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Conference materials can be accessed and downloaded from this google drive folder: https://drive.google.com/drive/folders/1sgTns_YUreKpfDqMp-Xu37lhLZqnPUCk?usp=sharing.
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New Member Discount
Non-Members who register with CAWM 2022 receive 35% off their first year of CAWM Membership. For more information see the bottom of the post-registration CAWM 2022 Page.
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
The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. 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 21.5 MOC Section 1 Group Learning credits. Each physician should claim only those credits accrued through participation in the activity.
CFPC MainPro+
This 1 credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada for up to 18.5 Mainpro+® credits.
Paramedic CME* (Coming Soon)
Cyril Shokoples
Keynote Presentation: The Role of Preparation & Self-Sufficiency in Wilderness AccidentsGordon Giesbrecht
Pre-Conference Workshop: Coldwater Bootcamp. A tale of two crevasses: it was the best of times; it was the worst of times!Gordon Giesbrecht, Ph.D. is a Professor of Thermophysiology at the University of Manitoba. He has conducted hundreds of cold water immersion studies that have provided life-saving information about physiology and pre-hospital care for human hypothermia. He has also conducted over 100 vehicle submersions with people in them, to study survival and exit strategies in sinking vehicles. He has over 100 publications, and helped create instructional educational programs for drowning prevention and treatment, such as Beyond Cold Water Boot Camp; Baby It’s Cold Outside (www.bicorescue.com for responders and www.ownthecold.ca for the public) and written protocols used by Emergency Response Operators around the world. Dr. Giesbrecht has been a consultant for the military in Canada, the US and Sweden, as well as the Coast Guard in Canada and the US. He has also worked with the FBI and other law enforcement organizations across Canada and the US.
Josh Bezanson
Pre-Conference Workshop: Coldwater BootcampJoshua is a staff emergency and hyperbaric medicine physician at the Misericordia Community Hospital in Edmonton. His interests include disaster medicine and prehospital care and he serves as the department of emergency medicine’s disaster medicine coordinator and also assists with teaching residents in core content rounds. He completed a masters in disaster medicine and an EMS fellowship. He is the Hazardous Materials Physician for the Calgary Fire Department and a transport physician with STARS as well as the medical director for multiple EMS agencies including an international air ambulance service. He is also active with several disaster relief organizations including Canada Task Force 2 which is Alberta’s all-hazards disaster response team and has been a part of multiple large scale deployments in Canada and abroad. He has worked in Fire/EMS in the Bow valley for over 15 years including with ski patrol. He co-hosts a disaster podcast called EPIC (Emergency Preparedness in Canada).
Dave Jerome
The Value (and Lack Thereof) of Triage ToolsDave is a Family Physician who works full time with the Canadian Armed Forces. He has deployed overseas with both the army and the navy. He has volunteered for over 10 years with Ground SAR teams in NS, NL and NWT. He completed his Fellowship in the Academy of Wilderness Medicine (FAWM) in 2020, and is currently completing an extra year of residency in Emergency Medicine at Queen's. Dave was one of the co-founders of CAWM and currently serves as the CAWM President. Dave’s favourite outdoor activities include paddle sports, diving, orienteering, backcountry hiking and sport climbing.
Matt Frey
Spinal Injury Concerns in Austere EnvironmentsMatt Frey is an Emergency Physician primarily based Calgary since completing his CCFP-EM residency there in 2013. He previously completed a BSc(Hons) and medical school at UBC. He remains active working in both provinces and holds Clinical Lecturer positions at UBC and U of C. He volunteers both locally with the Lake Louise Ski Patrol and globally, having previously worked in Haiti and Ethiopia. Despite COVID-related delays, he is finally formalizing his interest in Wilderness Medicine by completing his DiMM in 2022. Personal interests include mountain biking, climbing, travel for kiting or diving and spending time with family.
Steve Delage
Canadian Forces Search and Rescue system and Search and Rescue Technicians capabilitiesSteve Delage is a Canadian Forces Search and Rescue Technician (SAR Tech) that currently works at 1 Canadian Air Division under the Division Surgeon. In collaboration with the SAR Tech Medical Director, he helps with the SAR Tech medical training and standard across all SAR units in Canada. Join the military in 2000 as infantry soldier to complete two operational deployments, transfer SAR in 2007 to serve in two operational units 424 and 435 Squadron and spent 2 years at the Canadian Forces School of Search and Rescue (CFSSAR) as an instructor and standard Warrant Officer before his current employment.
Janet Mcleod
Effects of Trauma: Why Group Therapy is Effective for Mountain Trauma and GriefJanet S. McLeod is a well known “psych guide” specializing in Clinical and Community Psychology. Janet guides mountain professionals to modulate and heal trauma, loss and critical stress injuries. Janet knows the terrain of recovery as a “thriver” from PTSD. This alchemy of training and life experience comes together so she can assist clients to move “stuck” memories into the present tense. Death and loss colours the tapestry of life in the mountains. As a founder of Mountain Muskox, Janet believes the next level of healing is through “Trauma Informed Peer Support”. Each person’s healing journey is to travel from the isolating burden of carrying loss individually to a community sense of safety, fellowship and caring with peers knowing similar experiences. Critical incidents cannot be carried by an individual alone, it takes a tribe, a community to remind us of our resilience and recovery.
Sarah Hueniken
Effects of Trauma: Why Group Therapy is Effective for Mountain Trauma and GriefSarah has been a sponsored mountain athlete and ACMG Alpine Guide in the Bow Valley for 20 years. An avid climber she's established new routes in Canada, China, Japan, Africa, Iceland and North America, and worked full-time running a business focused primarily on teaching, guiding and empowering women in the mountains. In March of 2019 Sarah's world was turned upside down when a guided group on her women’s camp experienced a natural avalanche and claimed the life of her dearest friend. Through the shattered pieces of her foundation, she has learned that community, togetherness and compassion are the only ways to handle the grief, shame and regret of mountain accidents like hers. Her hope is to share these learnings while still learning herself how to embrace her passion for the mountains. She currently acts at the Executive Director of the Mountain Muskox and Ice climbing Ambassador for Avalanche Canada.
Lisa Paulson
Balancing patient care in mountain rescue. Case studies on how Parks Canada Banff Visitor Safety Team works with Banff ALS medics & STARS to optimize care… when possible…For the past 30 years, Lisa has worked in mountain and water rescue throughout the mountain national parks. She currently enjoys working with her Banff team where they receive approximately 400 calls per year, including calls to the Northern National Parks. She has a keen interest in optimizing all aspects patient care and transport. She co-founded and co-chairs the Canadian Mountain Park Backcountry Medical Council. Lisa lives in Banff with her family.
