Wilderness Medicine Podcast

#39: All Things Encephalopathy Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Effect of Air Exposure Time Under Room-Temperature Conditions on the Performance of Chemical Heat Blankets Intended for Use in Prehospital Accidental Hypothermia Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251325562 CME Available: wms.org/members Part 2: Prolonged Field Care discussion. Audio editing: Tom Conklin (www.tomconklinvoice.com)

#38: All Things Encephalopathy Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Encephalopathy at High Altitude: Hyponatremia or High Altitude Cerebral Edema? Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032251315381 CME Available: wms.org/members Part 2: Overview of other causes encephalopathy not directly addressed in the paper BONUS! Stay tuned for a summary in Spanish and French at the end! Audio editing: Tom Conklin (www.tomconklinvoice.com)

#37: Climate Change: Recreation at Risk Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Climate Change Impact on Outdoor Organizations Today Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241296526 CME Available: wms.org/members Part 2 MythBustsers Hypothermia Lab: Takeaways from participants of the DiMM winter course experiential lab at the UNM. Audio editing: Tom Conklin (www.tomconklinvoice.com)

#36: Treestand Safety & Catfish Injuries Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Treestand-Related Injuries Outnumber Projectile-Related Injuries in Arkansas Hunters, 1993–2022 Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241287774 CME Available: wms.org/members Part 2 Discussion of journal article Catfish Puncture Wound and Retained Spine Management in the ED Setting: A Case Report Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241273505 BONUS! Video recording of the above discussion available here: https://youtu.be/OcqnhRXPXns Audio editing: Tom Conklin (www.tomconklinvoice.com)

#35: Walking Cold Patients Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety—A Mountain Rescue Case Series Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241259943 CME Available: wms.org/members Part 2 A literature review on CPAP masks to assist high altitude endeavors. Part 3: So, you want to be a medical director for a rescue team? We will discuss the new WMS CPG on the topic. Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241249126 Audio editing: Tom Conklin (www.tomconklinvoice.com)

#34: Norovirus! Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Acute Gastroenteritis Outbreak Among Colorado River Rafters and Backpackers in the Grand Canyon, 2022 Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241245093 CME Available: https://wms.org/members Part 2 Norovirus discussion. Article link: Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#33: Marine Envenomation & Spinal Cord Protection Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Marine Envenomation in Okinawa: Overview and Treatment Concept Article link: https://journals.sagepub.com/doi/full/10.1177/10806032231220401 CME Available: https://wms.org/members Part 2 Darryl discusses the 2024 WMS CPG for Spinal Cord Protection with authors Seth C. Hawkins, MD, NREMT and Jason Williams, BS, NRP. Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241227232 Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#32: Finger Strength Training and Wilderness Medicine Interviews Dec 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club: A Finger in the Game: Sport-Specific Finger Strength Training and Onset of Injury Link to article: https://www.wemjournal.org/article/S1080-6032(23)00110-2/fulltext CME Available for WMS members. [TO COME] Part 2: Darryl Macias’s on-location interview with Drs. Nicolás Mena and Martin Musi at the Chile Summer DiMM Program Part 3: Fred Bossert interviews WMS committee leaders Drs. Jesse Gehner and Justin Gardner.

#31: Wilderness Rescue and Sustained Muscle Protein Synthesis Sept 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Article Discussion: Wilderness Rescue of a Hiker with Multiple Trapped Limbs by a Combined Wilderness and Urban Rescue Team Using High-Pressure Airbags Link to article: https://www.wemjournal.org/article/S1080-6032(23)00098-4/fulltext Part 2: Journal Club Title: Alaska Backcountry Expeditionary Hunting Promotes Sustained Muscle Protein Synthesis Authors: Link to article: https://www.wemjournal.org/article/S1080-6032(23)00093-5/fulltext CME Available for WMS members here. [TO COME] Part 3: Summaries of the episode in Spanish, French, and Italian. Music credits: Thalia - Amor A La Mexicana (Emilio Mix, Banda) La Vie En Rose - Louis Armstrong Tu Vuo Fa l'Americano - Talented Mr. Ripley soundtrack Hariyo Bhannu, Raju Lama, Tara Shreesh Magar, Miruna Magar (All Music Nepal)

