Wilderness & Environmental Medicine - Live!

¡Episodio extra en español! Darryl analiza la tormenta de nieve de noviembre de 2025 en el Parque Nacional Torres del Paine, Patagonia, Chile, junto a Marcelo Noria. Crédito musical: “Tren al Sur” de Los Prisioneros

#41: Lessons from the Field and the Literature Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Darryl discusses the current WEM article Acceptance of Risk and Confidence Assessing Avalanche Terrain and Conditions: A Large Cross-Sectional Study through the lens of the current avalanche events. Link to article: https://journals.sagepub.com/doi/full/10.1177/10806032251368754 Part 2: Journal Club Title: Environmental Exposures and Risks During Pregnancy Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251345768 CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938 Part 3: Discussion with Marcello Noria regarding the November 2025 blizzard in Torres del Paine National Park, Patagonia, Chile. Part 4: Update on Mount Aconcagua with Aaron Brillhart. Audio editing: Tom Conklin (www.tomconkli

Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Wilderness Medical Society Clinical Practice Guideline on Care of Burns in the Wilderness Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251345768 CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938 Part 2: Article Discussion Darryl and guest Angela Martz discuss the article Are Female-Specific Health Concerns a Barrier to Participation on Expeditions or Adventure Tourism? Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251332281 Audio editing: Tom Conklin (www.tomconklinvoice.com) WMS membership: wms.org/members

#39: All Things Encephalopathy Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Effect of Air Exposure Time Under Room-Temperature Conditions on the Performance of Chemical Heat Blankets Intended for Use in Prehospital Accidental Hypothermia Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251325562 CME Available: wms.org/members Part 2: Prolonged Field Care discussion. Audio editing: Tom Conklin (www.tomconklinvoice.com)

#38: All Things Encephalopathy Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Encephalopathy at High Altitude: Hyponatremia or High Altitude Cerebral Edema? Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032251315381 CME Available: wms.org/members Part 2: Overview of other causes encephalopathy not directly addressed in the paper BONUS! Stay tuned for a summary in Spanish and French at the end! Audio editing: Tom Conklin (www.tomconklinvoice.com)

#37: Climate Change: Recreation at Risk Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Climate Change Impact on Outdoor Organizations Today Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241296526 CME Available: wms.org/members Part 2 MythBustsers Hypothermia Lab: Takeaways from participants of the DiMM winter course experiential lab at the UNM. Audio editing: Tom Conklin (www.tomconklinvoice.com)

#36: Treestand Safety & Catfish Injuries Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Treestand-Related Injuries Outnumber Projectile-Related Injuries in Arkansas Hunters, 1993–2022 Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241287774 CME Available: wms.org/members Part 2 Discussion of journal article Catfish Puncture Wound and Retained Spine Management in the ED Setting: A Case Report Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241273505 Audio editing: Tom Conklin (www.tomconklinvoice.com)

#35: Walking Cold Patients Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety—A Mountain Rescue Case Series Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241259943 CME Available: wms.org/members Part 2 A literature review on CPAP masks to assist high altitude endeavors. Part 3: So, you want to be a medical director for a rescue team? We will discuss the new WMS CPG on the topic. Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241249126 Audio editing: Tom Conklin (www.tomconklinvoice.com)

#34: Norovirus! Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Acute Gastroenteritis Outbreak Among Colorado River Rafters and Backpackers in the Grand Canyon, 2022 Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241245093 CME Available: https://wms.org/members Part 2 Norovirus discussion. Article link: Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#33: Marine Envenomation & Spinal Cord Protection Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Marine Envenomation in Okinawa: Overview and Treatment Concept Article link: https://journals.sagepub.com/doi/full/10.1177/10806032231220401 CME Available: https://wms.org/members Part 2 Darryl discusses the 2024 WMS CPG for Spinal Cord Protection with authors Seth C. Hawkins, MD, NREMT and Jason Williams, BS, NRP. Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241227232 Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#32: Finger Strength Training and Wilderness Medicine Interviews Dec 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club: A Finger in the Game: Sport-Specific Finger Strength Training and Onset of Injury Link to article: https://www.wemjournal.org/article/S1080-6032(23)00110-2/fulltext CME Available for WMS members. [TO COME] Part 2: Darryl Macias’s on-location interview with Drs. Nicolás Mena and Martin Musi at the Chile Summer DiMM Program Part 3: Fred Bossert interviews WMS committee leaders Drs. Jesse Gehner and Justin Gardner.

#31: Wilderness Rescue and Sustained Muscle Protein Synthesis Sept 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/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 and Urban Rescue Team Using High-Pressure Airbags Link to article: https://www.wemjournal.org/article/S1080-6032(23)00098-4/fulltext Part 2: Journal Club Title: Alaska Backcountry Expeditionary Hunting Promotes Sustained Muscle Protein Synthesis Authors: Link to article: https://www.wemjournal.org/article/S1080-6032(23)00093-5/fulltext CME Available for WMS members here. [TO COME] Part 3: Summaries of the episode in Spanish, French, and Italian. Music credits: Thalia - Amor A La Mexicana (Emilio Mix, Banda) La Vie En Rose - Louis Armstrong Tu Vuo Fa l'Americano - Talented Mr. Ripley soundtrack Hariyo Bhannu, Raju Lama, Tara Shreesh Magar, Miruna Magar (All M

#30: Portable Ultrasound and a Deep Dive into Diving Med Jun 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Comparison of Commonly Carried Liquids Against Commercial Ultrasound Gel for Use in the Backcountry Setting Authors: Jennifer N. Wray, BA; Zachary P. Soucy, DO; Nicholas J. Daniel, DO; Nicholas E. Weinberg, MD; G. Michael Krauthamer, MD; Sarah C. Crockett, MD; Catherine C. Pollack, PhD; Johndavid M. Storn, MD Link to article: https://www.wemjournal.org/article/S1080-6032(22)00220-4/fulltext CME Available for WMS members at wms.org. Part 2: A deep dive into diving medicine and high-altitude medicine and a primer on radio communications Part 3: NEW THIS EPISODE! A summary of the episode is offered in English, Spanish, and French!

