snake bite awarenessIn part two of this two-part episode, we continue our discussion on infectious diseases in the wilderness setting from one of the chapters of the Wilderness EMS Textbook. We bring back overall Wilderness textbook author and coordinator Dr. Seth Hawkins and infectious disease chapter author, Dr. Chris Davis.

Catch Seth’s wilderness medicine podcast Raw Medicine.

Wilderness EMS Textbook Facebook page

Chris is an Emergency Physician, Wilderness EMS Fellow, owner of a wilderness medicine school, Appalachian Mountain Rescue Team member, and fishing charter captain! He is highly qualified to talk on this subject.

We talk about the relative risks of exposure in the wilderness setting versus an urban or suburban setting. Then we move into the different types of infections seen including pulmonary infections, genitourinary infections, skin and soft tissue infections (MRSA), and GI infections.

We also cover issues about diagnostics in the field, best practices for treatment, and what limited meds might be beneficial to carry into the backcountry. Lastly, the group on the call talks about prevention of illness as a valid way to “treat” the infection. Prevention trumps treatment of an active infection.

Also on the call were Dr. Joe Holley from Paragon Medical Education Group, our disaster weather expert Kyle Nelson, and co-hosts Sam Bradley and Jamie Davis.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Wilderness-EMS-Textbook-coverIn part one of this two-part episode, we talk infectious diseases in the wilderness setting from one of the chapters of the Wilderness EMS Textbook. We bring back overall Wilderness textbook author and coordinator Dr. Seth Hawkins and infectious disease chapter author, Dr. Chris Davis.

Catch Seth’s wilderness medicine podcast Raw Medicine.

Wilderness EMS Textbook Facebook page

Chris is an Emergency Physician, Wilderness EMS Fellow, owner of a wilderness medicine school, Appalachian Mountain Rescue Team member, and fishing charter captain! He is highly qualified to talk on this subject.

We talk about the relative risks of exposure in the wilderness setting versus an urban or suburban setting. Then we move into the different types of infections seen including pulmonary infections, genitourinary infections, skin and soft tissue infections (MRSA), and GI infections.

We also cover issues about diagnostics in the field, best practices for treatment, and what limited meds might be beneficial to carry into the backcountry. Lastly, the group on the call talks about prevention of illness as a valid way to “treat” the infection. Prevention trumps treatment of an active infection.

Also on the call were Dr. Joe Holley from Paragon Medical Education Group, our disaster weather expert Kyle Nelson, and co-hosts Sam Bradley and Jamie Davis.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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On this episode of the Disaster Podcast, we take a look at the history of tornado response in the U.S. and how the difficult lessons learned in those major responses improved systems across the country. Joining the show is disaster weather expert and meteorologist Kyle Nelson, returning guest and meteorologist Becky DePodwin (@wx_becks on Twitter), and Oklahoma paramedic and emergency management operations expert Chris Prutzman.

We talk about the May 3, 1999 tornado to hit the Oklahoma City region that was recorded by the TV crews of the Paramedics television show. Several lessons were learned during that event and Chris talks about how he landed in a new job and was thrown into the middle of the response soon after.

Individual systems can prepare for a more resilient community by employing training and response standards like the incident command system (ICS). Regular training and community education events are also good ideas to keep people engaged with what they can do to better prepare individually.

Tornados in the mid-Atlantic region happen more frequently than we think. Check out this article from 2017 in the Washington Post making the assumption that tornadoes don’t happen too frequently.

Also on this episode are co-hosts Jamie Davis and Sam Bradley.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Hurricane Irma Palm Tree WindsWe are talking everything on disaster weather topics in this episode of the podcast. We have a special guest, meteorologist Becky DePodwin (@wx_becks) on the show to share her expertise with us and doubling our meteorologist cred because our disaster weather expert Kyle is on the show, too.

In the first of this two-part episode, we discussed Becky’s background in everything from storm chasing to working in the Accuweather forecast center in State College, Pennsylvania, to her transition to a focus on emergency management. She also is the host or co-host of two different podcasts:

In this second half of the episode, we look at preparedness for weather-related disasters. We cover a review of last season’s disasters including the various hurricanes to hit the coast of the U.S. and island territories. We also look at how previous events color a community’s risk perception and their reaction to things like evacuation orders.

Also on this episode is Dr. Joe Holley, Kyle Nelson, and co-hosts Jamie Davis and Sam Bradley.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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We are talking everything on disaster weather topics in this episode of the podcast. We have a special guest, meteorologist Becky DePodwin (@wx_becks) on the show to share her expertise with us and doubling our meteorologist cred because our disaster weather expert Kyle is on the show, too.

In the first of this two-part episode, we discuss Becky’s background in everything from storm chasing to working in the Accuweather forecast center in State College, Pennsylvania, to her transition to a focus on emergency management. She also is the host or co-host of two different podcasts:

In this first episode, we look at mental health and the psychological cost of weather-related disasters. What makes people correctly assess their risk for disasters and what leads them to develop things like PTSD in relation to later disasters when they have a near miss or even just watch disaster coverage on TV?

Also on this episode is Dr. Joe Holley, Kyle Nelson, and co-hosts Jamie Davis and Sam Bradley.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

cardiac arrest resuscitation trainingIn this episode, we talk about some of the unique situations where a patient in cardiac arrest may be viable in disaster settings. Part of this is a look at the amazing research Dr. Joe Holley has been involved with regarding human cadaver-based CPR research. He and his team work to better understand the physiology of cardiac arrest, CPR, and survivable resuscitation.