Kaighley Brett
Fitness for Diving ConsiderationsLCdr (Dr) Kaighley Brett is a Family Physician and a Consultant in Diving and Submarine Medicine (CDSM) with the Canadian Armed Forces. She is currently serving as the Head of the School of Operational Medicine at the Canadian Forces Environmental Medicine Establishment.
She has completed advanced training in Diving and submarine medicine, including a BScMedScHons in Underwater Medicine through Stellenbosch University in 2017 and a Fellowship in Undersea and Hyperbaric Medicine at the University of California San Diego in 2018.
Outside of medicine, she is a recreational diver with a passion for marine life and underwater photography.
Rebecca Basset
The Shirt Off Your Back: Backcountry First Aid WITHOUT a Kit. Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First AidRebecca Basset is the Training Director and active Search Manager with Saskatoon Search and Rescue. She is the owner / operator and lead instructor with Back40 Wilderness First Aid, where she focuses on providing austere, high-fidelity experiences that are practical and engaging for learners of both medical and non-medical backgrounds. Rebecca graduated from the University of Saskatchewan with a degree in Kinesiology in 2005. She and her family frequent the mountains to camp, hike, ice climb, bike, and snowmobile in the back country.
Nick Fisher
Lessons learned practicing medicine in resource poor environments, from the poppy fields of Afghanistan to the Mountains of BCDr Nick Fisher is a Family/ Emergency Medicine Practitioner. Originally from the UK, he trained at Glasgow University where he focussed on integrating mountaineering, climbing and skiing with medicine. He joined the British Army in 2001 on a promise of continuing this approach, however world events in September 2001 frustrated him, and he spent much of his military career in deserts rather than mountains. He retired from military service in 2012, moving to Pemberton, BC where he finally achieved his goal combining rural medicine with SAR, Ski Patrol and a busy family life with 2 young sons.
Bryce Culver
Membership to the National Search and Rescue ProgramBryce Culver is a Canadian Forces Search and Rescue Technician (SAR Tech) currently employed at the Canadian Joint Operations Command (CJOC) Headquarters. CJOC is the Force Employer of all Canadian Armed Forces (CAF) operations, including SAR. Bryce provides SAR Tech expert advice related to national provisions of SAR operations in collaboration with the 1 Canadian Air Division (1 CAD) SAR cell, SAR Squadrons across Canada, Joint Rescue Coordination Centres, Canadian Coast Guard, Public Safety and Transport Canada. Bryce first joined the CAF in 1999 as an Aviation Technician working on CF18 Fighter Jets later transferring to the SAR Tech occupation in 2005. Bryce has worked at 3 operational units 103, 424 and 442 Squadrons plus 1 year as a Standards Evaluator with the 1 CAD SAR Standards Evaluation Team before his current employment at CJOC HQ in Ottawa.
Pete Symons
Live and Virtual Workshop: Hypothermia Wraps from Ideal to ImprovisedPeter is an Alberta ACP with over 35 years in the mountain parks. His background ranges from military medic to ski patroller to owner of the Jasper Ambulance service in 1980’s. Peter had the 1st Alberta public access defibrillator save while teaching an AED course at the Columbia Icefields. He teaches ACLS, ACLS-EP and ITLS and is an AWLS Instructor. Peter was instrumental is having the hypothermia protocols changed for Alberta Health Services EMS Branch. He also wrote the hypothermia chapter for ITLS Duty to Respond text. His passions are cycling, ocean kayaking and international travel.
Rob Vance
Improvised Patient Packaging (Raven Rescue)Rob is the Manager of Teaching Resources for Raven RSM. He has been actively teaching Wilderness Medical and Rescue courses since 2009.
Rob has worked in various outdoor education fields all across Canada. Rob has spent 15 years guiding in the paddling community - working for organizations including Outward Bound and Canadian River Expeditions.
Rob currently works as a frontline Firefighter for Calgary Fire.
Mike Wickham
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and their toysThe very first person I befriended as a 12 year old kid moving from Ontario to Calgary in ’79, was the son of a Lake Louise ski patroller and ski instructor. Lake Louise and the Bow Valley have been my home and passion ever since. Friendly Fortress Mountain would give me free ski passes, lessons and swamp parties so long as I wore an ugly Patrol jacket and did a few hut duties. These early patrol connections introduced me to the world of ski racing in the late 90’s as the downhill event was moved from Whistler to Louise. And so my journey through an industry combining skiing and medicine began. I’ve been an ER doc in Canmore for 25 years and Chief of Medical for the Lake Louise Women’s World Cup Downhill races for as many. And I thoroughly enjoy giving back to the incredible patrol community as the medical director for Lake Louise. I’ve added mountain biking to the activities that keep me grounded along with my very special wife, 2 boys and 12 year old golden retriever.
Glenn Bonsall
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and their toysMonday – Friday
- Thirty years of high-tech industry experience as a Mechanical Design Engineer and Senior Manager. Worked for various company sizes ranging from small start-ups to International Corporations.
- Products varied from: Head Mounted Displays, Ruggedized Computers, Military Communication Systems, GPS products & high end Audio solutions.
Saturday – Sunday
- Joined the Canadian Ski Patrol (volunteer) at Lake Louise in 2002 and still enjoying the amazing experience. Stepped forward for various leadership roles at all levels of the organization. Currently the “P0” or Chief of Patrol for the Medical Team on the Ladies’ World Cup downhill week.
- We are a skiing family with ex-racer kids.
- Avid hunter in the Foothills of Alberta with both archery and rifle. Perfected my jerky recipe
- Little league baseball coach for 12 years.
Jamie Riggs
Dream to reality: mental practice for High Acuity, Low Opportunity proceduresDr Jamie Riggs is chief resident in emergency medicine at the University of Toronto. His interests lie in trauma, human factors, prehospital medicine and medical education. Jamie has shared his research on mental practice and HALO procedures nationally and internationally in forums such as the SMACC conference and the EMCrit blog. Outside of work he spends his time on a variety of bikes or searching for the perfect cup of coffee.
Mike Koppang
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich EnvironmentMike is a Mountain Safety specialist based out of Canmore working for Alberta Environment and Parks in Kananaskis Region.
Mike was born in Alberta then began working with Alberta parks in the 90s obtaining his Association of Canadian Mountain Guides Ski Guide certification in 2003. During his time in parks he has attending numerous backcountry rescues in remote settings in all types of terrain. He was also one of the founding members of the Canadian Mountain Parks Backcountry medical council which represents Parks Canada and Kananaskis Rescue specialists and physicians in developing medical protocols and training priorities within these professional programs. Mike also works portions of his winters with RK Heliski as a heliski guide.
