The CAWM2021 Virtual Conference was held November 5-7, 2021. Over the course of the weekend, participants heard 35 presentations from 44 speakers. All the speakers have a strong connection to Canada, and each presentation considered Wilderness Medicine in the Canadian context.
The entire conference was recorded. The recordings are available to anyone who registers for the conference. Anyone who registers after the fact will be able to watch the recordings of the entire conference and claim CME credits.
Conference participants who register at the Medical Professional Level are able to claim CME credits
The entire conference was recorded. The recordings are available to registered participants for 6 months after the conference (until May 2022).
Individuals can still register for the conference to purchase access to the recordings.
Medical Professionals - $205
- For physicians, nurses, PAs, paramedics, resident physicians and FAWM candidates.
- To receive a Certificate of Attendance or CME credits, participants must be registered at the Medical Professional level.
Student / Volunteer - $50
- For medical students, SAR volunteers, guides and first responders and other wilderness medicine enthusiasts.
- CME can not be claimed and no certificates of participation will be provided at this registration level.
CAWM Members receive a discount on their registration to CAWM2021.
- CAWM Members can find their discount code to use during conference registration in the members-only CAWM Member Discounts section of the CAWM website.
Reviews from CAWM2020 and CAWM2021
"Everything was so amazing and well thought out with a good balance of quantitative and qualitative research"
“This was without a doubt one of the best conferences I’ve attended in my 26 years. I will be back for the next one for sure…”
“I appreciate the genuine focus on inclusivity, especially with respect to profession. As a paramedic, it is uncommon for me to genuinely feel valued for my unique skill set and experience. I hope the elected board continues to value my chosen profession. Thank you and I look forward to participating with and contributing to CAWM moving forward.”
“Overall awesome conference, it’s unbelievable that this is CAWMs first & organised in such a short time, massive congratulations to the team! Please continue virtual access in future for far flung/ international delegates!”
“[CAWM2020] was an exceptional virtual wilderness medicine educational experience. Thanks to all those wonderful speakers, moderators & those behind the scene for their passion & energy.”
FAWM Credits from the Wilderness Medical Society (WMS)
This course has been approved for Fellowship in the Academy of Wilderness Medicine (FAWM) credits through the Wilderness Medical Society. Actual credits awarded depend on personal credit needs and history.
Royal College of Physicians and Surgeons of Canada
This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and has been approved by UBC CPD for up to 18.0 MOC Section 1 Group Learning credits. Each physician should claim only those credits accrued through participation in the activity.
CFPC Mainpro+® credits
This event has been approved for 17.5 one-credit-per-hour Group Learning CFPC Mainpro+® credits.
Paramedic CME* (See PDF)
Will GaddKeynote Presentation: Mountains of Risk
Katherine BreenThe Sea Bear: Human - Polar Bear Conflict in the Circumpolar North
Dr. Katherine Breen, MD CCFP-EM is a family physician specializing in rural and remote Emergency Medicine. She has worked as a wilderness medicine consultant in the film and television industry and has travelled in the Arctic and Antarctic as an expedition physician. In 2013, she paddled across Baffin Island in a traditional Inuit style qajaq that she built herself. She has lived and practiced medicine in Nunavut and the Northwest Territories since 2009 and currently works as an Emergency Room physician in Yellowknife.
Andrew McLarenCMERT (Canadian Medical Emergency Response Team)
Dr. Andrew McLaren is an Intensivist and Prehospital Care Specialist on Vancouver Island. Long found playing and working in the Coast Mountains from a SAR volunteer in the 90’s to a Mountain Doctor for Blackcomb/Whistler over 22 years and counting to currently Medical Director at Mt Washington. He has worn many hats with the BC Ambulance Service and worked as a HEMS Trauma Doctor in London, England before returning to the West Coast. He continues to enjoy the sharp-end-of-the-rope, practicing medicine in difficult spots such as Haiti, Afghanistan, Sierra Leone, Resolute Bay, and now Mali in his latest project: CMERT (the Canadian Medical Emergency Response Team).
Andrew BelyeaCanadian Wilderness Medicine Electives: the Present and the Future
Andrew Belyea is a first-year Family Medicine resident at Dalhousie University based out of the Prince Edward Island site. During medical school, he co-chaired Queen’s University’s Wilderness Medicine Interest Group and coordinated a Wilderness Medical Associates elective for his colleagues during COVID. He participated in the 2020 virtual BreckWild elective based out of Breckenridge, Colorado, where he collected demographic data on participation in Wilderness Medicine following a United States-based WM elective.
Yoko SchreiberBugs with Bugs: Overview of Vector-borne Infectious Diseases
Having completed her residency and M.Sc. (Epi) and worked several years at The Ottawa Hospital / University of Ottawa, Yoko decided to move closer to communities she wished to serve and relocated to Sioux Lookout, Ontario. She currently holds a position as an Assistant Professor both at NOSM and University of Manitoba, and spends her time providing general ID clinical care Sioux Lookout region, which covers over 28 remote First Nations communities, as well as spending several weeks a year in Winnipeg on the ID service. Her practice spans from clinical care to assisting the local health authority with public health issues and includes research, education and involvement in national committee work (FNIHB, AMMI). Yoko considers herself the luckiest ID physician in the country, being able to practice ID in a setting where it is needed most, surrounded by lakes and outdoor opportunities in Ontario's "sunset country."
