#242 Wilderness Medicine: Prepare for Disaster

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 16 November 2020

⏱️ 80 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet.

Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible. We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures. This episode is truly wild!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Credits

Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
Cover Art: Kate Grant, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Thomas DeLoughery MD, MACP, FAWM

Sponsors:

Provider Solutions and Development

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
Sponsor - VCU Health CE curbsiders.vcuhealth.org
00:00 Intro, disclaimer, guest bio
03:45 Guest one-liner, advice and Picks of the Week*
08:10 Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
09:00 Case of mountaineering; What is Wilderness Medicine? 
12:05 What’s in your first aid kit? 
21:36 Altitude sickness: acute mountain sickness, high altitude cerebral edema and High altitude pulmonary edema 
31:25 Hypothermia
39:36 Frostbite  
47:25 Hyperthermia: Heat exhaustion and Heat stroke; How much water should you drink? 
51:55 Bat bites and rabies 
58:20 Snake bites 
66:03 Wound care and tourniquets 
75:40 Take Home Points; Outro; Bonus clip
Sponsor - VCU Health CE curbsiders.vcuhealth.org

Links*

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goal

Listeners will learn the basics of wilderness medicine and how to approach a few common conditions.

Learning objectives

After listening to this episode listeners will…

Appreciate Wilderness Medicine as a medicine subspeciality and understand why or how someone might pursue this clinical focus area
Recognize signs and symptoms of high altitude sickness
Develop an approach to treating animal bites and injuries
Learn high yield tips for administering first aid in the wilderness including field hemostasis

Disclosures

Dr DeLoughery reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Citation

O’Glasser AY, Gorth D, Deloughery T, Williams PN, Watto MF. “#242 Wilderness Medicine: Prfor Disaster”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date November 16, 2020.

Transcript

Click on a timestamp to play from that location

0:00.0	This episode is supported by provider solutions and development, the holistic career coaching experts with 20 years of experience.
0:08.0	Recruitment had to change so they took away quotas and started listening to clinicians.
0:13.0	Find the place you're meant to be. Reach out to psdrecruit.org forward slash curbsiders.
0:20.0	The curbsiders have partnered with VCU Health Continuing Education to offer free continuing education credits for physicians and other healthcare professionals.
0:28.0	Check out curbsiders.vcuhealth.org to create your free account and to start claiming CE credit.
0:34.0	The curbsiders podcast is for entertainment, education and information purposes only and the topics discussed should not be used solely at Diagnostree,
0:43.0	you're or prevent any diseases or conditions. For the more the views and statements expressed on this podcast are solely those of those that should not be interpreted to reflect official policy or position of any entity inside from possibly, cash like more hospital and affiliate outreach programs.
0:51.0	If indeed there are any, in fact, there are not. Pretty much we aren't responsible if you screw up, you should always do your own homework and let's know when we're wrong.
0:58.0	Well Paul, this has been quite a special episode. Talked about wilderness medicine and just a ton of great stuff in this one. Our guest was Dr. Tom D. Laurie and Stuart's not here Paul, but I think we did great.
1:21.0	We had a wonderful guest co-host who will introduce in a second. Paul, but first tell people what is it that we do on this show and can you remind me the meaning of life?
1:33.0	Sure, I'm going to answer your last question first. So I think we go with 42 each time. And then as to what we are and what we do here, we are at the end of medicine podcast.
1:43.0	We use expert interviews to bring you clinical pearls and practice changing knowledge. We also have a spectacular producer with us and returning guest Dr. Avital O'Glaster who also recruited the other
1:56.0	fantastic guests that we have for the show Dr. Galarri who's going to talk to us all about.
2:00.0	What do you do if the Laurie forgive me? Who's going to tell us what to do if we get bitten in the face by something mysterious or lose a limb falling down the mountain?
2:08.0	Dr. Aglaster, Avital, please tell us more about our fantastic guest.
2:14.0	I have the privilege of actually being a colleague at OHSSU with Dr. D. Laurie. Tom is a native Hoosier who graduated from Indiana University School of Medicine.
2:23.0	He did his residency in Internal Medicine in Fellowship in Hemong at Oregon Health and Science University in Portland, Oregon.
2:30.0	And he is currently a professor of Medicine, Pathology and Pediatrics there. He has always had a strong interest in hematology and other aspects of Wilderness Medicine, which is clearly our focus tonight.
2:42.0	He is a lifetime member of the Wilderness Medical Society who was on their board of directors for several years, as well as serving as the chair of their research committee and remains an active member.
2:55.0	He's been awarded both Research and Founders Awards by the Wilderness Medical Society. And across the board, Tom truly is the triple threat dedicated clinician, educator and researcher.
3:06.0	He is aptly named at Bloodman on Twitter.
3:11.0	And Tom teaches us, you know, I kept dubbing this the Halloween episode that wasn't from any ways.
	...

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