#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine Mar 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Hypothermia Case Darryl shares a recent hypothermia case handled at a tertiary care hospital using wilderness medicine techniques. Gordon Giesbrecht podcast: https://soundcloud.com/wildernessmedicinepodcast/wem-podcast-march-2019 NEJM article: https://www.nejm.org/doi/full/10.1056/NEJMoa2207304 Part 2: Journal Club Title: Evaluation of Escherichia coli Inactivation at High Altitudes Using Solar Water Disinfection Authors: Kylie Van Hoesen, MD; William Mundo, MD, MPH; Savannah Mierau, BA; Camille J. Hochheimer, PhD; Lucas Eggers, BS; Steven Shaw, MS; Brian C. Russo, PhD; Elaine Reno, MD Link to article: https://www.wemjournal.org/article/S1080-6032(22)00197-1/fulltext CME Available: https://wms.org/members Part 2: Mountain Rescue Link to article

#28: Avalanche Safety and Toxinology Dec 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Perceptions Among Backcountry Skiers During the COVID-19 Pandemic: Avalanche Safety and Backcountry Habits of New and Established Skiers Authors: Esteban A. Valle, MD; Andrew P. Cobourn, BS; Spencer JH. Trivitt, BS; Jordy Hendrikx, PhD; Jerry D. Johnson, DA; David C. Fiore, MD DOI: https://www.wemjournal.org/article/S1080-6032(22)00145-4/fulltext CME Available: https://wms.org/members Part 2: Toxinology Discussion Darryl interviews WEM’s senior toxinology editor, Dr. Scott Weinstein, and assistant toxinology editor, Dr. Michael Levine. Toxinology special section available in the December 2022 journal: https://www.wemjournal.org/issue/S1080-6032(22)X0005-7 Credits: Mike Austin and avalanchegeeks.com, and “avalanche avoiding kung fu.”

Sept 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol Authors: Tierra V. Lynch, BA; Peter W. Callas, PhD; Timothy D. Peterson, MD; Sarah M. Schlein, MD DOI: https://doi.org/10.1016/j.wem.2022.05.003 CME Available: https://wms.org/members Part 2: Author interview Darryl interviews Dr. Claude Maillaud about the current WEM article, Tiger Shark Attack on a Scuba Diver in New Caledonia. DOI: https://doi.org/10.1016/j.wem.2022.04.003 Part 3: Dr. Russ Reinbolt interviewed by Dr. Nicholas Weiss https://www.ultramarathondoc.com/ Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

WMP #26: VTE and Telemedicine June 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.org Part 1: Journal Club Title: Travel-Associated Venous Thromboembolism Authors: Isla McKerrow Johnson, Joseph Shatzel, Sven Olson, Tovah Kohl, Andrew Hamilton, Thomas G. DeLoughery DOI: https://doi.org/10.1016/j.wem.2022.02.004 CME Available: https://wms.org/members Part 2 Chris Davis, author of current WEM paper The Intersection of Telemedicine and Wilderness Care: Past, Present, and Future, discusses tech's place in the wilderness. Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

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: Anaphylaxis and Everest March 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.org Part 1: Journal Club Title: Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis Authors: Flavio G. Gaudio, David E. Johnson, Kelly DiLorenzo, Arian Anderson, Martin Musi, Tod Schimelpfenig, Drew Leemon, Caroline Blair-Smith, Jay Lemery DOI: https://doi.org/10.1016/j.wem.2021.11.009 CME Available: https://wms.org/members Presenters: Flavio G. Gaudio, David E. Johnson Reviewer: Darryl Macias Part 2: Discussion topics • Darryl brings Ken Zafren

December 2021 - 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 Journal Club Title: Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Management of Tick-Borne Illness in the United States Authors: Benjamin M. Ho, Hillary E. Davis, Joseph D. Forrester, Johnathan M. Sheele, Taylor Haston, Linda Sanders, Mary Caroll Lee, Stephanie Lareau, Michael Caudell, Christopher B. Davis DOI: 10.1016/j.wem.2021.09.001 CME Available: https://wms.org/members Presenter: Benjamin M. Ho Reviewer: Darryl Macias Discussion topic Darryl discusses why he believes that wilderness medicine is extinct.

September 2021 - 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 Journal Club Title: Comparison of Radiographic, Ultrasound, and Magnetic Resonance Imaging for the Detection of Retained Stingray Barb: A Cadaveric Study Authors: Taylor A. Docter, Lauren B. Altschuh, Anthony J. Medak, Christine B. Chung, Karen B. Van Hoesen, Christanne H. Coffey DOI: https://doi.org/10.1016/j.wem.2021.03.012 CME Available: https://wms.org/members Presenters: Taylor A. Docter, Christanne H. Coffey Reviewer: Darryl Macias Discussion topic Darryl discusses drowning – current literature, WMS guidelines, and more.