Don McPhalen
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich EnvironmentDr. McPhalen works primarily at the Alberta Children’s Hospital where he has been Division Head, Medical Staff President and Cleft Palate Clinic Medical Director over the years. He also works in Undergrad Medical Education at the Cumming School of Medicine (U of C) as a Master Teacher and as co-chair of the Well Physician (Professionalism Skills) Course.
Outside of work at the Alberta Children’s Hospital he enjoys the mountains west of Calgary and serves as Medical Director for the Mountain Rescue Service in Kananaskis Country in the eastern Rocky Mountains. He is an active member of the Canadian Avalanche Association and is a validated avalanche dog handler with the Canadian Avalanche Rescue Dog Association.
Steven Roy
Pharmaceutical Considerations for Medical Care in Extreme Environments. Wilderness MCI Workshop Live & VirtualDr. Roy is an intensive care physician and a consultant in high altitude and wilderness medicine. 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 the Diploma in Wilderness & Expedition Medicine. His academic interests in wilderness medicine include Wilderness Medicine education, pre-existing medical conditions in the wilderness, and environmental implications for medications & equipment. He sits on the Medical Commission of the International Commission of Alpine Rescue, the UIAA Medical Committee, the WMS Research Committee, the Executive Committee of the International Society for Mountain Medicine, and the CAWM Governance Committee.
Sophie Thomas
Training to Communicate: The Role of Simulation in Marine Search and Rescue & Pre-Hospital CareI am a third-year medical student at the Northern Ontario School of Medicine. Before medical school, I worked as a Crewmember for two years and a Coxswain for two years with the Canadian Coast Guard Marine Search & Rescue IRB program. This experience largely influenced my interest in Wilderness Medicine. Additionally, I have a keen interest in Emergency Medicine, particularly pre-hospital and retrieval medicine and am excited to learn from wilderness experts during this conference. My passions include anything outdoors, especially skiing, hiking, boating, and running.
Gillian Hutton
Training to Communicate: The Role of Simulation in Marine Search and Rescue & Pre-Hospital CareI am a fourth-year medical student at the University of British Columbia in the Northern Medical Program. My interest in wilderness medicine grew over 6 years of working in search and rescue with the Canadian Coast Guard, both as seasonal crew and training staff. I am especially interested in pre-hospital acute care and simulation and look forward to learning about many more topics at this year’s conference! When I’m not on the water, I love to cross country ski, mountain bike and trail run!
Chris Lipp
Wilderness MCI Workshop Live & VirtualDr. Chris Lipp is a full time emergency physician in Calgary with a consistent outpatient practice at Innovative Sport Medicine; he also is passionate about all aspects of wilderness and austere medicine.
Emergency physician - Calgary AB - FMC/SHC
Clinical Lecturer, University of Calgary
Regional Lead - Calgary/Rockies - Climbing Escalade Canada
FAWM
Jean-Sébastien Berlinguette
Wilderness MCI Workshop Live & VirtualJean-Sébastien is an outdoor guide, EMT, and flight nurse with a speciality in remote and austere environments. We has been working in healthcare since 2004, and has practiced all around the globe has an expedition nurse, guide, and wilderness medicine instructor. His current work is primarily in small indigenous villages in the Canadian arctic.
Jennifer Ma
The Prevention and Management of Bear Attacks: Lessons Learned in the Great OutdoorsJennifer Ma, BSc, MD Candidate 2023
Jen Ma is a 4th year medical student at Queen’s University and previous co-chair of the Queen’s Wilderness Medicine Interest Group. Growing up on the North Shore of Vancouver, Jen developed a keen interest in outdoor recreation and encountered various black bears, including many within her own neighbourhood. Prior to medical school, she completed her BSc in Behavioural Neuroscience at UBC and worked as a Bear Safari Guide in Whistler, BC. Her favourite outdoor activities include rock climbing, hiking/backpacking, road cycling, and skiing. She is excited to combine her passion for the outdoors with medicine as part of the CAWM community.
Cassandra Poirier
Regional Anesthesia in the Prehospital SettingCassandra Poirier is a second-year resident in Anesthesiology at the University of British Columbia. She completed her medical undergraduate degree at McGill University, where she presided over the Wilderness Medicine Association for two years. She is an avid mountain and ice climber having summitted some of the world’s highest mountains, including Mount Aconcagua (6,900 m). Her research interests include high altitude physiology and emergencies and regional anesthetic interventions in austere environments.
Rob Long
Wilderness Medical Delegation: Exploring the current medical and legal implications of physician delegation in the outdoor industry.Rob worked as a raft guide and outdoor ed facilitator for a few years before going to school for social work. He then worked as an addictions counselor at a wilderness therapy program near Nordegg, Alberta, doing a mix of counselling and guiding. He is now a second year medical student at the University of Calgary. Professionally, he is interested in improving primary care for people with disabilities, making the wilderness more accessible to underrepresented groups, and adventure therapy. In his spare time, he likes getting outside with his friends, whether its biking, climbing, or splitboarding.
Miles Randell
The Tree Well: The ultimate Chain of Survival StoryFather of 6 1/2 year old Bodie. Husband to Amy. Skier, ski mountaineer, ice climber, rock climber, mountain biker, surfer, mountain runner.
ALS Paramedic
SAR Medic3
TEAAM Aeromedical -president/founder/helicopter rescue paramedic
SARMed - owner/lead instructor
Search and Rescue Medic - 1991-2021
Whistler Blackcomb Pro Ski Patrol- 2004-2022
BC Ambulance Service - 1997-2018
Mountain Rescue Specialist
Swift Water Rescue Tech
Post Traumatic Stress Survivor
Canadian Forces School of Search and Rescue - instructor 2006-2009
Justice Institute of BC Paramedic Academy - lead instructor/program development 1999-2006
Joel McKinnon
Step one, protect yourself: An exploration injury research/prevention for Wilderness First RespondersJoel is a physiotherapist in Grande Prairie, Alberta. He currently works at Adventure Physiotherapy working with an outpatient musculoskeletal population and he works for Alberta Health Services in outpatient neurology and an intensive interdisciplinary community rehabilitation program. Joel is a volunteer member with Grande Prairie Technical Search and Rescue, and is currently a member in training. Whenever Joel is not in clinic or training you can find him cross country skiing, mountain biking, hiking, or most likely drinking a coffee and on the hunt for the Peace region’s best cinnamon bun.
