EMS On The Mountain

Applying the military principles of Prolonged Field Care to the civilian WEMS environment. Mike and Sean discuss PFC, what it is, and how it can and should be translated to WEMS care. They also discuss some planning and a brief introduction to desired WEMS equipment considerations in support of prolonged patient care

Sean and Mike get honest about the common misconception that a couple of sticks and a length of paracord is all you need to perform wilderness medicine.

Nothing earth shattering in this one, Mike and Sean share some thoughts on documenting patient care in a wilderness or austere setting when use of traditional ePCR software is not an option. The discussion centers on a few general guidelines for selecting your preferred tool for documentation, as well as a few things to consider when you need to document your patients' care in the wilderness and for extended periods of time.

Sean and Mike talk about how resource availability between an urban or rural system varies from a wilderness system and what that means for patient care. 

So, you think the environment gets a say in environmental emergencies? How about in every emergency? When your Due is the wilderness the environment always has a say in your care decisions. Sean and Mike discuss the unique aspects to keep in mind and how the environment always gets a say. 

Sean and Mike dig into the unique aspects of managing pain for patients for an extended period of time in the Wilderness.

Sean and Mike double down and discuss an article by Dr. Seth Hawkins, MD, NREMT and Dr. Tyler Prince, MD, NRP from the Wilderness Medical Society Magazine titled "The Definition of Wilderness Medicine & Wilderness EMS" 

On this episode Sean and Mike discuss the details of long term extended care while carrying someone out of the backcountry using people as the main source of power.

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Sean and Mike discuss the DHS Austere Emergency Medical Support (AEMS) Field Guide and how it maps back to wilderness environments. They discuss the similarities between wilderness and austere care and how these considerations can quickly become something providers in an urban or suburban EMS system may need to take into account.

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