New Book Aids Both CEOs and Students

“Outdoor Recreation Insurance, Risk Management, and Law” is a definitive guide to preventing and overcoming legal issues in the outdoor recreation industry

Denver based James H. Moss, JD, an attorney who specializes in the legal issues of outdoor recreation and adventure travel companies, guides, outfitters, and manufacturers, has written a comprehensive legal guidebook titled, “Outdoor Recreation Insurance, Risk Management, and Law”. Sagamore Publishing, a well-known Illinois-based educational publisher, distributes the book.

Mr. Moss, who applied his 30 years of experience with the legal, insurance, and risk management issues of the outdoor industry, wrote the book in order to fill a void.

There was nothing out there that looked at case law and applied it to legal problems in outdoor recreation,” Moss explained. “The goal of this book is to provide sound advice based on past law and experience.”

The Reference book is sold via the Summit Magic Publishing, LLC.

While written as a college-level textbook, the guide also serves as a legal primer for executives, managers, and business owners in the field of outdoor recreation. It discusses how to tackle, prevent, and overcome legal issues in all areas of the industry.

The book is organized into 14 chapters that are easily accessed as standalone topics, or read through comprehensively. Specific topics include rental programs, statues that affect outdoor recreation, skiing and ski areas, and defenses to claims. Mr. Moss also incorporated listings of legal definitions, cases, and statutes, making the book easy for laypeople to understand.

PURCHASE

 

TABLE OF CONTENTS

Table of Cases

Introduction

Outdoor Recreation Law and Insurance: Overview

Risk

    Risk

        Perception versus Actual Risk

        Risk v. Reward

        Risk Evaluation

    Risk Management Strategies

        Humans & Risk

        Risk = Accidents

        Accidents may/may not lead to litigation

    How Do You Deal with Risk?

    How Does Acceptance of Risk Convert to Litigation?

    Negative Feelings against the Business

Risk, Accidents & Litigation

        No Real Acceptance of the Risk

        No Money to Pay Injury Bills

        No Health Insurance

        Insurance Company Subrogation

        Negative Feelings

Litigation

    Dealing with Different People

    Dealing with Victims

        Develop a Friend & Eliminate a Lawsuit

        Don’t Compound Minor Problems into Major Lawsuits

    Emergency Medical Services

    Additional Causes of Lawsuits in Outdoor Recreation

        Employees

        How Do You Handle A Victim?

        Dealing with Different People

        Dealing with Victims

Legal System in the United States

    Courts

        State Court System

        Federal Court System

        Other Court Systems

    Laws

    Statutes

    Parties to a Lawsuit

    Attorneys

    Trials

Law

    Torts

        Negligence

            Duty

            Breach of the Duty

            Injury

            Proximate Causation

            Damages

        Determination of Duty Owed

        Duty of an Outfitter

        Duty of a Guide

        Duty of Livery Owner

        Duty of Rental Agent

        Duty of Volunteer Youth Leader

        In Loco Parentis

    Intentional Torts

    Gross Negligence

    Willful & Wanton Negligence

    Intentional Negligence

    Negligence Per Se

    Strict Liability

    Attractive Nuisance

    Results of Acts That Are More than Ordinary Negligence

    Product Liability

    Contracts

        Breach of Contract

        Breach of Warranty

        Express Warranty

        Implied Warranty

            Warranty of Fitness for a Particular Purpose

            Warranty of Merchantability

            Warranty of Statute

    Detrimental Reliance

    Unjust Enrichment

    Liquor Liability

    Food Service Liability

    Damages

        Compensatory Damages

        Special Damages

        Punitive Damages

Statutory Defenses

    Skier Safety Acts

    Whitewater Guides & Outfitters

    Equine Liability Acts

 

Legal Defenses

    Assumption of Risk

        Express Assumption of Risk

        Implied Assumption of Risk

        Primary Assumption of Risk

        Secondary Assumption of Risk

    Contributory Negligence

    Assumption of Risk & Minors

    Inherent Dangers

    Assumption of Risk Documents.

