In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well burial, analyzing the findings and their implications for skiers and outdoor rescue personnel. 

We then transition to a special Q&A session with pre-med student Zack Majd, tackling questions about forming a career in wilderness medicine. Patrick discusses the necessary educational paths, the benefits and limitations of fellowships, and the essentials of wilderness medical training. Additionally, the episode highlights upcoming educational events and provides practical advice on wilderness medical gear, psychological support techniques, and the integration of wilderness medicine with other medical disciplines. A must-listen for anyone interested in advancing their career in the field of wilderness medicine.

Links:

Kanaan NC, Abdul Cader J, Krakker J, Beasley H, Grissom CK, McIntosh SE. Simulated Avalanche vs Tree-Well Burial Effects on Human Physiology. Wilderness & Environmental Medicine. 2025;36(3):361-367. doi:10.1177/10806032251337476

Van Tilburg C, Paal P, Strapazzon G, et al. Wilderness Medical Society Clinical Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents: 2024 Update. Wilderness & Environmental Medicine. 2023;35(1_suppl):20S-44S. doi:10.1016/j.wem.2023.05.014

Fink PB, Wheeler AR, Smith WR, et al. Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update. Wilderness & Environmental Medicine. 2024;35(2):198-218. doi:10.1177/10806032241248422

EP. 21 - Snow Immersion Suffocation 

Chapters:

00:00 Introduction and Episode Overview

00:43 Upcoming Events in Wilderness Medicine

Part 1

02:07 Tree Well Burials vs. Avalanche Burials

05:36 Study Findings and Analysis

08:23 Limitations and Implications of the Study

Part 2

11:21 Q&A: Careers in Wilderness Medicine

12:48 Zach's Journey and Career Questions

20:35 Balancing Wilderness Medicine with Other Careers

26:05 Pathways to Wilderness Medicine

30:32 Debating the Value of Wilderness Medicine Fellowships

32:21 Personal Experience with Wilderness Medicine Fellowship

34:29 Research in Wilderness Medicine

37:05 Essential EMS Gear for Wildland Firefighters

39:19 Prioritizing Care in Wilderness Settings

47:31 Psychological First Aid in Wilderness Medicine

50:49 Preparing for Wilderness Medicine Challenges

53:55 Future of Wilderness Medicine

57:33 Signoff

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In this episode of Wilderness Medicine Updates, Dr. Patrick Fink discusses airway management in austere situations with Dr. Nicholas Weinberg. They explore two cases published in the Wilderness Medicine Journal, detailing the decision-making processes in managing critically injured patients. Dr. Weinberg shares his background in emergency and wilderness medicine, and highlights the importance of flexibility and the application of basic life support techniques in the wilderness. The episode emphasizes the significance of understanding the limitations and capabilities of the available tools in wilderness settings.

Links

WEM Article

Photo: Ledge from the fallen climber

Photo: Himalayan clinic resuscitation

Connect with Dr Weinberg: [email protected]

Timeline

00:00 Introduction and Overview

00:26 Meet Dr. Nicholas Weinberg

01:48 Dr. Weinberg's Background and Career

03:55 Case Introduction: The Climbing Accident

05:38 On-Scene Response and Initial Assessment

08:11 Airway Management and Rescue Coordination

11:05 Patient's Condition and Medical Interventions

18:34 Patient's Recovery and Conclusion

21:01 Reflecting on a Remarkable Case

21:30 Discussing the Second Case

22:59 Experiences in Wilderness Medicine

25:24 Challenges and Strategies in Remote Medical Care

30:31 Managing Airway in Austere Environments

37:42 Advice for Aspiring Wilderness Physicians

42:24 Concluding Thoughts and Listener Shoutouts

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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Exploring Xenon Gas for Altitude Acclimatization and Sport Performance
In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the use of inhaled xenon gas for sports performance enhancement and altitude acclimatization. The discussion is prompted by a recent claim from a UK climbing team that xenon helped them achieve a rapid ascent of Mount Everest. Xenon, a noble gas traditionally used as an anesthetic, has been shown to trigger hypoxia response pathways and boost EPO levels in animal studies. However, human trials have yet to demonstrate significant performance benefits or lasting changes in blood composition. The episode also examines the safety concerns and potential risks associated with unsupervised xenon use. While xenon shows some promise, current evidence suggests it may be more of a placebo effect rather than a reliable tool for enhancing athletic performance or altitude adaptation.