#30: Portable Ultrasound and a Deep Dive into Diving Med Jun 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Comparison of Commonly Carried Liquids Against Commercial Ultrasound Gel for Use in the Backcountry Setting Authors: Jennifer N. Wray, BA; Zachary P. Soucy, DO; Nicholas J. Daniel, DO; Nicholas E. Weinberg, MD; G. Michael Krauthamer, MD; Sarah C. Crockett, MD; Catherine C. Pollack, PhD; Johndavid M. Storn, MD Link to article: https://www.wemjournal.org/article/S1080-6032(22)00220-4/fulltext CME Available for WMS members at wms.org. Part 2: A deep dive into diving medicine and high-altitude medicine and a primer on radio communications Part 3: NEW THIS EPISODE! A summary of the episode is offered in English, Spanish, and French!

#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine Mar 2023 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Hypothermia Case Darryl shares a recent hypothermia case handled at a tertiary care hospital using wilderness medicine techniques. Gordon Giesbrecht podcast: https://soundcloud.com/wildernessmedicinepodcast/wem-podcast-march-2019 NEJM article: https://www.nejm.org/doi/full/10.1056/NEJMoa2207304 Part 2: Journal Club Title: Evaluation of Escherichia coli Inactivation at High Altitudes Using Solar Water Disinfection Authors: Kylie Van Hoesen, MD; William Mundo, MD, MPH; Savannah Mierau, BA; Camille J. Hochheimer, PhD; Lucas Eggers, BS; Steven Shaw, MS; Brian C. Russo, PhD; Elaine Reno, MD Link to article: https://www.wemjournal.org/article/S1080-6032(22)00197-1/fulltext CME Available: https://wms.org/members Part 2: Mountain Rescue Link to article: https://www.wemjournal.org/article/S1080-6032(22)00213-7/fulltext Part 3: Marine Medicine Link to article: https://www.wemjournal.org/article/S1080-6032(22)00196-X/fulltext

#28: Avalanche Safety and Toxinology Dec 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Perceptions Among Backcountry Skiers During the COVID-19 Pandemic: Avalanche Safety and Backcountry Habits of New and Established Skiers Authors: Esteban A. Valle, MD; Andrew P. Cobourn, BS; Spencer JH. Trivitt, BS; Jordy Hendrikx, PhD; Jerry D. Johnson, DA; David C. Fiore, MD DOI: https://www.wemjournal.org/article/S1080-6032(22)00145-4/fulltext CME Available: https://wms.org/members Part 2: Toxinology Discussion Darryl interviews WEM’s senior toxinology editor, Dr. Scott Weinstein, and assistant toxinology editor, Dr. Michael Levine. Toxinology special section available in the December 2022 journal: https://www.wemjournal.org/issue/S1080-6032(22)X0005-7 Credits: Mike Austin and avalanchegeeks.com, and “avalanche avoiding kung fu.”

Sept 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol Authors: Tierra V. Lynch, BA; Peter W. Callas, PhD; Timothy D. Peterson, MD; Sarah M. Schlein, MD DOI: https://doi.org/10.1016/j.wem.2022.05.003 CME Available: https://wms.org/members Part 2: Author interview Darryl interviews Dr. Claude Maillaud about the current WEM article, Tiger Shark Attack on a Scuba Diver in New Caledonia. DOI: https://doi.org/10.1016/j.wem.2022.04.003 Part 3: Dr. Russ Reinbolt interviewed by Dr. Nicholas Weiss https://www.ultramarathondoc.com/ Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

WMP #26: VTE and Telemedicine June 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.org Part 1: Journal Club Title: Travel-Associated Venous Thromboembolism Authors: Isla McKerrow Johnson, Joseph Shatzel, Sven Olson, Tovah Kohl, Andrew Hamilton, Thomas G. DeLoughery DOI: https://doi.org/10.1016/j.wem.2022.02.004 CME Available: https://wms.org/members Part 2 Chris Davis, author of current WEM paper The Intersection of Telemedicine and Wilderness Care: Past, Present, and Future, discusses tech's place in the wilderness. Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

