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

Posted: November 10, 2025 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: burn, firstaid, medical-standard, Wilderness First Aid, Wilderness Medical Society | Leave a comment

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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I represent Manufacturers, Outfitters, Guides, Reps, Colleges & Universities, Camps, Youth Programs, Adventure Programs, and Businesses.

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

Posted: December 21, 2017 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: first aid, Leaches, Mt. Everest, Wilderness Medical Society, Wilderness Medicine, WMS | Leave a comment

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!

So you’ve been bitten by a leech. What’s the worst that could happen?

“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

For the first time ever, the WMS is heading to Lake Tahoe!

Wilderness Medicine Conference

February 23 – 28, 2018

Stateline, Nevada

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

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!

UPCOMING EVENTS

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 >

New in Wilderness Medicine Magazine

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 >

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Latest Wilderness Medical Society Journal Articles Jun-2016 (Volume 27, Issue 2)

Posted: June 16, 2016 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: First Ai, Wilderness Medical Society, WMS | Leave a comment

New Practice Guidelines for the Prevention and Treatment of Drowning. If you have a pool, beach, swimming area as part of your program you need to know this!!!

You need to be a member to keep up to date with the latest medical and first aid issues.

Viewpoint

VIEW: Is Drinking to Thirst Adequate to Appropriately Maintain Hydration Status During Prolonged Endurance Exercise? Yes

Martin D. Hoffman, James D. Cotter, Éric D. Goulet, Paul B. Laursen

COUNTERVIEW: Is Drinking to Thirst Adequate to Appropriately Maintain Hydration Status During Prolonged Endurance Exercise? No

Lawrence E. Armstrong, Evan C. Johnson, Michael F. Bergeron

REBUTTAL from “Yes”

Martin D. Hoffman, James D. Cotter, Éric D. Goulet, Paul B. Laursen

REBUTTAL from “No”

Lawrence E. Armstrong, Evan C. Johnson, Michael F. Bergeron

Original Research

Risk of Avalanche Involvement in Winter Backcountry Recreation: The Advantage of Small Groups

Benjamin Zweifel, Emily Procter, Frank Techel, Giacomo Strapazzon, Roman Boutellier

Pulley Ruptures in Rock Climbers: Outcome of Conservative Treatment With the Pulley-Protection Splint—A Series of 47 Cases

Micha Schneeberger, Andreas Schweizer

An Analysis of Media-Reported Venomous Snakebites in the United States, 2011–2013

Dennis K. Wasko, Stephan G. Bullard

Outdoor Activity and High Altitude Exposure During Pregnancy: A Survey of 459 Pregnancies

Linda E. Keyes, Peter H. Hackett, Andrew M. Luks

Practice Guidelines

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning

Andrew C. Schmidt, Justin R. Sempsrott, Seth C. Hawkins, Ali S. Arastu, Tracy A. Cushing, Paul S. Auerbach

Concepts

Novel Technique for Epinephrine Removal in New Generation Autoinjectors

Patrick E. Robinson, Stephanie A. Lareau

Case Report

Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test

Ian Quigley, Ken Zafren

Twostriped Walkingstick Targets Human Eye With Chemical Defense Spray

Ashley N. Ferrara, John B. Luck, Mark C. Chappell

First Reported Case of Fatal Stinging by the Large Carpenter Bee Xylocopa tranquebarica

Senanayake A.M. Kularatne, Sathasivam Raveendran, Jayanthi Edirisinghe, Inoka Karunaratne, Kosala Weerakoon

Snakebite by the Shore Pit Viper (Trimeresurus purpureomaculatus) Treated With Polyvalent Antivenom

Rupeng Mong, Hock Heng Tan

Fatal Honey Poisoning Caused by Tripterygium wilfordii Hook F in Southwest China: A Case Series

Qiang Zhang, Xinguang Chen, Shunan Chen, Zhitao Liu, Rong Wan, Juanjuan Li

Corneal Opacity in a Participant of a 161-km Mountain Bike Race at High Altitude

Morteza Khodaee, David R. Torres

Traumatic Amputation of Finger From an Alligator Snapping Turtle Bite

Robert D. Johnson, Cynthia L. Nielsen

Avalanche Survival After Rescue With the RECCO Rescue System: A Case Report

Katharina Grasegger, Giacomo Strapazzon, Emily Procter, Hermann Brugger, Inigo Soteras