Melissa Gear
From sea to sky: What to do when motion sickness makes you miserableMajor Melissa Gear is a physician with the Canadian Armed Forces. She has completed residencies in Family Medicine through Dalhousie University, and Aerospace Medicine with the United States Air Force School of Aerospace Medicine. Currently, she holds the position of Aeromedical Standards Flight Surgeon at the 1 Canadian Air Division Headquarters in Winnipeg, MB and is part of the team that advises on medical aspects of Royal Canadian Air Force training and operations. While missing the ocean as a displaced Newfoundlander, she enjoys exploring the prairie skies and landscapes with her husband and two boys.
Jon Dean
Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First AidDr. Jonathan Dean, MD BSc FRCPC PGDip MEd
Dr. Jonathan Dean is Past-President of Saskatoon Search and Rescue, member of the training committee, and active ground SAR team lead. He is an assistant professor and general internal medicine physician at the University of Saskatchewan, where he is involved in residency program curriculum development, and the clinical and simulation-based teaching of medical students and resident doctors. He holds a post-graduate diploma in medical education through the University of Dundee.
Trevor Day
Descending the Oxygen Cascade: Assessing Physiological Responses during Incremental Ascent to High Altitude on the Everest Base Camp Trek in the Nepal HimalayaDr. Trevor Day holds a B.Sc. and a Ph.D. (University of Calgary). He is currently a Professor of Physiology at Mount Royal University, where he teaches courses in basic and applied human physiology. His research interests include the integration and interactions between the heart, lungs, brain and kidneys in response to acute and chronic blood gas stressors (e.g., high altitude). His federally-funded research program (NSERC Discovery) includes undergraduate trainees in every aspect of the research endeavour. Trevor was recently inducted into the Royal Society of Canada as a member of the College of New Scholars, Artists and Scientists (2020-2027).
Neal Pollock
The Evolution of Diver ProtectionNeal Pollock holds a Research Chair in Hyperbaric and Diving Medicine and is an Associate Professor in Kinesiology at Université Laval in Québec, Canada. He was previously Research Director at Divers Alert Network (DAN) in Durham, North Carolina. His academic training is in zoology, exercise physiology and environmental physiology. He is an editor emeritus of the journal Wilderness & Environmental Medicine.
Jeff Thurman
Certified Wilderness Paramedic: A New International StandardJeff Thurman, MD, FACEP, FAWM is a board-certified Emergency Medicine and EMS physician. He is Gratis Faculty at the University of Louisville in the Division of EMS. Jeff is currently medical director for several EMS services and LEMA for the US Forest Service in Kentucky. He is associate medical director for RedSTAR, a wilderness EMS response team, operating in Kentucky's Red River Gorge. Jeff is part of the leadership team for the IBSC project to develop a WP-C exam. He is a member of the WMS SAR committee, NAEMSP Wilderness EMS committee, and Kentucky Board of EMS Wilderness Paramedic Taskforce.
David Fifer
Certified Wilderness Paramedic: A New International StandardDavid Fifer is an Assistant Professor of Emergency Medical Care and Director of the Center for Wilderness & Outdoor Public Safety at at Eastern Kentucky University. David also works as a Paramedic for Kentucky's Powell County Ambulance Service, where he is the founding coordinator of the Red River Gorge Special Treatment, Access, and Rescue team (RedSTAR) and flies with the Kentucky State Police as a hoist rescue technician.
He is a member of the Board of Directors of the Appalachian Center for Wilderness Medicine, and has been a key leader in the development of the International Board of Specialty Certification's WP-C (Certified Wilderness Paramedic) exam.
David earned his B.A. in Political Science and M.S. in Safety, Security, and Emergency Management from EKU, and is a Fellow in the Academy of Wilderness Medicine.
Stefan Cowtan
Oropharyngeal Frostbite? - a rare case of cold-induced airway collapseStefan Cowtan is a fifth 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 he is currently pursuing a low-resource and wilderness medicine niche in residency.
Rebecca Mottram
Workshop: Prevention of Common Mountaineering Overuse Injuries through warm up and pre conditioning exercisesRebecca graduated from the University of British Columbia in 1996 with a Bachelor of Science in Physical Therapy. She initially developed her main interest for muscle balance and exercise prescription while working in North Vancouver. This is where she took Shirley Sarhmann’s muscle balance courses that inspired her present focus on specific exercises to treat mechanical dysfunctions. She moved to Banff in 2000 and rapidly developed extensive knowledge in mountain sport rehabilitation. Working closely with our local orthopaedic surgeons, Rebecca is always up to date and educated on all of the recent surgical techniques and rehabilitation protocols. This ensures a seamless transfer of patient care from the operating room to the physiotherapy gym. It is through a diligent home exercise program and habitual change of postures that Rebecca believes is the solution to a pain free healthy body.
Hélène Morakis
Freediving: approach to patient assessment and managementDr. Morakis is a fourth year resident in Emergency Medicine (EM) at Vancouver General Hospital. She has a longstanding interest in Wilderness Medicine and is a candidate of the Fellowship of the Academy of Wilderness Medicine. She has worked as an event medic during residency, including for a freediving competition. 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.
Sydney Todorovich
Wilderness Ultrasound - Feasibility ConsiderationsSydney Todorovich is a 5th year emergency medicine resident and POCUS fellow at Western University. Since starting medicine she's wanted to find a way to bring her work outdoors, completing wilderness electives and teaching sessions whenever possible. More recently she's become interested in how hand-held ultrasound can be effectively utilized in wilderness and austere environments and intends to weave these interests into her career moving forward. She spends her spare time canoe tripping, trail running, mountain biking, and has recently taken a liking to adventure racing.
Niko Saler
The importance of objective measures in end-stage rehabilitation for major knee injuries and what they mean for a successful return to activityI graduated in 2016 with a Bachelor of Kinesiology with Distinction from the University of Alberta and followed up my undergraduate studies with a Masters of Science in Physical Therapy in 2018. During this time, I played five years with the Golden Bears men’s soccer team, being named CIS Rookie of the Year in 2012. I was a five-time Canada West All-Star, two-time CIS All-Canadian, and two-time Golden Bears Soccer MVP. In 2016/17, my last year of eligibility, we won a CIS/USports National Championship and I was named the University of Alberta Male Athlete of the Year. I was also fortunate enough to have played professional soccer with FC Edmonton and the Vancouver Whitecaps U-23 team.
Marc Gosselin
Medical direction in remote settings• President of Sirius Wilderness Medicine since December 2017 and Medical Director since 2013
• Emergency Medicine physician for more than 20 years in the Laurentians (St-Jérôme and Sainte-Agathe-des-Monts). Director of the Department of Emergency Medicine and Traumatology at the St-Jerome Hospital Center from 1999 to 2008.
