Wilderness Medical Society
Medical Conference and Annual Meeting
Snowmass, Colorado - July 23-28, 2010

PROGRAM SCHEDULE (PDF)   (click "Sessions/Workshops" for more detailed descriptions)

PRE-CONFERENCE: WILDERNESS MEDICINE FOR THE PROFESSIONAL PRACTITIONER
Friday, July 23, 2010
8:00-8:45 Introduction: Wilderness vs Urban Medicine (05-001-.75)
8:45-9:30 Patient Assessment in the Wilderness (12-002-.75)
9:30-10:30 Shock and Chest Injury: Assessment and management (07-002-.5,12-015-.5)
10:30-11:30 Spine Injury: Lifting and moving; patient packaging and immobilization with commercial litters (06-008-.5,06-008-.5,12-033-.5)
11:30-12:00 Head Injury Assessment and Management: Evacuation decision guideline (12-032-.5)
12:00-12:30 Spinal Assessment and Management: Use of the NEXUS protocol in the wilderness (12-033-.5)
12:30-1:30 LUNCH (on your own)
1:30-2:30 Spine Injury: Immobilization and transport with improvised litters (12-011-1)
2:30-3:30 Wound, Burn and Infection Management (10-002-.25,12-012-.25,12-014-.5)
3:30-5:00 Fracture Management: Improvised extremity splints (12-008-.75,12-009-.75,12-011-1)
5:00-6:00   Dislocations: Management of dislocations, including field reduction techniques (12-008-.5,12-009-.5)
 
Saturday, July 24, 2010
8:00-8:45 Wilderness Scenario: Skills practice (06-001-1)
8:45-9:30 Small Group Leadership, Teamwork and Communication: Managing a scenario in the wilderness – the prepared pack, what to carry into the wilderness (11-015-.5)
9:30-10:30 Cold Injury: Hypothermia recognition and treatment; field management of frostbite and non-freezing cold injury (09-002 -.5,09-019-.5)
10:30-11:00 Heat Illness: Recognition, prevention and treatment (07-002-.25,09-009-.25)
11:00-11:45 Altitude Illness: Recognition, treatment prevention (03-002-.25,03-004-.5)
11:45-12:45 LUNCH (on your own)
12:45-3:00 The Medical Patient in the Wilderness: Evacuation decision strategy (09-013-.75,12-001-.5,12-023-.75,12-044-.75)
3:00-4:00 Final Wilderness Scenario (06-001-1)
 
PRE-CONFERENCE: WMS TACTICAL COMBAT CASUALTY CARE FOR THE WILDERNESS PROVIDER
Saturday, July 24, 2010
8:00-8:55 Welcome and Tactical Combat Casualty Care Introduction, Bennett (12-051-.5)
8:55-9:30 Objectives, Guidelines, Time Matters, Moving Casualties, Drags and Carries, Otten (12-011-.25,12-049-.25)
9:30-9:50 Drags and Carries Practical, Staff (12-011-.25)
9:50-10:00 BREAK
10:00-10:25 Burns; Tourniquets, Greydanus (12-049-.25)
10:25-10:35 Airway, C-Spine, Summary, Mabry
10:35-10:45 Improvised Explosive Device (IED) Scenario, Greydanus, Mabry (12-039-.5)
10.45-11:30 Disarming, Airway Management, Mabry (12-017-.75)
11:30-11:45 WORKING LUNCH (catered)
11:45-12:20 Breathing, Tension Pneumothorax, Needle Decompression, and Sucking Chest Wound, Mabry (12-023-.5)
12:20-1:00 Bleeding, Tourniquets, Combat Gauze, Direct Pressure - Greydanus (12-049-.75)
1:00-1:50 Skill Station Round Robin, Staff (12-049-.5,12-017-.25,12-023-.25)
1:50-2:00 BREAK
2:00-2:30 Intravenous and Intraosseous Infusions, Otten (12-047-.5)
2:30-3:00 Fluid Resuscitation, Otten (07-002-.25, 12-046-.25)
3:00-3:10 BREAK
3:10-4:00 Pain Control, Splinting, Antibiotics, Burns, CPR, Otten (12-003-.25,12-004-.25,12-014-.25,12-045-.25)
4:00-4:15 Hypothermia Prevention, Penetrating Eye Trauma, SaO2 Monitoring, Bennett (12-050-.25)
4:15-4:30 TCCC Casualty Documentation, Movement, Summary, Greydanus
4:30-4:45 IED Scenario (con't), Greydanus, Mabry
4:45-5:30 Wilderness Scenarios, Staff (12-.039-.75)
   
CONFERENCE: Wilderness Medicine 2010 and WMS Annual Meeting
Saturday, July 24, 2010
12:00-3:00 CONFERENCE REGISTRATION
5:45-6:00 Welcome and Opening Remarks - Jay Lemery and Tony Islas
6:00-6:30 State of the Wilderness Medical Society, Colin Grissom
6:30-7:15 Rescue on Everest, Luanne Freer (03-013-.75)
Every year brings a larger crowd to climb on Everest and every year calamities claim lives.  The 8th season for Everest ER sees its volunteers growing the mission of the clinic to extend to rescue on the mountain; listen as the clinic's founder describes the genesis of Everest’s' first rescue team.
