Wilderness Medicine Podcast March 2020 - Wilderness & Environmental Medicine Live!
Mar 30, 2020
Join Kevin N. Alschuler, a pain psychology researcher, as he dives into coping strategies for ultramarathon runners and the link between pain perception and performance. Manuel Genswein, an avalanche expert, shares crucial insights on rescue protocols and triage techniques in avalanche scenarios. Jamie Newberry enhances the discussion with her thoughts on educational design and learner behavior, emphasizing iterative training for improved skills. Together, they unwrap essential survival tactics in both wilderness medicine and athletic endurance.
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Apply Safe Active Rewarming
- Use active external warming (chest/back/axilla) and forced air warming during transport when possible.
- Avoid warm baths/showers and groin warming due to afterdrop and burn risk.
Low Temp ≠ Hopeless
- Never use a single core temperature as the sole reason to stop resuscitation; survivors exist at extremely low temps.
- Continue resuscitation and consider prolonged CPR and transfer to ECLS when appropriate.
Use Intermittent CPR When Needed
- If immediate continuous CPR is impossible in the field, perform intermittent CPR with short cycles (ideally ≤10 minutes off).
- Aim for conservative 5-minute on/off cycles when resources or safety limit continuous compressions.
