Wilderness & Environmental Medicine - Live!

March 2020 - 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 >>>Special feature! Check out this special video with Covid-19 advice for medical providers in dealing with a restless public under stay-at-home orders, plus a drone video: https://www.youtube.com/watch?v=CRyWfO5sxxo&feature=youtu.be Part 1: Article Review Title: Pain Is Inevitable But Suffering Is Optional: Relationship of Pain Coping Strategies to Performance in Multistage Ultramarathon Runners Authors: Kevin N. Alschuler, Brian J. Krabak, Anna L. Kratz, Mark P. Jensen, Dave Pomeranz, Patrick Burns, Joshua Bautz, Claire Nordeen, Crystal Irwin, Grant S. Lipman DOI: https://doi.org/10.1016/j.wem.2019.10.007 CME Available: https://www.wms.org/members Presenter: Kevin N. Alschuler Reviewer: Darryl Macias Part 2: Summary of WMS Hypothermia Clinical Practice Guidelines 2019 Update

December 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: Climate Change and Human Health Darryl summarizes a recent session from the ACEP meeting. Part 2: Improvised Medicine Lab Darryl and his current wilderness medicine fellow, Risa Garcia, discuss takeaways from a recent improvised medicine lab, including improvised BVMs from a bike pump and IV coconuts. BONUS! Suturing video available here: https://youtu.be/3U9TmnBfj1I Part 3: Frostbite Guidelines: Author Interview Darryl sits down with Scott McIntosh to discuss the 2019 update of the WMS clinical practice guidelines for the prevention and treatment of frostbite. DOI: https://doi.org/10.1016/j.wem.2019.05.002 Part 4: Article Review Title: Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Auste

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”?

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

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.

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 Av

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

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.

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

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.

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

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 Environmen

WEML#5 Show Notes CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Article discussion: Article 1: Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Non-Avalanche Snow Burial Accidents Christopher Van Tilburg, MD; Colin K. Grissom, MD; Ken Zafren, MD; Scott McIntosh, MD, MPH; Martin I. Radwin, MD; Peter Paal, MD; Pascal Haegeli, PhD; William “Will” R. Smith, MD; Albert R. Wheeler, MD; David Weber, FP-C; Bruce Tremper, MS; Hermann Brugger, MD Presented by author Christopher Van Tilburg, MD Reviewed by Jason Williams, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.10.004 MORE WMS Guidelines: SUPPLEMENT: WILDERNESS MEDICAL SOCIETY PRACTICE GUIDELINES FOR WILDERNESS EMERGENCY CARE—A 2014 UPDATE http://www.wemjournal.org/issue/S1080-6032(14)X0002-5 Part 2: Bonus discussion: WEML host

CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Articles: Article 1: Pressures of Wilderness Improvised Wound Irrigation Techniques: How Do They Compare? John B. Luck, Danielle Campagne, Roberto Falcón Banchs, Jason Montoya, Susanne J. Spano Presented by author Susanne J. Spano Reviewed by Aaron Reilly Article DOI: http://dx.doi.org/10.1016/j.wem.2016.09.002 Article 2: Management of Burn Injuries in the Wilderness: Lessons from Low-Resource Settings Cindy C. Bitter, Timothy B. Erickson Presented by author Cindy C. Bitter Reviewed by Jonathan Drew Article DOI: http://dx.doi.org/10.1016/j.wem.2016.09.001 Part 2: Discussions from host Darryl Macias: - Rock climbing injuries. Excerpt taken from the UNM Mountain Medicine podcast (http://www.unmmountainmed.com/mountainmedblog/2015/8/13/mountainmed-podcast-4-climbing-injuries). - Th

CME available: http://wms.org/members Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1: Articles: Article 1: Thermoregulation During Extended Exercise in the Heat: Comparisons of Fluid Volume and Temperature. Hailes WS, Cuddy JS, Cochrane K, Ruby BC Presented by author Brent C. Ruby, PhD Reviewed by Linda Sanders, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.06.004 Article 2: HEMS in Alpine Rescue for Pediatric Emergencies Taubenböck S, Lederer W, Kaufmann M, Kroesen G Presented by author Wolfgang Lederer, MD Reviewed by Bruno Durrer, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.03.001 Part 2: Interviews from the World Congress of Mountain & Wilderness Medicine Telluride 2016 Conference: Steve Roy Peter Bartsch Linda Keyes Emmanuel Cauchy

CME available: http://wms.org/members World Congress of Wilderness Medicine registration: http://wms.org/conferences/telluride Wilderness & Environmental Medicine journal online: http://www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Articles: 1. Outdoor activity and high altitude exposure during pregnancy: a survey of 459 pregnancies Presented by author Linda Keyes, MD Reviewed by Darryl Macias, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2016.02.010 2. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning Presented by authors Justin Sempsrott, MD and Tracy Cushing, MD Reviewed by Jay Gupta, MD Article DOI: http://dx.doi.org/10.1016/j.wem.2015.12.019 WMS Practice Guidelines soon to be available on: Wilderness Medicine Magazine: http://www.wms.org/magazine/ Case Reports: 1. Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test 2. Lightning

Show Notes Conference Registration: http://wms.org/conferences/telluride/default.asp Abstract Application: http://wms.org/research/default.asp?t=a Wilderness & Environmental Medicine journal online www.wemjournal.org WMS awards: Description and previous winners: http://wms.org/about/awards.asp Jay Lemery email (for WMS awards): lemery18@gmail.com WEM Live email: wemlive@wms.org 1. The 6-Minute Walk Test as a Predictor of Summit Success on Denali Presented by co-author Patrick Bagley Reviewed by Amy Bionditch Lazio paper: doi: 10.1016/j.wem.2010.09.003 http://www.wemjournal.org/article/S1080-6032(10)00295-4/pdf 2. Primary Care in Extreme Environments: Medical Clinic Utilization at Antarctic Stations, 2013-2014 Presented by lead author James Pattarini Reviewed by Rebecca Blue 3. A New Proposal for Management of Severe Frostbite in the Austere Environment Presented by coauthor Chris Davis Reviewed by Matthew Sholl 4. Portable prehospital methods to treat near-hypothermic shivering cold casualties Presen