New Wilderness Medical Society (WMS) guidelines for Care of Burns in the Wilderness

Wilderness Medical Society Clinical Practice Guideline on Care of Burns in the Wilderness (You may need to be a member to subscribe.)

New Burn Care are guidelines for wilderness care, meaning this is the new standard in wilderness burn care:

Standards are a confusing issue in outdoor recreation. Standards can be created by your own organization, which only apply to you, but third parties think they are protecting you (rarely successful), and by how the world works. Standards are the lowest acceptable level of doing or not doing something as seen or reviewed by a reasonable person.

That means that a standard is the lowest level of acceptable doing something (or not doing something).

A standard is how you are going to be measured in the courtroom. Did you operate or perform at the level of the standard? If you did not, you are probably going to be found negligent, absent a defense, and writing a check.

Medical standards are nonexistent. Physicians are smart enough to know that creating a standard creates lawsuits. Creating standards also limits creativity. Being creative, not following the standard, can guarantee a lawsuit if someone is injured, so why be creative? Physicians do create guidelines. It gives other physicians and, in this case, first aid providers the best knowledge available at the time, knowing that not everyone may be able to meet the guidelines, and care is going to change, improve, and hopefully get better.

That is why you always need to be aware of any new standard, no matter who or how it was created. You may be held to that standard. In this case, because the New Wilderness Medical Society (WMS) knows what it is doing, they have not created a standard but a guideline. If you don’t follow the advice provided in the guideline, you have not breached the standard of care.

You can use this information to fight claims that you violated a standard, arguing that a group of physicians who specialize in the first aid in the wilderness have this guideline. Since the guideline was made by physicians, after months or even years of research, you were not negligent when you did not follow the “standard” created by another group.

These current burn guidelines have not changed much in how we practice burn treatments; they have just been put together for first aid providers in wilderness settings.

One thing you should always be aware of, how the words used in a guideline are defined. Wilderness, as defined by the New Wilderness Medical Society, may have a different definition from how the US Forest Service or the rest of the federal government defines wilderness. You can find the New Wilderness Medical Society definition of wilderness here: The Definition of Wilderness Medicine & Wilderness EMS.

You can find most of the New Wilderness Medical Society guidelines in Wilderness Medical Society Practice Guidelines for Wilderness Emergency Care; however, several guidelines have been created and updated since this book was published in 2006.

To stay up to date, to see research leading to new first aid guidelines, and to be able to read and stay current on all of the guidelines, you need to become a member of the Wilderness Medical Society (WMS).

Why Is This Interesting?

Because if you are providing first aid outside of the community, cities, towns, or the EMS area of operation, this will be one of the criteria used to judge how well you did.

Be prepared to defend what you did using the guidelines based on how your situation varied from the criteria the guidelines were developed for, if necessary.

First of all, take care of someone burned, wherever you find them.

To read more articles on Standards and Guidelines, see:

So, if you write standards, you can then use them to make money when someone sues your competitors.

Trade Association Standards sink a Summer Camp when the plaintiff uses them to prove the Camp was negligent

Trifecta of stupidity sinks this dive operation. Too many releases, operation standards, and dive industry standards, along with an employee failing to get releases signed, sank this ship on appeal.

When an organization makes rules and regulations that a subsidiary organization is supposed to obey, and then fails to follow, both organizations are liable to any plaintiff injured due to the failure to follow or enforce the organizational rules, policies, regulations, or standards.

ACA Standards are used by the Expert for the Plaintiff in a lawsuit against a Camp

Association for Challenge Course Technology (ACCT), a DE corporation is being sued in Oregon for “promulgating deficient safety standards.” Issue is where the trial should be held, in Oregon where the plaintiff lives and was injured or in DE or IL where ACCT is located and does business

Basics of the Article are Good – But it confuses certification, accreditation and most importantly standards.

Expert Witness Report: ACA “Standards” are used by Expert for the Plaintiff in a lawsuit against a Camp

Great article about the risks of an organization creating standards for members of the industry – and I did not write it

Industry standards are proof of gross negligence and keep defendant in lawsuit even with good release

New Wilderness Medical Society Practice Guidelines: If you are an outdoor provider, these are you first aid standards of care.

NSAA and standards

Plaintiff uses standards of ACCT to cost defendant $4.7 million

So, if you write standards, you can then use them to make money when someone sues your competitors.

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Jim Moss

Outdoor Recreation Insurance, Risk Management and Law
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Wilderness First Aid

Legally what is important about First Aid when you are away from EMS, what is not…………and what is just sleight of hand

Audience:                   Association of Outdoor Recreation and Education

Location:                    Keystone, Colorado

Date:                         2010

Presentation:                       Wilderness First Aid            http://rec-law.us/17L6pQB

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This presentation looked at myths and realities of first aid and the special issues of wilderness first aid. It also examined the various state Good Samaritan statutes and why some first aid “designations” might now qualify under the act.

For additional articles on the subject see:

10 First Aid Myths                                                                                                    http://rec-law.us/ySaAwO

Another Way to Teach CPR                                                                                  http://rec-law.us/xEEaRo

CPR is not fool proof                                                                                               http://rec-law.us/w4PrpE

Everyone should write first aid protocols…. Or you could just buy a first aid book!http://rec-law.us/wguXEW

First Aid has its Limits. By law!                                                                              http://rec-law.us/xS1IEk

Letter to the Editor: Wilderness and Environmental Medicine                        http://rec-law.us/AjxzNj

Not a final decision, but I believe an indication of where the law of AED’s is heading however the basis for the decision is nuts!                                                                                          http://rec-law.us/yKC5te

Seriously, you have to send a memo about this, the issue is not what they are doing, it is who you are allowing to instruct.                                                                                                 http://rec-law.us/Ap1bRu

Stopping a rescue when someone is willing to perform may create liabilityhttp://rec-law.us/xuMtOt

Remember the law changes constantly, this presentation may be out of date. Check back at www.recreation-law.com and with your attorney to make sure the information is still valid.

What do you think? Leave a comment.

If you like this let your friends know or post it on FB, Twitter or LinkedIn

Copyright 2013 Recreation Law (720) Edit Law

Email: Rec-law@recreation-law.com

Google+: +Recreation

Twitter: RecreationLaw

Facebook: Rec.Law.Now

Facebook Page: Outdoor Recreation & Adventure Travel Law

Blog:www.recreation-law.com

Mobile Site: http://m.recreation-law.com

By Recreation Law    Rec-law@recreation-law.com      James H. Moss         #Authorrank

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