Join us on social!
Instagram - Wildmedupdates
Bluesky - wildmedupdates.bsky.social
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YouTube - WildernessMedicineUpdates

Chapters
00:00 Introduction to Wilderness Medicine Updates
00:19 Xenon Gas in Sports and Altitude Acclimatization
02:26 The Science Behind Xenon Gas
06:13 Human Studies on Xenon Gas
12:19 Risks and Side Effects of Xenon Gas
15:50 Conclusion and Final Thoughts
18:04 Social Media Announcement

Sources
Dias, K.A. et al. (2019). Effect of acute and chronic xenon inhalation on erythropoietin, hematological parameters, and athletic performance. Journal of Applied Physiology, 127(6), 1503-1510

Lawley, J.S. et al. (2019). Safety, hemodynamic effects, and detection of acute xenon inhalation: rationale for banning xenon from sport. Journal of Applied Physiology, 127(6), 1511-1518

Ma, D. et al. (2009). Xenon preconditioning protects against renal ischemic-reperfusion injury via HIF-1α activation. Journal of the American Society of Nephrology, 20(4), 713-720

Pappas, S. (2023). “Did Inhaling Xenon Gas Really Help Mount Everest Climbers Reach the Summit in Record Time?” Scientific American

Hackett, P. (2025). “Xenon Gas and High-Altitude Performance: What We Know

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly four decades of experience globally. Moose discusses his extensive career from being an Outward Bound instructor to working with Yosemite Search and Rescue, and his role as a Family Liaison Officer for the National Park Service. The conversation touches on the challenges faced by search and rescue teams, the importance of robust communication skills, and how to build resilience against trauma in high-stress professions. Moose also shares his personal experiences, reflecting on the value of mentorship, the significance of team dynamics, and the essential need for compassionate support during crises. The episode includes practical advice for those in the field of wilderness medicine and search and rescue, highlighting the necessity of emotional balance and continuous learning.

Connect with Moose:
Website
Blue Sky
Instagram
Substack
Book: Searching
Book: When Accidents Happen

Did you enjoy this episode? Contribute to YOSAR!

Links from the show:
The Stress Continuum
Responder Alliance
Quell Foundation
Dr. Nicola Lester: trauma informed practice

More Reading:
Ranger Confidential
Nature Noir
The Cold Vanish
The Last Season

CHAPTERS
00:00 Introduction and Guest Welcome
00:19 Moose Motlow's Background and Career
01:58 Challenges in Search and Rescue
02:58 The Importance of National Parks
05:23 Moose's Nickname and Early Career
07:07 Transition to the US and Outdoor Adventures
10:54 Search and Rescue Experiences
15:20 Swift Water Rescue Operations
19:38 Training and Mentorship in SAR
30:18 Role of Family Liaison Officer
45:24 Managing Emotio

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID). Unlike avalanches, snow immersion deaths happen silently—often within feet of a groomed run—when skiers and snowboarders fall into deep snow or tree wells and become trapped. We explore the research behind these incidents, where and how they occur, who is most at risk, and the tragic mechanics of asphyxiation in deep snow. Using studies from Van Tilburg, Baugher, and Cadman, we break down ra eal survival story, discuss prevention strategies, and how both bystanders and professional rescuers should respond. Whether you’re a backcountry adventurer, resort skier, or ski patroller, this episode will change the way you think about deep snow safety. Stay aware, ski with a partner, and stay out of tree wells.

Must Watch: GoPro Awards: Tree Well Rescue

Citations

Baugher, P. (2006). Risk trends at U.S. and British Columbia ski areas: An evaluation of the risk of snow immersion versus avalanche burials. In Proceedings of the 2006 International Snow Science Workshop (pp. 584–591). International Snow Science Workshop.
URL: https://arc.lib.montana.edu/snow-science/item/2076

Cadman, R. (1999). Eight nonavalanche snow-immersion deaths: A 6-year series from British Columbia ski areas. The Physician and Sportsmedicine, 27(13), 31–43.
URL: (No publicly available link found—may be available through institutional access)

Van Tilburg, C. (2010). Non–avalanche-related snow immersion deaths: Tree well and deep snow immersion asphyxiation. Wilderness & Environmental Medicine, 21(3), 257–261.
URL: https://doi.org/10.1016/j.wem.2010.04.004

