Shows
RAW MedicineEpisode 17: Wilderness Medical Direction2024-04-2953 min
RAW MedicineEpisode 16: Austere Pain Management with Mike Lauria, MD2023-06-081h 22
RAW MedicineEpisode 15: US Forest Service EMSWe're joined by Dr. Michelle Curry, the new EMS medical director of the U.S. Forest Service (USFS). As of this episode, the USFS EMS program is just now coming into its own, with a uniform set of policies, Local Emergency Medical Advisor (LEMA) physicians appointed for each USDA Region, patient care protocols, and a national credentialing system. However, there are some big differences between the USFS EMS program and that of the National Park Service, to which it is often compared.2022-05-0951 min
RAW MedicineEpisode 14: A Conversation with Tod Schimelpfenig & David JohnsonOn Episode 13, we explored the role of WFR's and challenged some aspects of the way they're educated and regulated (or not). In this episode, Tod Schimelpfenig (recently retired Director of Curriculum at NOLS WMI) and David "DJ" Johnson (Medical Director of WMA International) join us to share their thoughts on some of those points. The conversation is frank but friendly, and outstanding!2021-05-031h 06
RAW MedicineEpisode 13: WTF is a WFR?WFR (Wilderness First Responder) is arguably the nucleus of wilderness medicine education. But what does it really represent- first aid, Basic Life Support, or some kind of hybrid? Where did this curriculum originate, and is it still appropriate in today's highly regulated world of patient care? Veteran WFR instructor Corey Winstead joins us to help put WFR in context and consider some provocative questions about the future of wilderness medical education.2020-12-071h 14
RAW MedicineEpisode 12: WMS & NREMT- An Unexpected Spinal Fusion2020-10-271h 15
RAW MedicineEpisode 11: On ExcellenceWe talk with Justin "Padj" Padgett, co-founder of Landmark Learning- about the nature of excellence and its nexus with wilderness medicine practice and teaching. Padj has spent his professional life thinking about and researching excellence, and is renowned throughout the outdoor industry for imbuing it into the Landmark method.2020-05-0857 min
RAW MedicineEpisode 10: COVID-19 In The WildernessSARS-CoV-2 is a novel virus at the time of this episode, but there are already some lessons that can be applied to SAR responses involving known or suspected COVID-19 patients. We discuss respiratory protection for responders, airway management and resuscitation strategies, modifications to response protocols, and personal protection/decontamination considerations. 2020-04-221h 07
RAW MedicineEpisode 9: There Will Be BloodTrauma care experts Sgt. Max Dodge, TP-C and Maj. Andrew Fisher, PA-C, join us to talk about backcountry bleeding: how to control it, what to do next, and why many of the common teaching points surrounding bleeding control have been taken out of context and misapplied. Max and Andrew also talk about their work with the National Stop The Bleed campaign, and the importance of educating lay people to be initial responders. 2019-05-181h 02
RAW MedicineEpisode 8: Online And Outside of the BoxThe conventional assumption is that wilderness medicine training requires extensive hands-on practice, but what's a student to do when they want to learn the craft but can't attend a course in person? Can wilderness medical training be done online, and if so, is it valid? What's the balance that should be struck between skills training and didacticism in a body of knowledge that emphasizes resource constraints? We talk with Teal Harbin, a seasoned austere medical provider and founder of Base Medical, the company she founded to bring wilderness medical education to people who can't attend traditional in-person...2019-01-271h 01
RAW MedicineEpisode 7: Stress & Moral Injury with Brenton QueenWilderness medicine is exciting and inspiring, but it can also imperil our emotional well-being in big ways. We talk with mental health expert Brenton Queen, who works with responders in his capacity as a licensed counselor specializing in coaching, conflict, and stress.2018-11-251h 00
RAW MedicineEpisode 6: Orange Man Must DieThey way you were taught to recognize heat stroke is probably wrong, and the way you were taught to treat it is probably wrong, too. Forget the IV fluids, toss aside the cold packs, and hunker down for a stay & play scene. We're joined by Tod Schimelpfenig from NOLS Wilderness Medicine and emergency/sports medicine expert Tim Durkin, DO to talk about all of this, and why Orange Man (you've seen him) must die. For the resources referenced in this episode, see the show notes at www.RAWMedicine.org2018-07-021h 01
RAW MedicineEpisode 5: Wilderness NursesNurses Bryan Simon and Linda Laskowski-Jones talk with us about the role of nurses in the wilderness medicine: the unique skills they bring to austere environments, the experiences they've had at the intersection of wilderness and bedside care, and how nurses interested in wilderness medicine can take the plunge. 2018-06-0454 min
RAW MedicineEpisode 4: Hypothermia Part IIDo you really have to be concerned about throwing a hypothermic patient into V-Fib? What does the treatment of blood clots and frostbite have in common? And how does Lenny Kravitz fit into all of this. We have the answers in part two of our riff on hypothermia!2018-04-0143 min
RAW MedicineEpisode 3: Medical Direction with Will Smith, M.D.Seth and David sit down with Will Smith, M.D. to discuss being a medical director in the RAW medicine world. A combat physician, EMS medical director for fire departments, SAR teams, national forests and parks (and, in fact, the entire National Park Service), Dr. Smith still maintains his Paramedic credentials and routinely responds in the field.2018-02-0150 min
RAW MedicineHypothermiaDoes core temperature really matter? Do hot packs work? Is there a role for warm IV fluid? In this episode (Part 1 of an intended two-part series), Seth and David get into hypothermia care: what works, what doesn't, and why.2018-01-0343 min
RAW MedicineWhat's this all about?In this episode, we explore the defining characteristics of RAW medicine, including the philosophical, practical, and regulatory dynamics of providing care off the grid. Check out the article Seth and David reference here: https://www.ncbi.nlm.nih.gov/pubmed/286578092017-11-2349 min