Steve HolecziHigh Altitude Rescue in Kluane National Park
Stephen has over 25 years of experience managing risk in mountainous environments. This started as a recreationalist, then as an IFMGA Mountain Guide, and since 2009 as a Visitor Safety Specialist for Banff, Yoho, and Kootenay National Parks. He also works as instructor on various guide training courses, and recently co-developed risk management and decision making guidelines for the Association of Canadian Mountain Guides (ACMG)
Aaron BeardmoreHigh Altitude Rescue in Kluane National Park; Jasper National Park Icefield Bus Crash: a Wilderness Mass Casualty Incident (MCI) in the Canadian Context
Aaron Beardmore has worked as a Visitor safety specialist for Banff, Yoho and Kootenay National Parks since 2007. In spring of 2021 Aaron was stationed in Haines Junction, on the doorstep of the St. Elias mountains, to provide training to pilots and staff and perform rescues in Kluane National Park and Reserve. Aaron is an IFMGA mountain guide and a professional member of the Canadian Avalanche Association.
Kyle McLaughlinHigh Altitude Rescue in Kluane National Park; AvSORT II: Multi-Casualty Avalanche Triage Algorithm
Dr. Kyle McLaughlin is an Emergency Medicine Physician in Canmore, AB. He has been involved in Wilderness Medicine for over 20 years as an educator, researcher and advocate. Over the past 10 years, he has served as the Medical Director for the Banff, Yoho, Kootenay and Kluane National Park Visitor Safety Program, member of the International Commission for Alpine Rescue Medical Commission (ICAR- MedCom), Corporate Physician for Canadian Mountain Holidays (CMH) Heli Ski, founding member of the Canadian Mountain Park Backcountry Medical Council, faculty for the Canadian Society for Mountain Medicine and their Diploma Mountain Medicine program and lecturer for the University of New Mexico Wilderness First Responder course. He is excited to be returning as a presenter to the CAWM conference for another year.
Neal PollockStrategies for Effective Scientific Writing
Neal Pollock is an Associate Professor in Kinesiology at Université Laval in Québec, QC and Research Chair at the Centre de médicine de plongée du Québec, Hôtel-Dieu de Lévis, QC. His academic training is in zoology, exercise physiology and environmental physiology. His research interests focus on human health and safety in extreme environments. He serves as Editor-in-Chief of the journal Wilderness & Environmental Medicine, as an Associate Editor for the journal Environmental, Aviation and Space Physiology, and on the editorial board of the journal Diving and Hyperbaric Medicine.
Robyn RodgerUpping your Gain: An Intro to MSK Ultrasound for an Austere Environment
Dr Robyn Rodger is an emergency physician who currently splits her practice between urban and Northern hospitals in Manitoba. Her special interests have led her to complete wilderness medicine electives during residency, a disaster medicine certificate fellowship and numerous point of care ultrasound courses. In addition to her emergency medicine practice, Robyn is a critical care transport physician for STARS Air Ambulance and an ultrasound instructor for several CPOCUS ultrasound streams, as well as an EGLS instructor. An abbreviated list of her outdoor passions includes mountain biking, paddling, trekking, XC & alpine skiing.
Mike WebsterDifficult Airway Techniques in a Rural/Remote Context
Mike Webster has been active in prehospital remote and austere medical settings for the past 20 years including training/education, remote community capacity development, and clinical patient care. As an advanced care paramedic, he has worked in expedition support settings including both the Arctic and Antarctica. He regularly works outside Canada including remote medical training for physicians and paramedics in rural areas of Africa and Asia. He was a contributor and coordinator to one of the first Canadian wilderness medical elective programs at Mcmaster University. He is a past disaster medical advisor to the World Bank and is a project manager for Community Based Emergency Care, a research initiative for building medical capacity in remote and underserviced indigenous communities. He currently also works as a paramedic on Haudenosaunee territory for the Six Nations of the Grand River.
Drew CrandallDifficult Airway Techniques in a Rural/Remote Context
Drew Crandall is an Advanced Care Paramedic and Educator from Ontario, Canada with experience in urban and rural pre-hospital environments, working for Hamilton Paramedic Services and Six Nations Paramedic Services. Passionate about pre-hospital care and education, Drew also holds the position of Professor of Paramedic Programs at Fanshawe College of Applied Arts and Technology. Whenever possible he enjoys spending time with his young family in the outdoors.
William BatemanExploring Evidence-Based Recovery Principles in Rock Climbing Injuries
William Bateman is a physiotherapist who has been treating climbing injuries since 2013. He managed an interdisciplinary climbing performance team in Squamish, developed injury prevention workshops for climbers, and has presented at climbing conferences throughout Canada and the USA. His interest in persistent tendon pain led him to developing and leading a chronic pain clinic in Vancouver’s Downtown Eastside, where he currently works. He is a clinical instructor for UBC physiotherapy students and a mentor for the CPA Pain Science Division.
