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Gender-inclusive Communication for First Responders

By Ben Lerman on 8/23/18 8:23 AM


Practicing a patient assessment during a course. Photo by Luis Camargo.

As a medical provider in the wilderness, it’s important to not make judgments or assumptions. For example, rather than assuming a patient is low risk for a spine injury, you can use a focused spine assessment to gather information relevant to your decision.

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Topics: wilderness medicine, first aid, Inclusion, communication

Case Study: Finding a Sick Person High in the Mountains

By Tod Schimelpfenig on 8/15/18 9:05 AM
Photo by Ashley Wise.
 

Recertify

The Setting

You are a Search and Rescue (SAR) volunteer working with a team to sweep a trail in the central Rocky Mountains in response to a vague cell phone report of an ill person somewhere on the trail. Eight miles from the trailhead at 8,800 ft. (2,680 m) you find the patient sitting on a log. After introducing yourselves, and with the patient's permission, you and the SAR team members begin an assessment.

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Topics: wilderness medicine, case study, first aid, Wilderness First Aid, altitude illness

Quiz: Managing Altitude Illness

By Ben Lerman on 8/8/18 8:44 AM
 
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Topics: wilderness medicine, first aid, Wilderness First Aid, quiz, altitude illness

7 Fishing First Aid Hazards (and What to Do)

By Ben Lerman on 7/18/18 8:35 AM


Photo from NOLS Alaska

You’re enjoying a beautiful day at your local fishing spot. Fish are rising everywhere and you’ve hooked three big brook trout already. But your day can easily take a turn if you accidentally walk through a patch of poison oak. Or get stung by a wasp. Or slip on the rocky shore.
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Topics: wilderness medicine, first aid, Wilderness First Aid, fishing

Case Study: A Hot Day Becomes a First Aid Situation

By Tod Schimelpfenig on 6/25/18 3:23 PM


Photo by Ashley Wise

THE SETTING

You’re leading a canoe trip for a group on the Rio Grande River in Big Bend National Park in Texas. It’s been a hot trip, with temperatures well over 90°F (32°C) day after day. Today, the group started off with a long morning hike up a side canyon, and now you’ve been paddling for several hours, floating lazily along, watching birds swoop around the limestone cliffs.

Suddenly, your observations are interrupted by yells for help downstream. You paddle quickly to a beached canoe and several people on shore. One of your participants is shouting something about a seizure.

Another participant is lying on their back in the sand. Their legs are quivering, but their arms seem to be moving normally. The other participant insists this is a seizure—you’re not so sure.

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Topics: case study, wilderness medicine, heat illness, first aid

Quiz: Treating Heat Illness and Dehydration

By Ben Lerman on 6/13/18 12:15 PM
 
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Topics: quiz, wilderness medicine, Wilderness First Aid, first aid, heat illness

Snakebites: Myth vs. Reality

By Ben Lerman on 6/4/18 11:40 AM

In the movies, snakes bite constantly, fly through the air to strike, and kill their victims almost instantly with their venomous bites. Those involved respond in all manner of ways, from trying to photograph and identify the snakes’ species in 2006’s Snakes on a Plane to cutting open the bite wound and attempting to suck out the poison in 2010’s True Grit. Needless to say, these sensationalized portrayals can be misleading.

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Topics: wilderness medicine, first aid, myth, WFR, snakebite

Shock: What Causes It and What To Do

By Ben Lerman on 5/31/18 8:41 AM


Photo by Mike Trewartha.

What is shock? It’s a term that gets used frequently in casual conversation to describe emotional reactions. It’s also a serious medical condition that can be difficult to recognize, and even harder to treat, in the wilderness context.

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Topics: wilderness medicine, first aid, shock, NOLS Wilderness Medicine

Quiz: Bites and Envenomation

By Ben Lerman on 5/8/18 8:17 AM
 
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Topics: wilderness medicine, first aid, quiz

Quiz: Handling Burns in the Outdoors

By Ben Lerman on 3/27/18 8:56 AM
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Topics: wilderness medicine, first aid, quiz

Quiz: First Aid for Eyes, Ears, Nose, and Teeth

By Ben Lerman on 2/14/18 8:26 AM

 

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Topics: wilderness medicine, first aid, quiz

Your Favorite Stories from 2017

By Molly Herber on 12/20/17 2:31 PM

The stories we tell reveal a piece of ourselves. This year, the stories you loved told of people changed by the mountains and steps to achieve goals; that busted myths and shared ways to care for each other in the wilderness, both in mind and body.

Looking at the stories you loved reading, you can see where this community’s values are: in people and the environment. We hope you enjoy taking a look back at the seven most-read stories from 2017.

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Topics: Live the Dream, first aid, leadership, tolerance for adversity and uncertainty

Responding to Hurricane Harvey with Wilderness First Aid Skills

By Brad Zirkel on 10/31/17 8:32 AM

We found ourselves in our boat pulling away from the only dry land we could see. It looked as though a normal city neighborhood, with older homes lined up in rows covered by large shade trees, had been built in the middle of a shallow lake.

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Topics: NOLS Wilderness Medicine, first aid, wilderness medicine

A First Responder Changes the Conversation about Mental Health

By Jared Apperson on 5/25/17 1:17 PM

Editor’s note: Jared Apperson is a longtime NOLS Wilderness Medicine instructor and former flight paramedic. Here, he talks about the psychological challenges of working in emergency medicine and his mission to raise awareness of post traumatic stress for first responders.

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Topics: NOLS Wilderness Medicine, first aid, psychological first aid, wilderness medicine

The 5 Components of Psychological First Aid

By Laura McGladrey on 5/22/17 8:17 AM

Editor’s note: Adapted from the Spring 2017 issue of The Leader under the title “Psychological First Aid Toolkit—What’s in Yours?”

The common image of a first responder is someone with a snappy set of gloves smoothly bandaging a spurting wound or administering an EpiPen to a patient having an anaphylactic reaction. Injuries, we imagine, are easy to see and easy to fix.

While treating physical wounds seems like the most important way a first responder can help a patient, there’s a lot that we can do to care for a patient’s mental health, especially during and right after a traumatic event.

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Topics: NOLS Wilderness Medicine, first aid, psychological first aid, wilderness medicine