The podcast for medical providers at the edges, bringing you digestible updates at the growing edge of Wilderness Medicine, Wilderness EMS, Search and Rescue, and more.
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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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Frozen Doc - A Podcast on Wilderness Medicine


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Frozen Doc - A Podcast on Wilderness Medicine
Eric Contant
Somewhere between Canada and Iceland, Dr Éric Contant will talk about wilderness, remote and resuscitation medicine. Articles will be reviewed, physiology will be studied, guests will be interviewed and fingers will be frozen.
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Wilderness Medicine Updates


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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment
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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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Wilderness Medicine Podcast


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#30: Portable Ultrasound and a Deep Dive into Diving Med
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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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Wilderness Medicine Updates


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Ep. 7 - Wildfire Smoke and Your Health
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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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Wilderness Medicine Updates


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Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki
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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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Wilderness Medicine Podcast


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#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine
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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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Wilderness Medicine Updates


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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue
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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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Wilderness Medicine Updates


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Ep. 4 - HOPE Score for Severe Hypothermia
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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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Wilderness Medicine Updates


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Ep. 3 - Methoxyflurane for Prehospital Analgesia
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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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Wilderness Medicine Updates


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Ep. 2 - Pain Management for Scorpion Stings
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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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Wilderness Medicine Podcast


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#28: Avalanche Safety and Toxinology
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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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Frozen Doc - A Podcast on Wilderness Medicine


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Cold-water immersion, Norseman Extreme Triathlon and SIPE
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Today, we talk about cold stuff with a guest, Jørgen Melau. He is a PhD in physiology and paramedic from Norway. We discuss Swimming Induced Pulmonary Edema, the Norseman Extreme Triathlon and cold-water immersion.Av Eric Contant
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Wilderness Medicine Podcast


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#27: Fentanyl, Sharks, and Ultradoc Russ Reinbolt
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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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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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Wilderness Medicine Podcast


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December 2021 - Wilderness & Environmental Medicine Live!
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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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Wilderness Medicine Podcast


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September 2021 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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June 2021 - Wilderness & Environmental Medicine Live!
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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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Wilderness Medicine Podcast


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March 2021 - Wilderness & Environmental Medicine Live!
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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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We will now switch gear and go from the cold subject of avalanches, to the hotness of volcanoes and their hazards. Many of you most likely heard there is a volcanic eruption in Iceland (again) and it is a good time to review the topic of volcano hazards. Enjoy the show.Av Eric Contant
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Frozen Doc - A Podcast on Wilderness Medicine


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Avalanche predictions in Iceland with Stefán Jökull
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I was pleased to be joined by Stefán Jökull, avalanche wizard in Iceland. He talked about predictions and avalanches in Iceland and really quick intro to snow pits.Av Eric Contant
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Frozen Doc - A Podcast on Wilderness Medicine


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In hospital management of the avalanche victim
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Today we talk about what to do once the avalanche victim enters your department.Av Eric Contant
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Wilderness Medicine Podcast


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December 2020 - Wilderness & Environmental Medicine Live!
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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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Frozen Doc - A Podcast on Wilderness Medicine


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Avalanche victims - Management out of the hospital
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This episode is a remake of the presentation on the Management of the Avalanche victim that I did to the Garðabær Search and Rescue team in the Iceland. It focuses on the management by rescue teams and the principles behind it.Av Eric Contant
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Hi, Éric Contant here. I am a Canadian emergency physician now working in Iceland. Let's talk about wilderness medicine and resuscitation.Av Eric Contant
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Wilderness Medicine Podcast


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September 2020 - Wilderness & Environmental Medicine Live!
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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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Wilderness Medicine Podcast


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June 2020 - Wilderness & Environmental Medicine Live!
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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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Wilderness Medicine Podcast


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March 2020 - Wilderness & Environmental Medicine Live!
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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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Wilderness Medicine Podcast


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December 2019 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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September 2019 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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June 2019 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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March 2019 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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December 2018 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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September 2018 - Wilderness & Environmental Medicine Live
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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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Wilderness Medicine Podcast


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June 2018 - Wilderness & Environmental Medicine Live
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WEML#10 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: International Commission for Mountain Emergency Medicine Consensus Guidelines for On-Site Management and Transport of Patient…
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Wilderness Medicine Podcast


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March 2018 - Wilderness & Environmental Medicine Live
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WEML#9 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: An Update on Fatalities Due to Venomous and Nonvenomous Animals in the United States (2008–2015)Authors: Jared A. Forrester, T…
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Wilderness Medicine Podcast


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December 2017 - Wilderness & Environmental Medicine Live
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WEML#8 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: Drug DopingHost Darryl Macias discusses the UIAA MedCom Consensus Guide on drug use and misuse in the mountains.Article DOI: https://doi.org/10.108…
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Wilderness Medicine Podcast


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September 2017 - Wilderness And Environmental Medicine Live
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WEML#7 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: The Life Aquatic: A Discussion on Scuba Diving InjuriesHost Darryl Macias, MD discusses scuba diving injuries with Wilderness & Environmental Medic…
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Wilderness Medicine Podcast


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June 2017 - Wilderness And Environmental Medicine Live
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WEML#6 Show NotesCME available: wms.org/membersWilderness & 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 #1: Prophylactic Acetaminophen or Ibuprofen Result in Equivalent Acute Mountain Sickness Incidence at High Alt…
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Wilderness Medicine Podcast


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March 2017 - Wilderness And Environmental Medicine Live
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WEML#5 Show NotesCME available: http://wms.org/membersWilderness & Environmental Medicine journal online: http://www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.orgPart 1: Article discussion:Article 1: Wilderness Medical Society Practice Guidelines for Prevention and Manageme…
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Wilderness Medicine Podcast


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December 2016 - Wilderness And Environmental Medicine Live
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CME available: http://wms.org/membersWilderness & Environmental Medicine journal online: http://www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.orgPart 1: Articles:Article 1: Pressures of Wilderness Improvised Wound Irrigation Techniques: How Do They Compare?John B. Luck, Dan…
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Wilderness Medicine Podcast


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September 2016 - Wilderness And Environmental Medicine Live
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CME available: http://wms.org/membersWilderness & Environmental Medicine journal online: http://www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.orgPart 1: Articles:Article 1: Thermoregulation During Extended Exercise in the Heat: Comparisons of Fluid Volume and Temperature. H…
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June 2016 - Wilderness And Environmental Medicine Live
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CME available: http://wms.org/membersWorld Congress of Wilderness Medicine registration: http://wms.org/conferences/tellurideWilderness & Environmental Medicine journal online: http://www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.orgArticles:1. Outdoor activity and high alt…
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March 2016 - Wilderness And Environmental Medicine Live
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Show NotesConference Registration:http://wms.org/conferences/telluride/default.aspAbstract Application:http://wms.org/research/default.asp?t=aWilderness & Environmental Medicine journal onlinewww.wemjournal.orgWMS awards: Description and previous winners:http://wms.org/about/awards.aspJay Lemery email (for WMS awards): lemery18@gmail.comWEM Live em…
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