Wilderness

Lightning Strike

Thomas Powell, MD*, Aubri Charnigo, MD* and Jennifer Yee, DO* 

DOI: https://doi.org/10.21980/J8SD2M Issue 7:2 No ratings yet.
At the conclusion of the simulation session, learners will be able to: 1) Describe how to evaluate for scene safety in an outdoor space during a thunderstorm, 2) Obtain a relevant focused physical examination of the lightning strike patient, 3) Describe the various manifestations of thermo-electric injury, 4) Discuss the management of the lightning strike patient, including treatment and disposition, 5) Outline the principles of reverse triage for lightning strike patients, and 6) Describe long-term complications of lightning strike injuries.
Current IssueSimulationWilderness

Two-Screen Virtual Board Game Didactic for Teaching Wilderness and Environmental Medicine Topics to Emergency Medicine Residents

Amy L Briggs, MD*, Robert Katzer MD, MBA*, Isabel Algaze Gonzalez, MD* and Megan Boysen-Osborn, MD, MPHE*

DOI: https://doi.org/10.21980/J8J343Issue 6:4 No ratings yet.
By the end of this didactic, the learner will: 1) describe the basics of the presentation of each topic listed above; 2) recall the basics of management of each topic listed above; and 3) improve learners’ preparedness for the Emergency Medicine Inservice Exam and Written Board Examination
LecturesWilderness

Teaching about the Wild: A Survival Course as a Novel Resident Educational Experience

Geoffrey Comp, DO*, Rachel Munn, DO^, Renee Moffitt, DO† and Eric Cortez, MD^^

DOI: https://doi.org/10.21980/J8N06RIssue 6:2 No ratings yet.
By the end of the session the learner will be able to: 1) differentiate at least three different methods for water purification 2) describe how to erect a temporary survival shelter 3) construct a survival pack for personal use emphasizing multi-use items 4) demonstrate how to make a fire without a direct flame supply.
Small Group LearningWilderness

High Altitude Pulmonary Edema

Aubri Charnigo, MD * and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8C35X Issue 5:2 No ratings yet.
At the conclusion of the simulation session, learners will be able to: 1) obtain a thorough history relevant to altitude illnesses; 2) develop a differential for dyspnea in a patient with environmental exposures; 3) discuss prophylaxis and management of HAPE; 4) discuss appropriate disposition of the patient including descent and subsequent appropriate level of care.
RespiratorySimulationWilderness

Introduction to Wilderness Medicine – A Medical School Elective

Mark A Pittman, MD*, Trevor Slone, DO* and Matthew Wilson, MD^

DOI: https://doi.org/10.21980/J8B93X Issue 5:1 No ratings yet.
The primary objective of this course is to provide fourth year medical students an introduction to wilderness medicine.  Students will be able to: explain fundamental concepts of practicing medicine in austere conditions; identify and initiate treatment for common wilderness medicine conditions; and utilize the non-medical aspects of providing care in austere environments.
CurriculaWilderness

Brown Recluse Spider Bite

Laryssa A Patti, MD*, Benajamin Landgraf, MD* and Christopher Bryczkowski, MD*

DOI: https://doi.org/10.21980/J8TK99Issue 4:3 No ratings yet.
Examination of the skin revealed erythema and induration on the right lateral leg 12 cm in diameter with a 6 cm area of central necrosis and surrounding petechiae without fluctuance or crepitus. The patient was neurovascularly intact distal to the lesion. Laboratory values were within normal limits, except for an elevated C-reactive protein (5.31 mg/dL, normal range <0.70 mg/dL). The patient was diagnosed with ulceration secondary to envenomation from a brown recluse spider.
Visual EMWilderness

Emergency Medicine Curriculum Utilizing the Flipped Classroom Method: Environmental Emergencies

Daniel Bachmann, MD*, Sarah Gartner, BS^, Andrew King, MD*, Nicholas Kman, MD*, Mary Jo A Bowman, MD† and Michael Barrie, MD*

DOI: https://doi.org/10.21980/J8TP8Z Issue 4:2 No ratings yet.
Through a flipped classroom design, we aim to teach the presentation and management of environmental emergencies, specifically cold related illness, heat related illness, undersea medicine, high altitude medicine, submersion, electrocution, radiation injury, and envenomation. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.
CurriculaWilderness

Tick Removal

Belinda Lao, MD* and Xiao Chi Zhang, MD*

DOI: https://doi.org/10.21980/J8HK9H Issue 4:1 No ratings yet.
On physical exam, an engorged tick was found attached to the patient’s left upper back.  The underlying skin was nontender but mildly erythematous, without central clearing. The tick was gently removed with blunt angle forceps and sent for further analysis, which later revealed the specimen to be an American dog tick (Dermacentor variabilis).
Visual EMWilderness

Lightning Ground Current Injury: A Subtle Shocker

Gregory S Podolej, MD* and Naomi Nardi, MD*

DOI: https://doi.org/10.21980/J8KD1C Issue 4:1 No ratings yet.
The first photograph demonstrates a dendritic blister (Lichtenburg figure) on the medial aspect of his right foot where the ground current injury entered the patient's foot. Although no data exists regarding the sensitivity or specificity of Lichtenberg figures as skin findings, they are considered pathognomonic for lightning injuries and are not produced by alternating current or industrial electrical injuries. The second photograph demonstrates a 4 x 3 cm area of petechiae where the ground current injury exited the patient.
DermatologyVisual EMWilderness

Evaluation of Snake Bites with Bedside Ultrasonography

Josef E Jolissaint*, Alexis Salerno, MD^ and Daniel Sheets, MD^

DOI: https://doi.org/10.21980/J84S7D Issue 3:2 No ratings yet.
History of present illness: While watering his lawn, a 36-year-old man felt two sharp bites to his bilateral ankles. He reports that he then saw a light brown, 2-foot snake slither away from him. He came to the emergency department because of pain and swelling in his ankles and inability to bear weight. Physical examination revealed bilateral ankle swelling and
UltrasoundVisual EMWilderness