Lightning Strike in Pregnancy With Fetal Injury

Kellen Galster, Ryan Hodnick, Ross P. Berkeley

Bitten by a Dragon

Stephen D. Ducey, Jeffrey S. Cooper, Michael C. Wadman

Case Series

The “Heel Hook”—A Climbing-Specific Technique to Injure the Leg

Volker Schöffl, Christoph Lutter, Dominik Popp

Brief Report

Acute Interstitial Nephritis Following Snake Envenomation: A Single-Center Experience

P.S. Priyamvada, Vijay Shankar, B.H. Srinivas, N.G. Rajesh, Sreejith Parameswaran

Sildenafil and Exercise Capacity in the Elderly at Moderate Altitude

George W. Rodway, Anne J. Lovelace, Michael J. Lanspa, Scott E. McIntosh, James Bell, Ben Briggs, Lindell K. Weaver, Frank Yanowitz, Colin K. Grissom

Cycling Injuries in Southwest Colorado: A Comparison of Road vs Trail Riding Injury Patterns

Simon Kotlyar

Body Positioning of Buried Avalanche Victims

Daniel K. Kornhall, Spencer Logan, Thomas Dolven

Clinical Images

A Wasp Sting and a Broken Heart

James H. Diaz

Mistaken Mushroom Poisonings

James H. Diaz

A Broken Leg in the Bugs

Alexander J. Martin-Bates

Letter to the Editor

Expanding Wilderness Medicine Fellowship Eligibility Beyond Emergency Medicine

Derek J. Meyer, Megann Young

In Response to ACE I/D Polymorphism and HAPE by Bhagi et al

Gaurav Sikri, Srinivasa A.B., Bikalp Thapa

In Reply to Dr Sikri et al

Swati Srivastava

Pitviper Envenomation Guidelines Should Address Choice Between FDA-approved Treatments for Cases at Risk of Late Coagulopathy

Leslie V. Boyer, Anne-Michelle Ruha

In Reply to Drs Boyer and Ruha

Nicholas C. Kanaan, Jeremiah Ray, Matthew Stewart, Matthew Fuller, E. Martin Caravati, Katie W. Russell, Sean P. Bush, Michael D. Cardwell, Robert L. Norris, Scott A. Weinstein

In response to Epidemiology of Search and Rescue in Baxter State Park: Dangers of Descent and Fatigue

Aaron Brillhart, Scott McIntosh, Jennifer Dow, Colin Grissom

In reply to Brillhart et al.

Chris R. Welter, J. Matthew Sholl, Tania D. Strout, Ben Woodard

Book Review

Book review

Aaron D. Campbell

Book review

Christopher Van Tilburg

Book review

Christopher Van Tilburg

Wilderness Image

Calotropis gigantea

Tanuj Kanchan, Alok Atreya

Erratum

Erratum

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

Posted: December 15, 2015 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: first aid, Snake Bites, Wilderness Medical Society, WMS | 1 Comment

Here are the articles in the Wilderness Medical Society Journal that you should know if you provide First Aid outdoors.
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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New Wilderness Medical Society Practice Guidelines: If you are an outdoor provider, these are you first aid standards of care.

Posted: February 11, 2015 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: Guidelines, Wilderness Medical Society, Wilderness Medicine, WMS | Leave a comment

No matter what you think or what you have been told, these are how you will be judged based on your training

The Wilderness Medical Society has published updated and new Practice Guidelines for Wilderness Emergency Care. Those guidelines cover:

· Use of epinephrine in Outdoor Education and Wilderness Settings: 2014 Update

· Treatment of Eye Injuries and Illnesses in the Wilderness

· Treatment of Exercise-Associated Hyponatremia

· Prevention and Treatment of Frostbite

· Prevention and Treatment of Heat-Related Illness

· Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia

· Prevention and Treatment of Lightning Injuries

· Treatment of Acute Pain in Remote Environments

· Spine Immobilization in the Austere Environment

· Basic Wound Management in the Austere Environment

As well as understanding the new guidelines, make sure you understand the conditions under which the guidelines should be used.