        Assumption of Risk as a Defense.

        Statutory Assumption of Risk

        Express Assumption of Risk

    Contributory Negligence

    Joint and Several Liability

Release, Waivers & Contracts Not to Sue

    Why do you need them

    Exculpatory Agreements

        Releases

        Waivers

        Covenants Not to sue

    Who should be covered

    What should be included

        Negligence Clause

        Jurisdiction & Venue Clause

        Assumption of Risk

        Other Clauses

        Indemnification

            Hold Harmless Agreement

        Liquidated Damages

        Previous Experience

        Misc

            Photography release

            Video Disclaimer

            Drug and/or Alcohol clause

            Medical Transportation & Release

                HIPAA

        Problem Areas

    What the Courts do not want to see

Statute of Limitations

        Minors

        Adults

Defenses Myths

    Agreements to Participate

    Parental Consent Agreements

    Informed Consent Agreements

    Certification

    Accreditation

    Standards, Guidelines & Protocols

    License

Specific Occupational Risks

    Personal Liability of Instructors, Teachers & Educators

        College & University Issues

    Animal Operations, Packers

        Equine Activities

    Canoe Livery Operations

        Tube rentals

Downhill Skiing

Ski Rental Programs

Indoor Climbing Walls

Instructional Programs

Mountaineering

Retail Rental Programs

Rock Climbing

Tubing Hills

Whitewater Rafting

Risk Management Plan

    Introduction for Risk Management Plans

    What Is A Risk Management Plan?

    What should be in a Risk Management Plan

    Risk Management Plan Template

    Ideas on Developing a Risk Management Plan

    Preparing your Business for Unknown Disasters

    Building Fire & Evacuation

Dealing with an Emergency

 

Insurance

    Theory of Insurance

    Insurance Companies

    Deductibles

    Self-Insured Retention

    Personal v. Commercial Policies

    Types of Policies

        Automobile

            Comprehension

            Collision

            Bodily Injury

            Property Damage

            Uninsured Motorist

            Personal Injury Protection

            Non-Owned Automobile

            Hired Car

    Fire Policy

        Coverage

        Liability

        Named Peril v. All Risk

    Commercial Policies

    Underwriting

    Exclusions

    Special Endorsements

    Rescue Reimbursement

    Policy Procedures

    Coverage’s

    Agents

    Brokers

        General Agents

        Captive Agents

    Types of Policies

        Claims Made

        Occurrence

    Claims

    Federal and State Government Insurance Requirements

Bibliography

Index

The 427-page volume is sold via Summit Magic Publishing, LLC.

 


What is a Risk Management Plan and What do You Need in Yours?

Everyone has told you, you need a risk management plan. A plan to follow if you have a crisis. You‘ve seen several and they look burdensome and difficult to write. Need help writing a risk management plan? Need to know what should be in your risk management plan? Need Help?

This book can help you understand and write your plan. This book is designed to help you rest easy about what you need to do and how to do it. More importantly, this book will make sure you plan is a workable plan, not one that will create liability for you.

 

                                             Table of Contents

Chapter 1    Outdoor Recreation Risk Management, Law, and Insurance: An Overview

Chapter 2    U.S. Legal System and Legal Research

Chapter 3    Risk 25

Chapter 4    Risk, Accidents, and Litigation: Why People Sue

Chapter 5    Law 57

Chapter 6    Statutes that Affect Outdoor Recreation

Chapter 7    PreInjury Contracts to Prevent Litigation: Releases

Chapter 8    Defenses to Claims

Chapter 9    Minors

Chapter 10    Skiing and Ski Areas

Chapter 11    Other Commercial Recreational Activities

Chapter 12    Water Sports, Paddlesports, and water-based activities

Chapter 13    Rental Programs

Chapter 14    Insurance

               $99.00 plus shipping


Need a Handy Reference Guide to Understand your Insurance Policy?