Steven RoyConsiderations for Medical Equipment in Extreme Environments
Dr. Roy is an intensivist-"wildernist" with a specific interest in very remote environments. He holds three diplomas in Mountain Medicine as well as a post-graduate Diploma in Remote and Offshore Medicine. He is co-program director of the WildernessMD/McGill University Resident Physician Elective in Wilderness Medicine and director of Canada's only sub-specialty Diploma in Mountain Medicine, the Diploma in Wilderness & Expedition Medicine. He is active internationally in this field and sits on the Executive Committee of the International Society for Mountain Medicine, the Medical Commission of the International Commission of Alpine Rescue, and the Research Committee of the Wilderness Medical Society.
Andrew McNaughtonTick Talk: A Primer to Emerging Tick-Borne Diseases in Canada
Andrew is a third-year Internal Medicine resident at Queen’s University. Before having had their life taken over by medicine, they received a degree in Theatre Creation from York University. Their academic interests lie in the intersection between emerging infectious diseases and climate change and they’re passionate about advocacy through equity, diversity, and inclusion in medical education. In their spare time, Andrew enjoys struggling to become a better cook, avoiding thunderstorms on hikes, and watching scary movies with friends.
Katie GourlayPre-Hospital Rescue and Management of the Drowning Patient; Call of the Wild: Assessing a Wilderness Medicine Pre-Clerkship Elective for Medical Students in Alberta, Canada
Katie Gourlay is a third year medical student at the University of Alberta. Her interest in wilderness medicine sprung from an exciting three years working with the Canadian Coast Guard as a search and rescue crew member. With interests in emergency and transport medicine, she’s excited to learn more from experts in the field during the CAWM 2021 Conference! She feels most energized when skiing, biking or running in the Rockies.
Elizabeth CookMountain Injuries: The Mental Side of Recovery
Liz Cook is a PGY-2 Rural Family Medicine resident based in southern Alberta. Before medical school she worked many years of ski patrol and served rural/remote areas as a Primary Care Paramedic. This sparked her interest in Wilderness Medicine, which has only grown from there. After completing her Wilderness-EMT training and leading the UAlberta wilderness medicine interest group, she is now working towards her fellowship in wilderness medicine (FAWM). Outdoor recreation has always been her passion. An avid skier, mountain biker and outdoor enthusiast, Liz understands how intertwined wilderness medicine and injury recovery really are.
Lauren KlammerFrostbite Care in Canada: The Need for a National Quality Improvement Network
Lauren is a third year medical student at the University of Saskatchewan Regina campus. Prior to medicine she obtained a MPA from Queen’s University and held positions in the Office of the Prime Minister, Office of the Minister of State (Finance), and Yukon Management Board Secretariat. Lauren’s professional interests include rural generalism, wilderness medicine, and technology in medicine. Her hobbies include hiking, rock climbing, cross country skiing, and indoor vegetable gardening.
Delphine HansenFrostbite Care in Canada: The Need for a National Quality Improvement Network
Delphine Hansen is originally from Montreal, Quebec, where she earned her medical degree from McGill University. An ocean guard as a teenager, a cross-country Varsity athlete during her collegiate years and an enthusiastic hiker, Delphine always enjoyed the outdoors and being in the wilderness. Delphine is currently completing her Emergency Medicine residency at Université de Montreal. Her professional interests include wilderness medicine, knowledge translation and medical education.
Sebastien HebertFrostbite Care in Canada: The Need for a National Quality Improvement Network
Sebastien is currently a second-year medical student at Dalhousie Medical School, in Halifax, Nova Scotia. Prior to medical school, he attended the Royal Military College of Canada where he obtained a Bachelor of Arts and commission as a naval officer. He then served in the Royal Canadian Navy as a Naval Warfare Officer and as a Submarine Officer. His service includes 3 operational deployments. After the Navy, he obtained his Primary Care Paramedic certificate in Halifax. Where he worked until starting Medical School. Sebastien is an avid diver, rock climber, and cyclist.
Anne St. ClairA Framework for Matching Risk Messages with Wser Processes - Lessons From Avalanche Risk Communication
Anne is a PhD student working with the Simon Fraser University Avalanche Research Program (SARP). She employs social science approaches to examine meaningful differences in how people process information to manage risk in their environments. Anne has over a decade of combined experience working in outdoor education, backcountry guiding, and avalanche forecasting. She earned a B.A. in Anthropology and Sociology from the University of Notre Dame and a master’s degree in Resource and Environmental Management from Simon Fraser University. Anne works with Avalanche Canada as a public avalanche forecaster and with the American Institute for Avalanche Research and Education (AIARE) as an Instructor Trainer.