You can access these guidelines by joining the Wilderness Medical Society here: Join Wilderness Medical Society.

If you work in the outdoors and want to provide first aid care to your fellow workers, clients, participants and friends you should understand these new guidelines.

What do you think? Leave a comment.

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

The Wilderness Medical Society has issued new practice guidelines for Treatment of Exercise-Associated Hyponatremia and Spine Immobilization in the Austere Environment

Posted: January 23, 2014 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: Exercise-Associated Hyponatremia, first aid, Good Samaritan, Medical guideline, Medical Protocols, Medicine, Practice Guidelines, Recreation, Samaritan, SAR, Spine Immobilization, Spine Immobilization in the Austere Environment, Treatment, Wilderness Medical Society, Wilderness Medicine, WMS | Leave a comment

The Wilderness Medical Society has issued new practice guidelines for Treatment of Exercise-Associated Hyponatremia and Spine Immobilization in the Austere Environment

If you have medical protocols (and why would you?) they just changed. If you run wilderness programs, a new guideline that you will be judged against has been created.

The Wilderness Medicine Society is the organization for writing guidelines for outdoor recreation and SAR community, besides being a great organization for meeting the experts in the field of wilderness medicine. If you are involved in the outdoors you should be a member! Join today.

The Wilderness Medicine Society is the First Aid Organization

The new guidelines have been developed over years of research by experts in the field. These experts include both the SAR personnel who find people and the physicians who treat the injured victims once they arrive at a hospital.

Join today and find out what these new guidelines are and how to implement them in your program.

Environmental Change & Human Health

Posted: August 24, 2013 | Author: Recreation Law | Filed under: Uncategorized | Tags: Air pollution, Climate change, Environmental change, Pollution, Wilderness Medical Society, x, y, z | Leave a comment

OUR PATIENTS – OUR PLANETEnvironmental Change & Human Health

October 30 – November 3, 2013

Dauphin Island Sea Lab, Alabama

I don’t think it is a surprise to anyone that we are undergoing a period of intense discussions and even debate about environmental change. I think we all agree that something is happening whether it’s global warming…the migration of hazardous insect species northward…the release of environmental toxins, it’s important for physicians to know what these sorts of events are going to do to our planet and then the impact they’re going to have on human health….
-Paul S. Auerbach, MD, Co-Founder, Wilderness Medical Society

One of the greatest challenges of our time is to address environmental changes that may harm human health. Some of these environmental changes like water and wastewater treatment have had a positive impact; however, others such as air pollution, toxic chemicals, loss of biodiversity and climate change have been detrimental to human health. Our health and the environment will forever be inseparable.This stand-alone conference presented by the Wilderness Medical Society is designed for health care providers to learn how changes in the environment affect the medical conditions of their patients and how to be more engaged at working on solutions.

water%20testing.jpg The conference will be held at the Dauphin Island Sea Lab near Mobile, Alabama. Our expert faculty comes from many disciplines – medicine, science, law, green consulting and education – presenting on topical issues such as health impacts of climate change, air pollution, toxins, endocrine disrupters and the education of physicians in the future.

Please join us this fall for the Wilderness Medical Society’s first conference about the Environment & Human Health on the Alabama Gulf Shore. Details and registration are available at wms.org/conferences.

We invite you to view a short video about this exciting event in wilderness medicine magazine or at wms.org!

Check out all the great articles at Wilderness Medicine Magazine!

Wilderness Medical Society | 2150 S 1300 E | Suite 500 | Salt Lake City | UT | 84106

The ALL NEW Wilderness Medicine Magazine

Posted: March 8, 2013 | Author: Recreation Law | Filed under: Uncategorized | Tags: FAWM, first aid, health, Managing editor, Medicine Magazine, Wilderness Medical Society, Wilderness Medicine, WMS | Leave a comment

Dear James,

WildernessMedicineMagazine.com is the new repository of the best writing, graphics and audiovisual pieces available in wilderness medicine today. Embracing modern web technology, we will continuously bring you a dynamic, multimedia experience.

