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Hats Off To Global Rescue

I’ve posted previously about Global Rescue (GR), a company with deployable field rescue teams that can be hired to extract persons who are injured or ill from anywhere in the world.

The company provides medical consultative services, evacuation and extraction services, security advisory services, and other services such as emergency message relay, telephonic interpretation, visa and passport services and local legal referrals. I’m writing now to thank Global Rescue for helping me out in Haiti. Read more »

This post, Hats Off To Global Rescue, was originally published on Healthine.com by Paul Auerbach, M.D..

“Backcountry” Injuries and Wilderness First Aid

In a recent issue of Wilderness and Environmental Medicine (Volume 20, Number 2, 2009), Thomas Welch and colleagues have written an article entitled “Wilderness First Aid: Is There an Industry Standard?” The purpose of their inquiry was to determine if an “industry standard” exists for wilderness first aid training and certification of outdoor adventure and education leaders. To attempt to answer the question, they queried regulatory authorities, national organizations, and school/college groups with regard to their requirements for first aid training of their wilderness trek leaders.

They discovered that 10 or the 22 states with guide licensure programs required any first aid training as a condition of licensure, and none specified a specific course. Of the programs requiring such training, the requirements ranged from a 6-hour standard first aid course to more structured “wilderness first responder” (WFR or “woofer”) certification. Read more »

This post, “Backcountry” Injuries and Wilderness First Aid, was originally published on Healthine.com by Paul Auerbach, M.D..

Snake Bites: Should You Suck The Venom Out Or Not?

Last spring there was a news story about a man who said he saved his dog’s life by sucking venom from a rattlesnake bite out of the animal’s nose. After he performed this lifesaving feat and took his dog to a veterinarian, he reportedly began feeling ill himself.

It is further reported that he went to a hospital and received four vials of antivenom. The dog reportedly had its head swell up to three times its normal size and it also was administered antivenom. The man and his dog recovered. Read more »

This post, Snake Bites: Should You Suck The Venom Out Or Not?, was originally published on Healthine.com by Paul Auerbach, M.D..

How To Tell If A Child’s Ankle Is Broken

There are rules that have been advocated for doctors to use to determine the need for x-rays (radiographs) in the setting of a possible ankle fracture (broken ankle). The purpose for using rules is to avoid unnecessary exposure to radiation. In the wilderness, there is not likely to be an x-ray machine available. Therefore, the rules might be useful to give the rescuer (or a parent) more confidence about what clinical presentation is likely to be or not be a broken bone. This would be important in terms of deciding whether or not to allow weight-bearing, such as would occur if a victim needed to walk out under his or her own power. Read more »

This post, How To Tell If A Child’s Ankle Is Broken, was originally published on Healthine.com by Paul Auerbach, M.D..

Blue Jeans May Offer Protection From Rattlesnake Bites

When I was a medical student, I served a summer externship in 1975 with the Indian Health Service at Fort Belknap in Harlem, Montana. On some hot summer evenings, I went fishing at a place the locals called “Snake Lake,” which was loaded with cutthroat trout, and surrounded by rocky outcroppings that were home to scores of rattlesnakes. I was advised to stay away from the rocks, and to always wear long pants.

In the December, 2009 issue of the Annals of Emergency Medicine (Ann Emerg Med 2009;54:830-836), there appeared an article reporting a study by Shelton Herbert, PhD and William Hayes, PhD entitled “Denim Clothing Reduces Venom Expenditure by Rattlesnakes Striking Defensively at Model Human Limbs.” The purpose of the study was to determine whether ordinary clothing (denim material from blue jeans) interferes with the kinematics of venom delivery, thereby reducing the amount of venom injected by a typical snake into a (model) human limb. Read more »

This post, Blue Jeans May Offer Protection From Rattlesnake Bites, was originally published on Healthine.com by Paul Auerbach, M.D..

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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