7:30-9:30 WELCOME RECEPTION, T-Shirt Swap, Band
 
Sunday, July 25, 2010
6:30-7:30 CONTINENTAL BREAKFAST - VISIT EXHIBITS
7:30-8:15 Expedition Medicine, Luanne Freer (04-002-.75)
"Hey! How would you like an all expense paid trip to Africa?" It sounds pretty inviting; in exchange for your expertise as a health care provider, you get a free trip.  But before you accept this tempting offer, you need to know the right questions to ask, whether you're properly prepared, and just how much work and risk you will be taking on. 
8:15-9:00 High Altitude Genetics, Ron Crystal (03-001-.75)
Normal physiologic function and risk for disease is a combination of our inherited genetic variability interacting with the stress of the environment.  In the context of the defined stress of high altitude hypoxia, there is increasing evidence that variability in the inherited genome dictates, in part, whether you can comfortably reside at and/or climb to high altitude. 
9:00-9:45 Mountain Rescue Doctor, Chris Van Tilburg (03-019-.5, 06-023-.25)
When Dr. Van Tilburg received a page on 12/9/06, little did he know that he’d be involved in one of the largest search and rescue missions in the US.  His team, Hood River Crag Rats, the oldest mountain rescue unit in the US, spearheaded the 10-day search, battling five feet of new snow, gargantuan crevasses, 100 mph wind, single digit temperatures and extreme avalanche danger. 
9:45-10:30 "Mishap in the Wilderness: Risk and whose fault is it?," Brownie Schoene (12-022-.75)
Risk of illness, injury, and death is increased in the wilderness environment. Individuals with cavalier, naive, and ignorant attitudes run a higher risk. This talk will discuss the concept of risk and attitudes which will minimize the risk and increase the benefit.
10:30-10:45 BREAK
10:45-11:30 Frostbite, Luanne Freer (09-002-.75)
Frostbite care in 2010 includes a new gold standard for evaluation and direction of treatment, and new treatment modalities that increase the margin of spared tissue.  Make sure you're prepared to treat your next frostbite patient and to counsel for prevention.
11:30-12:15 Medical Kits: Beyond First Aid, Christopher Van Tilburg (05-026-.25, 12-048-.5)
An oversight of light, compact medical kits geared for doctors, nurses, paramedics including advance life support equipment and medicines, gear for international travel to austere locations, and use of medications in the field. 
  SMALL GROUP SESSIONS
1:00-2:20  Smart Phones and Crisis Mapping: Update from Haiti, Satchit Balsari (06-015-1.25)
This working group will explore the use of smart phone applications and the internet in austere settings in coordinating response, aid and communication. The group will leave with a basic understanding of the evolving components of crisis mapping through a case study of the humanitarian response to Haiti, where several key members of the Wilderness Medical Society provided early, time-sensitive, and life-saving critical medical care.
  Finding Your Niche, Jay Lemery (13-015-1)
This lecture will offer strategies for WMS members to develop their interests for professional distinction and personal growth. Dr. Lemery will emphasize the resources that the WMS offers, as well as ideas to stimulate a creative approach to career development. He will cite evidence-based literature to support this lecture.
  Non-freezing Cold Injuries, Andrea Gravatt (09-040-.25, 03-019-.5, 12-048-.5)
This session will address common and important non-freezing injuries that can occur both in the backcountry and in the backyard. These important "injuries/diseases" may simply be a nuisance, such as cold induced rhinnorhea, or may result in a fatality, as in the case of cold urticaria. Recognition of these entities may prevent unnecessary medical work-up and prevent morbidity and mortality.
