最高の Wilderness Medic ポッドキャスト (2024)

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Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm 42:23

10d ago42:23

42:23

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…

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Ep. 16 - Medications for Alpine Hut Trips 17:10

20d ago17:10

17:10

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…

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Cliff diving medicine (or Red Bull Cliff Diving medicine) 12:21

21d ago12:21

12:21

On this shorter episode, we will cover injuries related with high cliff diving events, such as the Red Bull Cliff Diving Series. The physics of the jump and landing is what matters here. Male athletes jump from a 27-28 meters high tower and the female athletes from a 21 meters high tower. They are evaluated by judges like in other lower diving even…

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Ep. 15 - Airway Patency in Avalanche Victims 10:35

1M ago10:35

10:35

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 Aval…

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#35: Walking Cold Patients 1:03:27

2M ago1:03:27

1:03:27

#35: Walking Cold PatientsWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.orgPart 1: Journal ClubTitle: The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety—A Mountain Rescue Case SeriesArticle link: https://…

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Ep. 14 - Spinal Immobilization Guidelines Update 13:35

4M ago13:35

13:35

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 …

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SIPE - Swimming Induced Pulmonary Edema 12:59

4M ago12:59

12:59

Hi everyone! After almost 2 years of pause, I am back! Let's talk about Swimming Induced Pulmonary Edema. A very specific disease you will see if you cover as a medic a triathlon or any other open water swimming event in the cold. We will review its cause, presentation and management. Hope this satisfies you, please send me comments and questions.…

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#34: Norovirus! 57:49

5M ago57:49

57:49

#34: Norovirus!Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Acute Gastroenteritis Outbreak Among Colorado River Rafters and Backpackers in the Grand Canyon, 2022Article link: https://journals.sagepub.…

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Season 3 Episode 9: Mercy Ships with Dr Simon Latham 32:25

6M ago32:25

32:25

In this episode I am joined by Dr Simon Latham, direct from his clinic on board one of the Mercy Ships boats which is docked in Freetown Sierra Leone. We discuss how he has carved this unique career path and how Mercy Ships work collaboratively with local governments to provide life changing surgery and sustainable healthcare outcomes. Find out mor…

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Season 3 Episode 8: Donna Finnis: My Journey to Mongolia 30:04

7M ago30:04

30:04

In today's episode I am joined by Donna Finnis, an expedition medic with a passion for adventure and medical care provision in remote and challenging environments. She has supported expeditions from the dizzy heights of Kilimanjaro, to the frozen northwest of Mongolia, which is what we are discussing today! When she’s not out on expedition, Donna c…

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Ep. 13 - The High Route: Arguments for Avalanche Airbags 48:51

8M ago48:51

48:51

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 backc…

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#33: Marine Envenomation & Spinal Cord Protection 1:05:27

8M ago1:05:27

1:05:27

#33: Marine Envenomation & Spinal Cord ProtectionWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Marine Envenomation in Okinawa: Overview and Treatment ConceptArticle link: https://journals.sagepub.com/d…

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Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology 18:36

10M ago18:36

18:36

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 asph…

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Season 3 Episode 7: David Tamale-Sali Medic SOS and Shame in Medicine 34:08

10M ago34:08

34:08

Season 3 Episode 7: David Tamale-Sali Medic SOS and Shame in Medicine In this episode I am joined by David Tamale-Sali where we discuss shame within medicine and how this lead him to develop his Medic SOS project. In the spring of 2003, David found himself kicked out of Medical School at the start of resitting his third year. He spent the next two …

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#32: Finger Strength Training and Wilderness Medicine Interviews 1:16:11

11M ago1:16:11

1:16:11

#32: Finger Strength Training and Wilderness Medicine InterviewsDec 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.orgPart 1: Journal Club: A Finger in the Game: Sport-Specific Finger Strength Training and Onset of InjuryLink to …

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Ep. 11 - After the Avalanche with Michael Buchanan 53:38

1y ago53:38

53:38

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 mad…

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Ep. 10 - Tourniquets from Space Blankets 6:56

1y ago6:56

6:56

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 …

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Season 3 Episode 6: Exploring Moral Injury with Dr Sophie Redlin 34:30