Van Tilburg, C. S., Grissom, C. K., Zafren, K., McIntosh, S. E., Radwin, M. I., Paal, P., et al. (2017). Wilderness Medical Society practice guidelines for the prevention and management of avalanche and non-avalanche snow burial accidents. Wilderness & Environmental Medicine, 28(1), 23–42.
URL: https://doi.org/10.1016/j.wem.2016.10.001

Chapters
00:00 Introduction: The Hidden Dangers of Snow Immersion
00:37 Understanding Snow Immersion Suffocation
02:58 Historical Context and Research
03:09 Where and How Snow Immersion Happens
04:54 Mechanics of Snow Immersion Traps
06:23 Risk Factors and Victim Profiles
09:27 Prevention and Safety Measures
11:48 Rescue Techniques and Immediate Response
13:34 Professional Rescuer Guidelines
16:12 Advanced Medical Care and Resuscitation
20:11 Conclusion and Final Thoughts

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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King Tube vs IGEL for Airway Management

In this episode of Wilderness Medicine Updates, Dr. Patrick Fink addresses a listener's question on whether to use a King Tube or an IGEL as an out-of-hospital airway adjunct. The episode begins with an overview of airway management techniques from mouth-to-mouth resuscitation to supraglottic airway devices. Dr. Fink explains the benefits and drawbacks of various airway adjuncts, including oral and nasal pharyngeal airways. The discussion then shifts to a detailed comparative analysis of King Tubes and IGELs based on retrospective and prospective studies. Dr. Fink evaluates the evidence indicating that IGEL may be more effective and easier to use than King Tubes, particularly in pre-hospital cardiac arrest situations. The episode concludes with recommendations for pre-hospital providers and an encouragement for listeners to share their questions and feedback.

Links:

iGel LMA

King Tube

Smida T, Menegazzi J, Scheidler J, et al. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. 2023;188:109812. doi:10.1016/j.resuscitation.2023.109812

Smida, Tanner & Menegazzi, James & Crowe, Remle & Scheidler, James & Salcido, David & Bardes, James. (2023). A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehospital emergency care. 28. 1-13. 10.1080/10903127.2023.2169422. 

Lønvik, M.P., Elden, O.E., Lunde, M.J. et al. A prospective observational study comparing two supraglottic airway devices in out-of-hospital cardiac arrest. BMC Emerg Med 21, 51 (2021). https://doi.org/10.1186/s12873-021-00444-0

Chapters

00:00 Introduction and Listener Question

00:55 Understanding Airway Adjuncts

02:12 Basic Airway Management Techniques

06:34 Advanced Airway Devices: King Tube and LMA

11:35 Comparative Studies on Airway Devices

17:35 Prospective Data and Final Thoughts

25:24 Conclusion and Listener Engagement

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Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr

In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of methoxyfluorane, an anesthetic gas for pain management in wilderness settings. Joined by guest Dr. Ross Hofmeyr, an anesthesiologist and wilderness medicine expert from South Africa, the episode delves into the history, usage, benefits, and limitations of methoxyfluorane. Highlighting its efficacy, ease of use, and safety, especially for pre-hospital scenarios, Dr. Hofmeyr shares insights into its ideal applications, contraindications, and personal experiences. The episode underscores the significance of methoxyfluorane as a potent analgesic suitable for acute traumatic pain and procedural analgesia in austere environments.

Links

Wild Medix

Ross Hofmyer on Instagram

The Inhaler Device

Methoxyflurane at Altitude - Case Report

Methoxyflurane in the Outback - Survivor Clip

WMS Pain Management Guidelines

Chapters:
00:00 Welcome to Wilderness Medicine Updates
00:55 Meet Dr. Ross Hofmeyr
03:14 Dr. Hoffmeier's Background in Wilderness Medicine
04:45 Methoxyfluorine: An Overview
12:20 The Mechanics of Methoxyfluorine Inhaler
20:15 Practical Applications in Pre-Hospital Pain Control
20:53 Analgesic Intervention: Quick and Effective
21:09 Using Methoxyfluorane in Wilderness Settings
22:42 Training Non-Medical Personnel
23:49 Procedural Analgo-Sedation
24:30 Regulatory Considerations and Prescriptions
26:33 Combining Methoxyfluorane with Other Medications
28:10 Monitoring and Safety
29:09 Ambulating Patients with Methoxyfluorane
31:31 Environmental Considerations: Temperature and Altitude
40:10 Cost and Practical Downsides
41:45 Conclusion and Final Thoughts