This book should be on every outfitter and guide’s desk. It will answer your questions, help you sleep at night, help you answer your guests’ questions and allow you to run your business with less worry.

Table of Contents

Chapter 1    Outdoor Recreation Risk Management, Law, and Insurance: An Overview

Chapter 2    U.S. Legal System and Legal Research

Chapter 3    Risk 25

Chapter 4    Risk, Accidents, and Litigation: Why People Sue

Chapter 5    Law 57

Chapter 6    Statutes that Affect Outdoor Recreation

Chapter 7    PreInjury Contracts to Prevent Litigation: Releases

Chapter 8    Defenses to Claims

Chapter 9    Minors

Chapter 10    Skiing and Ski Areas

Chapter 11    Other Commercial Recreational Activities

Chapter 12    Water Sports, Paddlesports, and water-based activities

Chapter 13    Rental Programs

Chapter 14    Insurance

             $99.00 plus shipping


New Book Aids Both CEOs and Students

“Outdoor Recreation Insurance, Risk Management, and Law” is a definitive guide to preventing and overcoming legal issues in the outdoor recreation industry

Denver based James H. Moss, JD, an attorney who specializes in the legal issues of outdoor recreation and adventure travel companies, guides, outfitters, and manufacturers, has written a comprehensive legal guidebook titled, “Outdoor Recreation Insurance, Risk Management, and Law”. Sagamore Publishing, a well-known Illinois-based educational publisher, distributes the book.

Mr. Moss, who applied his 30 years of experience with the legal, insurance, and risk management issues of the outdoor industry, wrote the book in order to fill a void.

There was nothing out there that looked at case law and applied it to legal problems in outdoor recreation,” Moss explained. “The goal of this book is to provide sound advice based on past law and experience.”

The Reference book is sold via the Summit Magic Publishing, LLC.

While written as a college-level textbook, the guide also serves as a legal primer for executives, managers, and business owners in the field of outdoor recreation. It discusses how to tackle, prevent, and overcome legal issues in all areas of the industry.

The book is organized into 14 chapters that are easily accessed as standalone topics, or read through comprehensively. Specific topics include rental programs, statues that affect outdoor recreation, skiing and ski areas, and defenses to claims. Mr. Moss also incorporated listings of legal definitions, cases, and statutes, making the book easy for laypeople to understand.

PURCHASE

TABLE OF CONTENTS

Table of Cases

Introduction

Outdoor Recreation Law and Insurance: Overview

Risk

    Risk

        Perception versus Actual Risk

        Risk v. Reward

        Risk Evaluation

    Risk Management Strategies

        Humans & Risk

        Risk = Accidents

        Accidents may/may not lead to litigation

    How Do You Deal with Risk?

    How Does Acceptance of Risk Convert to Litigation?

    Negative Feelings against the Business

Risk, Accidents & Litigation

        No Real Acceptance of the Risk

        No Money to Pay Injury Bills

        No Health Insurance

        Insurance Company Subrogation

        Negative Feelings

Litigation

    Dealing with Different People

    Dealing with Victims

        Develop a Friend & Eliminate a Lawsuit

        Don’t Compound Minor Problems into Major Lawsuits

    Emergency Medical Services

    Additional Causes of Lawsuits in Outdoor Recreation

        Employees

        How Do You Handle A Victim?