1y ago34:30

34:30

In this latest episode I am joined by Dr Sophie Redlin who is a GP, expedition doctor and anthropologist. We explore the topic of moral injury and discuss the moral injury partnership that she has co-founded. Find out more: https://www.churchillfellowship.org/news-views/blogs/moral-injury-and-the-current-crisis-in-healthcare/…

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Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki 33:18

1y ago33:18

33:18

In this episode Dr BZ is back to talk about his experience deploying with the Federal Emergency Management Agency (FEMA) Urban Search and Rescue Task Force (USAR). Dr BZ just returned from a deployment with FEMA USAR to Lahaina, HI, where he served as a team physician supporting rescue and recovery efforts there. We touch on: -Training and gear -De…

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#31: Wilderness Rescue and Sustained Muscle Protein Synthesis 1:31:49

1y ago1:31:49

1:31:49

#31: Wilderness Rescue and Sustained Muscle Protein SynthesisSept 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/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 an…

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Season 3 Episode 5: Civility Saves Lives with Dr Chris Turner 52:38

1y ago52:38

52:38

Incivility has been shown to reduce team functioning, clinical decision making and patient outcomes. In this latest episode I am joined by Dr Chris Turner, an emergency medicine consultant, and the founder of "Civility Saves Lives," to discuss the importance of civility and how this can help us be better clinicians, leaders and people, whether in t…

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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment 15:59

1+ y ago15:59

15:59

In this two-part episode, I review an article from the Annals of Emergency Medicine "Occupational Accidents Among Search and Rescue Providers During Mountain Rescue Operations and Training Events" https://doi.org/10.1016/j.annemergmed.2022.12.015 In the second half, we review the treatment of diarrhea in the returning traveler. Get in touch with Pa…

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Fast Push #2.2 - Safety Third 8:33

1+ y ago8:33

8:33

In this second Fast Push, you get a riff on a great article from JEMS entitled "Safety is Third, Not First, and We All Know It Should Be" by Christopher Davis MD et al. Apologies to all who got V1.0-- something weird happened in post that made me sound like a chipmunk. I might be a medical professional, but I'm no AV specialist. Summary: 1. Get the…

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#30: Portable Ultrasound and a Deep Dive into Diving Med 1:14:41

1+ y ago1:14:41

1:14:41

#30: Portable Ultrasound and a Deep Dive into Diving MedJun 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Comparison of Commonly Carried Liquids Against Commercial Ultrasound Gel for Use in the Bac…

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Season 3: Episode 4 Youngest to the Pole Project with Jacob "Val" Myers 28:50

1+ y ago28:50

28:50

Season 3: Episode 4 Jacob Val Myers: Youngest to the Pole Project In this latest episode, I chat with Jacob "Val" Myers, an outdoor professional from Appalachia who is attempting to be the youngest person in human history to ski solo and unsupported to the Geographic South Pole! We met out in the Canadian Yukon, whilst he was participating in the M…

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Ep. 7 - Wildfire Smoke and Your Health 26:09

1+ y ago26:09

26:09

In this episode I go deep on the health effects of wildfire smoke, answering some key questions that are relevant to recreational athletes, outdoors professionals, wildland firefighters, and industrial athletes alike: Why is wildfire smoke harmful? Is there a safe level of exposure? Can we trust the EPA's guideline levels? (Spoiler: no) Does the be…

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Season 3 Episode 3: The Climate Crisis and it's Relevance to Healthcare with Dr Matt Lee 35:44

1+ y ago35:44

35:44

In today's episode I am joined by Dr Matt Lee, the head of sustainability for the Doctors Association UK. We chat about the climate crisis- investigating what exactly this means, why we should be worried but not "doomists" and what we can do to help make positive change. Listen to find out more... Sign the letter to Steve Barclay: ⁠https://www.zero…

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Season 3 Episode 2: Managing a Mass Casualty Incident in the Wilderness with Kevin Grange 26:38

1+ y ago26:38

26:38

Season 3 Episode 2: Kevin Grange- Managing a Mass Casualty Incident in the Wilderness In today's episode Kevin Grange returns to the podcast to discuss the management of MCI's in the wilderness, using a case study he was involved with, in which multiple hot air balloons crashed in the national park where he works. We also discuss some of the latest…