• Northern Medicine (Nunavut, Nunavik and James Bay) intermittently over the years.
• Specialization in Sports and Exercise Medicine, Diploma in Mountain Medicine ( Grenoble).
• Medical Director of Centre de Medecine Sportive des Laurentides
• Specialist in Event Medicine: Medical Director for Dokever Canada and Ironman Mont-Tremblant events from 2012 to 2017 and since 2019 & volunteer physician at various races & events.
• Outdoor sports and endurance sports enthusiast : mountaineering and alpine hiking, nordic and cross-country skiing, telemark, mountain bike, triathlon, canoeing etc.
Emily Grady
Current and future avalanche search and rescue (AvSAR) training in CanadaEmily Grady is based in Revelstoke, BC where she works for the Canadian Avalanche Association (CAA) as a curriculum specialist and instructor. She is also an Association of Canadian Mountain Guides assistant ski guide. As the CAA's curriculum specialist, Emily has led curriculum development projects, including several avalanche search and rescue-related ones. During the CAWM 2022 conference, Emily will describe the current and future learning progression of avalanche search and rescue courses from the recreational to professional level of training. As part of the presentation, Emily will emphasize the value of the Avalanche Incident Management course for individuals who may be involved in a large AvSAR response.
Dirk Chisholm
Between a rock and a hard place: Crush Syndrome in 2022Dirk is a Resident Physician in the Emergency Medicine Program at the University of Calgary. Before medical school, he worked as a Primary Care Paramedic in a variety of settings, including as a Ski Patroller where his interest in Wilderness and Austere Medicine started. He continues to work with Canada Task Force 2, Alberta's National Disaster Response Team, and has interests in disaster, wilderness and prehospital transport medicine. Outside the hospital, he's happiest in the mountains skiing, trail running or enjoying a beverage.
Kevin Hanrahan
Between a rock and a hard place: Crush Syndrome in 2022Kevin has been a Physician for over three decades and works as an Emergency Physician in Calgary. He is a retired firefighter and is active in pre-hospital medical direction with roles in EMS, Downhill Ski Areas, Canada’s Alpine Ski team and one of Canada’s disaster teams. He has a diploma in mountain medicine and has been working in the Banff area as a volunteer ski patroller since 1988. He enjoys ski touring and mountaineering in the winter as well as mountain biking, hiking, golf and adventure motorcycling in the summer. He has 2 grown children and spends many days on the trails and slopes with his wife Diana in the Rockies.
Len James
Suspension Trauma - facts, fictions, and the case for evidence-based medicineLen is the Director of Medical Curriculum and Program Development for RavenRSM. He has been actively teaching wilderness medical courses since the 1980’s. Len has taught diverse clientele in Asia, South/Central America and across Canada. Len has degrees in Physical Education and specialities in Outdoor Ed. He has worked in various outdoor education settings including Outward Bound Canada. Len has been a member of OBC’s national safety committee for over 20 years. For over 40 years, Len has worked in a variety of leadership roles in pre-hospital care. Len maintains his clinical activity through working part time as an Advance Care Paramedic for the District Nipissing Paramedic Service.
One-Day Crevasse Rescue for The Alpinist
Nov 10, 0800-1600 MSTAST 1: Two-Evening Virtual Classroom and 1 Field Day
Nov 7, 1800-2100 MST (Webinar 1) + Nov 9, 1800-2100 MST (Webinar 2) + Nov 10 (Field Day)Join Yamunska Mountain Adventures for a webinar-based learning approach to the AST 1 classroom portion of the course. Over two webinar sessions, we will cover all the material that was traditionally covered during the classroom day. The webinar will have an interactive approach with break-out rooms and group sessions to bring you the most up-to-date curriculum that is being developed through Avalanche Canada.
If you would like to enhance your course experience, join us for an additional day of backcountry skiing following our Level 1 avalanche course.
Cold Water Boot Camp
November 10, 0900-1600 MSTThe Value (and Lack Thereof) of Triage Tools
1300-1340 MST - Capt (Dr) Dave JeromeTriage is the process of sorting casualties in order of priority so that finite medical resources can be applied to the casualties who have the greatest need and who are most likely to benefit from urgent intervention. Triage is especially important in a wilderness context where medical resources are usually limited and medical evacuation takes longer than in an urban setting.
More than a dozen triage tools have been developed and are currently in use by emergency response organizations internationally. Trauma medicine courses (including Advanced Trauma Life Support (ATLS), International Trauma Life Support (ITLS) and courses run by the Canadian Armed Forces) direct that these triage tools should be employed by responders during Mass Casualty Incidents (MCIs). Trained responders who participate in MCIs, however, consistently report that they did not employ a formal triage tool during their response to these real-world events.
This presentation will review the evidence supporting the use of triage tools. Attention will be paid both to how effectively responders apply triage tools, as well as the accuracy of triage tools at identifying casualties who require urgent lifesaving interventions. This presentation will also identify where evidence supporting the use of triage tools is lacking and recommend areas for future research.
By the end of this presentation, participants will be able to:
- Describe clinical scenarios where it would be appropriate to employ triage principles
- Employ triage tools commonly used by emergency medical response organizations in Canada
- Describe the evidence that supports the use of triage tools
- Identify where evidence for the use of triage tools is currently lacking, and opportunities for future research
Spinal Injury Concerns in Austere Environments
1340-1400 MST - Dr. Matt FreyThis presentation will be a succinct overview of relevant evidence (where available) related to management of potential spinal injuries in austere environments. This will include a brief introduction of the epidemiology of these injuries, the common mechanisms involved with a focus on particularly high-risk scenarios. Efforts will be made to summarize the most recent guidelines and protocols from relevant organizations, include regional rescue and EMS systems. The overall theme will be on how to practically apply this data in more austere environments. Particular attention will be directed at weighing potential benefit versus the potential risks and consequences of efforts to maintain spine immobilization. Case-based examples may be used (time-permitting). Sufficient time will be allotted for audience participation during a question period at the end.
By the end of this presentation, participants will:
- Have reviewed relevant evidence (where available) related to management of potential spinal injury in the backcountry
- Understand the risks and potential consequences of maintaining immobilization
A Tale of Two Crevasses: It Was the Best of Times; It Was the Worst of Times!