  SCUBA with Disability, JenFu Cheng (01-009-.5, 01-015-.75)
Self-contained underwater breathing apparatus (SCUBA) diving has become an increasingly popular recreational activity, enjoyed by millions of individuals. There has also been a growing interest in SCUBA diving in the disabled population for rehabilitation and recreation.
  Finger Injuries in Rock Climbing, Volker Schoeffl (07-006-1.25)
The lecture will give  anatomic and biomechanical details on climbing-specific finger injuries, including cadaver studies to the pulley function. Additionally, differential diagnosis of finger injuries in climbers will be discussed, and the diagnostic and therapeutical patterns shown.
2:30-3:50 Tired of Terrestrial Living, Aspiring Marine Mammals Enter Rebreather Diving, Jonathan Conard (01-028-1)
This lecture will give a history of rebreather diving. Comparing and contrasting SCUBA and rebreather diving. Different rebreather technologies will be discussed. Rebreather mechanics as related to dive physiology will be discussed. This will include current issues with hypoxia, hyperoxia, and hypercapnia. Diving with a rebreather in different situations, i.e., wreck diving, altitude diving, cave diving, cold water, etc., will be discussed. Failure issues and emergency recovery procedures will be discussed.
  Non-freezing Cold Injuries, Andrea Gravatt (09-040-.25, 03-019-.5, 12-048-.5)
This session will address common and important non-freezing injuries that can occur both in the backcountry and in the backyard. These important "injuries/diseases" may simply be a nuisance, such as cold induced rhinnorhea, or may result in a fatality, as in the case of cold urticaria. Recognition of these entities may prevent unnecessary medical work-up and prevent morbidity and mortality.
  International Air MedEvac, Richard Jones (06-009-.5, 06-020-.25, 06-023-.25)
Transporting sick, injured, or deceased patients from an overseas location is a complicated, time consuming, logistically challenging, and often frustrating event. Medical personnel should be familiar with the process so that they have realistic expectations.
  Sport and Ice Climbing: Injuries and epidemiology, Volker Schoeffl (07-006-1.25)
This session will analyze injury patterns and epidemiology in sport, rock and ice climbing. The sport specific pathologies will be discussed as well as their prevention. All climbing specific injuries will be further shown. Injuries to the lower extremity specific for climbing will be also analyzed.
4:00-5:20 Backcountry Trauma Ultrasound, Jay Gupta (05-031-1.25)
This lecture will describe the utilization of small, transportable, hand-held ultrasound machines in the detection, management, and disposition of trauma cases that may occur in the backcountry environment.
  Wilderness Medicine Rotation, Vicki Mazzorana (13-005-1.25)
This small group discussion will include the planning and organizing of a Wilderness Medicine rotation for students at their respective facilities. Specifically, to put together these rotations at respective sites. There are others within WMS who are currently involved and interested. The target audience would include educational coordinators of student rotations at educational institutions as well as educational coordinators at National Parks.
  Peds Emergencies in Austere Environments, Ron Kaplan (12-001-.5, 12-048-.75)
Many pediatric medical emergencies can be initially managed in the field without access to a medical facility or sophisticated equipment. Examples include dehydration secondary to acute gastrointestinal illness, status asthmaticus and status epilepticus. The management of these conditions will be addressed, including a review of the relevant literature regarding treatment modalities available in the field.
  Travel and Pregnancy at Altitude, Linda Keyes (02-012-.5, 03-011-.75)
Interactive lecture covering what is known and not known about the risks of travel and exercise at high altitude during pregnancy. The lecture will be evidence based and cover the most current research and the UIAA Consensus Guidelines published in 2008.
  Medical Advisors in Outdoor Education, Shana Tarter (13-011-1)
Outdoor programs can struggle to find physicians to partner with as medical advisors. Physicians are often unsure how to get involved with organizations running educational trips and expeditions. This workshop will look at typical program needs and common physician questions with the goal of fostering increased connections.
  WORKSHOPS
1:00-3:00 Improvised Splinting, Tod Schimelpfenig (10-002-.5, 12-008-.5, 12-011-.5, 12-045-.5)
Learn this fundamental wilderness medicine skill of improvising splints under the guidance of Wilderness Medicine Institute instructors.
