Wilderness Medicine Podcast

#44: 200-Mile Ultramarathons: Sleep, Fatigue, and Performance
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

This episode features our quarterly journal club discussion of the article Running Under Conditions of Extreme Sleep Deprivation and Exhaustion: An Analysis of Performance and Satisfaction of 200+ Mile (322+ Kilometer) Ultramarathon Runners with lead author Liam Lynch.

Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032251395944
CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938

Audio editing: Tom Conklin (www.tomconklinvoice.com)
WMS membership: wms.org/members

#43: Imposter Syndrome in the Wilderness
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

This episode features a discussion with lead author Sarah Petelinsek on the article Do I Really Belong Here? An Exploration of Impostor Syndrome in Backcountry Users

Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032251412895

Audio editing: Tom Conklin (www.tomconklinvoice.com)
WMS membership: wms.org/members

#42: Diver vs. Alligator: A Remarkable Survival Story
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1:
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251388579
CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938

Part 2 to come in late July!

Audio editing: Tom Conklin (www.tomconklinvoice.com)
WMS membership: wms.org/members

¡Episodio extra en español! Darryl analiza la tormenta de nieve de noviembre de 2025 en el Parque Nacional Torres del Paine, Patagonia, Chile, junto a Marcelo Noria.
Crédito musical: “Tren al Sur” de Los Prisioneros

#41: Lessons from the Field and the Literature
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Darryl discusses the current WEM article Acceptance of Risk and Confidence Assessing Avalanche Terrain and Conditions: A Large Cross-Sectional Study through the lens of the current avalanche events.
Link to article: https://journals.sagepub.com/doi/full/10.1177/10806032251368754

Part 2: Journal Club
Title: Environmental Exposures and Risks During Pregnancy
Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241248626
CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938

Part 3: Discussion with Marcelo Noria regarding the November 2025 blizzard in Torres del Paine National Park, Patagonia, Chile.

Part 4: Update on Mount Aconcagua with Aaron Brillhart.
Climber Mortality on Mount Aconcagua, 2013–2024
https://journals.sagepub.com/doi/abs/10.1177/10806032251330534

Audio editing: Tom Conklin (www.tomconklinvoice.com)
WMS membership: wms.org/members
Music credit: “Tren al Sur” by Los Prisioneros

Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: Wilderness Medical Society Clinical Practice Guideline on Care of Burns in the Wilderness
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251345768
CME available for WMS members: https://wms.org/WMS/WMS/Journal-Quizzes/CME-Dashboard.aspx?hkey=99763cb0-f207-4ac9-9f5b-0c08e3f65938

Part 2: Article Discussion
Darryl and guest Angela Martz discuss the article Are Female-Specific Health Concerns a Barrier to Participation on Expeditions or Adventure Tourism?
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251332281

Audio editing: Tom Conklin (www.tomconklinvoice.com)
WMS membership: wms.org/members

#39: All Things Encephalopathy
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: Effect of Air Exposure Time Under Room-Temperature Conditions on the Performance of Chemical Heat Blankets Intended for Use in Prehospital Accidental Hypothermia
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251325562
CME Available: wms.org/members

Part 2: Prolonged Field Care discussion.

Audio editing: Tom Conklin (www.tomconklinvoice.com)

#38: All Things Encephalopathy
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: Encephalopathy at High Altitude: Hyponatremia or High Altitude Cerebral Edema?
Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032251315381
CME Available: wms.org/members

Part 2: Overview of other causes encephalopathy not directly addressed in the paper

BONUS! Stay tuned for a summary in Spanish and French at the end!

Audio editing: Tom Conklin (www.tomconklinvoice.com)

#37: Climate Change: Recreation at Risk
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: Climate Change Impact on Outdoor Organizations Today
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241296526
CME Available: wms.org/members

Part 2
MythBustsers Hypothermia Lab: Takeaways from participants of the DiMM winter course experiential lab at the UNM.