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Season 3 Episode 1: Combining Global Health with Physiotherapy with Luke Stevens 31:32

1+ y ago31:32

31:32

Join me as I chat to Luke Stevens, a Specialist Neuro and Critical Care Physiotherapist working in the Northeast of England, to find out how he has developed a career in global health. Find out about his work out in Gaza, his role with the Faculty of Remote, Rural and Humanitarian Healthcare and how you can follow in his footsteps! Some of the link…

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Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki 49:21

1+ y ago49:21

49:21

In this inaugural interview episode I have the pleasure of grilling Dr. Brant-Zawadzki about operating an urban EMS system at a wilderness boundary. We talk about: - Improvising outside the protocol - Interfacing with SAR, rangers, and road workers - How response kit and expectations are changed beyond the pavement - What a fellowship in Wilderness…

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#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine 1:19:50

1+ y ago1:19:50

1:19:50

#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine MedicineMar 2023Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Hypothermia CaseDarryl shares a recent hypothermia case handled at a tertiary care hos…

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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue 17:55

1+ y ago17:55

17:55

In this episode we review the available evidence, and the pros and cons, of using mechanical CPR devices like the LUCAS or Autopulse for ski patrol and mountain rescue applications. Episode links: CPR With a Lucas Device - An example video from EMS training Viglino et. al. - Outcomes of On-Hill Cardiac Arrests - More saves, probably because of youn…

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Ep. 4 - HOPE Score for Severe Hypothermia 22:27

2y ago22:27

22:27

In this episode we discuss the HOPE score, a tool that improves our ability to select the severely hypothermic patients who can benefit from warming with extracorporeal life support (ECLS). We begin the with the case of Tayyab Jafar, a young man who was successfully resuscitated from severe hypothermia with both cardiopulmonary bypass and ECMO, but…

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Fast Push #1 - Beacon Interference 8:22

2y ago8:22

8:22

For today, a new format, the Fast Push: Quick updates that you need to know sooner rather than later. This fast push tackles the growing issue of avalanche beacon interference. To see the source post and useful graphics, check out this link to the Utah Avalanche Center: https://utahavalanchecenter.org/blog/74828 TL:DR -Electronics, magnets, heated/…

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Ep. 3 - Methoxyflurane for Prehospital Analgesia 15:07

2y ago15:07

15:07

Methoxyflurane: inhaled gas of the past and prehospital analgesic of the future? Only if we’re talking about ‘the future’ in North America. Used in Australian EMS for almost half a century, this safe and effective medication is only now starting to get the attention that it deserves outside of the down-under. Today’s paper: Trimmel, H., Egger, A., …

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Ep. 2 - Pain Management for Scorpion Stings 10:43

2y ago10:43

10:43

Today we look at IV acetaminophen vs IV NSAID vs topical lidocaine vs placebo for treatment of pain due to scorpion stings, with some bonus learning on tramadol. Turgut K, Yavuz E, Gülaçtı U, Aydın İ, Sönmez C, Aktaş N, Arslan E. Comparison of Intravenous Paracetamol, Dexketoprofen Trometamol, or Topical Lidocaine Use for Pain Relief in Scorpion St…

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Ep.0 - An Introduction 3:31

2y ago3:31

3:31

Welcome to Wilderness Medicine Updates! This podcast, new for 2023, delivers brief reviews of research in wilderness medicine, SAR, disaster/austere medicine, and wilderness EMS to help you stay current and provide the best care to patients in challenging environments. Get in touch with Patrick: Send me a text. As always, thanks for listening to Wi…

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Ep. 1 - Fentanyl on the Ski Hill? 15:21

2y ago15:21

15:21

Is intranasal fentanyl safe and effective for the treatment of acute severe pain on the ski hill? Lynch TV, Callas PW, Peterson TD, Schlein SM. Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol. Wilderness Environ Med. 2022 Sep;33(3):296-303. doi: 10.1016/j.wem.2022.05.003. Epub 2022 Jul 16. PMID: 35851192. DOI: 10.1016/j.wem.2022.05.003 …

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#28: Avalanche Safety and Toxinology 1:23:53

