EMS On The Mountain

Episode 70 - FAST25... It Was Awesome

Wed, 28 May 2025 04:45:00 +0000

Sean and Mike talk about their experience at FAST25

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Episode 69 - Trouble in the friendly skys

Wed, 12 Mar 2025 12:10:12 +0000

Sean and Mike sit down with Emma and discuss the experience of treating someone on an airplane.

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Episode 68 - The Musings of 2 Ole'Medics

Wed, 26 Feb 2025 11:36:08 +0000

Sean and Mike chat about a number of topics.

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Episode 67 - Manslaughter Charges

Wed, 12 Feb 2025 07:00:00 +0000

Sean and Mike discuss the Manslaughter charges against Deanna LaMere in the death of a patient in August of 2023 in Sioux City Iowa

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Episode 66 - Toxic Organizations

Wed, 29 Jan 2025 05:10:00 +0000

Sean and Mike talk about Toxic Organizations, how to recognize them, and how to made a decision about what to do if you're in one.

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Episode 65 - Integrating with Local Responders

Wed, 15 Jan 2025 05:10:00 +0000

Sean and Mike talk about how to play nice in the community sandbox.

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Episode 64 - Leadership in EMS

Wed, 01 Jan 2025 06:40:00 +0000

Happy 2025!

Sean and Mike dive into the age old question, what's a good leader in EMS, and how can you determine if it's bad leadership, or is it you?

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Episode 63 - The End of 2024

Wed, 04 Dec 2024 13:12:24 +0000

Sean and Mike talk about 2025 and beyond!

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EMSOTM62-b - Mike falls down and goes boom, round 2

Wed, 27 Nov 2024 05:10:00 +0000

Let's try this again!

Mike fell down and went boom, Sean and Mike take about the experience of being a patient.

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EMSOTM62 - Mike Falls down and Goes Boom

Wed, 06 Nov 2024 20:39:21 +0000

Well it turns out Mike got to play patient..... so.... we talk about it.

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EMSOTM 61 - We're Back, Kinda

Wed, 23 Oct 2024 04:10:00 +0000

Sean and Mike talk about the pathway for the podcast and ask for help! Tell us what you want to hear about:

theshow@emsonthemountain.com

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EMSOTM 60 - Review of "Wilderness Medical Society Clinical Practice Guidelines for Medical Direction of Search and Rescue Teams"

Wed, 14 Aug 2024 07:25:00 +0000

Sean and Mike sit down and review the paper "Wilderness Medical Society Clinical Practice Guidelines for Medical Direction of Search and Rescue Teams"

Link to the paper;

https://tinyurl.com/38a26ycm

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EMSOTM 59

Wed, 31 Jul 2024 22:41:53 +0000

Sorry Gang!

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EMSOTM 58 - Staying up to date

Wed, 17 Jul 2024 05:55:00 +0000

Sean and Mike sit down and talk about tools they use to stay up to date on the latest in pre-hospital medicine.

Podcasts we menton:

The World's Okayest Medic

The FlightbridgeED Podcast

Coffee Break HEMS

MCHD Paramedic Podcast

EMS 20/20

COROM Cast

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EMSOTM 57 - Redundancy in High angle Rescue with Jason Tartalone

Wed, 03 Jul 2024 04:00:00 +0000

Sean and Mike sit down and chat with Jason from Sergeant Rescue and Training about pros and cons on a number of topics related to redundancy in high angle systems.

https://sergeantrescue.com/podcast

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EMSOTM 56 - We went to FAST24!

Wed, 19 Jun 2024 04:20:00 +0000

Sean and Mike come to you from FAST24. FAST is an annual Critical care flight and transport summit put on by the awesome team at FlightbridgeED. Sean and Mike discuss their experience and talk about the criticality of continuing your education through self study and events like this.

https://flightbridgeed.com

https://flightbridgeed.com/fast24-schedule/

Next year's Conference:

https://flightbridgeed.com/fast25/

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EMSOTM 55 - Personal Rescue Gear and Equipment Overview

Wed, 05 Jun 2024 04:05:00 +0000

Sean and Mike dive into an overview of various bits of personal equipment needed to operate in a vertical rescue environment.

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EMSOTM 54 - I think it was Wild Ramps

Wed, 22 May 2024 07:10:00 +0000

Sean and Mike share a story about the repercussions of eating wild plants

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EMSOTM 53 - It's cool, but do we need it?