Audio editing: Tom Conklin (www.tomconklinvoice.com)

#36: Treestand Safety & Catfish Injuries
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: Treestand-Related Injuries Outnumber Projectile-Related Injuries in Arkansas Hunters, 1993–2022
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241287774
CME Available: wms.org/members

Part 2
Discussion of journal article Catfish Puncture Wound and Retained Spine Management in the ED Setting: A Case Report
Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241273505
BONUS! Video recording of the above discussion available here: https://youtu.be/OcqnhRXPXns
Audio editing: Tom Conklin (www.tomconklinvoice.com)

#35: Walking Cold Patients
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club
Title: The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety—A Mountain Rescue Case Series
Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241259943
CME Available: wms.org/members

Part 2
A literature review on CPAP masks to assist high altitude endeavors.

Part 3: So, you want to be a medical director for a rescue team? We will discuss the new WMS CPG on the topic.
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241249126

Audio editing: Tom Conklin (www.tomconklinvoice.com)

#34: Norovirus!
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Journal Club
Title: Acute Gastroenteritis Outbreak Among Colorado River Rafters and Backpackers in the Grand Canyon, 2022
Article link: https://journals.sagepub.com/doi/abs/10.1177/10806032241245093
CME Available: https://wms.org/members
Part 2
Norovirus discussion.
Article link:
Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#33: Marine Envenomation & Spinal Cord Protection
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Journal Club
Title: Marine Envenomation in Okinawa: Overview and Treatment Concept
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032231220401
CME Available: https://wms.org/members
Part 2
Darryl discusses the 2024 WMS CPG for Spinal Cord Protection with authors Seth C. Hawkins, MD, NREMT and Jason Williams, BS, NRP.
Article link: https://journals.sagepub.com/doi/full/10.1177/10806032241227232
Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

#32: Finger Strength Training and Wilderness Medicine Interviews
Dec 2023

Wilderness & Environmental Medicine journal online: www.wemjournal.org

Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Journal Club: A Finger in the Game: Sport-Specific Finger Strength Training and Onset of Injury
Link to article: https://www.wemjournal.org/article/S1080-6032(23)00110-2/fulltext
CME Available for WMS members. [TO COME]

Part 2: Darryl Macias’s on-location interview with Drs. Nicolás Mena and Martin Musi at the Chile Summer DiMM Program

Part 3: Fred Bossert interviews WMS committee leaders Drs. Jesse Gehner and Justin Gardner.

#31: Wilderness Rescue and Sustained Muscle Protein Synthesis
Sept 2023

Wilderness & Environmental Medicine journal online: www.wemjournal.org

Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org

Part 1: Article Discussion: Wilderness Rescue of a Hiker with Multiple Trapped Limbs by a Combined Wilderness and Urban Rescue Team Using High-Pressure Airbags
Link to article: https://www.wemjournal.org/article/S1080-6032(23)00098-4/fulltext

Part 2: Journal Club
Title: Alaska Backcountry Expeditionary Hunting Promotes Sustained Muscle Protein Synthesis
Authors:
Link to article: https://www.wemjournal.org/article/S1080-6032(23)00093-5/fulltext
CME Available for WMS members here. [TO COME]

Part 3: Summaries of the episode in Spanish, French, and Italian.
Music credits:
Thalia - Amor A La Mexicana (Emilio Mix, Banda)
La Vie En Rose - Louis Armstrong
Tu Vuo Fa l'Americano - Talented Mr. Ripley soundtrack
Hariyo Bhannu, Raju Lama, Tara Shreesh Magar, Miruna Magar (All Music Nepal)

#30: Portable Ultrasound and a Deep Dive into Diving Med
Jun 2023
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Journal Club
Title: Comparison of Commonly Carried Liquids Against Commercial Ultrasound Gel for Use in the Backcountry Setting
Authors: Jennifer N. Wray, BA; Zachary P. Soucy, DO; Nicholas J. Daniel, DO; Nicholas E. Weinberg, MD; G. Michael Krauthamer, MD; Sarah C. Crockett, MD; Catherine C. Pollack, PhD; Johndavid M. Storn, MD
Link to article: https://www.wemjournal.org/article/S1080-6032(22)00220-4/fulltext
CME Available for WMS members at wms.org.
Part 2: A deep dive into diving medicine and high-altitude medicine and a primer on radio communications
Part 3: NEW THIS EPISODE! A summary of the episode is offered in English, Spanish, and French!

