Wilderness Medicine Updates

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Wilderness Medicine Updates

Patrick Fink, MD

32 episodes

1 month ago

Understanding Stress Injuries in First Line Responders with Laura McGladrey This episode of Wilderness Medicine Updates, hosted by Patrick Fink, features a conversation with Laura McGladrey, founder of the Responder Alliance. They discuss the critical issue of stress injuries among first line responders, including professional ski patrollers, healthcare workers, and rescue team members. Through personal stories and expert insights, Laura explains the concept of stress injuries, how they devel...

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Health & Fitness

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Understanding Stress Injuries in First Line Responders with Laura McGladrey This episode of Wilderness Medicine Updates, hosted by Patrick Fink, features a conversation with Laura McGladrey, founder of the Responder Alliance. They discuss the critical issue of stress injuries among first line responders, including professional ski patrollers, healthcare workers, and rescue team members. Through personal stories and expert insights, Laura explains the concept of stress injuries, how they devel...

Show more...

Health & Fitness

Episodes (20/32)

Wilderness Medicine Updates

Ep. 28 - Laura McGladrey, Responder Alliance, and Stress Injury: How to Get Back to Green and Save Living While Saving Lives.

Understanding Stress Injuries in First Line Responders with Laura McGladrey This episode of Wilderness Medicine Updates, hosted by Patrick Fink, features a conversation with Laura McGladrey, founder of the Responder Alliance. They discuss the critical issue of stress injuries among first line responders, including professional ski patrollers, healthcare workers, and rescue team members. Through personal stories and expert insights, Laura explains the concept of stress injuries, how they devel...

1 month ago

59 minutes

Wilderness Medicine Updates

Ep. 27 - Thermoregulation: The Physics and Physiology of Body Temperature Regulation

In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the topic of thermoregulation, explaining how our bodies regulate temperature in response to environmental changes. Listeners will learn about methods of heat exchange (conduction, convection, radiation, and evaporation), how to measure core temperature, and the body's physiological responses—such as shivering, sweating, and blood flow control. The episode also touches on the effects of age, metabolic stressor...

2 months ago

32 minutes

Wilderness Medicine Updates

Fast Push #3: Safeback SBX for Avalanche Asphyxia Prevention

In this episode of Wilderness Medicine Updates, host Patrick Fink delves into groundbreaking technology designed to improve safety during avalanche events. The focus is on SafeBack SBX, a Norwegian-developed device that supplies air to users buried in avalanches, potentially extending survival time. Patrick reviews new research published in the Journal of the American Medical Association, which demonstrates significant efficacy in delaying hypoxia during simulated avalanche burials. The episo...

3 months ago

17 minutes

Wilderness Medicine Updates

Ep. 26 - Physical Training for Mountain Rescue Professionals with Rob Shaul of Mountain Tactical Institute

On this episode of Wilderness Medicine Updates, host Patrick Fink shifts focus from the science and literature of wilderness medicine to practical fitness tips for search and rescue personnel, ski patrollers, and outdoor rescuers. Patrick interviews Rob Shaw, founder and head coach of the Mountain Tactical Institute, about his specialized training programs for various types of mountain athletes, including those in industrial and tactical roles. They discuss the nuances of preparing for season...

3 months ago

47 minutes

Wilderness Medicine Updates

Ep. 25 - Tree Well Burial Study / Wilderness Med Careers AMA with Zack Majd

In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well burial, analyzing the findings and their implications for skiers and outdoor rescue personnel. We then transition to a special Q&A session with pre-med student Zack Majd, tackling questions about forming a career in wilderness medicine. Patrick discusses the necessary educational paths, the benefits and limitations ...

4 months ago

1 hour 1 minute

Wilderness Medicine Updates

Ep. 24 - Airway Management in Austere Environments with Dr. Nicholas Weinberg

In this episode of Wilderness Medicine Updates, Dr. Patrick Fink discusses airway management in austere situations with Dr. Nicholas Weinberg. They explore two cases published in the Wilderness Medicine Journal, detailing the decision-making processes in managing critically injured patients. Dr. Weinberg shares his background in emergency and wilderness medicine, and highlights the importance of flexibility and the application of basic life support techniques in the wilderness. The episode em...

5 months ago

46 minutes

Wilderness Medicine Updates

Ep. 23 - Inhaled Xenon Gas for Altitude Adaptation

Exploring Xenon Gas for Altitude Acclimatization and Sport Performance In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the use of inhaled xenon gas for sports performance enhancement and altitude acclimatization. The discussion is prompted by a recent claim from a UK climbing team that xenon helped them achieve a rapid ascent of Mount Everest. Xenon, a noble gas traditionally used as an anesthetic, has been shown to trigger hypoxia response pathways and boost EPO...

7 months ago

19 minutes

Wilderness Medicine Updates

Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue.

In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly four decades of experience globally. Moose discusses his extensive career from being an Outward Bound instructor to working with Yosemite Search and Rescue, and his role as a Family Liaison Officer for the National Park Service. The conversation touches on the challenges faced by search and rescue teams, the importance of rob...

8 months ago

1 hour 28 minutes

Wilderness Medicine Updates

Ep. 21 - Snow Immersion Suffocation

In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID). Unlike avalanches, snow immersion deaths happen silently—often within feet of a groomed run—when skiers and snowboarders fall into deep snow or tree wells and become trapped. We explore the research behind these incidents, where and how they occur, who is most at risk, and the tragic mechanics of asphyxiation in deep snow. Using studies from Van Tilburg, Baug...