Paul DhillonThe Last Antarctica Marathon - Ship, to Shore, to Finish Line
Dr. Paul Dhillon is a rural physician in Sechelt BC. He completed medical school at the Royal College of Surgeons in Ireland and met his wife Sarah in the pub down the road from RCSI. He now lives and works in BC with his 2 wee boys Darragh and Ruairi. After completion of residency in Regina, Saskatchewan he worked as a rural locum across Saskatchewan and the NWT before settling back in BC. He completed further training in Disaster Medicine, Tropical Medicine, and enjoys working as a Reservist Medical Officer with 12 (Vancouver) Field Ambulance. He was the editor of The Surprising Lives of Small-Town Doctors which contained many stories from members of the SRPC in its pages and has worked as both and Ebola doc and physician for the Antarctica Marathon.
Ira CarsonWhat Comes Out Must Go In – The Effectiveness of Training Ski Patrollers to Reduce Shoulder Dislocations in an Alpine Environment
Ira is a family medicine resident at the University of Toronto. Ira worked with the Sunshine Village Ski Patrol in Banff for 7 years, where he developed a passion for wilderness medicine. While completing medical school at the University of Alberta, Ira continued his involvement with the ski patrol, where he had the opportunity to study different methods for treating shoulder dislocations in remote settings. Ira’s favorite outdoor activities include skiing, kitesurfing, cycling, and trail running.
Alana HawleyHypothermia: Lessons from the Patient Who Didn’t Follow the Textbook
Dr. Alana Hawley is an FRCPC Emergency Medicine physician at Penticton Regional Hospital and a Clinical Instructor at UBC. Alana is a Wilderness Medicine clinician, educator, and researcher and completed her Wilderness Medicine Fellowship at the University of Utah in 2017. She has also graduated from the Diploma in Mountain Medicine (DiMM) and Fellowship of the Academy of Wilderness Medicine (FAWM) programs. Alana serves on the Board of Directors for CAWM and as the Medical Director for Penticton Search and Rescue.
Pascal HaegeliRisk of Death and Major Injury from Natural Hazards in Mechanized Backcountry Skiing in Canada
Pascal Haegeli is an associate professor at Simon Fraser University in Vancouver, Canada, where he holds the NSERC Industrial Research Chair in Avalanche Risk Management. He manages a team of ten graduate students with whom he conducts applied interdisciplinary research to help recreationists and avalanche professionals make better decisions when travelling in avalanche terrain.
Cait ChampionStrengthening Canadian Frostbite Care - Initial results of the Canadian Frostbite Collaborative project and future directions
Dr Cait Champion is a rural General Surgeon in Parry Sound, ON and Assistant Professor at the Northern Ontario School of Medicine. She has an MSc in Health Systems with a focus on rural care access and is a strong believer in improving patient care through collaborative networks. She has an interest in wilderness medicine and is engaged in collaborative frostbite care research.
Alex PooleStrengthening Canadian Frostbite Care - Initial results of the Canadian Frostbite Collaborative project and future directions
Alex is a rural and remote multidisciplinary general surgeon. He has practiced general surgery in the Yukon for 19 years. His interest in mountain medicine and frostbite in particular has been fostered by having lived and worked in the Yukon, British Columbia, and Iceland. He has been on a mission to modernize Canadian frostbite care since 2015.
Josianne GauthierStrengthening Canadian Frostbite Care - Initial results of the Canadian Frostbite Collaborative project and future directions
Josianne Gauthier (BPharm, MSc Pharm) is a Clinical Pharmacist at Whitehorse General Hospital in the Yukon Territory since 2010. She was instrumental in the development and implementation of the WGH Frostbite Protocol and its subsequent iterations. She has contributed to recent publications and has presented in both local and international conference on the topic of frostbite. She is well-known in the Canadian hospital-pharmacy community for her expertise in the pharmacological management of frostbite and the use of iloprost. She spends her free time trail running, skiing and canoeing in the Yukon wilderness with her partner and two young daughters.
Robyn JohnstonWomen in the Wilderness
Born at the tip of Africa, Robyn grew up skiing, hiking, and climbing in Northern British Columbia. Robyn studied Exercise Science and worked as a River Guide in South Africa before heading to Ireland for medical studies and internship. Over the past decade she worked in New Zealand, Australia, South Africa and Scotland in a mix of acute specialties –mainly Anaesthetics and Emergency Medicine with a bit of a surgical past. Robyn lives with her partner and their 1 year old on the slopes of Mt Kenya, and provides remote medical support globally with some locum work in between.
Andrew KirkpatrickEmpowering the Willing: The Feasibility of Tele-Mentored Self-Performed Ultrasound as Illustrated by Pleural Ultrasound Assessment for COVID-19 and Further Implications for Self-Care
Dr Kirpatrick has more than 475 peer- reviewed articles and book chapters. He is a past-President of the Trauma Association of Canada and the Abdominal Compartment Society, as well as past executive member of the Canadian Emergency Ultrasound Society and the Canadian Association of General Surgeons Evidence Based Reviews in Surgery Committees. He has consulted for the Canadian Space Agency and the National Space and Aeronautical Agencies. He is a former Paratrooper and Flight Surgeon and currently maintains a private pilots license. He has completed over 500 parabolas of parabolic flight research.
