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DrM

@drm-wildernessemc.bsky.social
300 followers 116 following 225 posts

Wilderness Emergency Care. Independent researcher: accidental hypothermia, avalanche, hunter safety etc.Disaster relief ( Taskforce Kiwi) & Tactical Medicine. HKPP myopathy invisible disability(retired doc) NZ website: drmwildernessemc.wordpress.com

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Reposted by DrM
Casey Parker @broomedocs.bsky.social · 27/04/2026
Avalanche Survival in Broome So that is the most ridiculous title that I have ever employed on this blog. Avalanches... Broome.. has Casey finally lost the plot? Well, maybe - but I blame Dr Morgenstern. He sent me an article to review for this month's Journal Club and it forced me down a deep…
broomedocs.com
Avalanche Survival in Broome
So that is the most ridiculous title that I have ever employed on this blog. Avalanches... Broome.. has Casey finally lost the plot? Well, maybe - but I blame Dr Morgenstern. He sent me an article to review for this month's Journal Club and it forced me down a deep rabbit hole into a snowy academia that I never knew existed.
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Reposted by DrM
The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 03/04/2026
link.springer.com/article/10.1... This season has seen a sharp rise in avalanche deaths. This narrative review looks through survival curves, professional society guidelines, snow burial studies, #prehospital care, #triage, #transport & best practice in hospital care for avalanche patients.
link.springer.com
Emergency care for avalanche buried patients - a narrative review - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Avalanches claim the lives of around 160 winter recreationists and workers in hazardous snow-covered mountain regions worldwide. These fatalities result from asphyxia, trauma, and hypothermia.…
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DrM @drm-wildernessemc.bsky.social · 31/03/2026
⛏️Medical Crevasse rescue 🪨Landslide survivability ⛑️Disaster relief self sufficiency in First Aid 🧠Veteran First Responder Suicide prevention Those are my current projects - Today I had my 10th Covid booster 😷-I still mask to protect my husband and myself 🦠
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DrM @drm-wildernessemc.bsky.social · 13/06/2025
@wildmedupdates.bsky.social Hi Patrick, you’ll get more Bluesky interactions if you add some tags to your account. The wilderness medicine feed could definitely do with livening up ❄️🏔️🚁
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Jamie Riggs @jriggs2.bsky.social · 28/05/2025
This is really cool, and a great idea! I had no idea someone was selling this. The kit I looked at on their website is $3400, which seems a bit steep to me. Hopefully someone can get some use of the free stuff posted above!
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DrM @drm-wildernessemc.bsky.social · 28/04/2025
www.montagnes-magazine.com/actus-commen... TLDR: avslanche dogs being trained to find victims of rockfall/ landslide #medsky
montagnes-magazine.com
Comment s'adaptent les secours en montagne face au changement climatique ?
Pour faire face au changement climatique en montagne, les secours adaptent leurs méthodes en formant des chiens d'avalanche à détecter les victimes sous les éboulements. Cette approche améliore...
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DrM @drm-wildernessemc.bsky.social · 26/04/2025
Have any of you tried the online cybersecurity simulation game “Hackable Hospital”? It was a EUSEM and will be at WADEM or can be accessed through it’s website. After initial success I am now totally stuck- super frustrating. You would crush it in a blink of your eye @oplopanax.ca #medsky
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DrM @drm-wildernessemc.bsky.social · 26/04/2025
Kia ora! If you follow me I apologise for lack of content recently. But I’d appreciate your input: Which is your preferred abstract submission portal? Oxford Abstracts, ConfTool , Google Docs , commercial organisers’ own version or any others that you would recommend. Thanks in advance #medsky
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Reposted by DrM
Mike Christian @drmikechristian.bsky.social · 23/03/2025
🚁 Thank You, NZ PHRM Society! 🚁 It was an honour to present our research on interprofessional pre-hospital teams at the New Zealand PHRM Society meeting! 🎥 Watch the presentation: youtu.be/DYDvudmWMII?...
📄 #NZPHRM #PHEM #HEMS
youtu.be
NZ Prehospital and Retrieval Medicine Society Webinar #1 - Mike Christian on Interprofessional Teams
YouTube video by NZ Prehospital and Retrieval Medicine Society
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DrM @drm-wildernessemc.bsky.social · 18/03/2025
A high quality syllabus for “Immediate Self Aid for Lone Workers“ appears to be nonexistent.Most first aid depends on a person other than the injured party delivering the first aid. There is a UK “ severely injured “ course which covers application of TQ but that’s all I can find.
