Wilderness Medicine Updates

Patrick Fink, MD
  • 5.0 (22)
  • MEDICINE
  • UPDATED SEMIMONTHLY

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. 

  1. FEB 9

    Ep. 30 - Rethinking Spinal Immobilization: EMS Evidence Update

    Reevaluating Spinal Motion Restriction: Evidence Update In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink delves into the evolving guidelines and practices concerning spinal motion restriction. Drawing from historical dogma and modern research, Patrick explores the inefficacies and potential harms of traditional spinal immobilization tools like rigid spine boards and cervical collars. Instead, he advocates for more flexible, evidence-based approaches such as using well-padded surfaces and coaching patients to minimize their own motion. Key points from a comprehensive literature review by the National Association of EMS Physicians and other authoritative bodies are discussed, highlighting the shift from immobilization to motion restriction and its practical implications. Listeners are urged to stay updated with current evidence and consult medical directors before altering their practices. Links Ep. 14 - Spinal Immobilization Guidelines Update 2018 ACEP/NAEMSP Sminal Motion Restriction Position Statement Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries - A NAEMSP Comprehensive Review and Analysis of the Literature Chapters 00:00 Introduction to Wilderness Medicine Updates 00:42 Historical Perspective on Spinal Immobilization 01:44 Transition to Spinal Motion Restriction 03:30 Review of Recent Literature 05:40 Key Findings on Spinal Motion and Neurological Outcomes 09:30 Effectiveness of Backboards and Cervical Collars 12:10 Potential Harms of Immobilization Tools 16:38 Practical Recommendations and Future Directions 21:48 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    23 min

  2. JAN 18

    Ep. 29 - Wilderness Orthopedics with Dr. Chris Healy

    Wilderness Orthopedics: Managing Trauma in Remote Environments with Dr. Chris Healy In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink tackles orthopedic injuries in the wilderness with Dr. Chris Healy, an orthopedic surgeon and outdoor enthusiast. They explore the management of long bone fractures, traction for femur, pelvic binders, and the nuances of treating injuries in limited-resource environments. The episode covers strategies for handling common injuries like shoulder dislocations, tibia fractures, knee injuries, and how to prioritize care. They also emphasize the importance of timely evacuation and when and how to safely attempt reductions in the field. Links: Donate to the Tina Biddle Memorial Scholarship Sulcus sign / Squaring of the shoulder Chapters: 00:00 Introduction and Episode Overview 01:36 Tribute to Tina Biddle 04:09 Meet Dr. Chris Healy 05:11 Ski Patrol Background and Pre-Hospital Care 08:12 Approaching Orthopedic Injuries in the Field 17:50 Managing Tibia and Fibula Fractures 21:40 Understanding Compartment Syndrome 27:50 Femur Fractures and Traction Splinting 36:57 Pelvic Fractures: Identification and Management 38:41 Understanding Pelvic Fractures and Binders 39:53 The Role of Pelvic Binders in Pre-Hospital Care 41:11 Challenges with Pelvic Binders in the Field 43:15 Proper Placement of Pelvic Binders 46:36 Field Management of Shoulder Dislocations 50:43 Techniques for Reducing Shoulder Dislocations 54:17 Managing Upper Extremity Injuries 57:51 Handling Knee Injuries in the Field 01:00:37 Patella vs. Knee Dislocations 01:08:06 Evacuation Priorities for Knee Dislocations 01:10:53 Common Issues in Pre-Hospital Orthopedic Care 01:15:36 Final Thoughts and Listener Engagement As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    1h 18m

  3. 11/14/2025

    Ep. 28 - Laura McGladrey, Responder Alliance, and Stress Injury: How to Get Back to Green and Save Living While Saving Lives.

    Understanding Stress Injuries in First Line Responders with Laura McGladrey This episode of Wilderness Medicine Updates, hosted by Patrick Fink, features a conversation with Laura McGladrey, founder of the Responder Alliance. They discuss the critical issue of stress injuries among first line responders, including professional ski patrollers, healthcare workers, and rescue team members. Through personal stories and expert insights, Laura explains the concept of stress injuries, how they develop, and the importance of early detection and mitigation. The episode highlights the need for both individual and organizational strategies to support resilience and manage stress. Listeners are introduced to practical tools, cultural shifts, and personal anecdotes to help maintain a long, healthy, and fulfilling career in high-stress environments. Links Responder Alliance Home Page Access all that the organization has to offer. Responder Alliance: Resource Hub Easy access to critical tools and offerings. The Stress Continuum See the visual continuum that we discuss on the show. Scholarships: Responder Alliance Foundation Apply for aid for an individual or team training. Make a Donation to Responder Alliance Foundation! Join me in making a tax-deductible donation to support the valuable work of the Responder Alliance and bring this work to those who need it, regardless of cost. Chapters 00:00 Introduction and Guest Welcome 02:11 Laura's Background and Work 06:00 Understanding Stress Injuries 10:02 Responder Alliance Mission and Challenges 20:55 Critical Incident Stress Management 30:49 Empowering First Responders 32:13 Daily Investments in Resilience 37:26 Recognizing and Managing Stress 38:14 Organizational Support for Stress Management 39:45 Building Resilient Teams 46:12 Learning from Resilient Leaders 52:42 Resources for Stress Mitigation 57:54 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    1 hr