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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Ketamine Use in Wilderness Pain Management: An Interview with Dr. Chris Van Tilburg

In this episode of Wilderness Medicine Updates, host Patrick Fink discusses wilderness pain control with guest Dr. Chris Van Tilburg, focusing on the effective use of ketamine. The episode delves into how ketamine serves as a versatile medication for pain management, sedation, and intubation in emergency and wilderness environments.

Dr. Van Tilburg, an expert in wilderness medicine with extensive field experience, shares insights on administering ketamine in challenging rescue scenarios, the limitations and benefits of various medications, and practical considerations for field use. The conversation touches on dose ranges, administration techniques, and patient management during rescues. Additionally, Dr. Van Tilburg talks about his soon-to-be-released book, 'Crisis on Mount Hood: Stories from 100 Years of Mountain Rescue,' celebrating the centennial of the Crag Rats, America's oldest mountain rescue team.

Links
WMS Guideline: Avalanche and Nonavalanche Snow Burial

WMS Guideline: Pain Management in Austere Environments 

Chris’s Linktree

Contact Chris through LinkedIn

Preorder Chris’s book “Crisis on Mt Hood”

Chris on Wikipedia

Crag Rats Mountain Rescue

Chapters:
00:00 Welcome and New Year Greetings
00:29 Introducing Today's Guest: Dr. Chris Van Tilburg
03:07 Podcast Shoutouts and Listener Appreciation
03:37 In Conversation with Dr. Chris Van Tilburg
05:58 Challenges of Wilderness Pain Management
09:37 Pain Management Strategies
14:23 Ketamine vs. Other Pain Medications
18:01 Ketamine Dosage and Administration
22:16 Nitty Gritty Tactics: Needle Sizes and Administration
23:02 Intramuscular Injection Sites and Techniques
24:22 Timing and Dosage of Ketamine Administration
25:16 Challenges in Mountain Rescue Situations
27:17 Case Study: Seizure Patient and Ketamine Use
29:18 Considerations for Head Injuries and Ketamine
33:03 Medications in Wilderness Medical Kits
34:02 The Art of Wilderness Medicine
37:54 Protecting Medications in the Field
38:55 Wrapping Up: Upcoming Book and Final Thoughts

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In episode 17 of Wilderness Medicine Updates, host Patrick Fink delves into the ICAR resuscitation algorithm for buried avalanche victims. The episode reviews the physiology of avalanche burial and discusses critical determinants of survival, such as duration of burial, airway patency, signs of life, and lethal injuries. The Basic Life Support (BLS) and Advanced Life Support (ALS) algorithms are explained in detail, with a focus on the practical application for both amateur and professional rescuers.

The episode also includes two detailed case studies that illustrate the application of the resuscitation algorithm, providing listeners with practical scenarios to better understand the protocols. Key insights on the importance of quick action, hypothermia, and ongoing CPR are highlighted, making this episode essential listening for anyone involved in avalanche rescue operations.

Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology

ICAR Rescue Algorithm

ICAR Paper in Resuscitation

Chapters:
00:00 Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2
01:26 Review
08:52 BLS Algorithm
14:30 ALS Algorithm
25:30 Interlude
25:30 Case 1: Partner Rescue
31:01 Case 2: Professional Rescue
39:54 Conclusion/Outro

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In this episode, I share an intense story of dealing with a suprise medical condition during a backcountry hut trip in Colorado. I walk through the diagnostic process, treatment options, and the importance of preparation for stays in remote places. Essential medications and tools needed for handling such emergencies in remote settings are discussed, along with advice on how to prepare for future expeditions.

My articles on The-High-Route.com

The Hut Medication Card

Chapters: 

00:00 Introduction and Personal Update

01:31 The Backcountry Hut Trip Begins

03:19 Will's Health Deteriorates

04:38 Diagnosing the Problem

07:04 The Emergency Descent

09:16 Lessons Learned and Preparedness

10:37 Essential Medications for Wilderness Trips

16:19 Final Thoughts and Conclusion

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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