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Reposted by DrM
Danny Leiva, DO FAWM FACEP @dannyleiva.com · 18/02/2025
An interesting case report I published after a couple years of it having been lost including at the publisher 😂 #MedSky #EMSky #NeuroSky www.sciencedirect.com/science/arti...
sciencedirect.com
Moyamoya Disease- A Clinical Mimic for Psychiatric Disorders in the Emergency Setting: A Case Report
Patient presentations to the emergency department for mental health evaluations are common, with an estimated 1 in 4 adult visits made for this reason…
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DrM @drm-wildernessemc.bsky.social · 05/02/2025
6 years ago I had the honour and privilege of being invited and attended the first “The Big Sick” Conference in Zermatt. Following years watched live streams/ recordings and kept up via social media. Keen to see from afar what this year brings #TBS25
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DrM @drm-wildernessemc.bsky.social · 01/02/2025
Crevasse accidents in the Swiss Alps Epidemiology and mortality of 405 victims of crevasse accidents from 2010 to 2020 - Injury www.injuryjournal.com/article/S002...
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DrM @drm-wildernessemc.bsky.social · 30/01/2025
www.airmedandrescue.com/latest/long-...
airmedandrescue.com
Provider profile: GCH Aviation
Oliver Cuenca talks to the team from New Zealand-based operator GCH Aviation about their work in the emergency aviation sector
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DrM @drm-wildernessemc.bsky.social · 29/01/2025
www.researchgate.net/publication/...
researchgate.net
(PDF) Perlite Has Similar Diffusion Properties for Oxygen and Carbon Dioxide to Snow: Implications for Avalanche Safety Equipment Testing and Breathing Studies
PDF | On average, one hundred people die each year under avalanche snow. Despite extensive global research on gas exchange in buried avalanche victims,... | Find, read and cite all the research you ne...
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DrM @drm-wildernessemc.bsky.social · 29/01/2025
I live with #Periodicparalysis ( HypoKaleamicPP- genetic mutation not yet identified) . It is great to see a new research article published. TLDR: yes, I will try CoQ10 again (also referred to in reference 66 from 2016) www.researchgate.net/publication/...
researchgate.net
(PDF) Periodic paralysis across the life course: age-related phenotype transition and sarcopenia overlap
PDF | In Periodic Paralysis (PP), a rare inherited condition caused by mutation in skeletal muscle ion channels, the phenotype changes with age,... | Find, read and cite all the research you need on R...
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DrM @drm-wildernessemc.bsky.social · 25/01/2025
ICAR and ISMM also endorsing the UIAA statement. Time will tell what success/ failures/ deaths will ensue from the use of xenon.
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Reposted by DrM
ERC - European Resuscitation Council @ercresus.bsky.social · 22/01/2025
#Announcement ✅ The ERC 2025 Guidelines 'First Aid' group survey on use of naloxone, emergency kits, tourniquets, and cervical spine immobilisation by both trained first responders and non-trained bystanders across European countries. Take part 👉 cprguidelines.eu/surveys or 👇 #EduSky #ERC #Survey
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DrM @drm-wildernessemc.bsky.social · 21/01/2025
www.stuff.co.nz/nz-news/3605...
stuff.co.nz
Why are NZ’s rescue helicopters not fully funded by the Government?
Why must something so important rely on sponsorship and donations in order to keep operating? Explainer Editor Lloyd Burr finds some answers.
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DrM @drm-wildernessemc.bsky.social · 20/01/2025
It has taken me much longer than it should but I have now created a fully functioning app with a calculator function and PDF printout of FACET "First Aid Complexity Engagement Tool " for WADEM in Tokyo. Thanks go to my friends, Aleksandra and Claude 😉 for their patience and encouragement throughout
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Reposted by DrM
ParamedProf @paramedprof.bsky.social · 10/01/2025
The Annual Report 2023-24 of the Aotearoa New Zealand Te Kaunihera Manapou Paramedic Council for the year ended 31 March is now available. Access here: tinyurl.com/4tbnpe9e The report provides information on many matters involving #paramedic #registration & #practice.
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DrM @drm-wildernessemc.bsky.social · 10/01/2025
www.wired.com/story/califo... Please note this is a 2021 article
wired.com
The Twitter Wildfire Watcher Who Tracks California’s Blazes
When fire ignites, the race begins to alert the state’s residents of the path of destruction. One of the leading voices lives on the other side of the world.