1:00-5:00 Awareness, Sign Cutting and Tracking Course, Rob Speiden (No Credits Offered)
The ability to find, interpret and follow tracks or signs left by human passage is an essential skill for persons interested in being attentive and responsive to occurrences in their surroundings. Rob Speiden teaches human tracking (aka man-tracking) and sign cutting skills to search and rescue, law enforcement and other government organizations.
3:20-5:20 Litters: Commercial and improvised, Tod Schimelpfenig (10-002-1, 12-033-.5, 12-045-.5)
Learn this fundamental wilderness medicine skill of commercial and improvised litter building, packaging and carrying under the guidance of Wilderness Medicine Institute Instructors.
  WMS ACTIVITIES
12:30-3:30 WMS Editorial Board Meeting
4:30-6:30 WMS Committee Meetings
5:30-6:30 Student Interest Group Reception
 
Monday, July 26, 2010
7:15-8:00 CONTINENTAL BREAKFAST - VISIT EXHIBITS
8:00-8:30 Abstracts, Tom DeLoughery
8:30-9:15 Top 10 Articles, Scott McIntosh (14-012-.75)
This lecture will describe the current status of research in Wilderness Medicine. We will discuss the history of submissions, the type of research that is being preformed, and outline the directions that wilderness medicine can/should go. 
9:15-10:00 Hypothermia, Eric Johnson (09-019-.75)
Will define and review current epidemiology; discuss assessment and treatment strategies; review the current state of therapeutic hypothermia.
10:00-10:15 BREAK
10:15-11:00 Update on Disaster and Avian Flu, Michael Callahan (11-001-.75)
The latest research and best practice guidelines in the field will be discussed.
11:00-11:45 Case Studies from the Khumbu, Eric Johnson (No Credits Offered)
The lecture will present and discuss some of the more interesting cases over the past few years.
SMALL GROUP SESSIONS
12:30-1:50 SCUBA with Disability, JenFu Cheng (01-009-.5, 01-015-.75)
Self-contained underwater breathing apparatus (SCUBA) diving has become an increasingly popular recreational activity, enjoyed by millions of individuals. There has also been a growing interest in SCUBA diving in the disabled population for rehabilitation and recreation.
In-Flight Medical Emergencies, Joan Garrett (12-048-1.25)
The path between your home and your adventure destination can present a remote medical emergency of a different nature: in-flight. Next time you’re traveling into the wilderness via commercial flight, think about what you will do when a flight attendant pages a doctor, nurse or paramedic to volunteer in this remote setting to care for a sick passenger.
Wilderness Medicine Rotation, Vicki Mazzorana (13-005-1.25)
This small group discussion will include the planning and organizing of a Wilderness Medicine rotation for students at their respective facilities. Specifically, to put together these rotations at respective sites. There are others within WMS who are currently involved and interested. The target audience would include educational coordinators of student rotations at educational institutions as well as educational coordinators at National Parks.
Travel and Pregnancy at Altitude, Linda Keyes (02-012-.5, 03-011-.75)
Interactive lecture covering what is known and not known about the risks of travel and exercise at high altitude during pregnancy. The lecture will be evidence based and cover the most current research and the UIAA Consensus Guidelines published in 2008.
9/11 to Haiti: What disasters teach about leading and serving, James Geiling (11-001-1.25)
Participants will discuss the planning, preparedness and training involved in disaster medicine. They will learn how to coordinate with local, state and federal agencies and what assistance is available from each. Important communication issues and disaster phases will be identified and discussed.
2:00-3:20 International Air MedEvac, Richard Jones (06-009-.5, 06-020-.25, 06-023-.25)
Transporting sick, injured, or deceased patients from an overseas location is a complicated, time consuming, logistically challenging, and often frustrating event. Medical personnel should be familiar with the process so that they have realistic expectations.
Peds Emergencies in Austere Environments, Ron Kaplan (12-001-.5, 12-048-.75)
Many pediatric medical emergencies can be initially managed in the field without access to a medical facility or sophisticated equipment. Examples include dehydration secondary to acute gastrointestinal illness, status asthmaticus and status epilepticus. The management of these conditions will be addressed, including a review of the relevant literature regarding treatment modalities available in the field.