More content, more authors and more technologies, including abundant hyperlinks, videos, graphics and content-rich material make this site the go-to location for entertaining, interesting and cutting edge information.

As it is a constantly evolving web-based magazine, we suggest you check the site often for new articles and announcements.
Subscription tools are being developed that will allow you to be notified when new content of interest is posted. We are open to your suggestions for ways it can be even more functional and useful for you. Also please don’t hesitate to contact us if you’d like to contribute content. You can email the Executive Editor Seth Hawkins directly or refer to the “Submission Guidelines” link on the site.

Thanks for your support from the entire Magazine Committee of the Wilderness Medical Society.

Jonna Barry, Editorial Director

Seth C. Hawkins, MD, FAWM, Executive Editor
Debra Stoner, MD, FAWM, Senior Editor
Nancy Pietroski, PharmD, Associate Editor
Sam Schimelpfenig, MD, Associate Editor
Larry E. Johnson, MD, Assistant Editor

Jim Ingwersen, Web Developer

Visit Wilderness Medicine Magazine NOW!

Articles for OR Pros in the latest Wilderness & Environmental Medicine Vol. 23, No. 4 Winter 2012

Posted: December 27, 2012 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: #HAPE, Accute Mountain Sickness, Altitude Illness, Altitude sickness, AMS, Autoinjector, Epinephrine, Ibuprofen, Wilderness Medical Society, WMS | Leave a comment

There are several critical articles here for OR Pros!

· Editorial: Does Ibuprofen Prevent Acute Mountain Sickness

· Altitude Sickness in Climbers and Efficacy of NSAID’s Trial (ASCENT):

· Placebo for Prevention of Altitude Illness

· Predictive Value of Basal Exhaled Nitric Oxide and Carbon Monoxide for Acute Mountain Sickness

· Wilderness Medical Society Practice Guidelines for Treatment of Eye Injuries and Illnesses in the Wilderness

· Use of Human Remains Detection for Dogs for Wide Area Search after Wildfire:

· Fifty-Three Hours of Total Sleep Deprivation has no Effect on Rewarming from Cold Air Exposure

· Injury and Illness in Mountain Bike Stage Racing:

· Letters to the Editor:

· Epinephrine Autoinjector Warning

· Using the 6-Minute Walk Test for Screening Summit Success on Mount Aconcagua

· Assessing Travelers’ Knowledge and Use of Coca for Altitude Sickness

· Possible Association with Amphetamine Usage and Development of High Altitude Pulmonary Edema

You can become a member of the Wilderness Medical Society by going HERE. Sign up today and learn for the rest of the year. Be on the knowledgeable end of wilderness medicine and able to offer your clients the latest in prevention and first aid.

What do you think? Leave a comment.

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Wilderness Medicine Magazine now Available

Posted: August 7, 2012 | Author: Recreation Law | Filed under: Uncategorized | Tags: education, first aid, Medical Specialties, Medicine, Wilderness Medical Society, Wilderness Medicine, Wilderness Medicine Institute, WMS | Leave a comment

Wilderness Medical Society

Wilderness Medicine Magazine – Summer 2012 (Volume 29, Issue 3)

WMS members, friends and enthusiasts,Please click the link below to view the latest issue of Wilderness Medicinemagazine hot off the virtual press. The Summer 2012 issue is loaded with good reading: Everest Expedition: A Gutsy Trek by member Nancy Pietroski who experienced the WMS Everest trek; a one-on-one interview with world-renown UK physician, mountaineer and author Charlie Clarke; a review of the Best Wilderness Medicine Books; the Top 10 Best Backcountry Foods, poison plant identification and much more, plus all the latest WMS Society news and announcements.

Please click the links below to view the latest issue of Wilderness Medicine magazine, hot off the virtual press. You can view and/or print the magazine as a “flip book” or a simple PDF file. Check out our MOBILE version for viewing on mobile devices (yes, even IPads!).

