June 25th, 2011 by Paul Auerbach, M.D. in Health Tips
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An allergic reaction in an outdoor setting can rapidly become a life-threatening emergency. While most of us think of food allergies as annoyances, they can be quite serious or even life threatening. Itchy skin rashes can progress to breathing difficulty, swollen soft tissues (e.g., lips, tongue, throat) that compromise the airway, and low blood pressure or even shock. Therefore, it’s important to be familiar with the signs and symptoms of severe allergy and to be prepared to respond rapidly in the event of an emergency.
An EpiPen (an epinephrine auto-injector)
The National Institute of Allergy and Infectious Diseases has released Food Allergy Guidelines for healthcare professionals to help guide the care of patients with life-threatening food allergies. The full guidelines can be found at http://www.niaid.nih.gov/topics/foodallergy/clinical/Pages/default.aspx. Here are some key points: Read more »
This post, Food Allergies: Treating Severe Allergic Reactions, was originally published on
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June 22nd, 2011 by Paul Auerbach, M.D. in Health Tips
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Eastern coral snake, photo courtesy of Norman Benton, CC-BY-SA 3.0
The Wilderness Medical Society held its annual meeting at Snowmass last summer July 23-28, 2010. There were numerous terrific educational sessions. In a series of posts, I am going to highlight some of what we learned from the presenters.
Jonathan Allen gave a presentation on venomous snakebite management. Here are some facts to remember:
Snakebite Statistics
Approximately 15 percent of the 3,000 snake species worldwide are dangerous to humans. There are annually 400,000 to 2,000,000 envenomations from snakebite worldwide, with 20,000 to 100,000 deaths. In the U.S., there is at least one species of venomous snake in every state except Alaska, Maine, and Hawaii. There are approximately 20 venomous species, including pit vipers and coral snakes, and an estimated 6,000 to 7,000 venomous snakebites each year, including six to 10 deaths. Perhaps only 20 percent of bites are reported.
Deaths from snakebites typically Read more »
This post, What You Need To Know About Snakebites, was originally published on
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June 17th, 2011 by Paul Auerbach, M.D. in Health Policy
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Aid worker administers medicine to Haitian child in Léogâne.With the current wave of natural disasters and international conflicts extant in the world today, the number of people engaged in global humanitarian relief, including medicine, is growing. As a result, there have arisen special concerns for providing medical care and other types of assistance during humanitarian efforts. At the Wilderness Society summer annual meeting in 2010, Cindy Bitter, MD, led a round table discussion entitled “Challenges and Controversies in Humanitarian Medicine.” I will use materials she prepared for the syllabus to offer some observations about the general topic of humanitarian medicine, which is very often practiced in outdoor settings that are austere.
Current estimates state that, worldwide, there are more than 5,000 organizations providing humanitarian aid at a total expense of $15 billion. Medical assistance is given in many situations, including natural disasters, conflict and refugee care, provision of basic medical needs in low-resource areas, surgical missions, local resource development, and sanitation and nutrition projects. In 2009 alone, there were Read more »
This post, Challenges In Humanitarian Medical Care, was originally published on
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June 12th, 2011 by Paul Auerbach, M.D. in Health Tips
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As I write this post, I’m wearing my new Superfocus glasses. I was given the glasses by the company to demonstrate, and they are nothing less than remarkable. I’ve used them mostly in two very common settings for me—indoors and outdoors. In both situations, they performed very well.
Superfocus lenses work by mimicking a young, healthy human eye. Each lens is actually a set of two lenses (flexible and firm). The flexible, inner lens has a transparent membrane attached to a rigid surface, sandwiching a small amount of clear fluid. The bridge (across the nose) connecting the lenses allows you to adjust the shape of the flexible lens. Slide the tab along the bridge to find the exact correction for the particular user. The intent is to achieve clear, undistorted vision within any lighting or distance.
You can learn a great deal from the Superfocus website about the benefits of adjustable lenses, how to obtain the glasses, and so forth. I won’t reiterate information from the website, but rather discuss how I have used these glasses and discuss their performance based on my own experience.
First, I used them during my work in the E.R. as a physician. Read more »
This post, Superfocus Glasses May Improve Vision In The E.R., was originally published on
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June 7th, 2011 by Paul Auerbach, M.D. in Health Tips
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Outdoor recreation is intended for everyone, and can be enormously beneficial for persons with disabilities. I am in awe of disabled skiers, climbers, divers, and others who have learned to coordinate their bodies and take great enjoyment and a sense of accomplishment from their wilderness activities.
It behooves everyone in the healthcare profession to be aware of certain special medical concerns for persons who are disabled physically or emotionally. Additionally, family members and friends are often well aware of what they can do to help in providing a joint effort to support the disabled.
At the 2010 Wilderness Medical Society annual meeting in Snowmass, Colorado, JenFu Cheng, MD (a pediatric rehabilitation specialist from NJ), gave a wonderful presentation on the medical aspects of (scuba) diving with a disability. He pointed out that there may be up to nine million certified recreational scuba divers in the United States alone. His presentation, rather than focusing on persons who are fully capable physically and emotionally, examined the lesser-known benefits of being in the water for individuals in need of additional support. For instance, aqua therapy (largely enacted in swimming pools) takes advantage of the buoyancy of water to allow a range of mobility that is not possible on land. For example, aquatic exercise has been shown to improve lung capacity and mobility skills in children with cerebral palsy. Read more »
This post, SCUBA Diving With A Disability, was originally published on
Healthine.com by Paul Auerbach, M.D..
