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Case Study: Anaphylaxis in the Backcountry

By Tod Schimelpfenig on Oct 30, 2019

Photo courtesy of Deborah Sussex.
 

The Setting

You are hiking with a group of friends deep in a wilderness area. It’s lunch and everyone’s stomach is rumbling, but no one wants to stop long term.

Luckily, you have trail mix within arm’s reach. You feel comfortable passing it amongst your hungry group members because it doesn’t contain nuts.

However, soon after one of your friends becomes acutely ill. With a tingly and tight throat, your friend seems to be having an allergic reaction.

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

Case Study: When Heat Stress Hits an Entire Group

By Tod Schimelpfenig on Jul 23, 2019

Photo by Pascale Gulick
 

The Setting

You’re the supervisor for several crews doing volunteer trail maintenance in a local national forest.

Since your crew leaders are new, you decide to head out to their work sites to check on their work. (Plus, it’s a good reason to get out of the office, away from email, and enjoy a hike in the hills.)

The weather has been unusually hot and humid, with daytime temperatures in the 90s °F (30s °C).

You find one of your crews around lunchtime resting under a few trees. They look lethargic and tired.

One crew member is lying on his back with his feet elevated and a wet bandanna on his forehead. Your crew leader gives you a SOAP report on the patient.

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

Case Study: A Hot Day Becomes a First Aid Situation

By Tod Schimelpfenig on Jun 25, 2018


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

Quiz: Treating Heat Illness and Dehydration

By Ben Lerman on Jun 13, 2018
 
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Topics: first aid, wilderness medicine, Wilderness First Aid, quiz, heat illness