Outdoor leaders and those involved in personal outdoor adventure pursuits must be knowledgeable in the assessment, treatment, and prevention of musculoskeletal injuries in the backcountry. In the wilderness medicine setting, extended time periods of patient care, rugged terrain, severe environmental conditions, and limited resources create…

This paper discusses subjective hazards in wilderness activities and suggests means of assessing and managing related risks. Wilderness educators conveniently group hazards into objective and subjective ones. Objective hazards such as rockfall, moving water, and weather, while not necessarily predictable, are visible and understandable. Subjective…

The National Outdoor Leadership School, located in Lander, Wyoming, is considered a leader in wilderness education. In addition to teaching the skills needed in various outdoor sports and activities, equal importance is given to teaching what to do in emergencies, how to communicate, and how to lead. This updated wilderness guide covers technical…

Five case studies explore issues in wilderness medicine, with emphasis on evacuation decision making. The cases describe medical problems encountered during wilderness trips involving college or high school students. In each case, the situation and facts of the case are outlined, including the patient's medical history and vital signs, and at…

In the event of a debilitating injury or illness, outdoor leaders should consider four critical phases in successfully managing backcountry field evaluations. The first phase, managing the immediate scene, involves assuring scene safety, medical care of the patient, instituting the emergency response plan, and providing for the needs of uninjured…

Leaders of Christian wilderness expeditions may facilitate their own and others' spiritual growth by striving to develop a sense of community; focusing on relations, not information; planning for thorough wilderness immersion; bringing home as much of the wilderness experience as possible; and leaving the old self behind and opening oneself to…

College outdoor program leaders are often paraprofessionals, who may have less training than professional outdoor educators, yet must deal with the same types of problems on the trail. This paper describes the Outdoor Action (OA) Program at Princeton University, and outlines the training assessment and development model used to train OA program…

Suggestions for facilitating inclusion of people with mixed abilities in outdoor adventure programs focus on creating an atmosphere of trust, cooperation, and mutual respect through open lines of communication, patterns of inclusive decision making, valuing of efforts and nonphysical accomplishments, emphasis on group challenges and activities,…

This document consists of the six issues of the "Wilderness Medicine Newsletter" issued during 1995. The newsletter addresses issues related to the treatment and prevention of medical emergencies in the wilderness. Issues typically include feature articles, interviews with doctors in the field of wilderness medicine, product reviews,…

This presentation provides wilderness rescue workers with an overview of the psychological reactions of victims of accidents and natural disasters and suggested responses for rescuers and caregivers. A personal account of rescue and death in a drowning accident illustrates how the rescuer can also be traumatized by such an incident and may suffer…