2y ago1:23:53

1:23:53

#28: Avalanche Safety and ToxinologyDec 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Perceptions Among Backcountry Skiers During the COVID-19 Pandemic: Avalanche Safety and Backcountry Habits of N…

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Season 2 Episode 9: Pre-Hospital Care, BASICS and Medserve Wales with Dr Matt Creed 37:20

2y ago37:20

37:20

In this latest episode I am joined by Dr Matt Creed, a Consultant in Anaesthetics, Major Trauma and Pre-Hospital Emergency Medicine based in Cardiff. Matt has been active in pre-hospital care for over a decade, having worked with a number of different services in both England and Wales. In this episode we discuss how to get involved in pre-hospital…

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Cold-water immersion, Norseman Extreme Triathlon and SIPE 51:26

2y ago51:26

51:26

Today, we talk about cold stuff with a guest, Jørgen Melau. He is a PhD in physiology and paramedic from Norway. We discuss Swimming Induced Pulmonary Edema, the Norseman Extreme Triathlon and cold-water immersion.Eric Contant による

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#27: Fentanyl, Sharks, and Ultradoc Russ Reinbolt 1:14:39

2y ago1:14:39

1:14:39

Sept 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal ClubTitle: Intranasal Fentanyl for On-the-Hill Analgesia by Ski PatrolAuthors: Tierra V. Lynch, BA; Peter W. Callas, PhD; Timothy D. Peterson, MD; Sarah M. S…

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#26: VTE and Telemedicine 49:41

2+ y ago49:41

49:41

WMP #26: VTE and TelemedicineJune 2022Wilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.orgPart 1: Journal ClubTitle: Travel-Associated Venous ThromboembolismAuthors: Isla McKerrow Johnson, Joseph Shatzel, Sven Olson, Tovah Kohl,…

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Season 2 Episode 8: Environmental Psychology and why it matters with Dr Christy Hehir 25:16

2+ y ago25:16

25:16

In Episode 8, I am joined by Dr Christy Hehir, an environmental psychologist, conservationist, polar alien hunter and lecturer within the School of Hospitality and Tourism Management at the University of Surrey. We discuss the delicate balance between tourism, our psychology and the environment, which could not be more relevant given the climate em…

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#25: Anaphylaxis and Everest 1:10:56

2+ y ago1:10:56

1:10:56

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: Anaphy…

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Season 2 Episode 7: APOPO: Training Rats to Save Lives with Dr Negussie Beyene 29:15

3y ago29:15

29:15

In this latest episode I am joined by Negussie Beyene from the charity APOPO, which trains rats and dogs to detect TB, landmines and more. We discuss some of the initiatives that APOPO have started and I learn what a Giant Pouched Rat's favourite treat is (Spoiler alert- it is not cheese!) Around 60 countries are still contaminated with hidden land…

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December 2021 - Wilderness & Environmental Medicine Live! 44:34

3y ago44:34

44:34

December 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal ClubTitle: Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Management of Tick…

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Season 2 Episode 6: Live from Antarctica with Dr Klara Weaver 37:42

3y ago37:42

37:42

Join me as I chat to Dr Klara Weaver, who is the overwintering Doctor for Winter 2021 at Rothera Research base. She will spend a total of 18 months down south supporting field science and logistics for the British Antarctic Survey! We discuss what her role involves, how she prepared for it and her advice on how to get involved... Prior to her time …

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September 2021 - Wilderness & Environmental Medicine Live 52:48

3y ago52:48

52:48

September 2021 - Wilderness & Environmental Medicine LiveWilderness & Environmental Medicine journal online: www.wemjournal.orgQuestions/comments/feedback and/or interest in participating in WEM Live? Send an email to: wemlive@wms.org Journal ClubTitle: Comparison of Radiographic, Ultrasound, and Magnetic Resonance Imaging for the Detection of Reta…

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Season 2 Episode 5: Emergencies in America’s Wildest National Parks with Kevin Grange 36:20

3+ y ago36:20

36:20

In Episode 5 I chat with Kevin Grange a paramedic and firefighter, who has worked in Yellowstone and Yosemite National Parks, and is now based in Wyoming. We discuss his role, experiences and journey as well as his awesome book "Wild Rescues" which you can purchase through the links below. Links from this Episode Find out more and order "Wild Rescu…

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