        Dealing with Different People

        Dealing with Victims

Legal System in the United States

    Courts

        State Court System

        Federal Court System

        Other Court Systems

    Laws

    Statutes

    Parties to a Lawsuit

    Attorneys

    Trials

Law

    Torts

        Negligence

            Duty

            Breach of the Duty

            Injury

            Proximate Causation

            Damages

        Determination of Duty Owed

        Duty of an Outfitter

        Duty of a Guide

        Duty of Livery Owner

        Duty of Rental Agent

        Duty of Volunteer Youth Leader

        In Loco Parentis

    Intentional Torts

    Gross Negligence

    Willful & Wanton Negligence

    Intentional Negligence

    Negligence Per Se

    Strict Liability

    Attractive Nuisance

    Results of Acts That Are More than Ordinary Negligence

    Product Liability

    Contracts

        Breach of Contract

        Breach of Warranty

        Express Warranty

        Implied Warranty

            Warranty of Fitness for a Particular Purpose

            Warranty of Merchantability

            Warranty of Statute

    Detrimental Reliance

    Unjust Enrichment

    Liquor Liability

    Food Service Liability

    Damages

        Compensatory Damages

        Special Damages

        Punitive Damages

Statutory Defenses

    Skier Safety Acts

    Whitewater Guides & Outfitters

    Equine Liability Acts

 

Legal Defenses

    Assumption of Risk

        Express Assumption of Risk

        Implied Assumption of Risk

        Primary Assumption of Risk

        Secondary Assumption of Risk

    Contributory Negligence

    Assumption of Risk & Minors

    Inherent Dangers

    Assumption of Risk Documents.

        Assumption of Risk as a Defense.

        Statutory Assumption of Risk

        Express Assumption of Risk

    Contributory Negligence

    Joint and Several Liability

Release, Waivers & Contracts Not to Sue

    Why do you need them

    Exculpatory Agreements

        Releases

        Waivers

        Covenants Not to sue

    Who should be covered

    What should be included

        Negligence Clause

        Jurisdiction & Venue Clause

        Assumption of Risk

        Other Clauses

        Indemnification

            Hold Harmless Agreement

        Liquidated Damages

        Previous Experience

        Misc

            Photography release

            Video Disclaimer

            Drug and/or Alcohol clause

            Medical Transportation & Release

                HIPAA

        Problem Areas

    What the Courts do not want to see

Statute of Limitations

        Minors

        Adults

Defenses Myths

    Agreements to Participate

    Parental Consent Agreements

    Informed Consent Agreements

    Certification

    Accreditation

    Standards, Guidelines & Protocols

    License

Specific Occupational Risks

    Personal Liability of Instructors, Teachers & Educators

        College & University Issues

    Animal Operations, Packers

        Equine Activities

    Canoe Livery Operations

        Tube rentals

Downhill Skiing

Ski Rental Programs

Indoor Climbing Walls

Instructional Programs

Mountaineering

Retail Rental Programs

Rock Climbing

Tubing Hills

Whitewater Rafting

Risk Management Plan

    Introduction for Risk Management Plans

    What Is A Risk Management Plan?

    What should be in a Risk Management Plan

    Risk Management Plan Template

    Ideas on Developing a Risk Management Plan

    Preparing your Business for Unknown Disasters

    Building Fire & Evacuation

Dealing with an Emergency

 

Insurance

    Theory of Insurance

    Insurance Companies

    Deductibles

    Self-Insured Retention

    Personal v. Commercial Policies

    Types of Policies

        Automobile

            Comprehension

            Collision

            Bodily Injury

            Property Damage

            Uninsured Motorist

            Personal Injury Protection

            Non-Owned Automobile

            Hired Car

    Fire Policy

        Coverage

        Liability

        Named Peril v. All Risk

    Commercial Policies

    Underwriting

    Exclusions

    Special Endorsements

    Rescue Reimbursement

    Policy Procedures

    Coverage’s

    Agents

    Brokers

        General Agents

        Captive Agents

    Types of Policies

        Claims Made

        Occurrence

    Claims

    Federal and State Government Insurance Requirements

Bibliography

Index

The 427-page volume is sold via Summit Magic Publishing, LLC.

 


Ever Wonder what an EMT is Legally allowed to do versus a EMT-IV or Paramedic?

Well Colorado created a great chart so you can understand it.

 

 

 

You can download your own copy of this chart here!

 

 

 

 

 

 


Wilderness Medical Society Trailblazer: If you work in Outdoor Recreation you should be a Member!