Veterinary Wilderness Medicine, Chris Ralphs (No Credits Offered)
“What’s that Timmy? Lassie’s trapped in a well?” This lecture will be dedicated to preparing you to prevent and treat veterinary medical emergencies that you may encounter in a wilderness setting with an emphasis on dogs. Topics to be covered will include basics of canine physiology, drug dosages, and fluid therapy.
Medical Advisors in Outdoor Education, Shana Tarter (13-011-1)
Outdoor programs can struggle to find physicians to partner with as medical advisors. Physicians are often unsure how to get involved with organizations running educational trips and expeditions. This workshop will look at typical program needs and common physician questions with the goal of fostering increased connections.
3:30-4:50 Smart Phones and Crisis Mapping, Satchit Balsari (06-015-1.25)
This working group will explore the use of smart phone applications and the internet in austere settings in coordinating response, aid and communication. The group will leave with a basic understanding of the evolving components of crisis mapping through a case study of the humanitarian response to Haiti, where several key members of the Wilderness Medical Society provided early, time-sensitive, and life-saving critical medical care.
Tired of Terrestrial Living, Aspiring Marine Mammals Enter Rebreather Diving, Jonathan Conard (01-028-1)
This lecture will give a history of rebreather diving. Comparing and contrasting SCUBA and rebreather diving. Different rebreather technologies will be discussed. Rebreather mechanics as related to dive physiology will be discussed. This will include current issues with hypoxia, hyperoxia, and hypercapnia.
Ultrasound Under Extreme Conditions: Can He Get an Ultrasound?, Doug Sward (12-048-1.25)
Review and describe uses and potential uses of portable ultrasound machines in wilderness settings. Review both trauma and medical uses of ultrasound to aid in diagnosis and management in the wilderness.
Backcountry Trauma Ultrasound, Jay Gupta (05-031-1.25)
This lecture will describe the utilization of small, transportable, hand-held ultrasound machines in the detection, management, and disposition of trauma cases that may occur in the backcountry environment.
Basics of Canine Resusitation, Chris Ralphs (No Credits Offered)
“No, not the Hind lick maneuver!” This lecture will address resuscitation techniques and medications that can be used when veterinary care is not available. Basics of canine anatomy, CPR, fluid therapy, a drug treatment will be covered.
WORKSHOPS
1:00-3:00 Moulage for Medical Training, Gates Richards (13-011-2)
Enhance the realism of your training simulations with simple mock injuries. Wilderness Medicine Institute’s experienced educators will share tricks of the trade in using moulage effectively in your education setting.
Tyrolean Traverses, Todd Miner (06-008-2)
Transporting a mobility-impaired patient across a stream, gorge, crevasse, or other wilderness impediment can present major challenges. In this hands-on workshop learn how to set up and build a simple rope system to safely and efficiently transport a patient (or care givers) over and across an otherwise impassible obstacle.
1:00-5:00 Awareness, Sign Cutting and Tracking, Rob Speiden (No Credits Offered)
The ability to find, interpret and follow tracks or signs left by human passage is an essential skill for persons interested in being attentive and responsive to occurrences in their surroundings. Rob Speiden teaches human tracking (aka man-tracking) and sign cutting skills to search and rescue, law enforcement and other government organizations.
3:10-5:10 Moulage for Medical Training, Gates Richards (13-011-2)
Enhance the realism of your training simulations with simple mock injuries. Wilderness Medicine Institute’s experienced educators will share tricks of the trade in using moulage effectively in your education setting.
WMS ACTIVITIES
12:30-5:00 WMS Annual Board of Directors Meeting
6:00-8:00 FELLOW CONVOCATION
 
Tuesday, July 27, 2010
6:30-7:30 CONTINENTAL BREAKFAST – VISIT EXHIBITS
7:30-8:00 Abstracts, Tom DeLoughery
8:00-8:45 Wounds in the Wilderness, Eric Johnson (12-012-.75)
This lecture will be a primer for consideration of wound management in many wilderness type settings.
8:45-9:30 Wilderness Standards of Care: Who cares?, Angela F. Gardner (13-007-.75)
With the emergence of wilderness postgraduate fellowships and the development of crisis standards of care at the federal level, there is a growing movement to establish standards of care in wilderness medicine. This presentation discusses the role and responsibilities of wilderness providers in shaping and responding to those standards. 
