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Wilderness Medicine Podcast

Wilderness Medical Society

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

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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 Aval…
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#35: Walking Cold Patients 1:03:27

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#35: Walking Cold PatientsWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.orgPart 1: Journal ClubTitle: The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety—A Mountain Rescue Case SeriesArticle link: https://…
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Ep. 14 - Spinal Immobilization Guidelines Update 13:35

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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 …
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SIPE - Swimming Induced Pulmonary Edema 12:59

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Hi everyone! After almost 2 years of pause, I am back! Let's talk about Swimming Induced Pulmonary Edema. A very specific disease you will see if you cover as a medic a triathlon or any other open water swimming event in the cold. We will review its cause, presentation and management. Hope this satisfies you, please send me comments and questions.…
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#34: Norovirus! 57:49

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#34: Norovirus!Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Acute Gastroenteritis Outbreak Among Colorado River Rafters and Backpackers in the Grand Canyon, 2022Article link: https://journals.sagepub.…
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Ep. 13 - The High Route: Arguments for Avalanche Airbags 48:51

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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 backc…
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#33: Marine Envenomation & Spinal Cord Protection 1:05:27

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#33: Marine Envenomation & Spinal Cord ProtectionWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Marine Envenomation in Okinawa: Overview and Treatment ConceptArticle link: https://journals.sagepub.com/d…
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Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology 18:36

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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 asph…
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#32: Finger Strength Training and Wilderness Medicine Interviews 1:16:11

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#32: Finger Strength Training and Wilderness Medicine InterviewsDec 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.orgPart 1: Journal Club: A Finger in the Game: Sport-Specific Finger Strength Training and Onset of InjuryLink to …
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Ep. 11 - After the Avalanche with Michael Buchanan 53:38

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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 mad…
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Ep. 10 - Tourniquets from Space Blankets 6:56

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

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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 -De…
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#31: Wilderness Rescue and Sustained Muscle Protein Synthesis 1:31:49

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#31: Wilderness Rescue and Sustained Muscle Protein SynthesisSept 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Article Discussion: Wilderness Rescue of a Hiker with Multiple Trapped Limbs by a Combined Wilderness an…
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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment 15:59

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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 fo…
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Fast Push #2.2 - Safety Third 8:33

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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…
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#30: Portable Ultrasound and a Deep Dive into Diving Med 1:14:41

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#30: Portable Ultrasound and a Deep Dive into Diving MedJun 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Comparison of Commonly Carried Liquids Against Commercial Ultrasound Gel for Use in the Bac…
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Ep. 7 - Wildfire Smoke and Your Health 26:09

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

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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…
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#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine 1:19:50

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#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine MedicineMar 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Hypothermia CaseDarryl shares a recent hypothermia case handled at a tertiary care hos…
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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue 17:55

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

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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…
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Fast Push #1 - Beacon Interference 8:22

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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/…
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Ep. 3 - Methoxyflurane for Prehospital Analgesia 15:07

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

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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 St…
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Ep.0 - An Introduction 3:31

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Welcome to Wilderness Medicine Updates! This podcast, new for 2023, delivers brief reviews of research in wilderness medicine, SAR, disaster/austere medicine, and wilderness EMS to help you stay current and provide the best care to patients in challenging environments. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patric…
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Ep. 1 - Fentanyl on the Ski Hill? 15:21

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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 …
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#28: Avalanche Safety and Toxinology 1:23:53

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#28: Avalanche Safety and ToxinologyDec 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Perceptions Among Backcountry Skiers During the COVID-19 Pandemic: Avalanche Safety and Backcountry Habits of N…
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#27: Fentanyl, Sharks, and Ultradoc Russ Reinbolt 1:14:39

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Sept 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Intranasal Fentanyl for On-the-Hill Analgesia by Ski PatrolAuthors: Tierra V. Lynch, BA; Peter W. Callas, PhD; Timothy D. Peterson, MD; Sarah M. S…
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#26: VTE and Telemedicine 49:41