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Merry Christmas and Happy Holidays from the WMS! We would like to thank everyone for joining us in our adventures and at our conferences this year. We are ever grateful for our membership and all those that support this Society. We look forward to 2018 as we are excited to bring our Winter and Summer conferences to two cities for the first time: Lake Tahoe, Nevada and Midway, Utah! Thank you to everyone for helping to make the WMS community what it is and for truly combining your profession with your passion!
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So you’ve been bitten by a leech. What’s the worst that could happen?
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“Several years ago, emergency physician Jeremy Joslin found himself overseeing an ultramarathon in the backcountry of Cambodia. Once they’d finished the event, many of the athletes wanted to cool off and noticed an inviting stream nearby.

‘After a few minutes, the screams started,’ says Joslin, who is based at SUNY Upstate Medical University in Syracuse. It was not long before people began hurrying back to camp-along with the multiple leeches that had become attached to their bodies. The next few days were filled with bandage changes and mild bleeding.

Most leech encounters play out similarly. Finding one of these bloodthirsty worms on your body can be a disturbing experience, but it’s usually not a medical emergency.

Usually. Every once in awhile, leeches can cause some serious and gruesome complications. Here’s what can happen when one of these little suckers bites you, and what you can do about it…”

READ MORE
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For the first time ever, the WMS is heading to Lake Tahoe!
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Wilderness Medicine Conference

February 23 – 28, 2018

Stateline, Nevada

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Join us for this exciting WMS Winter Conference at Harvey’s Lake Tahoe on the South Shore in 2018!

Morning plenary sessions will cover all the essential winter wilderness topics, like avalanche rescue, hypothermia, frostbite and recent advances in altitude illness, and much more. In the afternoons you can choose from indoor and outdoor small group sessions and optional hands-on workshops. Or, you may choose to take some time off to ski, snowboard or explore the exciting Lake Tahoe region. This flexible schedule allows you to have plenty of time for education, recreation and relaxation!

REGISTER
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Announcements
Additional Liability Insurance Coverage Now Available to Members

As of November, members can now apply for additional coverage up to $200,000 (above and beyond the $50,000 for WMS Members)! The rate for this coverage is $800 annually (or $67/month). The coverage period extends from November 1 – October 31, so Members acquiring coverage mid-year will pay a prorated fee. Your WMS membership will be verified each November 1 for renewal eligibiltiy.

Note: Once a Members application is complete, an invoice and BILL will be sent directly to the WMS Member. Payment can be made by check or credit card, but there is a $25 fee for credit cards. Once the payment is processed, the Member will be sent a receipt and a Certificate of Insurance with them named.

Click here for more information and to apply!

WMS Seeking Committee Chair for Operational Medicine Committee

We are currently seeking to fill an open chair position for the Operational Medicine Committee. The mission of the committee is to acquire and function as a conduit for the latest operational medical research and field knowledge from the military. The committee is comprised of dedicated military field personnel interested in sharing techniques learned on the field. The Committee is in need of a person who will take the lead in developing lectures with the assistance of committee members to present at future WMS conferences.

If interested, please contact WMS COO Robyn Bonini.

Accepting Applications for 2018 Research Grants

The Wilderness Medical Society is pleased to announce the CALL FOR RESEARCH ABSTRACTS for the WMS Annual Meeting & Summer Conference, August 3-8, 2018 in Midway, Utah.

* Notifications of accepted abstracts will be sent by May 4, 2018.

* Accepted abstracts will be presented as posters at the meeting, with a selection chosen for oral presentations.

* One oral presentation will be selected for the 2018 WMS Outstanding Research Presentation Award ($500 award).

* All accepted abstracts will be considered for publication in Wilderness & Environmental Medicine.

* Abstract presenters will receive free registration for the day of presentation.

For questions or more information, please contact Alicia Byrne.

Application and more information can be found here.

