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Medicine for the Outdoors


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Table of Contents

Preface v Introduction vii PART ONE: General Information How to Use This Book 1 Before You Go 2 General First-Aid Principles 10 PART TWO: Major Medical Problems An Approach to the Unconscious Victim 21 Chest Injury 39 Serious Lung Disorders 42 Chest Pain 46 Bleeding 49 Shock 58 Head Injury 59 Allergic Reaction 64 Seizure 65 Fractures and Dislocations 67 Amputation 107 Burns 108 Inhalation Injuries 112 Abdominal Pain 116 Emergency Childbirth 130 Diabetes 133 Stroke 135 Infectious Diseases 137 Dealing with Death 150 PART THREE: Minor Medical Problems General Symptoms 153 Head (Also Eye, Ear, Nose, Throat, and Mouth) 160 Upper Respiratory Disorders 189 PART FOUR: Disorders Related to Specific Environments Injuries and Illnesses Due to Cold 281 Injuries and Illnesses Due to Heat 296 Wildland Fires 303 High Altitude-Related Problems 306 Snakebite 315 Insect and Arthropod Bites 322 Lightning Strike, Tornado (Cyclone), Hurricane (Typhoon), Flood, Earthquake, Tidal Wave (Tsunami), Landslide (Mudslide), Volcano, and Snow Avalanche 340 Hazardous Aquatic Life and Aquatic Infections 347 Underwater Diving Accidents 360 Drowning 364 Animal Attacks 367 Wild Plant and Mushroom Poisoning 374 PART FIVE: Miscellaneous Information Oxygen Administration 405 Water Disinfection 406 Motion Sickness 411 Jet Lag 413 First-Aid Kits 415 Immunizations 420 Immunizations 420 Transport of the Injured Victim 429 Ground-to-Air Distress Signals 442 Lost People 444 Procedures 444 APPENDICES Appendix One: Commonly Used Drugs (Medications) and Doses 455 Appendix Two: Conversion Tables 476 Appendix Three: Guidelines for Prevention of Diseases Transmitted via Human Blood and Other Bodily Fluids 481 Appendix Four: Commonly Used Applications of the SAM Splint 483 Appendix Five: Personal Safety in an Age of Global Conflict, Kidnapping, and Terrorism 497 Appendix Six: Emergency Canine Medicine 499 Glossary (Including Acronyms and Abbreviations) 502 Index 516 About the Author 549

About the Author

Dr. Paul S. Auerbach, FACEP, FAWM, is the Redlich Family Professor of Surgery in the Division of Emergency Medicine at Stanford University School of Medicine. He is the world's leading expert on wilderness medicine and a prolific author. He is the Editor of Wilderness Medicine, and author of Medicine for the Outdoors and Field Guide to Wilderness Medicine. Dr. Auerbach holds his MD from Duke and completed his internship at Dartmouth and residency at UCLA. He is certified by the American Board of Emergency Medicine. He has been recognized as a Hero of Emergency Medicine by the American College of Emergency Physicians and received the New Orleans Grand Isle Award for Science from the Academy of Underwater Arts and Sciences, the Founders Award from the Wilderness Medical Society, and the Outstanding Contribution in Education Award from the American College of Emergency Physicians, among others. Dr. Auerbach has served as a volunteer physician in Haiti, Nepal, and Guatemala.


"A comprehensive guide to basically anything that could go wrong, or needs to medically managed whilst in out and about. It packs a lot of information into a digestible handbook. It is aimed at an above average, medically minded, lay adventurer and as a result is written in plain language." Reviewed by: Dr Stevan R Bruijns, Senior Lecturer in Emergency Medicine at University of Cape Town Date: July 2015 "This is an essential resource to have on a wilderness adventure as it provides people with minimal formal medical education recommendations for caring for fellow travelers with medical emergencies. It packs a significant amount of information into a book that is small enough to take into the wilderness." -Maria Kristine Goertz, M.D. (Regions Hospital and Level 1 Trauma Center)

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