『Wilderness Medicine Updates』のカバーアート

Wilderness Medicine Updates

Wilderness Medicine Updates

著者: Patrick Fink MD
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The podcast for medical providers at the edges, bringing you digestible updates at the growing edge of Wilderness Medicine, Wilderness EMS, Search and Rescue, and more.

© 2025 Wilderness Medicine Updates
衛生・健康的な生活 身体的病い・疾患
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  • Ep. 23 - Inhaled Xenon Gas for Altitude Adaptation
    2025/06/06

    Exploring Xenon Gas for Altitude Acclimatization and Sport Performance
    In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the use of inhaled xenon gas for sports performance enhancement and altitude acclimatization. The discussion is prompted by a recent claim from a UK climbing team that xenon helped them achieve a rapid ascent of Mount Everest. Xenon, a noble gas traditionally used as an anesthetic, has been shown to trigger hypoxia response pathways and boost EPO levels in animal studies. However, human trials have yet to demonstrate significant performance benefits or lasting changes in blood composition. The episode also examines the safety concerns and potential risks associated with unsupervised xenon use. While xenon shows some promise, current evidence suggests it may be more of a placebo effect rather than a reliable tool for enhancing athletic performance or altitude adaptation.

    Join us on social!
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    Chapters
    00:00 Introduction to Wilderness Medicine Updates
    00:19 Xenon Gas in Sports and Altitude Acclimatization
    02:26 The Science Behind Xenon Gas
    06:13 Human Studies on Xenon Gas
    12:19 Risks and Side Effects of Xenon Gas
    15:50 Conclusion and Final Thoughts
    18:04 Social Media Announcement

    Sources
    Dias, K.A. et al. (2019). Effect of acute and chronic xenon inhalation on erythropoietin, hematological parameters, and athletic performance. Journal of Applied Physiology, 127(6), 1503-1510

    Lawley, J.S. et al. (2019). Safety, hemodynamic effects, and detection of acute xenon inhalation: rationale for banning xenon from sport. Journal of Applied Physiology, 127(6), 1511-1518

    Ma, D. et al. (2009). Xenon preconditioning protects against renal ischemic-reperfusion injury via HIF-1α activation. Journal of the American Society of Nephrology, 20(4), 713-720

    Pappas, S. (2023). “Did Inhaling Xenon Gas Really Help Mount Everest Climbers Reach the Summit in Record Time?” Scientific American

    Hackett, P. (2025). “Xenon Gas and High-Altitude Performance: What We Know and What We Don’t.” Uphill Athlete


    As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

    Connect with us by email at wildernessmedicineupdates@gmail.com.

    You can pay us a compliment and share the show with a new listener on any popular platform here.



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    20 分
  • Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue.
    2025/04/22

    In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly four decades of experience globally. Moose discusses his extensive career from being an Outward Bound instructor to working with Yosemite Search and Rescue, and his role as a Family Liaison Officer for the National Park Service. The conversation touches on the challenges faced by search and rescue teams, the importance of robust communication skills, and how to build resilience against trauma in high-stress professions. Moose also shares his personal experiences, reflecting on the value of mentorship, the significance of team dynamics, and the essential need for compassionate support during crises. The episode includes practical advice for those in the field of wilderness medicine and search and rescue, highlighting the necessity of emotional balance and continuous learning.

    Connect with Moose:
    Website
    Blue Sky
    Instagram
    Substack
    Book: Searching
    Book: When Accidents Happen

    Did you enjoy this episode? Contribute to YOSAR!

    Links from the show:
    The Stress Continuum
    Responder Alliance
    Quell Foundation
    Dr. Nicola Lester: trauma informed practice

    More Reading:
    Ranger Confidential
    Nature Noir
    The Cold Vanish
    The Last Season

    CHAPTERS
    00:00 Introduction and Guest Welcome
    00:19 Moose Motlow's Background and Career
    01:58 Challenges in Search and Rescue
    02:58 The Importance of National Parks
    05:23 Moose's Nickname and Early Career
    07:07 Transition to the US and Outdoor Adventures
    10:54 Search and Rescue Experiences
    15:20 Swift Water Rescue Operations
    19:38 Training and Mentorship in SAR
    30:18 Role of Family Liaison Officer
    45:24 Managing Emotional Burden as a Liaison Officer
    47:12 Recognizing and Addressing Trauma
    48:36 The Importance of Peer Support
    49:44 Cultural Norms and Vulnerability
    51:05 The Cost of Ignoring Trauma
    53:37 Building Resilience and Longevity in C

    As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

    Connect with us by email at wildernessmedicineupdates@gmail.com.

    You can pay us a compliment and share the show with a new listener on any popular platform here.



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    1 時間 29 分
  • Ep. 21 - Snow Immersion Suffocation
    2025/03/26

    In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID). Unlike avalanches, snow immersion deaths happen silently—often within feet of a groomed run—when skiers and snowboarders fall into deep snow or tree wells and become trapped. We explore the research behind these incidents, where and how they occur, who is most at risk, and the tragic mechanics of asphyxiation in deep snow. Using studies from Van Tilburg, Baugher, and Cadman, we break down ra eal survival story, discuss prevention strategies, and how both bystanders and professional rescuers should respond. Whether you’re a backcountry adventurer, resort skier, or ski patroller, this episode will change the way you think about deep snow safety. Stay aware, ski with a partner, and stay out of tree wells.

    Must Watch: GoPro Awards: Tree Well Rescue

    Citations

    Baugher, P. (2006). Risk trends at U.S. and British Columbia ski areas: An evaluation of the risk of snow immersion versus avalanche burials. In Proceedings of the 2006 International Snow Science Workshop (pp. 584–591). International Snow Science Workshop.
    URL: https://arc.lib.montana.edu/snow-science/item/2076

    Cadman, R. (1999). Eight nonavalanche snow-immersion deaths: A 6-year series from British Columbia ski areas. The Physician and Sportsmedicine, 27(13), 31–43.
    URL: (No publicly available link found—may be available through institutional access)

    Van Tilburg, C. (2010). Non–avalanche-related snow immersion deaths: Tree well and deep snow immersion asphyxiation. Wilderness & Environmental Medicine, 21(3), 257–261.
    URL: https://doi.org/10.1016/j.wem.2010.04.004

    Van Tilburg, C. S., Grissom, C. K., Zafren, K., McIntosh, S. E., Radwin, M. I., Paal, P., et al. (2017). Wilderness Medical Society practice guidelines for the prevention and management of avalanche and non-avalanche snow burial accidents. Wilderness & Environmental Medicine, 28(1), 23–42.
    URL: https://doi.org/10.1016/j.wem.2016.10.001

    Chapters
    00:00 Introduction: The Hidden Dangers of Snow Immersion
    00:37 Understanding Snow Immersion Suffocation
    02:58 Historical Context and Research
    03:09 Where and How Snow Immersion Happens
    04:54 Mechanics of Snow Immersion Traps
    06:23 Risk Factors and Victim Profiles
    09:27 Prevention and Safety Measures
    11:48 Rescue Techniques and Immediate Response
    13:34 Professional Rescuer Guidelines
    16:12 Advanced Medical Care and Resuscitation
    20:11 Conclusion and Final Thoughts

    As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

    Connect with us by email at wildernessmedicineupdates@gmail.com.

    You can pay us a compliment and share the show with a new listener on any popular platform here.



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    24 分

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