Advanced Wilderness Life Support (AWLS)

In this episode, Dr. Kathy Vidlock explores the physiology and real-world risks of pulmonary edema triggered by both intense physical exertion and high-altitude exposure. Drawing on clinical insight and wilderness medicine experience, she explains how fluid can accumulate in the lungs during extreme exercise and conditions like High-Altitude Pulmonary Edema, breaking down the underlying mechanisms in a clear and practical way. Listeners will learn how to recognize early warning signs—such as shortness of breath out of proportion to effort, cough, and decreased performance—and understand why these symptoms can rapidly become life-threatening. The episode also covers prevention strategies, including proper acclimatization, pacing, and risk awareness, along with guidance on when immediate descent or medical care is critical. Whether you’re an athlete, climber, or backcountry traveler, this episode provides essential knowledge to help you stay safe in demanding environments.

In the towering peaks of the Austrian Alps where adrenaline and precision define every run, one moment can change everything. This episode tells the story of Lucas Hungerford, an experienced skier whose life took a devastating turn after launching off a terrain park lip and suffering a catastrophic crash.

What began as a routine descent quickly became a fight for survival—marked by severe physical injuries and a long, complicated recovery. But the story doesn’t end when the bones heal. Lucas continues to grapple with the invisible aftermath of PTSD, a condition that lingers long after the mountain is left behind.

This episode explores the risks of high-performance skiing, the psychological toll of traumatic injury, and what it truly means to recover—both physically and mentally. It’s a story about resilience, fear, and the courage to face the mountain again, even when it’s no longer beneath your skis.

Long days on the trail, limited hygiene options, sweat, and wet clothing can create the perfect conditions for vaginal bacterial and yeast infections during backcountry trips. In this episode, Layla Risdon explores why these infections are more common during hiking, backpacking, and remote expeditions. She discuss the basic biology behind bacterial vaginosis and yeast infections, the environmental factors in the wilderness that increase risk, and the early symptoms to watch for while far from medical care. The episode also offers practical prevention strategies—including clothing choices, hygiene techniques, moisture management, and what items to pack in a wilderness first-aid kit. Whether you’re planning a weekend backpacking trip or a multi-day expedition, this episode provides important information to help women stay healthy and comfortable in the backcountry.

Frostbite has long been one of the most feared cold-weather injuries for mountaineers, backcountry skiers, and winter adventurers—often leading to permanent tissue loss or even amputation. In this episode, we explore how frostbite happens, how to prevent it in the outdoors, and what to do when it strikes far from help. We also highlight a breakthrough in treatment: the FDA’s recent approval of iloprost, the first medication specifically designed to save tissue and improve outcomes in severe frostbite. From backcountry prevention tips to cutting-edge hospital care, this conversation brings together wilderness safety and modern science to help outdoor athletes and medical providers better understand and manage frostbite.

As climate and ecological conditions shift across the United States, the geographic boundaries of several tick species are expanding—and with them comes growing confusion about the diseases they carry. In this episode, we explore the spread of the Lone Star tick (Amblyomma americanum) and the blacklegged tick (Ixodes scapularis), and how their overlapping ranges are complicating the diagnosis of tick-borne illnesses.

One of the biggest challenges is distinguishing between Lyme disease and STARI (Southern Tick–Associated Rash Illness). Both conditions can present with a similar bull’s-eye rash and early flu-like symptoms, yet they are caused by different organisms and may require different approaches to diagnosis and treatment.

Join us as we examine how shifting tick habitats, changing ecosystems, and evolving patterns of human exposure are reshaping what we thought we knew about tick-borne disease risk. 

In the backcountry, decisions matter.  And sometimes the only difference between a good outcome and a bad one is knowing when to stop, when to descend, and when to listen to what the body is telling you. In this podcast we talk about a small device that’s making its way into more packs, first-aid kits, and expedition gear — the pulse oximeter.  You’ve probably seen one in a hospital or clinic. But what does it really tell you when you’re miles from a trailhead, at altitude, in the cold, and far from help? In this episode, we break down how pulse oximeters actually work, how reliable they are in the wild, and how they should, and should not be used in real backcountry and wilderness medicine settings. Because in remote environments, technology doesn’t keep you safe - judgment does.

When we head outdoors, we think about weather, wildlife, terrain, and terrain — but we rarely think about what’s floating in the air, living in the soil, or hiding in the dust. In this episode, we explore the invisible world of environmental fungi — where they live, how people are exposed, the illnesses they can cause, and how simple awareness can dramaticall

Bats are an essential—and often misunderstood—part of the Grand Canyon ecosystem. In this episode, we explore the role bats play in the canyon, why they are so abundant along the Colorado River, and what that means for people camping overnight in one of America’s most iconic landscapes. We’ll discuss the real but often low-probability dangers associated with bats, including rabies exposure and accidental nighttime contact, and explain why sleeping in tents is one of the simplest and most effective ways to reduce risk while protecting wildlife. The episode also takes a closer look at white-nose syndrome, a devastating fungal disease threatening bat populations across North America, and how human behavior—from campsite choices to gear hygiene—can help limit its spread. Designed for river runners, backcountry travelers, and anyone curious about canyon wildlife, this podcast blends safety, conservation, and practical guidance for sharing the Grand Canyon responsibly after dark.

Shock can develop quickly in the backcountry, and recognizing it early can save a life. In this episode, we focus on how to identify shock with limited tools and how to tell the difference between its major types in remote settings. We break down cardiogenic, vasogenic, and hypovolemic shock using real-world backcountry scenarios, emphasizing observable signs, mental status changes, skin findings, and simple assessments you can perform in the field. The discussion highlights how understanding the type of shock can guide priorities such as bleeding control, positioning, insulation, and evacuation decisions when definitive care is hours—or days—away.

Dr. Kathy Vidlock explores how the human body responds when sport and movement take place in the most demanding environments on Earth—and why proper fueling can mean the difference between performance, illness, and survival. From endurance athletics to long days hiking at altitude or in extreme heat and cold, the body undergoes profound physiological changes affecting oxygen delivery, hydration, metabolism, thermoregulation, and energy availability. In this podcast, Dr Vidlock breaks down how these stresses alter appetite, digestion, and nutrient needs, and why eating the right foods at the right time becomes essential when conditions are unforgiving. By connecting human physiology with practical nutrition strategies, we’ll highlight how thoughtful fueling supports adaptation, sustains performance, and reduces risk when pushing physical limits in extreme environments.