9 months ago

23 minutes

Wilderness Medicine Updates

Ep. 20 - Out of Hospital Airway Adjuncts: King Tube vs LMA

King Tube vs IGEL for Airway Management In this episode of Wilderness Medicine Updates, Dr. Patrick Fink addresses a listener's question on whether to use a King Tube or an IGEL as an out-of-hospital airway adjunct. The episode begins with an overview of airway management techniques from mouth-to-mouth resuscitation to supraglottic airway devices. Dr. Fink explains the benefits and drawbacks of various airway adjuncts, including oral and nasal pharyngeal airways. The discussion then shifts to...

10 months ago

27 minutes

Wilderness Medicine Updates

Ep. 19 - Methoxyflurane, the Green Whistle, with Dr. Ross Hofmeyr

Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of methoxyfluorane, an anesthetic gas for pain management in wilderness settings. Joined by guest Dr. Ross Hofmeyr, an anesthesiologist and wilderness medicine expert from South Africa, the episode delves into the history, usage, benefits, and limitations of methoxyfluorane. Highlighting its efficacy, ease of use, and safety, es...

11 months ago

45 minutes

Wilderness Medicine Updates

Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg

Ketamine Use in Wilderness Pain Management: An Interview with Dr. Chris Van TilburgIn this episode of Wilderness Medicine Updates, host Patrick Fink discusses wilderness pain control with guest Dr. Chris Van Tilburg, focusing on the effective use of ketamine. The episode delves into how ketamine serves as a versatile medication for pain management, sedation, and intubation in emergency and wilderness environments. Dr. Van Tilburg, an expert in wilderness medicine with extensive field experien...

12 months ago

45 minutes

Wilderness Medicine Updates

Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm

In episode 17 of Wilderness Medicine Updates, host Patrick Fink delves into the ICAR resuscitation algorithm for buried avalanche victims. The episode reviews the physiology of avalanche burial and discusses critical determinants of survival, such as duration of burial, airway patency, signs of life, and lethal injuries. The Basic Life Support (BLS) and Advanced Life Support (ALS) algorithms are explained in detail, with a focus on the practical application for both amateur and professional r...

1 year ago

42 minutes

Wilderness Medicine Updates

Ep. 16 - Medications for Alpine Hut Trips

In this episode, I share an intense story of dealing with a suprise medical condition during a backcountry hut trip in Colorado. I walk through the diagnostic process, treatment options, and the importance of preparation for stays in remote places. Essential medications and tools needed for handling such emergencies in remote settings are discussed, along with advice on how to prepare for future expeditions.My articles on The-High-Route.comThe Hut Medication CardChapters: 00:00 Introduct...

1 year ago

17 minutes

Wilderness Medicine Updates

Ep. 15 - Airway Patency in Avalanche Victims

This episode, I look at a study from the Eurac research group on rates of airway occlusion in critically buried avalanche victims. Eurac looked at this critical feature of avalanche resuscitation triage as it both affects the way we treat buried avalanche victims, and it helps us to better understand whether technologies like the black diamond Avalung (retired) and the Safeback SBX can help us survive longer under the snow if buried. Full study text HEREThe High Route article on the Safeback ...

1 year ago

10 minutes

Wilderness Medicine Updates

Ep. 14 - Spinal Immobilization Guidelines Update

Today, we discuss updates in the WMS guidelines regarding the protection of patients with suspected spinal injuries.The Wilderness Medicine Society Clinical Practice Guidelines are all open-access, and you can find links to all of these guidelines on the right sidebar of this page.The education in this episode is based on the:Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection: 2024 UpdateIf you've never seen a vacuum mattress before, this video (2:10) gives a g...

1 year ago

13 minutes

Wilderness Medicine Updates

Ep. 13 - The High Route: Arguments for Avalanche Airbags

This episode is a repost of an interview that was first posted on The High Route Podcast. Hosted by the editor of The-High-Route.com, Jason Albert, we discuss my background in wilderness medicine, and then move on to discuss the research that support my argument and assertion that the avalanche airbag backpack should be standard equipment for backcountry skiers, snowboarders, snowmobilers, and anyone who regularly works or recreates in avalanche terrain. Check out The-High-Route.com for aweso...

1 year ago

48 minutes

Wilderness Medicine Updates

Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology

This is part 1 of a multi-part series on the resuscitation of critically buried avalanche victims. In this episode we learn the physiology that we need to understand the resuscitation algorithm. To learn the necessary biology, we follow a rider as they are carried in an avalanche, subjected to traumatic injury, and are then buried and begin to asphyxiate and cool. The background of this episode is useful to understand why:-Cardiac arrest from trauma is usually unsalvageable;-Arrest due t...

1 year ago

18 minutes

Wilderness Medicine Updates

Ep. 11 - After the Avalanche with Michael Buchanan

Episode 11 brings you my conversation with Michael Buchanan is a flight paramedic and senior firefighter / paramedic at the West Valley City Fire Department. He is the founder and operation of Mountain Medical Academy, a passion-driven backcountry medical care education company. We discuss the medical care of avalanche victims which Michael has made accessible to recreational skiers and riders who don't have a medical background. Other topics that we discuss include:-Finger sweeps...

2 years ago

53 minutes

Wilderness Medicine Updates

Ep. 10 - Tourniquets from Space Blankets

In this episode, I discuss the article "Arterial Occlusion Effectiveness of Space Blanket-Improvised Tourniquets for the Remote Setting". In this short blast I get into the meat of this article, and though the authors would tell you that space blankets aren't ready for primetime, I have some thoughts on the matter. In the podcast, I mistakenly say that you need to be a WMS member to access this article, but you don't! It's available open access here:https://www.wemjournal.org/article/S1080-60...

2 years ago

6 minutes