Please note: At approximately 26:45, there is a portion of updated audio to reflect the more commonly accepted dosing of IV epinephrine: diluting 1 mg of epinephrine in 10 cc of NS and giving 0.5 to 1 mL at a time. The technique and concentration in the edited audio are now also consistent with the published clinical practice guidelines. #25: Anaphylaxis and Everest March 2022 Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.org Part 1: Journal Club Title: Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis Authors: Flavio G. Gaudio, David E. Johnson, Kelly DiLorenzo, Arian Anderson, Martin Musi, Tod Schimelpfenig, Drew Leemon, Caroline Blair-Smith, Jay Lemery DOI: https://doi.org/10.1016/j.wem.2021.11.009 CME Available: https://wms.org/members Presenters: Flavio G. Gaudio, David E. Johnson Reviewer: Darryl Macias Part 2: Discussion topics • Darryl brings Ken Zafren onto the podcast to discuss the utility of “space blankets” in the wilderness medicine setting. See the article by Zafren et al, Prehospital Use of Ultrathin Reflective Foils, published in the March 2022 issue of WEM: https://doi.org/10.1016/j.wem.2021.11.006 • Darryl gives an update on the Khumbu Climbing Center and introduces us to the Full Circle Everest Expedition, the first Black climbing team attempting to summit Everest. Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

December 2021 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal Club Title: Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Management of Tick-Borne Illness in the United States Authors: Benjamin M. Ho, Hillary E. Davis, Joseph D. Forrester, Johnathan M. Sheele, Taylor Haston, Linda Sanders, Mary Caroll Lee, Stephanie Lareau, Michael Caudell, Christopher B. Davis DOI: 10.1016/j.wem.2021.09.001 CME Available: https://wms.org/members Presenter: Benjamin M. Ho Reviewer: Darryl Macias Discussion topic Darryl discusses why he believes that wilderness medicine is extinct.

September 2021 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal Club Title: Comparison of Radiographic, Ultrasound, and Magnetic Resonance Imaging for the Detection of Retained Stingray Barb: A Cadaveric Study Authors: Taylor A. Docter, Lauren B. Altschuh, Anthony J. Medak, Christine B. Chung, Karen B. Van Hoesen, Christanne H. Coffey DOI: https://doi.org/10.1016/j.wem.2021.03.012 CME Available: https://wms.org/members Presenters: Taylor A. Docter, Christanne H. Coffey Reviewer: Darryl Macias Discussion topic Darryl discusses drowning – current literature, WMS guidelines, and more.

June 2021 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal Club Title: Finger Flexor Pulley Injuries in Rock Climbers Authors: Paulo H. Miro, Eric vanSonnenberg, Dylan M. Sabb, Volker Schöffl DOI: https://doi.org/10.1016/j.wem.2021.01.011 CME Available: https://wms.org/members Presenters: Paulo H. Miro, Volker Schöffl Reviewer: Darryl Macias

March 2021 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 (1:49) Journal Club Title: Utilizing Drones to Restore and Maintain Radio Communication During Search and Rescue Operations Author: Jake N. McRae DOI: https://doi.org/10.1016/j.wem.2020.11.002 CME Available: https://wms.org/members Presenter: Jake N. McRae Reviewer: Darryl Macias Part 2 (29:35) Darryl chats with Mike Lauria about working under stress, how to mitigate stress, and why it’s important for wilderness medicine practitioners. Part 3 (1:13:50) Highlights from talks from the WMS 2021 winter conference.

December 2020 - Wilderness & Environmental Medicine Live Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Part 1 Darryl chats with WMS president Linda Keyes. Part 2 Article Review Title: Emerging Tickborne Viral Infections: What Wilderness Medicine Providers Need to Know Author: James H. Diaz DOI: https://doi.org/10.1016/j.wem.2020.06.011 CME Available: https://wms.org/members Presenter: James H. Diaz Reviewer: Darryl Macias BONUS: Videocast of part of James and Darryl's discussion available: https://youtu.be/moRnkYoWgjk