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WMP #26: VTE and TelemedicineJune 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.orgPart 1: Journal ClubTitle: Travel-Associated Venous ThromboembolismAuthors: Isla McKerrow Johnson, Joseph Shatzel, Sven Olson, Tovah Kohl,…
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#25: Anaphylaxis and Everest 1:10:56

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Please note: At approximately 26:45, there is a portion of updated audio to reflect the more commonly accepted dosing of IV epinephrine: diluting 1 mg of epinephrine in 10 cc of NS and giving 0.5 to 1 mL at a time. The technique and concentration in the edited audio are now also consistent with the published clinical practice guidelines.#25: Anaphy…
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December 2021 - Wilderness & Environmental Medicine Live! 44:34

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December 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal ClubTitle: Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Management of Tick…
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September 2021 - Wilderness & Environmental Medicine Live 52:48

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September 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal ClubTitle: Comparison of Radiographic, Ultrasound, and Magnetic Resonance Imaging for the Detection of Reta…
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June 2021 - Wilderness & Environmental Medicine Live! 45:08

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June 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal ClubTitle: Finger Flexor Pulley Injuries in Rock ClimbersAuthors: Paulo H. Miro, Eric vanSonnenberg, Dylan M. Sa…
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March 2021 - Wilderness & Environmental Medicine Live! 1:54:59

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March 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 (1:49)Journal ClubTitle: Utilizing Drones to Restore and Maintain Radio Communication During Search and Rescue O…
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December 2020 - Wilderness & Environmental Medicine Live! 1:00:17

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December 2020 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1Darryl chats with WMS president Linda Keyes. Part 2Article ReviewTitle: Emerging Tickborne Viral Infections: W…
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September 2020 - Wilderness & Environmental Medicine Live! 58:51

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September 2020 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1Article ReviewTitle: Visitor Incidents in Western Australian Protected Areas, 2011–2017Author: Anna Maria Gst…
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June 2020 - Wilderness & Environmental Medicine Live! 48:28

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June 2020 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Article ReviewTitle: Total Energy Intake and Self-Selected Macronutrient Distribution During Wildland Fire SuppressionAu…
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March 2020 - Wilderness & Environmental Medicine Live! 1:22:55

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March 2020 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org >>>Special feature! Check out this special video with Covid-19 advice for medical providers in dealing with a restless …
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December 2019 - Wilderness & Environmental Medicine Live 1:05:25

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December 2019 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Climate Change and Human HealthDarryl summarizes a recent session from the ACEP meeting. Part 2: Improvised …
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September 2019 - Wilderness & Environmental Medicine Live 55:12

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September 2019 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article ReviewTitle: Cold Water Immersion Syndrome and Whitewater Recreation FatalitiesAuthors: David J. Fa…
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June 2019 - Wilderness & Environmental Medicine Live 32:11

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WEML#14 Show NotesWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article ReviewTitle: Chemical Heat Packs as an Intervention to Prolong Ultrasound Battery RuntimeAuthors: Steven Roy, MD; Ryck K. Schielke, MD; Da…
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March 2019 - Wilderness & Environmental Medicine Live 1:09:06

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WEML#13 Show NotesWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article ReviewTitle: Efficacy of Head and Torso Rewarming Using a Human Model for Severe HypothermiaAuthors: Kartik Kulkarni, Erik Hildahl, Ramesh…
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December 2018 - Wilderness & Environmental Medicine Live 38:02

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WEML#12 Show NotesWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article ReviewTitle: High Altitude Illness: Knowledge, Practice, and Attitudes of Porters in NepalAuthors: Pranawa Koirala, Seth E. Wolpin, Janet …
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September 2018 - Wilderness & Environmental Medicine Live 49:37

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WEML#11 Show NotesWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Everest Base Camp Rescue Chain InterviewHost Darryl Macias, MD interviews Andrew Nyberg, MD, co-author of the article Wilderness Mass Casualty Inc…
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