9:30-9:45 BREAK
9:45-10:30 Dive Safety, Loren Greenway (01-017-.75)
The program will review the safety issues relating to the first Wilderness Medical Society dive fatality during a meeting. We will discuss overall dive accident causes, treatments and pre-dive planning. Further, we will discuss post event issues and the importance of event insurance and post event planning. 
10:30-11:15 Tactical Medicine for Civilians, Joy Crook (12-019-.75)
Updates on the latest research and best practice guidelines in the field will be discussed.
SMALL GROUP SESSIONS
12:00-1:20 Rock climbing: Consequences for children and long-time climbers, Volker Schoeffl (12-027-1.25)
Two main topics will be analyzed: Consequences of intense climbing in children and teenagers and consequences of long-time climbing on possible osteoarthritis in the hands and fingers.
In-Flight Medical Emergencies, Joan Garrett (12-048-1.25)
The path between your home and your adventure destination can present a remote medical emergency of a different nature: in-flight. Next time you’re traveling into the wilderness via commercial flight, think about what you will do when a flight attendant pages a doctor, nurse or paramedic to volunteer in this remote setting to care for a sick passenger.
Veterinary Wilderness Medicine, Chris Ralphs (No Credits Offered)
“What’s that Timmy? Lassie’s trapped in a well?” This lecture will be dedicated to preparing you to prevent and treat veterinary medical emergencies that you may encounter in a wilderness setting with an emphasis on dogs. Topics to be covered will include basics of canine physiology, drug dosages, and fluid therapy.
Jungle Travel and Survival, John Walden (04-002-1.25)
Drawing on over 40 years of living and trekking with isolated tribal populations throughout the Amazon Basin, Dr. Walden presents the basics for successful participation in trips into the tropical rainforest as well as a brief overview of strategies for emergency jungle survival and survival in hostage situations.
River Travel Health, Rebecca Love (04-005-.75, 05-026-.5)
A summary of the common injuries and ailments of travelers on wild rivers with special attention to the Colorado through the Colorado Plateau and Grand Canyon. Special attention to the issues of first aid kits, prevention, self care, and institution of definitive treatment and indications for evacuation.
1:30-2:50 9/11 to Haiti - What disasters teach about leading and serving, James Geiling (11-001-1.25)
Participants will discuss the planning, preparedness and training involved in disaster medicine. They will learn how to coordinate with local, state and federal agencies and what assistance is available from each. Important communication issues and disaster phases will be identified and discussed.
Musculoskeletal Workshop for the Wilderness Practitioner, Tony Islas (07-001-1.25)
This lecture will review the current literature for the types of musculoskeletal injuries seen in the wilderness traveler. It will discuss the use of tape and braces for wilderness travel and athletics. It will utilize the group for demonstration and group practice of the evaluation of hands, wrists, shoulders, knees and ankles.
Teaching Ideas for Wilderness Training, Tommy Walker (13-010-1.25)
This lecture will focus on sharing teaching ideas and method with the main focus being on Wilderness Medicine. We will cover teaching ideas, learning styles, lecture and practical skills preparations, etc.
Search and Rescue Theory, Aaron Billin (06-003-1.25)
An introduction to search and rescue theory including (1) the construction of a complete subject profile and its use in the prediction of the behavior of lost or missing persons, and (2) application of a mathematical model to determine how to best go about a search for a lost or missing person.
The Only Thing to Fear, Andrew Watters (12-048-1.25)
This talk reviews the common causes and effects of survival situations: planning errors, execution errors, and the neuropsychological reaction to stress situations. Review of current and developing theories in neurobiology will be covered, as they apply to wilderness medicine and survival. The implications and application of this material is also particularly relevant to group leaders, medical directors, search and rescue teams, and EMS providers.
3:00-4:20 Roundtable: Controversies in Missionary and Humanitarian Medicine, Cindy Bitter
Ultrasound Under Extreme Conditions: Can he get an ultrasound?, Doug Sward (12-048-1.25)
Review and describe uses and potential uses of portable ultrasound machines in wilderness settings. Review both trauma and medical uses of ultrasound to aid in diagnosis and management in the wilderness.
“Lookin’ for Eight…” The Mechanisms of Rodeo, Equestrian and Other Large Herbivore Caused Injuries, Gordon Worley (09-007-1.25)
Rodeo, equestrian sports and other human/large animal interactions, whether voluntary or involuntary, have the potential for significant injury. Many health care practitioners have little or no exposure to the injuries caused by rodeo, equestrian and other large animal encounters.