  4. 11/04/2025

    Ep. 27 - Thermoregulation: The Physics and Physiology of Body Temperature Regulation

    In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the topic of thermoregulation, explaining how our bodies regulate temperature in response to environmental changes. Listeners will learn about methods of heat exchange (conduction, convection, radiation, and evaporation), how to measure core temperature, and the body's physiological responses—such as shivering, sweating, and blood flow control.  The episode also touches on the effects of age, metabolic stressors, and pregnancy on thermoregulation, as well as the importance of understanding these principles in the context of treating conditions like hypothermia and heat-related illnesses. 00:00 Introduction and Episode Overview 01:29 Importance of Thermoregulation 03:12 Human Thermoregulation Mechanisms 04:20 Measuring Core Temperature 07:55 Heat Exchange Methods 14:52 Behavioral and Physiological Responses 24:48 Sex and Age Differences in Thermoregulation 27:14 Conclusion and Next Steps As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    32 min

  5. 10/10/2025

    Fast Push #3: Safeback SBX for Avalanche Asphyxia Prevention

    In this episode of Wilderness Medicine Updates, host Patrick Fink delves into groundbreaking technology designed to improve safety during avalanche events. The focus is on SafeBack SBX, a Norwegian-developed device that supplies air to users buried in avalanches, potentially extending survival time. Patrick reviews new research published in the Journal of the American Medical Association, which demonstrates significant efficacy in delaying hypoxia during simulated avalanche burials. The episode provides an in-depth analysis of SafeBack SBX, its mechanisms, study results, and its comparative and complementary role alongside existing safety technologies like airbags. Concluding with potential applications and limitations, Patrick aids listeners in deciding whether SafeBack SBX is a worthy addition to their avalanche safety gear. Links Eisendle F, Roveri G, Rauch S, et al. Respiratory Gas Shifts to Delay Asphyxiation in Critical Avalanche Burial: A Randomized Clinical Trial. JAMA. Published online October 08, 2025. doi:10.1001/jama.2025.16837 Articles I've written about Safeback: Suffocation or Survival: A Crucial Factor in Avalanche Burials Avalanche Safety: Assessing the Safeback SBX System First Look: Safeback SBX Avalanche Safety System Chapters 00:31 Overview of SafeBack SBX Technology 02:55 Importance of SafeBack in Avalanche Safety 05:40 Details of the SafeBack Study 07:53 Study Results and Analysis 11:07 Implications and Future Directions 15:50 Conclusion and Final Thoughts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    18 min

  6. 10/02/2025

    Ep. 26 - Physical Training for Mountain Rescue Professionals with Rob Shaul of Mountain Tactical Institute

    On this episode of Wilderness Medicine Updates, host Patrick Fink shifts focus from the science and literature of wilderness medicine to practical fitness tips for search and rescue personnel, ski patrollers, and outdoor rescuers. Patrick interviews Rob Shaw, founder and head coach of the Mountain Tactical Institute, about his specialized training programs for various types of mountain athletes, including those in industrial and tactical roles. They discuss the nuances of preparing for seasonal work, the distinct fitness demands of ski patrollers versus search and rescue members, and the importance of chassis integrity and mental fitness. Rob highlights minimal equipment training plans that can be effective for mountain professionals and recreational athletes alike, and offers a special discount for the show's listeners. Additional topics covered include Rob's nutritional recommendations and the concept of the 'quiet professional,' someone deeply committed to the craft of their work.  Offer Are you involved in mountain or wilderness rescue? Rob is offering the first 50 listeners who reach out to him a 20% discount on a training plan. Send your rescue or professional credentials to rob@mtntactical.com to secure your discount. Links Training Plans Patrick Likes: Mountain Base Fitness Greek Heroine Series Busy Dad Training Packet  Backcountry Ski Preseason Training Plan   Exercises Discussed: Leg Blasters Scotty Bobs Touch Jump Touch   Rob's Resources: Ideal bodyweights for mountain athletes Nutritional guidelines Mountain/Wilderness SAR Fitness Assessment Training Plan Resilience vs. Discipline vs. Perseverance: Why the Distinctions Matter in Mental Fitness The 8 Core Attributes of Mental Fitness Chapters 00:00 Introduction to Wilderness Medicine 00:46 Guest Introduction: Rob Shaw from Mountain Tactical Institute 04:38 The Evolution of Mountain Tactical Institute 06:58 Training for Mountain and Tactical Athletes 11:43 Fitness Demands for Ski Patrol 19:13 In-Season Training and Professionalism 24:47 Fitness for Search and Rescue Volunteers 25:10 Integrating Training with Da As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    48 min

