Teton Snow Geek

Snowpack Observations & Backcountry Techniques from the Resident Geek,
JACOB URBAN, and the JHOLI Staff

Teton Snow Geek

Snowpack Observations & Backcountry Techniques from the Resident Geek JACOB URBAN, and the JHOLI Staff

Teton Snow Geek

Snowpack Observations & Backcountry Techniques from the Resident Geek, JACOB URBAN, and the JHOLI Staff

Patient Packaging in the Wilderness Environment

Patient care techniques can have many different outcomes in regards to training, experience and applications used by the provider. In the wilderness environment this is seen during the transfer of care between, recreationalists to guides and guides to organized Search & Rescue. In other words, lay response to trained medical providers to highly trained emergency responders. Regardless of the experience of the provider, the goal of patient care in the wilderness remains the same: Keep the patient warm, dry and comfortable while protecting from further injury and treating underlying injuries. The latter may be a tall order; managing injuries. Although, keeping a patient warm dry and...

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Helmets?

You want to take a charge from LeBron James coming down the lane with no helmet on that's dangerous. But you know what? Some people like to do that stuff. So leave them alone.  Jon Gruden  You can wear one or not. Although the jury is in. Helmets help reduce the effect of low impact direct hits and of those from glancing blows. Thus helping reduce the occurrence of a Traumatic Brain Injury (TBI). The CDC defines a traumatic brain injury (TBI) as a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury. I have witnessed numerous TBI’s. Anecdotally, I have concluded the following: Helmets don’t always...

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A Closer Look at Head Injuries

When individuals with head injuries develop swelling on the brain ? it is referred to as intracranial pressure (ICP). ICP provides two life threatening problems. It reduces oxygen permeation to the cells of the brain and it inhibits the function of the brain stem.  The latter problem of reduced  brain stem function is a major problem. The Brain Stem is responsible for triggering heart and respiratory rates while also regulating  blood pressure (BP) and consciousness. Hyperventilation with a slow bounding pulse, a BP that’s widening and a changing or declining level of consciousness are all signs that a head injury could be life threatening. With accidents involving significant mechanisms...

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