Online Edition

Mobile Version

PDF Version

We love fedback and story ideas. If you have friends and colleagues who may be interested in what the WMS does, please forward.

Christopher Van Tilburg,
MD Editor-in-Chief, Wilderness Medicine
MagazineEditor

Wilderness Medical Society Trailblazer, April 2012

Posted: April 24, 2012 | Author: Recreation Law | Filed under: Uncategorized | Tags: #Trailblazer, health, Medical Specialties, Medicine, Wilderness Medical Society, Wilderness Medicine, WMS | Leave a comment

Leading the worldwide community of Wilderness Medicine

Trailblazer – April 2012

What’s New

World Congress on Wilderness Medicine

July 13-17, 2012Whistler, BC, Canada

Wilderness Medicine Magazine Vol. 29.2—Spring 2012

Check it out!

Featuring Burning Man Medicine, Indo-Pacific Lionfish Update, Q&A with Dr. Bill Forgey, and Pemmican – the Backpacker’s Greasy Friend!

Academy of Wilderness Medicine

The Academy of Wilderness Medicine has announced the Fellow Advancement Recognition or FAR program. Fellows in the Academy of Wilderness Medicine are encouraged to advance their FAWM status. In addition to offering the Master Fellow program, the WMS recognizes the continued accumulation of core and elective credits after a member has become a Fellow. Awards will be presented to those Fellows who have been awarded the required levels of post-FAWM credits as displayed below. The Credit Status report can be used to display your current credit summary. See the April edition of Wilderness Medicine magazine for more information.

New to the Eductional Presentation Series: Tick-Borne Illnesses

A new Educational Lecture has been added to our peerless series: Tick-borne Illnesses by Gillian A. Beauchamp, MD and Edward J. Otten, M.D., FACMT, FAWM. You can order this lecture separately or as part of the entire series.

2011 WMS Recognition Awards—Call for Nominations

The WMS Awards Committee, chaired by Dr. Ken Zafren, invites you send your suggestions for nominees of members and non-members who you believe are worthy of the Society’s recognition. The winners will be honored at the 2012 World Congress in Whistler, British Columbia. The award categories are listed below:

Blair Erb World Congress International Award*
Warren D. Bowman Award
Education Award
Founders Award
Research Award
Dian Simpkins Service Award

The Awards Committee will give full consideration to all those named. In support of your nomination please include: Your name, member number, and contact information; award for which you are nominating him/her; full name and contact information of nominee; awards, recognition, degrees; experience, accomplishments, and memberships; your personal support statement.

Email your nomination(s) with supporting information to Dr. Ken Zafren: zafren by April 18, 2012. We look forward to your participation in helping the WMS to award our worthy colleagues with these honors.
*Full description of the Awards can be reviewed in the Spring edition Wilderness Medicine magazine.

Board of Directors – Call for Nominations

A call for nominations to the WMS Board of Directors is currently ongoing. Interested persons can contact Dr. Colin Grissom at colin.grissom by May 1, 2012. The list of responsibilities is enumerated in the April issue of Wilderness Medicine magazine.

Research Grants – We have our winners!

Houston Grant
“Genetic Influences Underlying Skeletal Adaptation to Altitude”
Kevin Michael Train, MS1
Morgantown, WV

Research in Training
“Pediatric traumatic brain injury associated with alpine ski and snowboard falls: Epidemiology, helmet use, and outcomes, 2003-2009”
Janessa M. Graves, PhD MPH
Seattle, WA

Hultgren
“Acetazolamide for the prevention of high altitude illness: a comparison of dosing”
Scott McIntosh, MD
Salt Lake City, UT

Don’t Miss

Wilderness & Environmental Medicine Journal

Wilderness & Environmental Medicine Journal Vol. 23.1 available online to members now! Log in as a member to access your online journal. Three excellent articles have been chosen for the “CME” articles for this issue. Be sure to read the articles and take the quiz to receive your CMEs for this issue. Non-members can go to wemjournal.org to access the Editor’s Choice (free) article on “Recognizing Dangerous Snakes in the United States and Canada: A Novel 3-Step Identification Method.”