Volker SchöfflInjuries in Rock Climbing
Prof. Dr. Volker Schöffl is is a Fellow of the Academy of Wilderness Medicine (WMS) and a German Board certified General Surgeon as well as an Orthopedic and Trauma Surgeon. He also holds Board degrees for Sports Medicine and Emergency Medicine. Dr. Schöffls academic focus is on extreme sports medicine, climbing injuries, biomechanics of the hand, alpine and wilderness medicine and surgery in developing countries. He is section head of the Center of Sportsmedicine at the Klinikum Bamberg, Germany and heading a medical partnership program with the Khamouane Provincial Hospital in Thakhek, Laos, where he also regularly practices. He is the team physician to the German Climbing Team and to the German Skimountainering Team.
Mike InnissAvSORT II: Multi-Casualty Avalanche Triage Algorithm
Mike is a GP with a 30 year career in rural, remote and emergency medicine currently living and working in the West Kootenays in the beautiful Selkirk mountains of southeast BC. He is a 20 year veteran of his local search and rescue team as field physician, avalanche and mountain rescue team member and helicopter long line technician. He is a member of the guiding team at Mike Wiegeles Heli-skiing, holds a Diploma in Mountain Medicine (ICAR) and is on faculty teaching the Canadian DiMM program with the Canadian Society Mountain Medicine. He tries not to let his wife’s passion for gardening, the dog’s insistence on walks and learning to golf get in the way of trail running, climbing and backcountry skiing, but this is not always successful.
Mackenzie WardleJasper National Park Icefield Bus Crash: a Wilderness Mass Casualty Incident (MCI) in the Canadian Context
Banff EMS Paramedic, STARS Air Ambulance Aeromedical Crew, Ski Patroller, and Wilderness Medicine enthusiast. Mackenzie has a passion for the link between rescue, and prehospital medicine. As a Paramedic with Banff Emergency Medical Services, he has developed a strong integration with Parks Canada Visitor Safety department, aiding in the medical treatment within rescue operations. This position has also lead to valuable experience with Remote Mass Casualty Incident response operation, a field which ties together the unique and diverse aspects of Wilderness Medicine. Mackenzie Was involved as part of the command system for the Jasper MCI.
Kendra YoungA Bite-Sized Dilemma
Kendra Young is a PGY4 in Emergency Medicine at the University of Alberta and is currently working towards her FAWM certification. She is a resident instructor for the University of Alberta’s wilderness medicine medical student elective and when she is not doing clinical medicine, she can be found roaming around the mountains doing various activities with a particular passion for climbing and split-board touring.
Asha KothariManaging Diabetes in the Backcountry
Asha is a 4th year medical student at the University of Manitoba with an undergraduate degree in biochemistry and molecular biology. An 8-year veteran of the Canadian Armed Forces and recreational climber and mountaineer, he has significant outdoor experience in austere environments. Following completion of his medical degree, Asha intends to pursue a career in a surgical specialty.
Stefan CowtanDrowning, Immersion, and Submersion injury: Managing the Life Aquatic
Stefan Cowtan is a fourth year FRCPC-EM resident at the University of Manitoba. His interest in wilderness medicine began with certification as a Wilderness First Responder and cold water rescue technician while canoe tripping in Ontario, and is currently pursuing a low-resource, expedition, and wilderness medicine niche in residency.
Helene MorakisTravel Planning Considerations: Malaria
Dr. Helene Morakis is a third year resident in Emergency Medicine (EM) at Vancouver General Hospital. At Queen’s Medical school, she co-chaired the Wilderness Medicine Interest Group and began her candidacy towards a Fellowship of the Academy of Wilderness Medicine. Her most interesting clinical cases begin with “fever in a returning traveler” and she hopes to pursue both Wilderness Medicine and Global Health work alongside her EM shifts in the future. Outside the busy resident schedule, she can be found trying to adapt to west coast terrain – on skis, in hiking boots, or on her mountain bike.
Alec RitchieSearch and Rescue Medicine: Lessons Learned Practicing Medicine With a Helmet On
Dr. Alec Ritchie completed medical school at the University of British Columbia and his emergency medicine residency training at the University of Western Ontario. He is an emergency physician at Lions Gate Hospital in North Vancouver, a medical consultant for BC Emergency Health Services, and a clinical associate professor in the Department of Emergency Medicine at UBC. Combining his interest in emergency medicine and his love of the mountains, he became a member of North Shore Rescue, a volunteer ski patroller for Whistler Mountain, and a staff doctor at Mike Wiegele’s Helicopter Skiing in Blue River.
J. Stuart GrantLandslides: Considerations for the Medical First Responder
Stuart Grant is a dual-trained Registered Nurse and Advanced/Critical Care Paramedic. His work has spanned special event medicine, race medical, emergency departments and ground EMS. He is currently working as a flight nurse for a leading critical care company throughout the prairie provinces.
Stuart and Dirk met when they worked together as ski patrollers at Canada Olympic Park. While it may have been an urban ski hill, it didn't take very long, or very far off from the trails, for them to be applying the lessons and principles of wilderness medicine. Stuart and Dirk are both active medical specialists with Canada Task Force 2, the national disaster response team based in Calgary, Alberta. As life-long learners, they are excited to share some of their knowledge with CAWM Conference attendees!