Wed, 08 May 2024 04:30:00 +0000

Sean and Mike sit down and talk about various tools, protocols and skills and how, or if, they apply to care in the austere and wilderness environments.

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EMSOTM 52 - Tying Stuff Up

Wed, 24 Apr 2024 11:32:56 +0000

Sean and Mike dive a bit into other aspects of being a good wilderness rescue professional, and talk about rope skills in this one.

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EMSOTM 51 - EMS Billing

Wed, 27 Mar 2024 04:10:00 +0000

Sean and Mike talk through EMS Billing, how it works, and the implications on managing the finances of a Wilderness EMS program.

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EMSOTM X - The Episode that never was

Wed, 13 Mar 2024 10:10:14 +0000

The Episode that never was

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EMSOTM 50 - The Nine Essentials

Wed, 28 Feb 2024 08:50:00 +0000

Sean and Mike discuss the Nine Essentials.

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EMSOTM 49 - Mentoring New Providers

Wed, 14 Feb 2024 06:10:00 +0000

All of us that have been in the EMS game long enough end up mentoring new providers, either as the 'senior provider' or more formally as a preceptor. Sean and Mike talk through their experiences in helping other providers succeed.

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EMSOTM 48 - Stupid S#!t

Wed, 31 Jan 2024 05:10:00 +0000

This episode is a curt discussion of the less than stellar things Sean and Mike have seen in their time providing wilderness medicine. This episode may not be for the faint of heart, or those that write policy.

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EMSOTM 47 - AEMTs and how they fit into the response model

Wed, 17 Jan 2024 06:45:00 +0000

Sean and Mike take a bit of a detour and discuss the Advanced EMT level of care and how the AEMT level of training fits into a wilderness EMS Response.

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EMSOTM 46 - What is in store for 2024

Wed, 03 Jan 2024 05:05:00 +0000

Look at that, We're poets, and we don't even know it!

Sean and Mike talk about their plans for the podcast headed into 2024.

Mike may have also softened a bit on the ongoing discussion around degrees for Paramedics.

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EMSOTM45 - Do we need specialty wilderness certifications

Wed, 29 Nov 2023 05:05:00 +0000

Sean and Mike go off the reservation on this one. The best way to experience this one.... is listen....

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EMSOTM 44 - Do we need a Paramedic Practitioner?

Wed, 15 Nov 2023 05:15:00 +0000

Mike and Sean dive into the topic that keeps coming up.... Does the industry need a master's degree driven position like a Paramedic Practitioner?

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EMSOTM 43 - Moose Mutlow

Thu, 02 Nov 2023 11:29:23 +0000

This week we are speaking with Moose Mutlow (see Bio below). Most of our discussion revolves around how to engage and work with the family members of those individuals we are seeking to find and rescue, we also talk about provider resiliency and mental health, topics not always discussed on the wilderness side of emergency response.

Moose has nearly 4 decades of traditional and alternative education experience around the globe. He has course directed 58-day Outward Bound instructor trainings in Appalachia, been a deputy headmaster in the Kalahari Desert, managed a beach concession on the Mediterranean, slogged through Australian rain forests with middle school students, juggled as a street performer in too many cities to mention, has more than 2000 days of field instruction in a wilderness setting, spent four months as the Interim Head for an elite ski academy, and returned to Outward Bound to instruct a canoe program for Veterans on the Gulf of Mexico.

Since 2002 Moose has been a member and senior trainer of Yosemite Search and Rescue, working as a technician and within Incident Command, at one of the busiest SAR operations in the world. He is a Rescue 3 Agency Instructor and a Lead Family Liaison Officer trainer for NPS.

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EMSOTM 42 - FTM 4 - Case Review #1

Wed, 18 Oct 2023 05:15:00 +0000

This week we are once again coming to you "from the mountain", in this show we discuss one of our favorite calls, what went well, what could have been better, and what we may have done differently.

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EMSOTM 41 - Basic Medical Clinic Planning

Thu, 05 Oct 2023 12:59:16 +0000

Sean and Mike talk through thing to think through when building a plan for a basic medical clinic, and how Paramedics fit into the mix.

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EMSOTM 40 - Building a basic Medical Response Plan

Wed, 20 Sep 2023 05:10:00 +0000

Sean and Mike follow up Episode 39 and talk through the details needed to build a basic medical response plan.

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EMSOTM 39 - Basic Mission Planning

Wed, 06 Sep 2023 12:01:37 +0000

Sean and Mike talk through the components of a basic mission plan to make sure you're ready when the unfortunate strikes.

