Category: Medical

Taking care of yourself in Field: Hydration

Bill M Campbell MD FAWM DiMMAs mountain rescuers, we get very focused on finding and rescuing individuals in austere conditions. Some teams even have the motto “So others may live.” But we must constantly remind ourselves of our priorities: self > team > subject. If we don’t take care of ourselves, then we let ourteam

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Outdoor Climbing Injuries: Patterns and Risks

Cassie Lowry, DO FAWM MRA MedCOM Climbing, in its many forms, has grown in popularity across the country at an estimated 67% increase since 1998. As outdoor sports continued to grow in popularity during the COVID pandemic, the frequency of injuries is likely to have increased as well. Many of the largest data sets predate

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ICAR MEDCOM 2022, Montreux, Switzerland REPORT TO MRA

ICAR MEDCOM 2022, Montreux, Switzerland Report to MRA Dr. Alison Sheets, Dr. Christopher VanTilburg   ICAR 2022 was the first in-person conference since the Covid-19 epidemic and generated a great turn out with around 500 attendees. All commissions had great participation and the venue in Montreux was excellent. The MEDCOM activities began with a pre-conference

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Prevention and Treatment of Frostbite in the Backcountry

Richard Yocum, MD, San Diego Mountain Rescue Team and Riverside Mountain Rescue Unit Frostbite is a painful condition often resulting in loss of tissue that is usually preventable. The Wilderness Medical Society (WMS) published a 2019 update to their clinical practice guidelines for the prevention and treatment of frostbite1 , which serves as the primary

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MEDCOM: Hypothermia Rescue Decision Tree

This is a tool that was piloted in the Washington MRA region last winter; a gear and resource decision tree to support our operations both at command and in the field. The concept is a loose algorithm to guide gear and resources in prep and during the mission, so it’s a dynamic scheme to apply to conditions

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The Most Common Wilderness Injury: A Case Report

The subject was a 60-year-old female hiking down from the summit of Pikes Peak (14,109 ft) on a sunny, September day. She stepped on a rock and twisted her left ankle, resulting in lateral (outside) left ankle pain only and no other injuries. El Paso SAR (Colorado Springs) and Douglas County SAR (South of Denver)

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On the CPR Debate

By Skeet Glatterer, MD  There have been recent postings on the MRA listserv regarding an increase in costs for CPR training, as well as comments on the use and efficacy of CPR in the field. As a group, our medical expertise is an integral part of the rescue portion of SAR. Some basic level of

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Drowning

by J. Pearce Beissinger, MS, PA-C, DiMM  Is the snow melting yet? Any floods in your neck of the woods? Spring is upon us and with the change of season comes more  rain and melting snow. During these times a refresher on the topic of drowning is in order. It is especially relevant for the

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