New Features on Our Website

We are excited to announce a couple new features on our website! As most of you know, the WMS maintains a variety of committees designed to oversee various aspects of the society. Now you have the opportunity to participate in these committees! Each committee now has a blog open to WMS members so you can communicate your thoughts and ideas with us. Check it out at the Committees page of our website!

We are also proud to present online forums in a variety of topics for members to submit their input. These include forums for research questions and information, sharing relevant news stories, articles in our online magazine, Wilderness Medicine Magazine, and many more! You can check it out in the Members Area of our website.

Want to engage with others interested in the WMS? Check out the “Discussions” tab on the home page of WMS.ORG to interact with other visitors to the site!

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UPCOMING EVENTS
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Everest Experience

March 25 – April 14, 2018

Due to on-going demand for “adventure, hands-on” wilderness medicine training and experience, the WMS has put together this world-class program. This course offers the opportunity for continuing medical education while on an Everest base camp (EBC) trek. WMS CME credit is available from Kathmandu to Everest base camp, and we are planning on two nights at EBC (not normally offered for Everest treks) in cooperation with Everest ER.

Register >

Canyon Country Adventure

May 3 – 11, 2018

Discover hidden arches and signs of the ancient Anasazi, explore slot canyons, and climb desert towers on this classic introduction to Southern Utah’s amazing canyon country. While learning important Wilderness Medicine topics, learn basic canyoneering skills. Revel in and truly experience the spectacular beauty of this iconic landscape.

Register >

Mars Desert Research Station

May 12 – 19, 2018
May 19 – 26, 2018

Nothing speaks to the essence of “wilderness” more than another planet. Mars represents the most remote and austere environment that humans have ever contemplated exploring. To simulate the demands of living and working on Mars, The Mars Society has established an analogue Mars base, called the Mars Desert Research Station (MDRS), in the Utah desert. In partnership with the Mars Society, the WMS will use MDRS as a base of operations for exploring “Mars.”

Register >

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New in Wilderness Medicine Magazine
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Case Review: Finnish Lightning Storm

In July of 2011, lightning from a storm in Hanko, Finland left eight injured – three critically…

Read More >

Lyme Disease: Part Two

Part Two: Tick Removal and population control…

Read More >

Desert: Let’s Go Out to the Movies

Resident desert expert Edward “Mel” Otten brings us his top 10 desert movies…

Read More >

Copyright © 2017. All Rights Reserved.
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Wilderness Medical Society, 2150 S 1300 E, Suite 500, Salt Lake City, UT 84106
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Virus-free. www.avast.com

Latest Wilderness Medical Society Journal is out with great articles for First Aid Providers in the Wilderness

Here are the articles in the Wilderness Medical Society Journal that you should know if you provide First Aid outdoors.WMS
Editor’s Note

Can We Get There From Here?
Martin D. Hoffman

Original Research

Predictive Factors for Determining the Clinical Severity of Pediatric Scorpion Envenomation Cases in Southeastern Turkey
Aykut Çağlar, Halil Köse, Aslan Babayiğit, Taliha Öner, Murat Duman

Circadian and Sex Differences After Acute High-Altitude Exposure: Are Early Acclimation Responses Improved by Blue Light?
Juan A. Silva-Urra, Cristian A. Núñez-Espinosa, Oscar A. Niño-Mendez, Héctor Gaitán-Peñas, Cesare Altavilla, Andrés Toro-Salinas, Joan R. Torrella, Teresa Pagès, Casimiro F. Javierre, Claus Behn, Ginés Viscor

Practice Guidelines
Wilderness Medical Society Practice Guidelines for the Treatment of Pitviper Envenomations in the United States and Canada
Nicholas C. Kanaan, Jeremiah Ray, Matthew Stewart, Katie W. Russell, Matthew Fuller, Sean P. Bush, E. Martin Caravati, Michael D. Cardwell, Robert L. Norris, Scott A. Weinstein

