The scope of wilderness medicine combines traditional medical specialities, particularly emergency medicine, sports medicine, military medicine and general practice, with pre-hospital care and rescue skills.
Research and Reviews (R&R) in the FastLane 95th edition – experts worldwide tell us what they think is worth reading from the literature
Research and Reviews (R&R) in the FastLane: experts worldwide tell us what they think is worth reading from emergency and critical care
Anytime, anywhere – a video that captures the essence of emergency medicine critical care.
A snake slithers away and a man is left with a leg wound oozing blood. Can you handle this suspected snakebite scenario in rural NSW?
Gastrointestinal disease (including diarrhoea) is very common in wilderness travelers. The vast majority of these diseases are transmitted through contaminated food and water. Several different organisms/pathogens are responsible for water-borne infection including bacteria (E.coli, Shigella, Campylobacter), Viruses (Hepatitis A, Norovirus), Protozoa (Giardia, Crypotosporidia) and occasionally Helminths (worms). Whilst in many cases a trail ultramarathoner will […]
Fluids Your body’s fluid balance will be placed under considerable stress while hiking in the humid mountain jungle of Papua New Guinea. Risks of dehydration include strenuous exercise, hot climate and illnesses such as diarrhoea. Some blood pressure medications called diuretics can also increase your risk of dehydration. Symptoms include increased thirst, dry mouth, decreaed […]
Marine Stinger Suits stinger suits work because they are non-organic material not because they provide an impenetrable barrier – does not stimulate tentacles only need to be millimeter thick to be effective if you irritate a box jellyfish with an electric shock itWeill sting you through a stinger suit! (not recommended) The Role of Vinegar […]
Irukandji is increasingly common – normal habitat is moving south – increasingly frequent sightings as far south as Fraser Island Clinical presentation Distressed and agitated – catecholamine storm – severe pain Often no visible signs of sting – no welts / weals Frequently latent period of 30 minutes before symptoms develop – may not immediately […]
A few pearls from Drs Jamie Seymour and Mark Little: Box Jellyfish The box jellyfish depends on the reef for its life cycle so it is not moving into southern waters like some other jellyfish The release of box jellyfish from the reef can be linked to daylight hours – not related to weather / water temperature etc The […]
Three important medical considerations before embarking on the iconic Kokoda Trail are immunisation, assessment of medical fitness and, last but not least, malaria. Immunisations Current recommendations are for immunisation against Typhoid Hepatitis A A combination Typhoid/Hepatitis A vaccine (Vivaxim) is available. This should be given at least 14 days (preferably one month) prior to risk of […]
Working as a doc in the Annapurna region of Nepal – a place where waiting room overcrowding didn’t exist. In fact, waiting rooms didn’t exist…