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    Science

    Wilderness Medicine Podcast

    Stay current with new and noteworthy cutting-edge topics in wilderness medicine and adventure through the Wilderness Medicine Podcast, the official podcast of the Wilderness Medical Society. You won’t want to miss our engaging approach to discussing current articles from the Wilderness & Environmental Medicine journal and highlighting adventures, programs, and other research related to this exciting field.

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    Latest Episodes:
    September 2019 - Wilderness & Environmental Medicine Live Sep 04, 2019
    Show notes

    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: wemlive@wms.org 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”?


    June 2019 - Wilderness & Environmental Medicine Live Jun 01, 2019
    Show notes

    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: wemlive@wms.org 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


    March 2019 - Wilderness & Environmental Medicine Live Mar 04, 2019
    Show notes

    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: wemlive@wms.org 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.


    December 2018 - Wilderness & Environmental Medicine Live Nov 29, 2018
    Show notes

    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: wemlive@wms.org 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


    September 2018 - Wilderness & Environmental Medicine Live Sep 17, 2018
    Show notes

    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: wemlive@wms.org 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


    June 2018 - Wilderness & Environmental Medicine Live May 31, 2018
    Show notes

    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: wemlive@wms.org 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.


    March 2018 - Wilderness & Environmental Medicine Live Feb 27, 2018
    Show notes

    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: wemlive@wms.org 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


    December 2017 - Wilderness & Environmental Medicine Live Dec 02, 2017
    Show notes

    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: wemlive@wms.org 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.


    September 2017 - Wilderness And Environmental Medicine Live Sep 05, 2017
    Show notes

    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: wemlive@wms.org 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


    June 2017 - Wilderness And Environmental Medicine Live Jun 09, 2017
    Show notes

    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: wemlive@wms.org 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


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