Up to date review and in depth analysis of Wilderness Medicine topics
Spider bites are a common occurrence in the United States. While most bites are benign, there are two types of spiders with clinical importance to emergency physicians because their venom can cause significant systemic manifestations. These are widow spiders and recluse spiders. Missed diagnosis is common for both bite types, Read more…
Spider bites are a common occurrence in the United States. While most bites are benign, there are two types of spiders with clinical importance to emergency physicians because their venom can cause significant systemic manifestations. These are widow spiders and brown spiders. Missed diagnosis is common for both bite types, Read more…
The RADICAL Trial was a prospective, double-blind, randomized, non-inferiority trial evaluating reduced dose (62.5 mg twice daily) vs. standard dose (125 mg twice daily) of acetazolamide for the prevention of acute mountain sickness in adults trekking to Everest Base Camp in Nepal.(1). Background: The current standard pharmacologic prophylaxis for acute Read more…
This month’s meeting of the Wilderness Medicine group discussed burn management in the wilderness and low resource settings. The article of interest, in a recent edition of Wilderness & Environmental Medicine, comes from two global health practitioners, one of whom is trained in Toxicology. They lend their take on a Read more…
You watch the dusk enfold the mountains and you take a large drink of water. You may be a sweaty feast for mosquitoes, but you’re not in Pod A, and you still have a week of vacation left. You turn around to say something to your friend, who is just Read more…
The Background At elevation, the body needs to adapt to the decreased partial pressure of oxygen. In the short term adaptations include tachycardia, hypertension and hyperventilation. These physiologic alterations are usually enough to prevent serious physiological distress. However, if ascent occurs rapidly, individuals can become acutely ill, displaying a typical Read more…
You decide to spend your elective month in Bora Bora hoping you’ll pick up a clinical pearl or two on trauma and envenomation from marine fauna. One morning on your day off from the hospital, you decide to get up early and run on the beach. Reaching “flow” at the Read more…
Dr. McCallister, an ED physician, thinks back to his childhood. Remember when I almost killed those two burglars when I got lost in New York? I should reach out to them. And why did I keep getting left places? Were my parents, like, super negligent? I never talked to them about that. Man, that Read more…
Wrap up of our conference day focused on pediatrics and environmental emergencies.
With the election circus coming to an end, you realize you need a little diversion to recover. What better way to do distract yourself than with a little hiking? You grab your gear, book a ticket to Tanzania, and the next thing you know you’re standing at the base of Read more…