Case Reports

Marked Hypofibrinogenemia and Gastrointestinal Bleeding After Copperhead (Agkistrodon contortrix) Envenomation
Kathryn T. Kopec, May Yen, Matthew Bitner, C. Scott Evans, Charles J. Gerardo

A Case Study: What Doses of Amanita phalloides and Amatoxins Are Lethal to Humans?
Ismail Yilmaz, Fatih Ermis, Ilgaz Akata, Ertugrul Kaya

Case Series

California Sea Lion (Zalophus californianus) and Harbor Seal (Phoca vitulina richardii) Bites and Contact Abrasions in Open-Water Swimmers: A Series of 11 Cases
Thomas J. Nuckton, Claire A. Simeone, Roger T. Phelps

Brief Reports

A Novel Method to Decontaminate Surgical Instruments for Operational and Austere Environments
Randy W. Knox, Samandra T. Demons, Cord W. Cunningham

The Impact of Freeze-Thaw Cycles on Epinephrine
Heather Beasley, Pearlly Ng, Albert Wheeler, William R. Smith, Scott E. McIntosh

The Effects of Sympathetic Inhibition on Metabolic and Cardiopulmonary Responses to Exercise in Hypoxic Conditions
Rebecca L. Scalzo, Garrett L. Peltonen, Scott E. Binns, Anna L. Klochak, Steve E. Szallar, Lacey M. Wood, Dennis G. Larson, Gary J. Luckasen, David Irwin, Thies Schroeder, Karyn L. Hamilton, Christopher Bell

Prolonged Exposure Dermatosis: Reporting High Incidence of an Undiagnosed Facial Dermatosis on a Winter Wilderness Expedition
Jodie E. Totten, Douglas M. Brock, Tod D. Schimelpfenig, Justin L. Hopkin, Roy M. Colven

Emergency Medical Service in the US National Park Service: A Characterization and Two-Year Review, 2012–2013
Jeffrey P. Lane, Bonnaleigh Taylor, William R. Smith, Albert R. Wheeler

Epidemiological Trends in Search and Rescue Incidents Documented by the Alpine Club of Canada From 1970 to 2005
Gwynn M. Curran-Sills, Amalia Karahalios

Civilian Helicopter Search and Rescue Accidents in the United States: 1980 Through 2013
Gordon H. Worley

Epidemiology of Search and Rescue in Baxter State Park: Dangers of Descent and Fatigue
Chris R. Welter, J. Matthew Sholl, Tania D. Strout, Ben Woodard

Review Article

Lyme Disease: What the Wilderness Provider Needs to Know
Joseph D. Forrester, J. Priyanka Vakkalanka, Christopher P. Holstege, Paul S. Mead

Clinical Images

An Elderly Man from Solukhumbu, Nepal, with a Rash
Nishant Raj Pandey, Abhijit Adhikary, Sanjaya Karki

Lessons from History

Coca: High Altitude Remedy of the Ancient Incas
Amy Sue Biondich, Jeremy D. Joslin

Letters to the Editor

In Response to How Not To Train Your Dragon: A Case of Komodo Dragon Bite, by Borek and Charlton
Scott A. Weinstein, Julian White

In Reply to Drs Weinstein and White
Heather A. Borek, Nathan P. Charlton

The UPLOADS Project: Development of an Australian National Incident Dataset for Led Outdoor Activities
Natassia Goode, Paul M. Salmon, Michael G. Lenné, Caroline F. Finch

Race Medicine: A Novel Educational Experience for GME Learners
Jeremy Joslin, Joshua Mularella, Susan Schreffler, William F Paolo

Wilderness Medicine Curricular Content in Emergency Medicine Residency Programs
Elizabeth J. Aronstam, Mark L. Christensen, Michael P. Williams, David T. Overton

A Rare Case of Vaginal Bleeding in a Child Due to a Leech Bite and Review of the Literature
Anuruddha H. Karunaratne, Buddhika T.B. Wijerathne, Ravihar S. Wickramasinghe, Anura K. Wijesinghe, Aloka S.D. Liyanage