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EMSOTM 38 - Interview with Jason Tartalone

Wed, 23 Aug 2023 04:20:00 +0000

Jason Tartalone NRP, FAWM, FEWM, WP-C -

Jason Tartalone is a 12 year veteran of the U.S. Army where he served as a Combat Medic and Flight Paramedic. During his service and throughout his career has spent considerable time in Afghanistan and other austere environments. Jason has been involved in wilderness search and rescue for the past 20 years and has been an active EMS provider for 17 years. Jason is a Fellow in the Academy of Wilderness medicine and has completed a Fellowship of Wilderness and Extreme Medicine from World Extreme Medicine. During his fellowship he specialized in mountain medicine, austere rescue operations, and high altitude medicine.

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EMSOTM 37 - OLMC | Tele-Consult

Wed, 09 Aug 2023 05:10:00 +0000

Sean and Mike talk through tele-consults from the wilderness, and how to ensure success by selling the situation.

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EMSOTM 36 - Deep Dive On Medication use in the Backcountry - Pain

Wed, 26 Jul 2023 04:15:00 +0000

Sean and Mike go deep on medication use for pain in the back country and what you need to understand about their use for patients you're going to treat for more than 30 minutes.

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EMSOTM 35 - Living without technology in the backcountry

Wed, 12 Jul 2023 04:10:00 +0000

Sean and Mike talked about the cool technology that could be available for backcountry EMS, now they're bringing you the ugly side of not having the right technology, and Mike may have gone a little 'full mike' talking about being a good provider.

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EMSOTM 34 - Modern Pre-Hospital technology in the back country

Wed, 28 Jun 2023 04:10:00 +0000

Sean and Mike sit down and talk through technology available for wilderness and austere medical care, along with the pros and cons of taking that equipment with you into the wilderness.

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EMSOTM 33 - F around and find out

Wed, 14 Jun 2023 05:20:00 +0000

Sean and Mike talk through how to treat a relatively unique wilderness medical emergency, snake bites. Believe it or not, they are sober in this episode!

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EMSOTM 32 - Interview with Liz Hall

Wed, 31 May 2023 04:00:00 +0000

Sean and Mike sit down with Liz Hall, the Emergency Manager for Great Smoky Mountains National Park to talk about Wilderness EMS and Search and Rescue there, and how you potentially CAN get paid to do Wilderness EMS!!

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EMSOTM 31 - Careers in Wilderness Pre Hosptial Emergency Medicine

Wed, 17 May 2023 05:45:00 +0000

Sean and Mike talk through a common question they get, "How do I get a job doing Wilderness EMS." And as a special bonus Mike goes full Mike and pontificates about things that most people probably won't find that interesting. Just kidding! His thoughts are amazing!

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EMSOTM 30 - FTM 3 Advanced Airway Management in the Backcountry

Wed, 03 May 2023 14:25:12 +0000

Sean and Mike discuss the unique challenges of advanced airway management in the wilderness setting.

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EMSOTM 29 - Wilderness First Aid Kit planning for the lay responder

Wed, 19 Apr 2023 12:58:37 +0000

In this episode of EMS on the Mountain, Sean and Mike discuss first aid kit planning for the lay responder. They provide advice on how to build or evaluate a first aid kit for day hiker backpackers, as well as how to apply the same knowledge outside of the wilderness to a home or car first aid kit. The considerations discussed include volume (how many people is it for?), activity (what are you doing?), and training level (what is your skill/training level?). Topics covered also include bleeding control, minor injuries, general illnesses such as diarrhea and coughs.

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EMSOTM 28 - Gear we Carry, the final episode

Wed, 05 Apr 2023 05:00:00 +0000

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EMSOTM 27 - Backpacks and Medical Bags

Wed, 22 Mar 2023 05:10:00 +0000

In this episode Mike and Sean discuss the importance of choosing an appropriate backpack for wilderness EMS. They emphasize that durability and size should be considered when selecting a pack, as well as personal preferences and mission sets. They also mention that purpose-built kits are often better than those found in outdoor recreation stores. They examine the need for durable, expedition-grade packs that can carry medical supplies, personal items and vertical equipment.

https://app.redcircle.com/shows/510201b1-3ffc-4c03-a187-c91d04263e54/donations

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EMSOTM 26 - What we Carry

Wed, 08 Mar 2023 16:48:50 +0000

In this episode of EMS on the Mountain, Sean and Mike kick off a multi-part discussion of what they carry, and what personal equipment they are using. This episode covers mission specific personal equipment, gear and clothing that works for them an how to think about having the right personal gear while still leaving room for rescue and team equipment.