6th International Conference on Wilderness Medicine

Wilderness knows no boundaries and the Wilderness Medical Society’s program of a quadrennial World Congress to review the status of Wilderness Medicine activities around the world continues this year in Whistler, BC, Canada, July 13-17, 2012. From its humble beginnings as a fishing lodge in 1914, to being center stage for the 2010 Olympic and Paralympic Winter Games — Whistler is an extraordinary place to visit and wonderful destination for adventurous spirits.

The WMS International Congress is unsurpassed in bringing together the best minds in the field of Wilderness Medicine from around the globe. You will not find another conference like the WMS World Congress anywhere, and we hope you will make your plans early to attend this one-of-a-kind meeting. Our four preconference programs include Mountain and Expedition Medicine (DiMM), Disaster and Humanitarian Medicine, Marine Medicine, and Advanced Wilderness Life Support. Registration and program schedule.

Other 2012 Conferences of Note

International World Extreme Medicine Conference

Expedition & Wilderness Medicine (EWM) is delighted to launch the International World Extreme MedicineConference and EXPO series. This inaugural event, April 15th and 18th 2012, will be held at One Wimpole Street, central London, home of the Royal Society of Medicine. Here’s more information on the conference and the impressive range of speakers.

The Global Emergency Medicine Program at New York-Presbyterian Hospital

The Global Emergency Medicine Program at New York-Presbyterian Hospital / Weill Cornell Medical College Department of Emergency Medicine is pleased to announce the next Global Health Emergencies Course, aimed at healthcare providers involved in international work. The course will provide participants with the tools and knowledge necessary to engage in high-impact interventions in a variety of global health crises. This state-of-the-art, 2-week course bringing together over 25 experts in public health, policy and programming to engage participant healthcare providers in an exploration of the most critical challengers in global health today: the Global Fund Diseases – Malaria, TB, HIV; trauma; chronic diseases; pandemics; and complex humanitarian emergencies. Details, schedule and registration.

Antarctic Medical Conference

An iconic Antarctic Medical Conference exploring one of the world’s most amazing regions!

Join us from December 7-19, 2012, aboard the National Geographic Explorer, a state-of-the-art expedition ship. The conference will be led Dr. Luanne Freer the Medical Director of Yellowstone National Park; former President of the Wilderness Medical Society; Medical Lead on Mountain Medicine, Nepal and subject of the documentary “Everest ER,” which features her work running the field hospital at Everest Base Camp. The ship will also have its own Expedition Leader, a National Geographic staffer, who will be an expert on this incredible region. To find out more visit Expedition & Wilderness Medicine website.

2013 WMS Conferences

Save the dates for these exciting WMS events!

February 2-9, 2013

MedSail – Medicine for Mariners and Safety at Sea
British Virgin Islands

February 14-21, 2013

Wilderness & Mountain Medicine Conference
The Canyons, Park City, Utah

July 11-17, 2013

WMS 30th Anniversary and Wilderness Medicine Conference
Beaver Run Resort, Breckenridge, Colorado

October 30-November 5, 2013Environmental Change & Human Health
Dauphin Island Sea Lab, Dauphin Island, Alabama

Reminders

WMS Member Online Photo Library

An image library has been created for WMS members to share with other members. Images are categorized according to topics (such as Burns, Travel Medicine, Marine Medicine, Animals, Allergies, Plants, to name a few) and should be useful to members preparing presentations. Our photo library is only as extensive as we build it, so we encourage everyone to take some time to upload their favorite photos after filling out a copyright agreement and HIPPA statement.

Keep your member information up-to-date!

Go to your Member Profile page and make sure everything is current.

Research – You Can Make a Difference

The WMS has a long history of fostering awareness and appreciation among healthcare professionals and scientists for the research of health-related concerns in outdoor and wilderness activities. In 2010, we introduced a new grant directed and humanitarian and disaster response efforts. Our Research Grant Awards have been helping fulfill our mission “To advance healthcare, research, and education related to wilderness medicine” for many years. Even during economic downturns and a sluggish economy our our Board of Directors believes it is incumbent on us as a Society to encourage this work.