1400-1440 MST - Dr. Gordon GiesbrechtThe main threats to survival for someone who has fallen unroped into a crevasse are trauma, asphyxiation from inability to expand the chest, and cold exposure. The longest documented survival in a crevasse was 6 days for a victim who was able to sit on the snow at the bottom. Survival time for someone wedged in a crevasse would be much shorter. This session will review two recent cases with unexpectedly divergent results. In Antarctica, a 62 y-old pilot was wedged in a crevasse for 4 hours. He was extricated vertically and dragged over the edge of the crevasse where he soon went into cardiac arrest. Although it could reasonably be expected that he would survive, he did not. In Alaska, a 32 y-old mountaineer was hopelessly wedged in a crevasse for 16 hours. Although rescuers felt survival was impossible, they continued their efforts. After extrication, the patient was brought into a tent and quickly transitioned out of wet clothes and into a hypothermia wrap and then loaded on helicopter for a 1 h 40 min transport to hospital. Although he was not expected to survive, he did without sequalae. This session will review potential factors affecting survival including age, clothing, morphology, ability of the rescue team to handle the patients gently and keep them horizontal, medical training, and available equipment. It will also demonstrate 2 procedures for achieving horizontal hoisting position within a crevasse, and gentle transition over the lip of a crevasse.
By the end of this presentation, participants will be able to:
- Identify physiologic concerns related to safe extrication of a cold victim form a crevasse
- Identify the main thermal responses of a cold patient wedged in a crevasse
- Identify the factors that could lead to rescue collapse of a cold patient wedged in a crevasse
- Describe basic principles for transition to a horizontal patient position for hoisting and extrication
The Tree Well: The Ultimate Chain of Survival Story
1440-1520 MST - Miles RandellThis presentation is the story of the rescue of a 24 year old who was found in severe accidental hypothermic cardiac arrest after being frozen in a tree well for seven hours.
At the end of this session, participants will be able to:
- Identify severe accidental hypothermic cardiac arrest
- Understand treatment and transport decisions for severe accidental hypothermic cardiac arrest
- Understand transport challenges of cardiac arrest patients in austere settings
- Understand ECMO’s role in severe accidental cardiac arrest management Austere Prehospital Pain Management Strategies
Effects of Trauma- Why Group Therapy is Effective for Mountain Trauma and Grief
1600-1640 MST - Janet Mcleod & Sarah HuenikenIt takes a tribe and a community to heal after an accident in the mountains. Inspired by the defensive circle of the muskoxen that protect their young and weak, our peer circle can provide healing safety, connection and support.
We are a group of mountain community members coming together with professional clinicians to create a sustainable support network for those who have gone through a traumatic event in the mountains. We are in our second year running and growing. Two chapters in Canada now exist with a third starting in Montana soon.
In our presentation, Janet and Sarah will discuss the effects of mountain trauma and how people respond socially, and physically. The Nervous system will also be discussed with some humor and some insight into the importance of regulation and understanding. Here is an example of the talk we did and will do something similar again.
Balancing Patient Care in Mountain Rescue. Case Studies on How Parks Canada Banff Visitor Safety Team Works with Banff ALS Medics & STARS to Optimize Care… When Possible…
1640-1700 MST - Lisa Paulson ACMG, CAA, Parks Canada Visitor SafetyThe Parks Canada Banff, Yoho, and Kootenay Visitor Safety team is a small 10 person team of ACMG mountain guides with enhanced medical training under medical direction. They respond to about 400 search and rescue calls a year, most are minor where callers can be helped over the phone or by direct response with a few staff. Occasionally, there are calls where the hazards are known, can be managed, and it’s clear the help of a prepared ALS medic would benefit the patient. Over the past 10 years, Parks Canada has built a response relationship through joint training with medical director Dr. Kyle McLaughlin. A few case studies will be reviewed to highlight the benefits of this partnership.
At the end of this presentation, attendees will:
- Understand the nature of responses in the Banff, Yoho, and Kootenay (BYK) regions
- Know the technical & medical response capabilities of the BYK VS team
- Understand the factors and risks evaluated prior to requesting a joint response to the accident site with ALS and when to request STARS
- Gain insight to a few case studies that highlight the value of this relationship in patient care
Fitness for Diving Considerations
1700-1800 MST - LCdr (Dr) Kaighley Brett, Canadian Armed ForcesDiving has become an increasingly popular recreational activity, however, as with any sport there are potential risks that may be exacerbated by underlying medical conditions.
Unfortunately, medical curricula often lack instruction on undersea and hyperbaric medicine. This leaves clinicians in a difficult position of trying to determine fitness to dive or how to seek assistance and/or additional review. Further, access to physicians with advanced training in undersea and hyperbaric medicine may be limited depending on location.
Lessons Learned Practicing Medicine in Resource Poor Environments, From the Poppy Fields of Afghanistan to the Mountains of BC
1800-1840 MST - Dr. Nick FisherThis presentation will start with a brief biography followed by a collection of anecdotes and experiences from Dr. Fisher’s career in the UK Armed Forces, including deployments to Iraq, with a Field Hospital, and Afghanistan as an Airborne Medical Officer with the elite Parachute Regiment. This will segue into expeditions he supported in Nepal and Norway culminating in my move to BC, and application of his skills in Search and Rescue, Ski patrol as well as rural generalist primary/ ER care. Dr. Fisher will explore working in small tightly knit teams, ways to manage them and leadership approaches required. He will also review my approaches to resilience and management of acutely stressful situations both during and after high intensity events. Throughout there will be a strong emphasis on lifelong learning, humility and cultivating an adaptable/improvised approach.
At the end of the session, participants will be able to:
- Identify the medical risks of the undersea/hyperbaric environment
- Develop a generic approach to fitness for diving
- Appropriately refer, as required, for fitness to dive considerations
The Shirt Off Your Back – Backcountry First Aid WITHOUT a Kit
1700-1800 MST - Rebecca BassetMembership to the National Search and Rescue Program
0800-0900 MST - MWO Bryce CulverIn 1986, the Government of Canada directed the establishment of a National Search and Rescue (SAR) Program. The National SAR Program is a cooperative effort by federal, provincial and municipal governments along with other SAR organizations. The objective of the National SAR Program is to save lives by enhancing SAR prevention and provide effective and affordable SAR services in Canada’s SAR areas of responsibility.
Membership in the National SAR Program does not in any way change existing jurisdictions, responsibilities or authorities, nor requires the mandatory expenditure of resources. Membership does, however, provide a structure and process to produce effective, efficient and economical use of resources.
By the end of this presentation, participants will be able to:
- Define the components of the National SAR Program;
- Identify key SAR organizations that make up the National SAR Program;
- Describe the roles and responsibilities SAR organizations; and
- Appreciate the importance of interoperability between SAR organizations.