Shark Attacks, Jacob Miss (09-031-.5, 12-048-.75)
Perhaps the most feared predator in the sea, great white sharks attack more humans in the "Red Triangle," extending north and south of San Francisco Bay, than any other geographic location on the planet. This presentation will discuss the lessons learned from the shark attacks in the Red Triangle of Northern California, describing factors and variables related to the attacks in the area such as time of day, activity, location, time of year, etc.
Venomous Snakebite Treatment, Jonathan Allen (09-021-1.25)
Identification of venomous snakes; prehospital and hospital management of venomous snakebites – both Crotaidae and Elapidae; understanding the physiologic effects of snake venoms.
WORKSHOPS
12:00-2:00 Diving and Hyperbaric Physiology: Advancing your knowledge, Jolie Bookspan (01-001-2)
Fast paced, clinically relevant, rarely available topics for those with knowledge of diving and hyperbaric physiology. Presented by researcher who did the work in the field.
12:00-4:00 Simple Rope Rescue, Todd Miner (06-013-4)
Whether it is to rescue a patient needing care, or simply to take care of one’s self or one’s own party, simple rope rescue techniques are important skills for those practicing wilderness medicine. In this hands-on workshop learn simple self-rescue rope techniques for escaping a crevasse, recovering a pinned boat, or even just freeing a car from a deep ditch.
2:20-4:20 Prevent and Fix Common Expedition Injuries, Jolie Bookspan (07-001-1, 07-014-1)
Fast moving, jam packed, hands-on workshop of breakthrough, evidence-based innovations in sports medicine in wilderness environments. Practice teaching methods under supervision with feedback, with optional certification.
  EVENING PROGRAM
6:00-7:30 WMS Awards Ceremony, Banquet, and Silent Auction
7:30-10:00 WMS Members Respond to Haiti - Paul Auerbach, James Geiling (11-001-1.5)
Many WMS members responded to the Haiti earthquake. Stanford University Hospital sent a team that included Doctors Paul Auerbach, Anil Menon and Robert Norris. Dartmouth-Hitchcock Medical Center sent a team that included Doctor James Geiling. Auerbach, Menon and Geiling share their experiences and demonstrate the value of wilderness medicine knowledge and skills in the setting of a catastrophic natural disaster.
 
Wednesday, July 28, 2010
  (Small Group Sessions & Workshops - see below)
1:00-1:30 Abstracts, Tom DeLoughery
1:30-2:15 Environment and Human Health, Jeremy Hess (No Credits Offered)
This lecture will focus on grand challenges in environmental health, and to discuss different ways to think, communicate, and act on three important issues: climate change, energy scarcity, and ecosystem degradation. 
2:15-3:00 Tropical Medicine, Phil Levy (11-010-.75)
Using a case-based format, this presentation will cover multiple aspects of Tropical Medicine including often overlooked issues of individual preparedness and “what to expect” when planning healthcare-oriented travel. 
3:00-3:15 BREAK
3:15-4:00 Wet and Wild: Submersion injuries, Seth Hawkins (09-004-.5, 09-032-.25)
Discussion of submersion injuries, including definitions, prevention, treatment and epidemiology, with a focus on wilderness medical care. Submersion injuries include drowning, near-drowning, and other injuries resulting from immersion or submersion in liquid media, but excludes injuries whose primary mechanism is pressure (diving injuries) or bites/stings (marine animal injuries).
4:00-4:45 Lightning and Electricity, Chris McStay (09-003-.75)
Describe avoidance, physics, injury patterns and treatment decisions of patients who suffer electrical injuries.
4:45-5:00 Closing Remarks, Jay Lemery and Tony Islas
6:00-8:00pm WMS FUNDRAISER MOVIE – Endurance: Shakleton’s Legendary Antarctic Adventure
  SMALL GROUP SESSIONS
7:30-8:50am Search and Rescue Theory, Aaron Billin (06-003-1.25)
An introduction to search and rescue theory including (1) the construction of a complete subject profile and its use in the prediction of the behavior of lost or missing persons, and (2) application of a mathematical model to determine how to best go about a search for a lost or missing person.
