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Yearly Archives: 2010
Q: How can I use my RN degree to become an expedition medic?
Getting EMS training (Basic good; Paramedic much better) is still a good idea though, because you will get a level of practical training not provided in most RN programs. Becoming a nurse practitioner would be a great additional upgrade because on top of everything else you would have prescription writing capabilities. Continue reading
Posted in Ask the Expert
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Q: In anaphylaxis, why does the bronchial constrict and capillaries dilate?
Q: It seems counter intuitive that in anaphylaxis, the systemic capillaries dilate and the bronchial constrict. Histamine signals dilation (relaxation of the smooth muscles) of blood vessels, and increased permeability of capillaries, causing edema / inflammation. The bronchial tree also … Continue reading
Posted in Anaphylactic Reaction, Ask the Expert
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Q: We routinely use Silvadene for burn treatment at our hospital. I understand that you are not too keen on it. Why?
We have steered away from silver sulfadiazine (e.g., Silvadene) at work for years. We have found that products like a vasoline-type gauze, e.g., Xeroform, is more comfortable and easier to maintain requiring fewer banadage changes. Continue reading
Posted in Ask the Expert, General, In Dr Johnson's opinion
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Q: If there is no epinephrine available, could an albuterol inhaler be used until benedryl takes effect in anaphylaxis with respiratory distress?
Q: With respiratory distress in anaphylaxis, if no epinephrine is available could an albuterol inhaler be used until the benedryl takes effect? It isn’t mentioned in the study materials or in the recent WAFA course I attended. Seems to me that inhalers are a lot more common than epi pens. Continue reading
Posted in Anaphylactic Reaction, Ask the Expert, Discussions
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Wilderness First Responder to the Rescue
Jack, a Wilderness First Responder from Ohio, sent us this amazing story. “Hi there. Just wanted thank Wilderness Medical Associates (especially Phil, Robin, and Stephen) for their great instruction in last January’s Wilderness First Responder course at the University of … Continue reading
Posted in Risk Management, Student Feedback
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Q: Is there a connection between shellfish allergies and iodine?
The allergen in shellfish is a protein, not iodine. Some people with iodine allergies really have a topical sensitivity to iodine (e.g., povidone iodine; Betadine), usually a much different kind of reaction than the immediate reaction found with anaphylaxis. Continue reading
Posted in Anaphylactic Reaction, Ask the Expert
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Where’s the Man?: Belize
Where’s the Man?: Belize Here is the man (with me) in front of and inside Actun Tunichil Muknal, a 3.5 mile long Mayan Cave in Belize in the San Ignacio Cayo. The ATM is a national archeological site and considered … Continue reading
Posted in Where's the Man?
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Where’s the Man?: Pacific Crest Trail, WA
Where’s the Man?: Pacific Crest Trail, WA WMA-certified Wilderness First Responder (WFR), LT, sent us this photo of him cruising along with the man alongside the caption below. Thank you for making the trails a better place! “The man soaring … Continue reading
Posted in Check This Out!
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Where’s the Man?: Anchorage, AK
Where’s the Man?: Anchorage, AK Jerimiah was putting “The Man” hard at work while rebuilding Rome for his vacation bible school. Jerimiah is a medical missionary and is certified as a Wilderness First Responder. Send in Your Photos! Send an … Continue reading
Posted in Where's the Man?
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Where’s the Man?: Golan Heights of Northern Israel
Where’s the Man?: Golan Heights of Northern Israel Kevin Z., a WMA certified Wilderness First Responder, was hiking the Golan Trail and decided to take this photo of him next to a minefield (yes, a minefield). I don’t know if … Continue reading
Posted in Where's the Man?
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