Q: When was the last documented death from a coral snake (Micrurus fulvius) envenomation?

This question came up during our Montana WALS course last week in Red Lodge.  Richard Gates from WMI reminded the lead instructor Dr. Will Smith (and us) of a report from 2006 of an unconfirmed case.  When I googled this last evening I found out that it has in fact been confirmed.  There is an… Read more »

Q: Can someone be allergic to an antihistamine?

Q: Someone I know was having difficulty sleeping on a trip. A friend suggested trying the diphenhydramine (e.g., Benadryl) from our first aid kit. Shortly after, this person developed hives, chest tightness and shortness of breath. We administered epinephrine from the kit for a presumed anaphylactic reaction and evacuated him. In the end, after a… Read more »

Q: Do hives only occur as a result of an allergic reaction?

Hives (Urticaria) are those itchy, pink to red, raised skin lesions that are surrounded by a red halo. Although somewhere in the range of 90% of anaphylactic reactions are accompanied by urticaria or some sort of skin reaction, there are many other non-allergic causes. Some of these include physical factors (e.g., pressure, cold), infections (viral,… Read more »

Q: How do I become more involved & gain experience

How do I become more involved & gain experience? Q: I’m a first year medical student at the University of Minnesota-Duluth. I am looking to become more involved in Wilderness Medicine and gain more experience. I have taken AWLS course and am a member of the WMS. Very few of the faculty in my school… Read more »

Q: Bee Stings and Copper

“My niece and I got stung by hornets. Someone said to put a penny on the sting as an effective treatment. Is this true?” Who knows? There is a significant difference between a personal observation and a proven scientific fact, or even a valid observation. Single and even multiple uncontrolled observations and unattributed anecdotal testimonials… Read more »

Q: Medical Care Documentation

Q: I am a camp director who requires our staff to have medical training. If they do render care, what if anything should be documented? A medical record or any similar form of documentation is more that just an effort by medical practitioners to protect themselves against a law suit. It provides a contemporary account… Read more »

Q: How to Locate a Medical Director

Q: Our school is seeking a new medical advisor. Do you have any recommendations on what to look for in a medical advisor and how to locate one? It should be someone who has a license in your state. Besides proximity, that person would be more familiar with the rules and regulations around writing prescriptions… Read more »

Q: Snakebite Treatment Methods

I’m fact-checking a piece for a national outdoor magazine. I have several questions about snake bite treatment methods: Is there any benefit to the “cut-and-suck” method or should we get rid of it altogether? What is your professional opinion on the effectiveness of suction devices? Should a responder apply a tourniquet to a snake bite… Read more »