#29: Solar Water Disinfection, Hypothermia, Mountain Rescue, and Marine Medicine
Mar 2023
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Hypothermia Case
Darryl shares a recent hypothermia case handled at a tertiary care hospital using wilderness medicine techniques.
Gordon Giesbrecht podcast: https://soundcloud.com/wildernessmedicinepodcast/wem-podcast-march-2019
NEJM article: https://www.nejm.org/doi/full/10.1056/NEJMoa2207304
Part 2: Journal Club
Title: Evaluation of Escherichia coli Inactivation at High Altitudes Using Solar Water Disinfection
Authors: Kylie Van Hoesen, MD; William Mundo, MD, MPH; Savannah Mierau, BA; Camille J. Hochheimer, PhD; Lucas Eggers, BS; Steven Shaw, MS; Brian C. Russo, PhD; Elaine Reno, MD
Link to article: https://www.wemjournal.org/article/S1080-6032(22)00197-1/fulltext
CME Available: https://wms.org/members
Part 2: Mountain Rescue
Link to article: https://www.wemjournal.org/article/S1080-6032(22)00213-7/fulltext
Part 3: Marine Medicine
Link to article: https://www.wemjournal.org/article/S1080-6032(22)00196-X/fulltext

#28: Avalanche Safety and Toxinology
Dec 2022
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Journal Club
Title: Perceptions Among Backcountry Skiers During the COVID-19 Pandemic: Avalanche Safety and Backcountry Habits of New and Established Skiers
Authors: Esteban A. Valle, MD; Andrew P. Cobourn, BS; Spencer JH. Trivitt, BS; Jordy Hendrikx, PhD; Jerry D. Johnson, DA; David C. Fiore, MD
DOI: https://www.wemjournal.org/article/S1080-6032(22)00145-4/fulltext
CME Available: https://wms.org/members
Part 2: Toxinology Discussion
Darryl interviews WEM’s senior toxinology editor, Dr. Scott Weinstein, and assistant toxinology editor, Dr. Michael Levine.
Toxinology special section available in the December 2022 journal: https://www.wemjournal.org/issue/S1080-6032(22)X0005-7

Credits: Mike Austin and avalanchegeeks.com, and “avalanche avoiding kung fu.”

Sept 2022
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org
Part 1: Journal Club
Title: Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol
Authors: Tierra V. Lynch, BA; Peter W. Callas, PhD; Timothy D. Peterson, MD; Sarah M. Schlein, MD
DOI: https://doi.org/10.1016/j.wem.2022.05.003
CME Available: https://wms.org/members
Part 2: Author interview
Darryl interviews Dr. Claude Maillaud about the current WEM article, Tiger Shark Attack on a Scuba Diver in New Caledonia.
DOI: https://doi.org/10.1016/j.wem.2022.04.003
Part 3: Dr. Russ Reinbolt interviewed by Dr. Nicholas Weiss
https://www.ultramarathondoc.com/

Audio editing: Tom Conklin (https://www.tomconklinvoice.com)

WMP #26: VTE and Telemedicine
June 2022
Wilderness & Environmental Medicine journal online: www.wemjournal.org
Questions/comments/feedback and/or interest in participating in WMP? Send an email to: wmpodcast@wms.org
Part 1: Journal Club
Title: Travel-Associated Venous Thromboembolism
Authors: Isla McKerrow Johnson, Joseph Shatzel, Sven Olson, Tovah Kohl, Andrew Hamilton, Thomas G. DeLoughery
DOI: https://doi.org/10.1016/j.wem.2022.02.004
CME Available: https://wms.org/members
Part 2
Chris Davis, author of current WEM paper The Intersection of Telemedicine and Wilderness Care: Past, Present, and Future, discusses tech's place in the wilderness.

Audio editing: Tom Conklin (https://www.tomconklinvoice.com)