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and Their Toys
0900-0940 MST - Dr. Mike WickhamIt’s 1:13 pm on a Saturday in late November. Another spectacular blue-bird race day at
the Lake Louise Ski Resort. Racer #12 is held in the gate...her focus tempered slightly
by fear...There’s been a delay...700 meters downhill, the on-hill medical team work efficiently to stabilize and package an unconscious elite 25 year-old on a 30 degree ice track amidst the heavy rotor wash of a Bell 407 hovering above. 13 minutes earlier, with the world watching and the clock ticking, Racer #11 caught an edge on a low line at The Tower and tomahawked down
Fall Away at 110 km/hr wearing a skin suit. From Lollipops to Vac Mats, come back stage and learn about the politics, the toys and team members behind a squad that is considered the best in the on-hill rescue business of downhill ski racing.
At the end of this presentation, participants will be able to:
- Identify skills and personality traits that are essential in the successful integration of a multi-disciplinary alpine medical rescue team
- Give examples of how a local understanding of hospital resources can impact the timely care of a pre-hospital patient
- Describe the specific characteristics of a medication or medical device that is best suited to the pre-hospital alpine environment
Dream to Reality: Mental Practice for High Acuity, Low Opportunity Procedures
0940-1000 MST - Dr. Jamie Riggs MDWilderness medicine practitioners need to be comfortable with a broad range of high-acuity procedures, many of which we rarely see in practice. This session will introduce the concept of mental practice, and explore how we can use it to improve our performance of such high-acuity, low opportunity procedures. Mental practice, defined as the “cognitive rehearsal of a skill in the absence of overt physical movement”, has been shown to be as effective as physical practice in several areas, including athletics, music, team-based resuscitation and surgical skill acquisition. We will present our original research1 that describes how to develop tools for effective mental practice using scripts. Using semi-structured interviews with people experienced performing a cricothyrotomy, a rare but lifesaving procedure, we developed a script to facilitate effective mental practice. We will use this example to provide a framework for anyone to develop their own mental practice script to enhance their performance in rare procedures. We will also explore how to use mental practice to maintain competence in rare procedures, and how such mental practice may help reduce stress and improve performance in high pressure situations.
By the end of this presentation, those in attendance will be able to:
- Define mental practice and how it can apply to wilderness medicine
- Identify procedures and clinical situations where mental practice may improve performance
- Develop their own mental practice script
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich Environment
1020-1100 MST - Mike Koppang and Dr. Don McPhalenKananaskis was created in 1976 to preserve the front range areas between Banff national park out to the foothill regions of the eastern rocky mountains. Over the years the terrain has been expanded and now ranges from the Red deer river south to the Plateau Mountain Ecological reserve.
The terrain in Kananaskis ranges from Glaciated peaks to rolling foothills. As a result of the wide variety in landscapes many different user groups have access to Kananaskis. These groups include equestrian, OHV, hiking/scrambling, skiing (cross country and backountry), rock and alpine climbing as well as whitewater rafting and paddling.
The rescue program in Kananaskis is staffed by Professional Guides who are also members of the Canadian Avalanche Association. These staff are responsible for one of the busier rescue programs in Canada and have jobs that involve response, training, avalanche forecasting as well as education and awareness campaigns.
The intention of the presentation is to review the past 5 years of calls which have been broken down into a variety of different categories (Kananaskis Public Safety does between 350-500 calls in a given year, pandemic dependant). By focusing on the types of calls staff can focus there medical training as well as work with a group of physicians known as the “Canadian Mountain Parks Backcountry Medical Council '' to develop protocols specific to deal with common incidents. A busy day will be reviewed wherein staff responded to 13 calls throughout the park with 4 of them being red or critical patients. It's also important to note that the location of the calls often presents staff with challenging decisions about risk and risk management in the terrain.
Pharmaceutical Considerations for Medical Care in Extreme Environments
1100-1200 MST - Dr. Steven RoyMedications are the basis for modern medicine. It is not possible to provide advanced medical capabilities necessary to ensure crew health and performance during expedition missions or rescue without access to pharmaceuticals. However, the vast majority of human knowledge on pharmacology assumes conditions found in most hospitals, pharmacies, and pharmaceutical labs - namely room temperature, low-moderate altitude, average air humidity, and minimal UV, background radiation, or vibration. In this talk, we will review important effects of high and low temperatures, atmospheric pressures, radiation, and other environmental variable on medication stability, pharmacokinetics, and pharmacodynamics.
By the end of the presentation, participants will be able to:
- Identify environmental factors that can affect the stability of medications stored in the field
- Identify the potential impact of environmental factors on medication pharmacokinetics and pharmacodynamics
- Describe storage considerations and techniques to mitigate the environmental limitations of medications
The Role of Simulation in Marine Search and Rescue
1300-1320 MST - Sophie Thomas & Gillian HuttonThe Gulf Islands and the Broken Group are two of many vast training grounds for the Canadian Coast Guard and their maritime partners. Every year search and rescue crews come together to learn from multi-asset, multi-casualty training simulations spanning distances and many hours. These small teams find strength among their crew with large variation in marine experience, medical knowledge and personality! What lies at the route of success in each exercise is communication. Learn from two medical students who have both worked on and helped to trained crews across the east and west coasts. The aims of this presentation are to 1) provide an overview of the Canadian Maritime SAR system, 2) give insight into simulation design and how it has been optimized for training, 3) describe how communication serves as the primary objective of effective SAR training, and 4) understand how to apply lessons learned from pre-hospital simulation to other fields of medicine. Learn about the role of communication in search and rescue as the presenters take you through a simulation from pre-brief to de-brief.
At the end of this session, participants will be able to:
- Understand the components of the Canadian Maritime SAR System.
- Understand the role of Inshore Rescue Boat crews.
- Explore previous studies on simulation in the emergency setting
- Appreciate the design of marine search and rescue simulation for training purposes.
- Recognize the importance of multi-asset and multi-organization involvement in effective training exercises.
The Prevention and Management of Bear Attacks: Lessons Learned in the Great Outdoors
1320-1340 MST - Jennifer MaAs a previous Black Bear Safari Guide in the Sea-to-Sky region of BC and a current Queen’s medical student, Jennifer aims to combine my experiences with various bear behaviours and her interest in medicine to educate wilderness medicine professionals on the safety considerations of venturing into bear country. This presentation will explore the best practices of preventing, recognizing, and managing black and grizzly bear attacks. During her presentation, they will discuss how to differentiate bear species in Canada, identify territorial vs. predatory behaviours, and what to do (and not to do) if one encounters a bear in the backcountry. With the use of interactive cases, we will learn to identify bluff charges, defensive behaviours, and signs of a predatory attack. The audience will review real cases of bear maulings in North America and discuss the factors contributing to the attacks. Jennifer will also present an overview of the treatment and management of common injuries caused by bear encounters. While rare, bear attacks are likely an inevitable part of humans cohabitating with bears and recreating in bear country. Thus, it is critical to identify the impact of humans on bears and to educate all wilderness medicine specialists on the prevention of attacks and how to respond to anticipated injuries.