Dirk ChisholmLandslides: Considerations for the Medical First Responder
Dr. Dirk Chisholm is an emergency medicine resident with the University of Calgary as well as a Primary Care Paramedic. He is a founder of the University of Calgary's Student Medical Response Team and has been heavily involved in professional and volunteer medical organizations across Alberta. Stuart and Dirk met when they worked together as ski patrollers at Canada Olympic Park. While it may have been an urban ski hill, it didn't take very long, or very far off from the trails, for them to be applying the lessons and principles of wilderness medicine. Stuart and Dirk are both active medical specialists with Canada Task Force 2, the national disaster response team based in Calgary, Alberta. As life-long learners, they are excited to share some of their knowledge with CAWM Conference attendees!
Geordon OmandCall of the Wild: Assessing a Wilderness Medicine Pre-Clerkship Elective for Medical Students in Alberta, Canada
When not playing the role of a third-year student at the University of Alberta, Geordon can be found paragliding above the Okanagan valley, powder-hunting throughout the Coastal Mountains, or doing his utmost to avoid becoming a patient while mountain biking wherever terrain and time permit. His medical interests are informed in part by both his enthusiasm for the outdoors as well as his former career as a reporter with Canadian Press, especially when it comes to the role of effective communication in medicine.
Michael ZeemanCall of the Wild: Assessing a Wilderness Medicine Pre-Clerkship Elective for Medical Students in Alberta, Canada
Michael Zeeman is a third-year medical student at the University of Alberta. He completed his Bachelor of Health Sciences degree with a concentration in biomedical sciences from the University of Calgary. His previous research interests are broad, ranging from basic neuroscience to clinical and medical education projects. During his preclerkship years of medical school, he was a student leader of the wilderness medicine club that also coordinated a pre-clerkship elective in wilderness medicine along with his club co-leaders and various faculty. A handful of his wilderness/outdoors hobbies include hunting, fishing, and hiking.
Matthew TurnockAnesthesia Delivery at Altitude
Dr. Matthew Turnock is a Consultant Anesthesiologist at the Royal Columbian Hospital just outside Vancouver, BC. Prior to medical school he completed a Masters in Space Studies and Master of Science in eHealth, investigating the use of patient simulators in austere environments. During medical school he was the Director of the Wilderness Medicine Interest Group at the University of Toronto and attended the “Medicine in the Wild” elective offered by Harvard and NOLS. Most recently, he recently completed an Aeromedical Transport Fellowship in Australia. As newcomers to BC, he and his wife are always looking for new hiking suggestions.
Brett ShawJasper National Park Icefield Bus Crash: a Wilderness Mass Casualty Incident (MCI) in the Canadian Context
Dr. Brett Shaw is a 5th year Emergency Medicine Resident at the University of Calgary. He has an interest in prehospital and retrieval medicine, having recently completed a fellowship with Shock Trauma Air Rescue Service (STARS) and Auckland Rescue Helicopter Trust (ARHT). He is nearing completion of his Fellowship of the Academy of Wilderness Medicine (FAWM). When not trying to get in the back of a helicopter, he likes to spend his free time rock and ice climbing, skiing, running, diving, and adventuring with his wife and son.
17:00 - 17:15 MDT - Welcome
17:15 - 17:45 MDT - The Sea Bear: Human - Polar Bear Conflict in the Circumpolar NorthDr. Katherine Breen
17:45 - 18:45 MDT - CMERT (Canadian Medical Emergency Response Team)Dr. Andrew McLaren
18:45 - 19:00 MDT - Canadian Wilderness Medicine Electives: the Present and the FutureDr. Andrew Belyea
19:00 - 19:15 MDT - 15 Minute Break
19:15 - 20:00 MDT - Bugs with Bugs: Overview of Vector-borne Infectious DiseasesDr. Yoko Schreiber
20:00 - 20:45 MDT - High Altitude Rescue in Kluane National ParkSteve Holeczi, Aaron Beardmore, Dr. Kyle McLaughlin
07:30 - 08:15 MDT - Yoga
08:15 - 08:30 MDT - Introduction
08:30 - 09:30 MDT - Strategies for Effective Scientific WritingDr. Neal Pollock
09:30-10:00 MDT - Upping your Gain: An Intro to MSK Ultrasound for an Austere EnvironmentDr. Robyn Rodger
One need not go far into the Twitter-verse to find the ED physician wielding ultrasound memes and the reputation is probably justified by the profession’s near-universal enthusiasm for the modality. Alongside emergency department staff, wilderness medicine experts and amateurs alike have embraced many a POCUS function. On review of the literature however, there is a paucity of data involving the application of MSK ultrasound to wilderness medicine scenarios.
This presentation will be case-based and provide an introduction to which injuries are amenable to point-of-care ultrasound. Some pathology containing images will be included to illustrate the simplicity of many MSK ultrasound functions. The content will be at a level accessible to all medical learners, including non-physicians. The intent is that after this presentation participants will consider MSK ultrasound a possible wilderness medicine adjunct.
