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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

Start Dreaming: Summer 2020 Expeditions Now Online

By NOLS on Jul 31, 2019
Photo by Ari Bruns

Dreading the end of summer? We are too, just a little.

But don’t despair: looking forward to next year’s outdoor adventures is a great way to shake off the end of summer blues.

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Topics: events, summer, Adventure Courses, NOLS semester, NOLS Expeditions, announcement, classic courses

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