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DrM @drm-wildernessemc.bsky.social · 08/01/2025
TerraXcube in Bolzano - environmental simulation chamber. Medical #SAR simulation with -20*C and snow - enjoy! #MedSky youtu.be/MHAorFhThnE?...
youtu.be
Dentro TerraXCube: Il centro estremo dove il Soccorso Alpino si allena per salvare vite
YouTube video by Geopop
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DrM @drm-wildernessemc.bsky.social · 07/01/2025
440d126078.clvaw-cdnwnd.com/a17896b9dcbb... Preliminary program- faculty is made up of the leading edge researchers in each of their topics #SAR #Hypothermia #Avalancherescue
440d126078.clvaw-cdnwnd.com
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DrM @drm-wildernessemc.bsky.social · 07/01/2025
www.rescuedifficultenvironment.it If you are in Italy in March 2025 or need an excuse to go there . Program in next post #SAR #Mountainmedicine
rescuedifficultenvironment.it
Rescue in Difficult Environment
international forum on rescue
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Reposted by DrM
The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 03/01/2025
This study investigated the methods & equipment available to treat patients with cold stress or accidental hypothermia before reaching hospital in Norway. - The most notable change was the increased availability of active external rewarming equipment between 2013-'24.
buff.ly
Methods and equipment available for prehospital treatment of accidental hypothermia: a survey of Norwegian prehospital services - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Background Accidental hypothermia is associated with increased morbidity and mortality and poses a significant challenge for both professional and volunteer rescue services in prehospital settings.…
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DrM @drm-wildernessemc.bsky.social · 03/01/2025
WADEM Tokyo 2025 :FACET table top presentation This is a placeholder post. Please check back in a few weeks time when a link to my home-made FACET app, background information, and references will be posted here for my presentation in Tokyo in May.
drmwildernessemc.wordpress.com
WADEM Tokyo 2025 :FACET table top presentation
This is a placeholder post. Please check back in a few weeks time when a link to my home-made FACET app, background information, and references will be posted here for my presentation in Tokyo in May.
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DrM @drm-wildernessemc.bsky.social · 23/12/2024
journals.sagepub.com/doi/full/10.... Shelters in Alpine Rescue:can they create a comfortable zone at the deployment site? New paper which may be if interest #SAR #EMSsky #hypothermia prevention
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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DrM @drm-wildernessemc.bsky.social · 22/12/2024
www.ambulance.vic.gov.au/groundbreaki... CellAED trial due to be completed Feb 2025 #EMSSky
ambulance.vic.gov.au
Groundbreaking defibrillator trial helps save young mum - Ambulance Victoria
A 30-year-old mother of three is back home in time for Christmas after surviving a sudden cardiac arrest in September, partially thanks to a ground-breaking new clinical trial aiming to improve access...
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DrM @drm-wildernessemc.bsky.social · 19/12/2024
ICAR practical day in Greece - videos now available www.alpine-rescue.org/articles/141... #SAR #EMSSky I do love the heli host simulator! I don't love the avalanche probing without snow.( I was unable to attend the event)
alpine-rescue.org
Videos from the practical Day in Thessaloniki Greece · ICAR – International Commission for Alpine Rescue
The Videos now available on our Vimeo Account
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DrM @drm-wildernessemc.bsky.social · 19/12/2024
Pre-hospital hypothermia prevention - www.sciencedirect.com/science/arti... A pilot study- do the limitations of the study reduce the validity of the conclusion? Please discuss #EMSsky 🥶🌡️
sciencedirect.com
Maintenance of normothermia in the out-of-hospital setting: A pilot comparative crossover study of a foil blanket versus self-warming blanket
Hypothermia can increase mortality in certain patients. Paramedics apply cotton and foil "space" blankets for warming, yet their effectiveness remains…
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DrM @drm-wildernessemc.bsky.social · 18/12/2024
Heat Stroke - rapid cooling is crucial. Role of cold IV fluids? Read the second part of the article for the evidence base . #EMSSky mailchi.mp/303988e91297... TLDR: no, not effective
mailchi.mp
Heat Stress e-Bulletin #38
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Reposted by DrM
WSL Institute for Snow and Avalanche Research SLF @slfdavos.bsky.social · 16/12/2024
Wind tunnel experiments conducted by the #SLF show how #snow crystals change in the #wind. The findings could force #climate researchers to adjust their models – particularly in the polar regions, where snow transport by strong winds is widespread. More: www.slf.ch/en/news/gone... 🎥 B. Kittl
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John D. Walker, M.D. @1voice4children.bsky.social · 11/12/2024
"The basic strategy is, never push danger and difficulty at the same time." - John Long www.bbc.com/future/artic...
bbc.com
Crumbling rocks, wetter avalanches: Why life-and-death rescues are changing in a warming world
Skiers, climbers, cyclists and even mushroom-pickers face surprising new risks in the mountains – and so do those who rescue them.
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DrM @drm-wildernessemc.bsky.social · 10/12/2024
thespinoff.co.nz/partner/09-1... #SAR ( please note this reads like an advertorial)
thespinoff.co.nz
How satellites are bridging New Zealand’s connectivity gap
Texting from the middle of nowhere will soon be possible, benefitting everyone from trampers to truck drivers.