First Record of an Unusual Incident Between a Finfish—the White Snake Mackerel Thyrsitops lepidopoides (Teleostei, Gempylidae)—and a Surfer
Acacio R.G. Tomas

In Response to Snakebite Rebound Coagulopathy by Witham et al.
Michael E. Mullins, Anah J. Ali

In Reply to Drs Mullins and Ali
William R. Witham

Brown Bear Attacks in a Nepalese Scenario: A Brief Review
Alok Atreya, Tanuj Kanchan, Samata Nepal, Jenash Acharya

In Response to Ultraendurance Athletes With Type 1 Diabetes: Leadville 100 Experience, by Khodaee et al
Harvey V. Lankford

In Reply to Dr Lankford
Morteza Khodaee, Mark Riederer, Karin VanBaak, John C. Hill

Wilderness Images

Thevetia peruviana
GN Pramod Kumar, Alok Atreya, Tanuj Kanchan

Abstracts

Reliance on Technology Among Climbers on Mount Rainier
David C. Hile, Jessica J. Walrath, Aaron S. Birch, Lisa M. Hile

Altitude Illness on Mt. Rainier—Incidence and Climbers’ Cognizance
Lisa M. Hile, Aaron S. Birch, Jessica J. Walrath, David C. Hile

Civilian Helicopter Search and Rescue Accidents in the United States: 1980 Through 2013
Gordon H. Worley

Impact of Previous Concussion on Helmet Use and Risk Compensation
Alison D. Taylor, Megan L. Fix, Jeremy L. Davis, Stuart E. Willick, Graham E. Wagner

Epidemiology of the Pennsic Wars 2007–2013: A Medieval Mass Gathering Event
Philip S. Nawrocki, Peter Roolf, Morgan Garvin, John O’Neill

Bridging the Gap: Introducing Undergraduate Students to Wilderness and Emergency Medicine
Katie E. Joy,, Elaine M. Reno, Bonnie Kaplan, Todd Miner, Jay M. Lemery

The Effect of Helmet Cameras on Risk-Taking Behavior Among Mountain Bikers
Lauren M. Cantwell, Meredith Ray, Timothy J. Fortuna

The Influence of Hydration on Thermoregulation During a 161-km Ultramarathon
Taylor R. Valentino, Kristin J. Stuempfle, Marialice Kern, Martin D. Hoffman

Weight Change and Hydration Status During a 161-km Ultramarathon
Karin D. Van, Jack Spittler, Bjorn Irion, Martin D. Hoffman, Morteza Khodaee

Hydration Guidelines During Exercise: What Message Is the Public Receiving?
R. Tyler Hamilton, Theodore L. Bross, Martin D. Hoffman

Food and Fluid Intake During Extreme Heat: Experiences From The Badwater Ultramarathon
Jacqueline S. Brown, Declan Connolly

Body Mass Changes and Fluid Consumption During an 80.5-km Treadmill Time Trial
Hannah J. Moir, Christopher C.F. Howe

Energy Cost of Running During a Bout of 80.5-km Treadmill Running
Christopher C.F. Howe, Hannah J. Moir

In-task Assessment of Psychological Changes During an Ultramarathon Race
Dolores A. Christensen, Britton W. Brewer, Jasmin C. Hutchinson

Would You Stop Running if You Knew It Was Bad for You? The Ultramarathon Runner Response
Martin D. Hoffman

The Development and Initial Assessment of a Novel Heart Rate Training Formula
Tracy B. Høeg, Phil Maffetone

Medical Care and Runner Characteristics at a 161-km High Altitude Ultraendurance Run in Colorado, 2014
G. Clover, Laura Pyle, Leo Lloyd

Utility of Urine Dipstick for Detecting Runners With Acute Kidney Injury Following a 161-km Ultramarathon
Morteza Khodaee, Bjørn Irion, Jack Spittler, Martin D. Hoffman

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