Category Archives: Wilderness Medicine

LONGEST VF

A fascinating case report was recently published in Resuscitation. A young female speleologist was avalanched in the polish Tatra mountains. As she had access to an air pocket and some degree of ventilation she didn’t to succumb to the asphyxiation … Continue reading






Posted in Cardiology, Prehospital Medicine, Wilderness Medicine | 3 Comments

HEART RATE MONITOR WATCHES IN AVALANCHES

Heart rate monitor watches are becoming increasingly popular in outdoor sports. That has resulted in some interesting case reports where heart rate recordings have been downloaded and analysed from victims´watches. The most recent one was published in Resuscitation. It details … Continue reading






Posted in CPR, Emergency Medicine, Prehospital Medicine, SAR, Uncategorized, Wilderness Medicine | 7 Comments

ARCTIC CPR

Just wanted to share this photo that was on the front page of a norwegian national paper called Verdens Gang. It is from the evacuation of an avalanche victim that tragically passed away a few hours after this photograph was … Continue reading






Posted in Prehospital Medicine, Wilderness Medicine | 5 Comments

TUNNEL CREEK AVALANCHE

In NY times I found this incredible piece about avalanches and avalanche survival. It is a detailed description of what went down (other than heaps and heaps of snow…) when an avalanche hit 16 backcountry skiers in the Cascades. A … Continue reading






Posted in Prehospital Medicine, Wilderness Medicine | Leave a comment

DRIP DROP

You might end up somewhere, sometime when you need to give a patient an infusion without an infusion pump to help you. We doctors don’t know anything about stuff like that. Nurses to the rescue!






Posted in Emergency Medicine, Prehospital Medicine, Wilderness Medicine | 3 Comments

CHAMONIX ALPINE HEMS

Recently french TV channel France 3 aired a fascinating documentary about french mountain rescue in Chamonix. The show focuses on the particularly lethal summer climbing season of 2012. World-class HEMS done in a way you have never seen before. Some of … Continue reading






Posted in Prehospital Medicine, SAR, Wilderness Medicine | 4 Comments

TENSION PNEUMOTHORAX: NEEDLE VS KNIFE

In my daily work, the answer is clear. It’s knife. Maybe needle decompression while waiting for the knife. Last week I was attending a conference in Mountain Medicine, and we discussed the issue. One big difference on the mountain or … Continue reading






Posted in Emergency Medicine, Prehospital Medicine, Wilderness Medicine | 5 Comments

DR. POPSICLE AND THE RULE OF 1-10-1

We love this guy. Dr Gordon Giesbrecht. Professor at the university of Manitoba. He studies human physiology and our responses to extreme environments. He has done some groundbreaking work in cold-stress physiology and prehospital care in hypothermia. He is one … Continue reading






Posted in Prehospital Medicine, SAR, Wilderness Medicine | 6 Comments

THE RESCUEBASKET

There are several methods for hoisting a patient into a helicopter, ranging from stretcher systems to simple slings. They all affect the respiration and hemodynamics to varying degrees, which has resulted in some serious incidents with injuries or death as … Continue reading






Posted in SAR, Trauma, Wilderness Medicine | Leave a comment

AVALANCHE SURVIVAL

                  In avalanche victims the four most important factors that decide survival are degree of burial, duration of burial, the severity of trauma and finally presence of a free airway and the … Continue reading






Posted in Prehospital Medicine, SAR, Uncategorized, Wilderness Medicine | 6 Comments