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EMSOTM 25 - Thoughts and review of the Wilderness Certified Paramedic Exam (WP-C)

Wed, 22 Feb 2023 06:05:00 +0000

Sean and Mike talk through their experience siting the beta offering of the Wilderness Paramedic - Certified (WP-C) Exam from the International Board of Specialty Certifications.

IBSC WP-C

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EMSOTM 24 - Interview with Tod Schimelpfenig

Wed, 08 Feb 2023 06:05:00 +0000

Today’s episode features our guest, Mr. Tod Schimelpfenig

Tod is the retired Curriculum Director for NOLS Wilderness Medicine, where he still teaches classes regularly. In this episode we talk a lot bout the Wilderness First Responder certification and what their role is within the larger wilderness medicine context, as well as where things started and where they are now.

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EMSOTM 23 - Active vs. passive rewarming

Wed, 25 Jan 2023 06:00:00 +0000

Sean and Mike close out the hypothermia series with a discussion of rewarming mild and moderately hypothermic patients in austere environments.

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EMSOTM 22 - The Thermodynamics of Hypothermia

Wed, 11 Jan 2023 06:00:00 +0000

Sean and Mike go deep on the treatment of mild to moderate hypothermia and talk about some of the science behind raising a patient's core temperature.

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EMSOTM 21 - Hypothermia

Wed, 14 Dec 2022 06:00:00 +0000

Sean and Mike dig deep into Hypothermia, what is going on when we get cold, and key treatment methods.

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Mountain Emergency Medicine

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EMSOTM 20 - Hyperthermia

Wed, 30 Nov 2022 06:00:00 +0000

As we approach Winter why not talk about Hyperthermia!! Why not start preparing for heat injuries early? Though, they can happen anywhere at any time.

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EMSOTM 19 - Attributes Of A Good WEMS Provider

Wed, 16 Nov 2022 06:00:00 +0000

Today, Mike and Sean talk about what goes into being a good WEMS provider. Just like the differences between urban and austere medicine, there are differences in the individuals who provide this type of care. They talk about some of the key attributes needed, both mentally and physically, as well as some of the additional skills required to function in a WEMS environment. Lastly, they discuss whether this specific area of specialization is for everyone.

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EMSOTM 18 - FTM 2 Dislocated Knee

Wed, 19 Oct 2022 05:00:00 +0000

Sean and Mike bring you another episode From the Mountain. This time they discuss a patent with a dislocated knee, outlining the challenges of getting an immobile patient out of the woods.

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EMSOTM 17 - How to Prepare, Physically and Mentally

Thu, 06 Oct 2022 05:00:00 +0000

Sean and Mike discuss what kind of physical and mental preparation one should consider when working in a wilderness setting.

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EMSOTM 16 - FTM 1 Trouble Breathing

Wed, 21 Sep 2022 05:00:00 +0000

The first FROM THE MOUNTAIN Episode! Sean and Mike sit down while on duty in the mountains and discuss an encounter they had with a patient experiencing trouble breathing. They talk through the challenges of treating someone that isn't really that deep into the woods and outline how quickly things can become much more difficult when you're off the hard pack roads.

This is the first episode in a series we call "From the Mountain" where we deliver short episodes recorded in down time while at our duty station in the mountains.

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EMSOTM 15 - Interview with David Fifer

Wed, 07 Sep 2022 05:00:00 +0000

Sean and Mike are joined by David Fifer, NRP, FAWM. David is one of the hosts of The Remote, Austere, and Wilderness Medicine Podcast. He has been a long-time advocate for the Paramedic profession and a leading advocate for the training and recognition of the unique aspects of wilderness medicine. The three discuss the origins of the International Board of Specialty Certification upcoming Wilderness Paramedic Certification exam and his personal experience with providing care and preparing for the mission of EMS in wilderness environments.

https://rawmedicine.org/

https://redstarmedical.org/

https://www.ibscertifications.org/

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EMSOTM 14 - ALS Equipment Overview

Wed, 24 Aug 2022 05:00:00 +0000

Sean and Mike address the variables and minor differences in a load out kit for an ALS provider against the baseline BLS kit from Episode 13

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EMSOTM 13 - BLS Equipment Overview

Wed, 10 Aug 2022 05:00:00 +0000

Sean and Mike talk through what you should and should not pack when making the transition to performing EMS out of a backpack instead of an ambulance.