  7. 09/08/2025

    Ep. 25 - Tree Well Burial Study / Wilderness Med Careers AMA with Zack Majd

    In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well burial, analyzing the findings and their implications for skiers and outdoor rescue personnel.  We then transition to a special Q&A session with pre-med student Zack Majd, tackling questions about forming a career in wilderness medicine. Patrick discusses the necessary educational paths, the benefits and limitations of fellowships, and the essentials of wilderness medical training. Additionally, the episode highlights upcoming educational events and provides practical advice on wilderness medical gear, psychological support techniques, and the integration of wilderness medicine with other medical disciplines. A must-listen for anyone interested in advancing their career in the field of wilderness medicine. Links: Kanaan NC, Abdul Cader J, Krakker J, Beasley H, Grissom CK, McIntosh SE. Simulated Avalanche vs Tree-Well Burial Effects on Human Physiology. Wilderness & Environmental Medicine. 2025;36(3):361-367. doi:10.1177/10806032251337476 Van Tilburg C, Paal P, Strapazzon G, et al. Wilderness Medical Society Clinical Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents: 2024 Update. Wilderness & Environmental Medicine. 2023;35(1_suppl):20S-44S. doi:10.1016/j.wem.2023.05.014 Fink PB, Wheeler AR, Smith WR, et al. Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update. Wilderness & Environmental Medicine. 2024;35(2):198-218. doi:10.1177/10806032241248422 EP. 21 - Snow Immersion Suffocation  Chapters: 00:00 Introduction and Episode Overview 00:43 Upcoming Events in Wilderness Medicine Part 1 02:07 Tree Well Burials vs. Avalanche Burials 05:36 Study Findings and Analysis 08:23 Limitations and Implications of the Study Part 2 11:21 Q&A: Careers in Wilderness Medicine 12:48 Zach's Journey and Career Questions 20:35 Balancing Wilderness Medicine with Other Careers 26:05 Pathways to Wilderness Medicine 30:32 Debating the Value of Wilderness Medicine Fellowships 32:21 Personal Experience with Wilderness Medicine Fellowship 34:29 Research in Wilderness Medicine 37:05 Essential EMS Gear for Wildland Firefighters 39:19 Prioritizing Care in Wilderness Settings 47:31 Psychological First Aid in Wilderness Medicine 50:49 Preparing for Wilderness Medicine Challenges 53:55 Future of Wilderness Medicine 57:33 Signoff As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    1h 1m

  8. 08/12/2025

    Ep. 24 - Airway Management in Austere Environments with Dr. Nicholas Weinberg

    In this episode of Wilderness Medicine Updates, Dr. Patrick Fink discusses airway management in austere situations with Dr. Nicholas Weinberg. They explore two cases published in the Wilderness Medicine Journal, detailing the decision-making processes in managing critically injured patients. Dr. Weinberg shares his background in emergency and wilderness medicine, and highlights the importance of flexibility and the application of basic life support techniques in the wilderness. The episode emphasizes the significance of understanding the limitations and capabilities of the available tools in wilderness settings. Links WEM Article Photo: Ledge from the fallen climber Photo: Himalayan clinic resuscitation Connect with Dr Weinberg: Nicholas.E.Weinberg@hitchcock.org Timeline 00:00 Introduction and Overview 00:26 Meet Dr. Nicholas Weinberg 01:48 Dr. Weinberg's Background and Career 03:55 Case Introduction: The Climbing Accident 05:38 On-Scene Response and Initial Assessment 08:11 Airway Management and Rescue Coordination 11:05 Patient's Condition and Medical Interventions 18:34 Patient's Recovery and Conclusion 21:01 Reflecting on a Remarkable Case 21:30 Discussing the Second Case 22:59 Experiences in Wilderness Medicine 25:24 Challenges and Strategies in Remote Medical Care 30:31 Managing Airway in Austere Environments 37:42 Advice for Aspiring Wilderness Physicians 42:24 Concluding Thoughts and Listener Shoutouts As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM. Connect with us by email at wildernessmedicineupdates@gmail.com. You can pay us a compliment and share the show with a new listener on any popular platform here. Connect with us on social! Instagram Blue Sky X

    46 min
See All (34)

5
out of 5
22 Ratings

About

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. 

Information

  • Creator
    Patrick Fink, MD
  • Years Active
    2023 - 2026
  • Episodes
    34
  • Rating
    Explicit
  • Copyright
    © 2026 Wilderness Medicine Updates
  • Show Website
    Wilderness Medicine Updates

You Might Also Like