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Reposted by DrM
Natalie Anderson PhD RN @cerebralnurse.bsky.social · 06/12/2024
New Zealand's native pigeon the kererū iridescent in the morning sun & perched nimbly on a harakeke (flax) flower stem. #birds #kikorangi #BirdSky
Photo of large iridescent green pigeon with bright red beak & white singlet, perched atop a stem of bright red harakeke (flax) flowers.
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DrM @drm-wildernessemc.bsky.social · 05/12/2024
@aarontunz.bsky.social Kia ora Aaron 👋
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DrM @drm-wildernessemc.bsky.social · 04/12/2024
A most comprehensive and motivational presentation. Honourable mention of BASICS UK. I wonder if 🦖 in your QR codes is an unintentional tribute to me as a BASICS London responder last century? Incidence of penetrating trauma was on the rise then but sadly outcomes not v. good🩸(MAST pants anyone?)😉
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DrM @drm-wildernessemc.bsky.social · 04/12/2024
A great #PHEM #EMSSky thread from #LTC2024 Thank you for posting. I truly value the opportunity to follow high quality content form an overseas conference -thank you! 🚁🩸🏔️ #MedSky
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DrM @drm-wildernessemc.bsky.social · 04/12/2024
www.researchgate.net/publication/... 2023, Australian. If you wonder whether to include Emotional Intelligence in your leadership selection for mission critical teams, this is a good reference. #MedSky
researchgate.net
(PDF) Emotional Intelligence: Why Its Matters in Change Leadership and Innovation in the 21st Century Styles of Work
PDF | Emotional intelligence (EQ) is recognized as a key leadership skill critical in achieving organizational goals and succeeding in a volatile and... | Find, read and cite all the research you need...
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DrM @drm-wildernessemc.bsky.social · 03/12/2024
www.deepersignals.com/documents/th... The plethora of commercial personality testing tools is pretty overwhelming. If personality cannot be changed in a positive manner( w specific training) this limits usefulness of the tools for leadership development. This article says it's possible.
deepersignals.com
Deeper Signals
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DrM @drm-wildernessemc.bsky.social · 02/12/2024
events.humanitix.com/cric25-zero-... #CRiC25 tickets on sale now. Help make your loved one the best responder they can be and give the gift of education this Christmas 😊.
events.humanitix.com
CRiC25 ZERO TO SIXTY
Critical Resuscitation in Chaos 25, Aotearoa New Zealand's premier pre-hospital and tactical medicine conference
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DrM @drm-wildernessemc.bsky.social · 02/12/2024
surgelearning.ifrc.org/sites/defaul... core competency development guide disaster response training team
surgelearning.ifrc.org
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DrM @drm-wildernessemc.bsky.social · 02/12/2024
pmc.ncbi.nlm.nih.gov/articles/PMC... pmc.ncbi.nlm.nih.gov/articles/PMC... Two useful references for Disaster Relief Deployment Team Leaders' selection & development
pmc.ncbi.nlm.nih.gov
Non-technical skills needed by medical disaster responders– a scoping review
There is no universal agreement on what competence in disaster medicine is, nor what competences and personal attributes add value for disaster responders. Some studies suggest that disaster responder...
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DrM @drm-wildernessemc.bsky.social · 02/12/2024
mro.massey.ac.nz/server/api/c... Bruce Pepperell thesis:"Leadership in extreme contexts !When survival is not enough" A most enjoyable & insightful read
mro.massey.ac.nz
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DrM @drm-wildernessemc.bsky.social · 02/12/2024
apps.dtic.mil/sti/tr/pdf/A... 2016 thesis - a worthwhile read on leadership. Posting it here for ease of reference. this is the TLDR version 🤓 kea-learning.nz/people-leade...
apps.dtic.mil
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DrM @drm-wildernessemc.bsky.social · 01/12/2024
✅open access ❓no articles from Poland analysed ❓one sentence mentions “aetiology” 🥶 no mention at all of the special, often highly successful use of ECPR #ECMO in accidental hypothermia #MedSky Thank you for posting @foamecmo.bsky.social
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DrM @drm-wildernessemc.bsky.social · 29/11/2024
fphc.rcsed.ac.uk/media/3665/f... This is a clear clinical practice guideline. #MedSky However, in the austere (resource limited) Australian outback / mining industry the iced sheet cooling technique can be effective - Matt Brearley content.iospress.com/articles/wor...
fphc.rcsed.ac.uk
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DrM @drm-wildernessemc.bsky.social · 29/11/2024
Yesterday I learned that psychometric testing uses norms from overseas which reduces validity for the Aotearoa🇳🇿 population psychologistsboard.org.nz/wp-content/u... A plethora of tests, all claiming superiority but I’m unsure any add value to selection of Disaster Relief Field Team Leaders.
psychologistsboard.org.nz
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