Jungle Travel and Survival, John Walden (04-002-1.25)
Drawing on over 40 years of living and trekking with isolated tribal populations throughout the Amazon Basin, Dr. Walden presents the basics for successful participation in trips into the tropical rainforest as well as a brief overview of strategies for emergency jungle survival and survival in hostage situations.
Musculoskeletal Workshop for the Wilderness Practitioner, Tony Islas (07-001-1.25)
This lecture will review the current literature for the types of musculoskeletal injuries seen in the wilderness traveler. It will discuss the use of tape and braces for wilderness travel and athletics. It will utilize the group for demonstration and group practice of the evaluation of hands, wrists, shoulders, knees and ankles.
The Only Thing to Fear, Andrew Watters (12-048-1.25)
This talk reviews the common causes and effects of survival situations: planning errors, execution errors, and the neuropsychological reaction to stress situations. Review of current and developing theories in neurobiology will be covered, as they apply to wilderness medicine and survival. The implications and application of this material is also particularly relevant to group leaders, medical directors, search and rescue teams, and EMS providers.
Finding Your Niche, Jay Lemery (13-015-1.25)
This lecture will offer strategies for WMS members to develop their interests for professional distinction and personal growth. Dr. Lemery will emphasize the resources that the WMS offers, as well as ideas to stimulate a creative approach to career development. He will cite evidence-based literature to support this lecture.
9:00-10:20am “Lookin’ for Eight…” The Mechanisms of Rodeo, Equestrian and Other Large Herbivore Caused Injuries, Gordon Worley (09-007-1.25)
Rodeo, equestrian sports and other human/large animal interactions, whether voluntary or involuntary, have the potential for significant injury. Many health care practitioners have little or no exposure to the injuries caused by rodeo, equestrian and other large animal encounters.
River Travel Health, Rebecca Love (04-005-.75, 05-026-.5)
A summary of the common injuries and ailments of travelers on wild rivers with special attention to the Colorado through the Colorado Plateau and Grand Canyon. Special attention to the issues of first aid kits, prevention, self care, and institution of definitive treatment and indications for evacuation.
Shark Attacks, Jacob Miss (09-031-.5, 12-048-.75)
Perhaps the most feared predator in the sea, great white sharks attack more humans in the "Red Triangle," extending north and south of San Francisco Bay, than any other geographic location on the planet. This presentation will discuss the lessons learned from the shark attacks in the Red Triangle of Northern California, describing factors and variables related to the attacks in the area such as time of day, activity, location, time of year, etc.
Venomous Snakebite Treatment, Jonathan Allen (09-021-1.25)
Identification of venomous snakes; prehospital and hospital management of venomous snakebites – both Crotaidae and Elapidae; understanding the physiologic effects of snake venoms.
Teaching Ideas for Wilderness Training, Tommy Walker (13-010-1.25)
This lecture will focus on sharing teaching ideas and method with the main focus being on Wilderness Medicine. We will cover teaching ideas, learning styles, lecture and practical skills preparations, etc.
  WORKSHOPS
7:30-9:30am Not the Same Old Stretches: Why well-known stretches aren’t stopping injury and what to do instead, Jolie Bookspan (07-001-1)
Learn therapeutic, diagnostic, and innovative stretches and take home effective, state of the art techniques that work quickly in both office and outback. Practice teaching methods under supervision with feedback, with optional certification.
Hemostatic Agents and Tourniquets, Brad Bennett (07-002-2)
This 2-hour workshop will provide the ability to see the tourniquets and hemostatic agents currently recommended for use by the Committee on Tactical Combat Casualty Care (CoTCCC), Defense Health Board. We will discuss the correct application, how they work, the pros and cons, and lessons learned for managing severe bleeding.
10:00-12:00 Functional Core Re-Training for the Outback, Jolie Bookspan (07-001-1, 07-011-1)
Learn several state-of-the-art techniques to stop hyperlordotic lower back pain from hiking, swimming/scuba, and backpacks and understand and maintain neutral spine. Practice teaching methods under supervision with feedback, with optional certification.
Hemostatic Agents and Tourniquets, Brad Bennett (07-002-2)
This 2-hour workshop will provide the ability to see the tourniquets and hemostatic agents currently recommended for use by the Committee on Tactical Combat Casualty Care (CoTCCC), Defense Health Board. We will discuss the correct application, how they work, the pros and cons, and lessons learned for managing severe bleeding.