- Leadville, CO - April 2015
- The Netherlands - April 2015
- San Juan River, UT - April 2015
- Fall Creek Falls, TN - May 2015
- Moab, UT - May 2015
- Houston, TX - May 2015
- Columbus, OH - June 2015
- Cascades, WA - June 2015
- Jackson, WY - June 2015
- Mt. Hood, OR - June 2015
- Estes Park, CO - July 2015
- Chamonix, France - July 2015
- Park City, UT - August 2015
- Grattan, MI - August 2015
- New Zealand - August 2015
- Black Mountain, NC - Aug. 2015
- Boulder, CO - Sept. 2015
- Grand Canyon, AZ - Sept. 2015
- Golden, CO - October 2015
- Cusco, Peru - October 2015
- Harpers Ferry, WV - Oct. 2015
- Withlacoochee, FL - Oct. 2015
- Mexico Orizaba - Nov 2015
- Zion Park, UT - November 2015
Why Certify in Wilderness Medicine?
AWLS® COMBINES PRACTICAL WILDERNESS MEDICINE WITH MEDICAL THEORY
*see the About Us tab for further information on continuing education credits.
WILDERNESS MEDICINE IMPROVISATION TIPS
Hypothermia: Geoff Clover, MD
Hypothermia is defined as a drop in core temperature < 35C, and can occur even at warmer temperatures given the right circumstances. 50% of heat loss in colder temperatures is via radiation from the skin. The head is a significant source of heat loss, especially in the cold. Dehydration and calorie depletion predispose to hypothermia.
Measurement of temperature may be difficult in very cold situations. An oral electronic thermometer is close to pulmonary artery (core) measurements. You may wish to carry a liquid thermometer backup and a spare electronic. Rectal temperatures may be a little higher and lag behind temperature drop.
Swiss Mountain Medicine field (clinical) definition for Hypothermia
Shivering is an effective warming mechanism. It is initially caused by skin temperature changes, not necessarily core temperature. Core after drop is caused by cold blood returning from limbs during rapid rewarming and can complicate rewarming efforts. Slower rewarming may reduce this complication. The hypothermia wrap consists of layers: a waterproof sheet, several sleeping bags and warm items such as hand warmers and warm water bottles enclose the victim. The wrap can be carried in a litter. CPR is not recommended for Mod-Severe hypothermia due to cardiac irritability, unless definitive care is > 3 hours away. Otherwise, provide respiratory support and evacuate. Pulse checks should be 2 minutes long to ensure the victim is pulseless.
Evacuation is recommended for all but mild hypothermia.