Setting: You are day hiking in the local backcountry with a companion. A rider on an overland motorcycle into view, you realize that the rider is not in control of the bike. The rider goes down after a slow motorcycle fall and lands on their back. You cringe at the impact. The rider pops up, walks several steps, and then slowly kneels. The first thing you think is a spinal injury.
In a non-freezing cold injury, blood vessels constrict in response to cold and damp. It’s cold enough to impair circulation, but not to freeze tissue. Cells are deprived of oxygen and nutrients. Nerves are especially sensitive…
Introduction to Not Ready For The Hike? Patients in the Outdoors near Urban Areas As more people have access to the outdoors, you may find yourself treating patients with some […]
An acquaintance of mine once lost all the feeling in his toes for three months from “trench foot.” He was lucky, in the end, that he suffered no permanent […]
The Setting Two search and rescue (SAR) volunteers have been sweeping a trail into the central Rocky Mountains in response to a vague cell phone report of a person […]
The Setting You’ve been searching on foot for the past two days in a wet snowstorm for a lost hunter. Last night the skies cleared and the bottom dropped […]