Joe and the researchers with whom he’s involved will be publishing their most recent work on CPR and cardiac arrest in the Journal Resuscitation coming up in the next few months. Their research looked at human cadaveric models rather than animal models to examine the mechanical aspects of CPR and their effects on neurologically intact survival of cardiac arrest.

Kyle brings in his ski patrol experience to discuss the response to cardiac arrest in the alpine ski environment. Many resorts have a strong medical response team. It is important to have an understanding as a responder of what resources and equipment is available before you make the decision to commit those resources when they might be needed for other responses.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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snake biteDr. Ben Abo joins the Disaster Podcast team to talk about the chapter he authored in the Wilderness EMS textbook on Animal Bites and Stings chapter. He also co-authored the water rescue chapter as well, which we will cover in another episode.

We start off with Ben clarifying the difference between venomous and poisonous animals. Venom is injected while a poison can be inhaled, ingested, absorbed, or injected. When in doubt, treat all unknown animal related poisonings as envenomations.

We also talk about Venom One an international antivenin resource based in Florida that has any antivenin needed and the logistics to transport it anywhere in the world.

Venom One has the only nationally available antivenin bank in the U.S. 786-331-4443 is the direct number to Venom One or through the local poison centers to contact Miami Dade area poison center to connect with them.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

We revisit the Wilderness EMS textbook for a look at chapters 29 and 30. These are the chapters “Technical Rescue Interface? SAR non Snow” and “Technical Rescue Interface Ski Patrols and Mountaineering Rescue.” To help us on this is the chapter author for the text, Dr. Keith Conover. Dr. Conover has been Chief Medical Officer of the Federal Disaster Medical Assistance Team in Pittsburgh since 2004. He’s also a member of Pennsylvania DMAT1 and Allegheny Mountain Rescue (http://www.amrg.info).

Also on the show were co-host Sam Bradley, Dr. Joe Holley, Dr. Seth Hawkins, and our disaster weather expert Kyle Nelson.

As far as cave rescue:

  • 80% of cave rescue is the same as aboveground wilderness and mountain rescue
  • cave environment is a lot different than the aboveground environment and need to be prepared, physically and mentally
  • radios don’t work underground
  • GPS doesn’t work underground
  • topo maps don’t work underground
  • medical care may be constrained by technical aspects of the rescue: limited access to patient.
  • Disaster Never Sleeps, Neither Do We

The Wilderness EMS textbook is designed for EMS providers and leaders who deliver medical care in the wilderness, and those practicing wilderness medicine as part of a formal team. The textbook is a comprehensive, expertly-written reference ideal for this fast-changing and multidisciplinary specialty.

This first-of-its-kind text provides specialized instruction and best practices for wilderness EMS practitioners and students – crucial information for the success of today’s rescue missions. A strong foundation in evidence-based medicine, clinical experience, and field applicability makes it especially useful for any EMS provider in a wilderness environment.

Search And Rescue Evacuation

http://www.conovers.org/ftp/SAR-Evacs-lowres.pdf

WEMS Textbook Link

https://shop.lww.com/Wilderness–EMS/p/9781496349453

Raw Medicine Podcast Link

https://rawmedicine.org

Raw Medicine Podcast Facebook page

https://www.facebook.com/rawmedic/

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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designsafe-radio-logo-NHERIDan Zehner is back with us from the Design Safe Radio Podcast to give us updates on what they’re doing to research and create better and more resilient building materials. Dan works with the Natural Hazards Engineering Research Infrastructure (NHERI) program, funded by the National Science Foundation, which catalyzes advances in natural hazards engineering research.

Dan brings us some the latest updates in building materials design and testing to keep our communities safe and resilient in the face of disasters. In addition to testing of structures and structural materials, NHERI facilities test natural forces and events to better understand the phenomena at work in these events. The NHERI facilities are scattered in colleges and university research centers around the country. Each of them focus on specific types of events and structural components.

Here’s some more about those facilities: www.designsafe-ci.org/facilities/experimental

Also on the show this week were co-hosts Sam Bradley and Jamie Davis, along with Dr. Joe Holley from Paragon Medical Education Group and our disaster weather expert Kyle Nelson.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Wilderness-EMS-Textbook-coverThis week Laura McGladrey a psychological nurse practitioner joins us on the call to share her work as the author of the chapter in the recently published Wilderness EMS textbook. Laura is accompanied on the show by the textbook’s organizer Dr. Seth Hawkins and they discuss the concept of stress and how it affects how we react to ongoing situations such as might be found in the wilderness or austere medical setting.

Laura shares the five methods to help manage a survivor of a wilderness stress situation, decrease arrival and reestablish safety. They are: Create a sense of safety in the scene, Create calm, Create a sense of self-efficacy, Create connection to family and loved ones, Create hope that the situation will resolve.

We also discuss the risks of increased suicide rates among responders and how it is increasingly important to identify stress injuries and intervene early to stop the progression of the stress event on a person. Laura mentions that different groups of responders (wildland firefighters, ski patrol, USAR teams, etc.) all have unique distinct patterns in how they present with stress injuries.

Also on the call are co-hosts Sam Bradley and Jamie Davis, along with our disaster weather expert, Kyle Nelson.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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