Please note: At approximately 26:45, there is a portion of updated audio to reflect the more commonly accepted dosing of IV epinephrine: diluting 1 mg of epinephrine in 10 cc of NS and giving 0.5 to 1 mL at a time. The technique and concentration in the edited audio are now also consistent with the published clinical practice guidelines.

#25: Anaphylaxis and Everest

March 2022

Wilderness & Environmental Medicine journal online: www.wemjournal.org

Questions/comments/feedback and/or interest in participating in WMP? Send an email to: [email protected]

Part 1: Journal Club

Title: Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis

Authors: Flavio G. Gaudio, David E. Johnson, Kelly DiLorenzo, Arian Anderson, Martin Musi, Tod Schimelpfenig, Drew Leemon, Caroline Blair-Smith, Jay Lemery

DOI: https://doi.org/10.1016/j.wem.2021.11.009

CME Available: https://wms.org/members

Presenters: Flavio G. Gaudio, David E. Johnson

Reviewer: Darryl Macias

Part 2: Discussion topics

• Darryl brings Ken Zafren onto the podcast to discuss the utility of “space blankets” in the wilderness medicine setting. See the article by Zafren et al, Prehospital Use of Ultrathin Reflective Foils, published in the March 2022 issue of WEM: https://doi.org/10.1016/j.wem.2021.11.006

• Darryl gives an update on the Khumbu Climbing Center and introduces us to the Full Circle Everest Expedition, the first Black climbing team attempting to summit Everest.

Audio editing: Tom Conklin (https://www.tomconklinvoice.com)