 03, 2021
    Show notes

    On Episode 13, we explored the role of WFR's and challenged some aspects of the way they're educated and regulated (or not). In this episode, Tod Schimelpfenig (recently retired Director of Curriculum at NOLS WMI) and David "DJ" Johnson (Medical Director of WMA International) join us to share their thoughts on some of those points. The conversation is frank but friendly, and outstanding!


    Episode 13: WTF is a WFR? Dec 07, 2020
    Show notes

    WFR (Wilderness First Responder) is arguably the nucleus of wilderness medicine education. But what does it really represent- first aid, Basic Life Support, or some kind of hybrid? Where did this curriculum originate, and is it still appropriate in today's highly regulated world of patient care? Veteran WFR instructor Corey Winstead joins us to help put WFR in context and consider some provocative questions about the future of wilderness medical education.


    Episode 12: WMS & NREMT- An Unexpected Spinal Fusion Oct 27, 2020
    Show notes

    Episode 11: On Excellence May 08, 2020
    Show notes

    We talk with Justin "Padj" Padgett, co-founder of Landmark Learning- about the nature of excellence and its nexus with wilderness medicine practice and teaching. Padj has spent his professional life thinking about and researching excellence, and is renowned throughout the outdoor industry for imbuing it into the Landmark method.


    Episode 10: COVID-19 In The Wilderness Apr 22, 2020
    Show notes

    SARS-CoV-2 is a novel virus at the time of this episode, but there are already some lessons that can be applied to SAR responses involving known or suspected COVID-19 patients. We discuss respiratory protection for responders, airway management and resuscitation strategies, modifications to response protocols, and personal protection/decontamination considerations.


    Episode 9: There Will Be Blood May 18, 2019
    Show notes

    Trauma care experts Sgt. Max Dodge, TP-C and Maj. Andrew Fisher, PA-C, join us to talk about backcountry bleeding: how to control it, what to do next, and why many of the common teaching points surrounding bleeding control have been taken out of context and misapplied. Max and Andrew also talk about their work with the National Stop The Bleed campaign, and the importance of educating lay people to be initial responders.


    Episode 8: Online And Outside of the Box Jan 27, 2019
    Show notes

    The conventional assumption is that wilderness medicine training requires extensive hands-on practice, but what's a student to do when they want to learn the craft but can't attend a course in person? Can wilderness medical training be done online, and if so, is it valid? What's the balance that should be struck between skills training and didacticism in a body of knowledge that emphasizes resource constraints? We talk with Teal Harbin, a seasoned austere medical provider and founder of Base Medical, the company she founded to bring wilderness medical education to people who can't attend traditional in-person courses.


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