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EMSOTM 12 - The mindset of extended care

Wed, 27 Jul 2022 05:00:00 +0000

Applying the military principles of Prolonged Field Care to the civilian WEMS environment. Mike and Sean discuss PFC, what it is, and how it can and should be translated to WEMS care. They also discuss some planning and a brief introduction to desired WEMS equipment considerations in support of prolonged patient care

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EMSOTM 11 - MacGyver is cool, but be prepared

Wed, 13 Jul 2022 05:00:00 +0000

Sean and Mike get honest about the common misconception that a couple of sticks and a length of paracord is all you need to perform wilderness medicine.

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EMSOTM 10 - Tools and Tricks for Documenting Care

Sun, 26 Jun 2022 17:55:35 +0000

Nothing earth shattering in this one, Mike and Sean share some thoughts on documenting patient care in a wilderness or austere setting when use of traditional ePCR software is not an option. The discussion centers on a few general guidelines for selecting your preferred tool for documentation, as well as a few things to consider when you need to document your patients' care in the wilderness and for extended periods of time.

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EMSOTM 9 - Differences in Resource availability

Thu, 16 Jun 2022 07:00:47 +0000

Sean and Mike talk about how resource availability between an urban or rural system varies from a wilderness system and what that means for patient care.

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EMSOTM 8 - The Environment Gets A Say

Thu, 02 Jun 2022 07:00:13 +0000

So, you think the environment gets a say in environmental emergencies? How about in every emergency? When your Due is the wilderness the environment always has a say in your care decisions. Sean and Mike discuss the unique aspects to keep in mind and how the environment always gets a say.

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EMSOTM 7 - Pain Management in the Backcountry

Thu, 19 May 2022 06:00:00 +0000

Sean and Mike dig into the unique aspects of managing pain for patients for an extended period of time in the Wilderness.

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EMSOTM 6 - "The Definition of Wilderness Medicine & Wilderness EMS"

Wed, 04 May 2022 06:30:41 +0000

Sean and Mike double down and discuss an article by Dr. Seth Hawkins, MD, NREMT and Dr. Tyler Prince, MD, NRP from the Wilderness Medical Society Magazine titled "The Definition of Wilderness Medicine & Wilderness EMS"

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EMSOTM 5 - Medical Emergencies

Thu, 14 Apr 2022 07:00:00 +0000

In this Episode Sean and Mike cover a number of different pre-hospital medical emergencies, and how being in the back country makes things just a touch more challenging. They discuss Dehydration, Anaphylaxis, Metabolic disorders along with stroke, cardiac emergencies, environmental concerns and trouble breathing.

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EMSOTM 4 - Wilderness Extrication

Sun, 13 Mar 2022 16:23:36 +0000

On this episode Sean and Mike discuss the details of long term extended care while carrying someone out of the backcountry using people as the main source of power.

Find us on Social Media:
Locals Wilderness EMS Community
Facebook
Instagram
Twitter

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EMSOTM 3 - What is Wilderness EMS and Wilderness Care

Sun, 13 Mar 2022 16:18:08 +0000

Sean and Mike discuss the DHS Austere Emergency Medical Support (AEMS) Field Guide and how it maps back to wilderness environments. They discuss the similarities between wilderness and austere care and how these considerations can quickly become something providers in an urban or suburban EMS system may need to take into account.

Find us on Social Media:
Locals Wilderness EMS Community
Facebook
Instagram
Twitter

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EMSOTM 2 - Wilderness First Responder vs Wilderness EMS

Sun, 13 Mar 2022 16:16:06 +0000

Sean and Mike discuss the differences between Wilderness First Responder programs and how they compare to professional EMS Response roles and responsibilities.

Find us on Social Media:
Locals Wilderness EMS Community
Facebook
Instagram
Twitter

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EMSOTM 1 - Meet Sean and Mike

Sun, 13 Mar 2022 16:06:09 +0000

Sean and Mike introduce themselves and discuss:

Out experience in the field
What is Wilderness and Auster Care
Contact times for patients is very different
Where we work and how it’s different

Find us on Social Media:
Locals Wilderness EMS Community
Facebook
Instagram
Twitter

Support this podcast at — https://redcircle.com/ems-on-the-mountain2030/exclusive-content