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Join Dr Daniel Grace in The Wilderness Medic podcast, featuring interviews with leading figures from the world of Expedition and Wilderness Medicine​​, discussions regarding common medical problems on expedition and much more! www.thewildernessmedic.com
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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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In today's episode I am joined by Donna Finnis, an expedition medic with a passion for adventure and medical care provision in remote and challenging environments. She has supported expeditions from the dizzy heights of Kilimanjaro, to the frozen northwest of Mongolia, which is what we are discussing today! When she’s not out on expedition, Donna c…
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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 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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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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Season 3 Episode 7: David Tamale-Sali Medic SOS and Shame in Medicine In this episode I am joined by David Tamale-Sali where we discuss shame within medicine and how this lead him to develop his Medic SOS project. In the spring of 2003, David found himself kicked out of Medical School at the start of resitting his third year. He spent the next two …
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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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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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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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In this latest episode I am joined by Dr Sophie Redlin who is a GP, expedition doctor and anthropologist. We explore the topic of moral injury and discuss the moral injury partnership that she has co-founded. Find out more: https://www.churchillfellowship.org/news-views/blogs/moral-injury-and-the-current-crisis-in-healthcare/…
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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 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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Incivility has been shown to reduce team functioning, clinical decision making and patient outcomes. In this latest episode I am joined by Dr Chris Turner, an emergency medicine consultant, and the founder of "Civility Saves Lives," to discuss the importance of civility and how this can help us be better clinicians, leaders and people, whether in t…
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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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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 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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Season 3: Episode 4 Jacob Val Myers: Youngest to the Pole Project In this latest episode, I chat with Jacob "Val" Myers, an outdoor professional from Appalachia who is attempting to be the youngest person in human history to ski solo and unsupported to the Geographic South Pole! We met out in the Canadian Yukon, whilst he was participating in the M…
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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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In today's episode I am joined by Dr Matt Lee, the head of sustainability for the Doctors Association UK. We chat about the climate crisis- investigating what exactly this means, why we should be worried but not "doomists" and what we can do to help make positive change. Listen to find out more... Sign the letter to Steve Barclay: ⁠https://www.zero…
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Season 3 Episode 2: Kevin Grange- Managing a Mass Casualty Incident in the Wilderness In today's episode Kevin Grange returns to the podcast to discuss the management of MCI's in the wilderness, using a case study he was involved with, in which multiple hot air balloons crashed in the national park where he works. We also discuss some of the latest…
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Join me as I chat to Luke Stevens, a Specialist Neuro and Critical Care Physiotherapist working in the Northeast of England, to find out how he has developed a career in global health. Find out about his work out in Gaza, his role with the Faculty of Remote, Rural and Humanitarian Healthcare and how you can follow in his footsteps! Some of the link…
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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 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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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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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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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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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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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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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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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 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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In this latest episode I am joined by Dr Matt Creed, a Consultant in Anaesthetics, Major Trauma and Pre-Hospital Emergency Medicine based in Cardiff. Matt has been active in pre-hospital care for over a decade, having worked with a number of different services in both England and Wales. In this episode we discuss how to get involved in pre-hospital…
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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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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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In Episode 8, I am joined by Dr Christy Hehir, an environmental psychologist, conservationist, polar alien hunter and lecturer within the School of Hospitality and Tourism Management at the University of Surrey. We discuss the delicate balance between tourism, our psychology and the environment, which could not be more relevant given the climate em…
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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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In this latest episode I am joined by Negussie Beyene from the charity APOPO, which trains rats and dogs to detect TB, landmines and more. We discuss some of the initiatives that APOPO have started and I learn what a Giant Pouched Rat's favourite treat is (Spoiler alert- it is not cheese!) Around 60 countries are still contaminated with hidden land…
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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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Join me as I chat to Dr Klara Weaver, who is the overwintering Doctor for Winter 2021 at Rothera Research base. She will spend a total of 18 months down south supporting field science and logistics for the British Antarctic Survey! We discuss what her role involves, how she prepared for it and her advice on how to get involved... Prior to her time …
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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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In Episode 5 I chat with Kevin Grange a paramedic and firefighter, who has worked in Yellowstone and Yosemite National Parks, and is now based in Wyoming. We discuss his role, experiences and journey as well as his awesome book "Wild Rescues" which you can purchase through the links below. Links from this Episode Find out more and order "Wild Rescu…
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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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Join me as I chat with Dr Marcus Stevens, a GP trainee in Bath, about some of his most exciting trips so far in his career. Marcus has spent time providing medical care to communities in the Simien Mountains, worked as a doctor in the gold mines of Mali with Critical Care International, and incredibly ended up as the medic at the world's highest di…
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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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Season 2 Episode 3: Mountain Rescue with Jamie Pattison In today's episode I talk to Jamie Pattison, the deputy leader and medical officer of Northumberland Mountain Rescue Team, about his experiences and what drew him to start volunteering with mountain rescue over 10 years ago. We also discuss his work as a paramedic, the challenges that COVID ha…
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In this latest episode I am joined by Dr Shawna Pandya, physician, astronaut-candidate and aquanaut, to talk about space medicine, the recent mars landing, the future of commercial space flight and much more... Find out more about what Dr Pandya gets up to by following her on social media: @shawnapandya (Instagram and Twitter) or visit shawnapandya…
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Episode 1: Dive Medicine with Dr Megan Evans Welcome to Season 2: in this first episode I am joined by Dr Megan Evans to discuss her work with the DDRC as a dive medic. We discuss common diving-related medical conditions, what you need to know as an expedition medic working on a diving trip, and the role of hyperbaric oxygen therapy to treat diseas…
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