10:00 - 10:30 MDT - Difficult Airway Techniques in a Rural/Remote ContextMike Webster, Drew Crandall
10:30 - 10:45 MDT - 15 Minute Break
10:45 - 11:15 MDT - Exploring Evidence-Based Recovery Principles in Rock Climbing InjuriesWilliam Bateman
11:15 - 12:15 MDT - Considerations for Medical Equipment in Extreme EnvironmentsDr. Steve Roy
12:15 - 13:00 MDT - Mid-Day 45 Minute Break
13:00 - 13:15 MDT - Tick Talk: A Primer to Emerging Tick-Borne Diseases in CanadaDr. Andrew McNaughton
13:15 - 13:30 MDT - Pre-Hospital Rescue and Management of the Drowning PatientKatie Gourlay
13:30 - 13:45 MDT - Mountain Injuries: The Mental Side of RecoveryDr. Elizabeth Cook
For those of us who spend our lives in the mountains, injuries often come with the territory. As wilderness medical professionals we discuss physical injuries at length, understanding injury mechanisms, extrication methods and treatment techniques for both recreational and professional practice. However, the mental side of such injuries is rarely discussed. After the patient is off the mountain, the journey has only just begun. Often that journey involves ongoing pain, a lengthy rehabilitation period and time away from mountain sport, as well as the mental distress that comes with it. Both professional and weekend warrior athletes are at risk for developing post-injury mental distress and illness, which can exacerbate suffering, affect rehabilitation engagement and ultimately return to sport. If we understand that grief process of sport injury and normalize the mental health impacts, we as mountain medical professionals can properly support our patients, friends, colleagues and ourselves going through sport injuries.
In this short presentation, I will discuss some of the statistics and research in the field of sport injury psychology in terms of normalizing the grief process that follows injury. I will discuss the recognition of when normal grief begins to affect an athlete’s ability to rehabilitate and practical ways to assist an athlete in transitioning mental distress into strength and goal orientated focus.
13:45 - 14:00 MDT - Frostbite Care in Canada: The Need for a National Quality Improvement NetworkLauren Klammer, Dr. Delphine Hansen, Sebastien Hebert
This presentation will give CAWM participants a snapshot of the current state of frostbite care in Canada and an understanding of existing gaps in Canadian knowledge, leading to research opportunities and increased pan-Canadian collaboration.
Frostbite care across Canada is inconsistent, and there is presently little information on best practices for treatment and patient outcomes. Based on a scoping review of the most up-to-date literature, this presentation will make the case for improved pan-Canadian collaboration in frostbite care through the formation of a national frostbite protocol. Using brief comparative vignettes we will highlight common presentations of frostbite in Canada and discuss current medical and surgical management options. The efficacy of care protocols and pre-printed order sets, as well as the use of iloprost as a pharmaceutical agent for severe frostbite will be reviewed. This presentation will conclude with a discussion of work that is currently underway to create a national frostbite protocol and community of practice, which aims to address the needs in frostbite care discussed throughout the presentation.
14:00 - 14:30 MDT - A Framework for Matching Risk Messages with User Processes - Lessons From Avalanche Risk CommunicationAnne St. Clair
14:30 - 15:00 MDT - The Last Antarctica Marathon - Ship, to Shore, to Finish LineDr. Paul Dhillon
15:00 - 15:15 MDT - 15 Minute Break
15:15 - 15:30 MDT - What Comes Out Must Go In – The Effectiveness of Training Ski Patrollers to Reduce Shoulder Dislocations in an Alpine EnvironmentDr. Ira Carson
15:30 - 16:00 MDT - Hypothermia: Lessons from the Patient Who Didn’t Follow the TextbookDr. Alana Hawley
16:00 - 16:30 MDT - Risk of Death and Major Injury from Natural Hazards in Mechanized Backcountry Skiing in CanadaDr. Pascal Haegeli
16:30 - 17:30 MDT - Keynote Presentation: Mountains of RiskWill Gadd
07:30 - 08:15 MST - Morning Coffee Social or Zwift Bike Ride (Sign up for a free one-week Zwift trial!)
08:15 - 08:30 MST - Introduction
08:30 - 09:15 MST - Strengthening Canadian Frostbite Care - Initial Results of the Canadian Frostbite Collaborative Project and Future DirectionsDr. Cait Champion, Dr. Alex Poole, Josianne Gauthier
The Canadian Frostbite Collaborative project is aimed at understanding the frostbite patient care needs and current practices in Canada to inform national quality improvement in frostbite care. This session will review preliminary research findings, facilitate discussion, and invite future participation in the development of a Canadian Frostbite Care Network in collaboration with the Canadian Association of Wilderness Medicine.
Scientific principles of frostbite pathophysiology and treatment in a Canadian context will be reviewed. Initial results from a national frostbite care survey identifying and describing frostbite care practices and protocol implementation in Canada will be presented. Participants will be invited to discuss the challenges and opportunities of implementing frostbite care best practices in rural and urban Canadian centres. Opportunities for participation in the development of a Canadian Frostbite Care Network to facilitate future quality improvement and research in frostbite care will be identified and discussed.
