Wilderness Medicine Updates Patrick Fink MD

This episode is a repost of an interview that was first posted on The High Route Podcast. Hosted by the editor of The-High-Route.com, Jason Albert, we discuss my background in wilderness medicine, and then move on to discuss the research that support my argument and assertion that the avalanche airbag backpack should be standard equipment for backcountry skiers, snowboarders, snowmobilers, and anyone who regularly works or recreates in avalanche terrain.

Check out The-High-Route.com for awesome backcountry ski and ski-mountaineering content that is unbiased by financial relationships with gear companies and advertisers.

Show Note Links:

-ISSW Research Manuscript from my avalanche airbag study

-My personal website, Mountain Lessons

-The Backcountry Shit Kit, original post


As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

Connect with us by email at wildernessmedicineupdates@gmail.com.

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This is part 1 of a multi-part series on the resuscitation of critically buried avalanche victims. In this episode we learn the physiology that we need to understand the resuscitation algorithm. To learn the necessary biology, we follow a rider as they are carried in an avalanche, subjected to traumatic injury, and are then buried and begin to asphyxiate and cool. 

The background of this episode is useful to understand why:
-Cardiac arrest from trauma is usually unsalvageable;
-Arrest due to hypoxia can happen within minutes or be delayed more than an hour;
-Why we care if someone is really, really cold;
-Why potassium measurement is useful in the hospital treatment of severe hypothermia;
-And why we can largely forget about that other gas, CO2.

Look out for the next episode, where I''ll dive into the ICAR Avalanche Victim Resuscitation Algorithm.
As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

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.

Episode 11 brings you  my conversation with Michael Buchanan is a flight paramedic and senior firefighter / paramedic at the West Valley City Fire Department. He is the founder and operation of Mountain Medical Academy, a passion-driven backcountry medical care education company.  We discuss the medical care of avalanche victims which Michael has made accessible to recreational skiers and riders who don't have a medical background.

Other topics that we discuss include:
-Finger sweeps to clear the airway
-How the presence of an air pocket changes your medical care
-How long to perform CPR after an avalanche
-What equipment may be useful to a lay rescuer
-The importance of psychological care after a critical event
And more.

Below are links to things discussed in this podcast:

Mountain Medical Academy - mountain medical education

After the Avalanche - Open source resources for responding medically and psychologically after an avalanche

Email Michael to Join a Class or Partner Up

Israeli Battle Dressing (affiliate link) - elastic compressive dressing for bleeding control

SWAT-T Elastic Tourniquet (affiliate link) - elastic tourniquet also useful in splinting

CPR Mask / Oral / Nasal Airways (affiliate link) - tools for rescue breathing / CPR

ICAR Avalanche Resuscitation Recommendations for advanced life support personnel

Responder Alliance - individual and organizational resilience for rescuers in the face of traumatic stress.

Not Alone complete film - Sarah Hueniken - a personal story of recovery from stress injury and trauma by a world class ice climber. 


As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

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.

In this episode, I discuss the article "Arterial Occlusion Effectiveness of Space Blanket-Improvised Tourniquets for the Remote Setting". In this short blast I get into the meat of this article, and though the authors would tell you that space blankets aren't ready for primetime, I have some thoughts on the matter.

In the podcast, I mistakenly say that you need to be a WMS member to access this article, but you don't! It's available open access here:

https://www.wemjournal.org/article/S1080-6032(23)00043-1/fulltext


As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

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.

In this episode Dr BZ is back to talk about his experience deploying with the Federal Emergency Management Agency (FEMA) Urban Search and Rescue Task Force (USAR). Dr BZ just returned from a deployment with FEMA USAR to Lahaina, HI, where he served as a team physician supporting rescue and recovery efforts there.

We touch on:
-Training and gear
-Deployments and schedule
-Compensation
-The care of canines
-How you can get involved, and more!
As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

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.

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 for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

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.