Posts Categorized: Ask the Expert

Wilderness Medical Associates Experts answer your questions about wilderness medicine. Learn everything from when to use a tourniquet, what to do in the event of an avalanche, advice on giving CPR, and even how to locate a medical director.

Have a question for one of our experts that is not answered here? Fill out our Ask the Expert form, and one of our Wilderness Medical Associates experts will be in touch. Your question may even be featured in the Ask the Expert section of our site.

Distributing Over-The-Counter Medications To Clients

Q: The new medical advisor of our guiding company has advised us not to distribute over-the-counter medication to our clients. What is your opinion? Technically, one could argue that giving medication under these circumstances (paid guide giving to a client, non-family member) could be considered practicing medicine without a license.  Many school nurses are prohibited from dispensing… Read more »

Tractions Splints in Wilderness Medicine

Femur fractures are serious injuries that usually occur as the result of significant forces. A full assessment, focusing on critical system problems and their stabilization is the crucial first step.

Effective stabilization of femur injuries will help alleviate pain and decrease the possibility of complications. I believe that either a vacuum splint or good padding in a stable carrying device does a good job of providing both.

Although there is no literature supporting their efficacy in the prehospital setting, a commercial traction splint can be a useful tool when applied by a skilled practitioner who receives periodic training on a particular device and/or uses it during rescues or EMS calls. They should not be left on for a prolonged period of time (e.g., greater than 2 hours) unless limb neurovascular integrity and splint tension can be monitored properly and regularly.

Regardless, these are painful injuries. All require the administration of analgesics.

Q: Can a group of field researchers trained in basic first aid be permitted to have an epipen in a first aid kit?

Q: Can a group of field researchers, certified in basic first aid, be allowed to have an epipen in a first aid kit at the location. There are no individuals with known allergies or prescription for epipen, but they will be in a remote location (2-6 hrs from emergency medical services.