Table of Contents

PART 1 Mountain Medicine 1 High-Altitude Medicine and Physiology 2 2 Avalanches 33 3 Lightning Injuries 60 PART 2 Cold and Heat 4 Thermoregulation 104 5 Accidental Hypothermia 116 6 Immersion Into Cold Water 143 7 Nonfreezing Cold-Induced Injuries 171 8 Frostbite 181 9 Polar Medicine 201 10 Pathophysiology of Heat-Related Illnesses 215 11 Clinical Management of Heat-Related Illnesses 232 PART 3 Burns, Fire, and Radiation 12 Wildland Fires: Dangers and Survival 240 13 Emergency Care of the Burned Victim 280 14 Exposure to Radiation From the Sun 294 15 Volcanic Eruptions, Hazards, and Mitigation 314 PART 4 Injuries and Medical Interventions 16 Injury Prevention: Decision Making, Safety, and Accident Avoidance 334 17 Principles of Pain Management 354 18 Taping and Bandaging 363 19 Splints and Slings 375 20 Emergency Airway Management 392 21 Wilderness Trauma and Surgical Emergencies 411 22 Wound Management 434 23 Improvised Medicine in the Wilderness 442 24 Hunting and Fishing Injuries 475 25 Tactical Medicine 488 26 Combat and Casualty Care 507 27 Wilderness Orthopedics 523 28 The Eye in the Wilderness 561 29 Foot Problems and Care 580 30 Wilderness Dentistry 594 31 Management of Facial Injuries 608 32 Wilderness Cardiology 628 33 Wilderness Neurology 635 34 Chronic Diseases and Wilderness Activities 645 35 Mental Health in the Wilderness 664 PART 5 Rescue and Survival 36 Wilderness Emergency Medical Services and Response Systems 674 37 Search and Rescue 687 38 Technical Rescue, Self-Rescue, and Evacuation 710 39 Litters and Carries 738 40 Helicopter Rescue and Aeromedical Transport 751 41 Essentials of Wilderness Survival 777 42 Principles of Meteorology and Weather Prediction 805 43 Jungle Travel and Survival 815 44 Desert Travel and Survival 837 45 Whitewater Medicine and Rescue 846 46 Caving and Cave Rescue 862 PART 6 Animals, Insects, and Zoonoses 47 Protection from Blood-Feeding Arthropods 872 48 Mosquitoes and Mosquito-Borne Diseases 883 49 Malaria 900 50 Arthropod Envenomation and Parasitism 925 51 Tick-Borne Diseases 954 52 Spider Bites 975 53 Scorpion Envenomation 996 54 Bites by Venomous Reptiles in Canada, the United States, and Mexico 1011 55 Envenoming and Injuries by Venomous and Nonvenomous Reptiles Worldwide 1040 56 Bites and Injuries Infl icted by Wild and Domestic Animals 1102 57 Bear Behavior and Attacks 1127 58 Alligator and Crocodile Attacks 1139 59 Wilderness-Acquired Zoonoses 1143 60 Rabies 1175 61 Emergency Veterinary Medicine 1198 PART 7 Plants 62 Seasonal and Acute Allergic Reactions 1224 63 Plant-Induced Dermatitis 1232 64 Toxic Plant Ingestions 1251 65 Toxic Mushroom Ingestions 1276 66 Ethnobotany: Plant-Derived Medical Therapy 1302 PART 8 Food and Water 67 Field Water Disinfection 1324 68 Infectious Diarrhea From Wilderness and Foreign Travel 1360 69 Nutrition, Malnutrition, and Starvation 1374 70 Dehydration, Rehydration, and Hyperhydration 1393 71 Living Off the Land 1405 72 Seafood Toxidromes 1444 73 Seafood Allergies 1469 PART 9 Marine Medicine 74 A Brief Introduction to Oceanography 1482 75 Submersion Injuries and Drowning 1494 76 Emergency Oxygen Administration 1513 77 Diving Medicine 1520 78 Hyperbaric Medicine 1549 79 Injuries From Nonvenomous Aquatic Animals 1562 80 Envenomation by Aquatic Invertebrates 1596 81 Envenomation by Aquatic Vertebrates 1628 82 Aquatic Skin Disorders 1646 83 Safety and Survival at Sea 1666 PART 10 Travel, Environmental Hazards, and Disasters 84 Travel Medicine 1694 85 Non-North American Travel and Exotic Diseases 1709 86 Natural Disaster Management 1723 87 Expedition Medicine 1732 88 Global Humanitarian Medicine and Disaster Relief 1747 89 Natural and Human-Made Hazards: Disaster Risk Management Issues 1779 PART 11 Equipment and Special Knowledge 90 Global Crimes, Incarceration, and Quarantine 1812 91 Wilderness Preparation, Equipment, and Medical Supplies 1820 92 Ultrasound and Telemedicine in the Wilderness 1845 93 Outdoor Clothing for the Wilderness Professional 1862 94 Nonmedical Backcountry Equipment for Wilderness Professionals 1874 95 Ropes and Knot Tying 1892 96 Wilderness Navigation Techniques and Communication Methods 1904 PART 12 Special Populations and Considerations 97 Training for Wilderness Adventure 1928 98 Exercise, Conditioning, and Performance Training 1936 99 Children in the Wilderness 1952 100 Women in the Wilderness 1977 101 Elders in the Wilderness 2007 102 Persons With Special Needs and Disabilities 2021 103 Wilderness and Endurance Events 2060 104 Ranch and Rodeo Medicine 2069 105 Wilderness Medicine Education 2085 106 Medical Liability and Wilderness Emergencies 2105 107 The Ethics of Wilderness Medicine 2113 108 Native American Healing 2121 PART 13 The Wilderness 109 The Changing Environment 2134 110 Biodiversity and Human Health 2145 111 Health Implications of Environmental Change 2152 112 Wilderness Management and Preservation 2161 113 Leave No Trace 2167 114 Space Medicine: The New Frontier 2172 Appendix Drug Stability in the Wilderness 2205 Index 2215

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.

Reviews

"There is a reason a book makes it to a sixth edition. This is the definitive book on wilderness medicine. It is an excellent, thorough book on critical and exciting concepts in this still expanding realm. The topics are concise yet cover a broad spectrum of environments and clinical situations not commonly seen. A number of the subjects are not exclusive to wilderness situations and are applicable to everyday life in the emergency room and hospital. Although the book is large and heavy, possibly limiting its use in the field, the online version (access is provided with the purchase of the book) may be a viable option for those with portable devices." - Michael D. Zwank, MD, RDMS, FACEP(University of Minnesota Medical School) Doody 4 stars! "When on vacation, who knows when you might need to treat a Gila-monster bite or use dental floss to close scalp lacerations? 'Wilderness Medicine, ' edited by Paul S. Auerbach, professor of surgery at Stanford University School of Medicine's emergency division, has the answers." - Laura Landro, Wall Street Journal