Dr Doug Brown has recently published in the NEJM and addresses the prehospital management of Accidental Hypothermia and how it relates to those who also practice in the backcountry.
Dr Doug Brown’s website linking to his research and paper published in the NEJM.
Thanks Dr Brown, we appreciate your work and the support of those practicing outside.
Unable to put a finger on, or differentiate your young healthy patients first time seizure activity? The absence of trauma, infection, stroke, any pertinent historical findings, heat/altitude illness or other pharmacological based explanation leading you toward a primary diagnosis of neoplasm or some other insidious intracranial nasty?
As the summer and warmer months are upon us, the consideration of Exercise Associated Hyponatremia (EAH) is warranted in these individuals.
Wilderness Medical Society Practice Guidelines for the Ttreatment of Exercise Associated Hyponatremia are representative of “…the great strides that are taking place in an effort to prevent what is now recognized as a leading cause of preventable mobidity and mortality in endurance activities throughout the world“.
How does this affect me as a pre hospital practioner you ask? We here at rightseatmedicine have encountered a small cohort of patients in the Lower Mainland region of BC presenting with exercise associated hyponatremia.
A bowl of ice-cream…spinal immobilizing our patients…why can we not stop ourselves; and often our partners, from indulging.
In light of the recent avalanche of discussion surrounding spinal immobilization in the prehospital environment, presented within this post you will find;
- the original JEMS article that piqued our interest here at rightseatmedicine,
- the new and exciting publication by the Wilderness Medical Society for Spine Immobilization in Austere Environments,
- a video-link courtesy of Gallatin County who have recently adopted an adjusted spine immobilization protocol, and
- numerous other immobilizing menu items that are delicious food for thought.