09:15 - 09:45 MST - Women in the WildernessDr. Robyn Johnston
09:45 - 10:15 MST - Empowering the Willing: The Feasibility of Tele-Mentored Self-Performed Ultrasound as Illustrated by Pleural Ultrasound Assessment for COVID-19 and Further Implications for Self-CareDr. Andrew W. Kirkpatrick
10:15 - 10:30 MST - 15 Minute Break
10:30 - 11:00 MST - Injuries in Rock ClimbingDr. Volker Schöffl
11:00 - 11:30 MST - AvSORT II: Multi-Casualty Avalanche Triage AlgorithmDr. Mike Inniss
11:30 - 11:45 MST - Improvised Medical Devices (mini-workshop)Mack Wardle
11:45 - 12:00 MST - Update on CAWM
12:00 - 12:45 MST - Mid-Day 45 Minute Break
12:45 - 13:00 MST - A Bite-Sized DilemmaDr. Kendra Young
13:00 - 13:15 MST - Managing Diabetes in the BackcountryAsha Kothari
Managing blood glucose is challenging at best when in controlled environments. During extended periods of physical exertion with altered caloric intake, maintaining strict serum glucose levels becomes significantly more difficult. For tens of millions of North Americans, diabetes management during intense or prolonged physical exercise is a complicated endeavour.
This presentation will focus on diabetes management in athletes, particularly during times of extended exertion in austere environments. It will begin with an overview of the physiology of glucose management during exercise, contrasting the differences between aerobic, anaerobic, and prolonged periods of exertion, highlighting the abnormalities present in individuals with diabetes. Building on this, the presentation will describe the effects of austere environmental conditions on the body’s ability to manage serum glucose, with a focus on extreme temperatures and altitudes (for example, identifying and managing hypoglycemia in the context of hypothermia and acute mountain sickness).
The remainder of the presentation will focus on how to anticipate and implement medication and glucose intake adjustments during wilderness excursions - emphasizing the importance of preparation with respect to insulin and glucose monitoring equipment. The information provided in this presentation will be particularly relevant to medical professionals who counsel patients with diabetes prior to wilderness excursions and to wilderness guides who may be directly involved in the treatment of diabetic emergencies in the backcountry.
13:15 - 13:30 MST - Drowning, Immersion, and Submersion injury: Managing the Life AquaticDr. Stefan Cowtan
13:30 - 13:45 MST - Travel Planning Considerations: MalariaDr. Helene Morakis
13:45 - 14:30 MST - Search and Rescue Medicine: Lessons Learned Practicing Medicine With a Helmet OnDr. Alec Ritchie
Follow an emergency physician as he goes on a mid-life journey from his career practising in-hospital emergency medicine to volunteer work in a challenging search and rescue environment, and the lessons he learned along the way to aid in this transition.
This presentation will provide an introduction to North Shore Rescue (NSR), one of Canada’s busiest search and rescue teams. Data from 25 years of NSR medical calls will be reviewed, as well as a discussion of how NSR currently manages medical calls. The use of three paradigms for an organized approach to SAR medical calls will be considered, and the utility of these paradigms will be demonstrated by applying them to several real calls. The presentation will thus be a combination of SAR medical facts and data, an organizational framework for SAR medical practice, and real life examples of SAR medical calls, using photographs from the actual calls and clinical information regarding the actual patient outcomes to enrich the stories told.
14:30 - 14:45 MST - Landslides: Considerations for the Medical First ResponderStuart Grant, Dr. Dirk Chisholm
If I were to ask a medical first responder what they would anticipate after a pedestrian versus car collision, or a diving board accident, how quickly would they be able to describe the likely mechanism of injury and potential injuries? Would you expect the same ability if I asked about responding to a suburb struck by a landslide?
Landslides occur frequently and commonly throughout the world everyday, many of which have zero impact on human life. However, landslides can become catastrophic events if they occur on the wilderness/human interface. As wilderness medical enthusiasts, this interface is our home, workplace and playground. This presentation introduces the basics of landslide 'anatomy' and develops the geological phenomenon into a medical mechanism of injury. Using publically available case studies, post-mortem reports and resources, the presentation aims to introduce the medical first responder to landslides and how to prepare for the care of treatment of landslide victims. Originally developed for medical specialists within a heavy urban search and rescue (HUSAR) team, the information may be equally valuable for wilderness medical professionals.
14:45 - 15:00 MST - 15 Minute Break
15:00 - 15:15 MST - Call of the Wild: Assessing a Wilderness Medicine Pre-Clerkship Elective for Medical Students in Alberta, CanadaGeordon Omand, Katie Gourlay, Michael Zeeman
15:15 - 15:45 MST - Anesthesia Delivery at AltitudeDr. Matthew Turnock
15:45 - 16:45 MST - Jasper National Park Icefield Bus Crash: a Wilderness Mass Casualty Incident (MCI) in the Canadian ContextDr. Brett Shaw, Mackenzie Wardle, Aaron Beardmore
16:45 - 17:00 - Closing Remarks and Thanks