The Charles S. Houston Award is for medical students and the Research-in-Training Award is for residents and fellows of an accredited graduate medical education program or doctoral candidates working towards a PhD.

The Herbert N. Hultgren Award is for members of the WMS.

The Humanitarian Aid Grant was developed in response to the January 2010 Haitian earthquake in an attempt to support WMS members involved in humanitarian and disaster response efforts. However, the Humanitarian Research Aid Grant applications will be considered for projects worldwide, regardless of country.

The Houston, Research-in-Training and Hultgren Awards are funded by the Society, as well as donations from our members and friends. The Humanitarian Aid Grant is fully funded by your charitable donations. Please consider starting the new year off right with a tax deductible donation to one of these excellent WMS grant programs to assist young researchers and further education and research in wilderness medicine and humanitarian relief. Donate online

Latest edition of the WMS Wilderness & Environmental Medicine Journal is out.

Posted: April 5, 2012 | Author: Recreation Law | Filed under: First Aid, Medical | Tags: #Edema, #HAPE, #Nifedipine, Altitude, AltitudeSickness, health, High Altitude Pulmonary Edema, Journal, Medicine, Wilderness Medical Society, WMS | Leave a comment

If you work in the Outdoor Industry, you should be a member of the WMS.

The Articles in the Volume 23, Number 1, Spring 2012 edition of the Wilderness Medical Society (WMS) journal are great!

· Nifedipine for the Treatment of High Altitude Pulmonary Edema

· Background Rates of Acute Mountain Sickness-Like Symptoms at Low Altitude in Adolescents Using Lake Louise Score

· Peripheral Arterial Desaturation is Further Exacerbated by Exercise Adolescents with Acute Mountain Sickness

· Recombinant Angiotension-Converting Enzyme 2 Suppresses Pulmonary Vasoconstriction in Acute Hypoxia

· Physiological Bone Responses in the Fingers after More than 10 Years of High-Level Sport Climbing: Analysis of Cortical Parameters

· Medical Direction of Wilderness and Other Operational Emergency Medical Services Programs

· Novel Use of a Hemostatic Dressing in the Management of a Bleeding Leech Bite: A Case Report and Review of the Literature

· Wolf Spider Envenomation

· Managing Anaphylaxis in a Jungle Environment

· Increasing Creating Kinase Concentrations at the 161-km Western States Endurance Run

· Improvised Traction Splints: A Wilderness Medicine Tool or Hindrance?

· Animal-related Motorcycle Collisions in North Dakota

You are going to get great information by reading the newsletter, website and journal of the WMS. More importantly, I find the information is just as critical in telling you what not to do.

You can become a member of the WMS by going here. Sign up today and learn for the rest of the year.

What do you think? Leave a comment.

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It's not what I write, It's what you Learn

Why Is This Interesting?

To read more articles on Standards and Guidelines, see:

Jim Moss

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

Can We Get There From Here? Martin D. Hoffman

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Wilderness Medicine Magazine – Summer 2012 (Volume 29, Issue 3)

Please click the links below to view the latest issue of Wilderness Medicine magazine, hot off the virtual press. You can view and/or print the magazine as a “flip book” or a simple PDF file. Check out our MOBILE version for viewing on mobile devices (yes, even IPads!).

We love fedback and story ideas. If you have friends and colleagues who may be interested in what the WMS does, please forward.

Christopher Van Tilburg, MD Editor-in-Chief, Wilderness Medicine MagazineEditor

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Leading the worldwide community of Wilderness Medicine

Rate this:

Share this:

If you work in the Outdoor Industry, you should be a member of the WMS.

The Articles in the Volume 23, Number 1, Spring 2012 edition of the Wilderness Medical Society (WMS) journal are great!

You can become a member of the WMS by going here. Sign up today and learn for the rest of the year.

What do you think? Leave a comment.

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

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

Can We Get There From Here?
Martin D. Hoffman

Christopher Van Tilburg,
MD Editor-in-Chief, Wilderness Medicine
MagazineEditor