At the end of this session, participants will be able to:
- Understand the considerations for safely recreating in bear country.
- Identify the different types of bears in Canada, particularly black and grizzly bears, and describe their unique behaviours.
- Differentiate a bluff charge, a defensive attack, and a predatory attack.
- Respond appropriately to various human-bear encounters.
- Describe the treatment and management of injuries secondary to a bear mauling.
Regional Anesthesia in the Prehospital Setting
1340-1400 MST - Dr. Cassandra PorierThe role of regional anesthesia in providing analgesia throughout the perioperative period has long been well established in monitored hospital settings. However, this has not led to a direct translation of its application in the prehospital setting. Acute pain management in the trauma patient in the austere environment has generally relied on systemic analgesics, including opioids, which often lead to inadequate analgesia, especially upon mobilization, hemodynamic changes, respiratory depression, and delirium. Hesitations surrounding the use of peripheral nerve blocks (PNB) in this setting have been falsely founded on the assumption that they delay transport times, distort the validity of the clinical exam upon arrival to the hospital and mask early symptoms of compartment syndrome. The following presentation will provide a review of the existing literature, ranging from case studies to randomized controlled trials, demonstrating the safety and efficacy of ultrasound-guided PNB in prehospital trauma patients. A variety of blocks, including fascia iliaca, femoral nerve, sciatic nerve, interscalene, erector spinae, serratus anterior and digital blocks, will be discussed. These have in large part been performed by physicians working with emergency medical services (EMS) or aeromedical retrieval services, however there are several reports of successful blocks performed by paramedics and EMS nurses. The main complication reported in the literature has been failure of the block, with success rates ranging from 88% to 100%. In summary, PNB in the prehospital setting offer several unparalleled advantages, including immediate and complete analgesia, hemodynamic stability, potential fracture reduction, limb immobilization, and ultimately safe and effective evacuation.
By the end of this presentation, participants will be able to:
- Discuss how regional anesthesia fits into current analgesic options in the prehospital setting;
- Review the literature on the safety and efficacy of regional anesthesia techniques in the prehospital setting;
- Describe the types of ultrasound-guided peripheral nerve blocks performed in the prehospital setting, as well as important clinical considerations, equipment, landmarks, patient positioning, techniques and clinical pearls;
- Explore the potential barriers to the application of peripheral nerve blocks in the prehospital trauma patient;
- Outline future recommendations for out-of-hospital pain management.
Wilderness Medical Delegation: Exploring the Current Medical and Legal Implications of Physician Delegation in the Outdoor Industry.
1400-1420 MST - Rob LongThis presentation sheds light on the logistical, ethical and legal issues surrounding medical directorship and delegation, and aims to generate discussion on a path forward that balances regulation with flexibility.
By the end of this presentation, attendees will be able to:
- Identify the pitfalls and potential for change in medical delegation in the outdoor industry
Canadian Forces Search and Rescue Technicians Program, Capabilities, and Interoperability
1420-1500 MST - WO Steve Delage RCAF SAR TechThe CAF has about 140 SAR Technicians (SAR Techs), who are highly-trained specialists who help rescue people in distress in remote or hard-to-reach areas. They also provide advanced pre-hospital medical care. SAR Techs are trained to a primary care paramedic national standard.
They also have additional advanced skills. SAR Techs are land and sea survival experts. They specialize in rescue techniques. This includes Arctic rescue, parachuting, diving, mountain-climbing and helicopter rescue.
Through this presentation the RCAF SAR Techs will engage the audience with an overview of the Canadian SAR Tech program. They will highlight the training and strengths of the program, and highlight where they are best suited to integrate into civilian rescue operations. This will help create further understanding how to best utilize resources across Canada for the best patient outcomes.
At the end of the presentation participants will have an understanding of:
- SAR Tech training and capabilities;
- Search and Rescue Units locations and CAF SAR Aircraft platforms;
- SAR Tech interoperability with other agencies.
Step One, Protect Yourself: An Exploration Injury Research/Prevention for Wilderness First Responders
1500-1520 MST - Joel McKinnonIn this presentation on search and rescue injury and prevention. Physiotherapist and Search and Rescue member Joel will discuss injury epidemiology, and the lack of research pertaining to Wilderness First Responders/professionals. Through this presentation learners will be given information about prehabilitation required to create a healthy SAR member. Joel will identify general principles of prehabilitation and preventing injuries such as; training, exercise principles and frequency required to build or maintain strength in certain areas. Learners will learn through lecture and example how to prepare themselves for a long career in Wilderness Medicine/SAR.
Learning Objectives:
- Identify the need for research on the topic of rescuer injury and injury trends.
- Identify what are the likely injuries rescuers are at risk of
- Understand based on clinical experience/evidence available how practitioners can avoid these injuries.
- Understand general prehabilitation principles that would be useful to the Wilderness First Responder.
Understanding Trauma
1600-1700 MST - Christopher KoppThis presentation establishes a foundational understanding of the body’s physiology when inflicted with trauma. It will take relevant complex biochemistry and physiological processes and explain them in a coherent way, in simplified terms that are easy to understand and important to even the most basic care provider. This allows all levels of practitioners to benefit from understanding what is happening to the trauma casualty, and why certain interventions, even as basic as keeping the casualty warm, are so important.
At the end of this session, the participants will be able to:
- Summarize how and why a body dies from traumatic injury.
- Describe the acid base balance processes within the body and cells.
- Summarize applicable aspects of cellular respiration and cellular metabolism.
- Explain basic categories of cardiorespiratory insults and how they lead to cellular death.
- Describe the process and stages in the death of a cell.
- Summarize the pathophysiological process that the body’s thermoregulatory mechanisms become compromised due to cardiorespiratory insults.
- Describe the Lethal Trauma Triad and the Lethal Trauma Diamond.
From Sea to Sky: What To Do When Motion Sickness Makes You Miserable
1700-1740 MST - Maj (Dr) Melissa GearMotion sickness is a common phenomenon which may impact performance on a variety of platforms used in wildness medicine. This presentation will outline the history and etiology of motion sickness, factors which may influence susceptibility, as well as the most commonly experienced symptoms and after-effects. There are several pharmacologic options for treatment of motion sickness which will be discussed, including the effectiveness, side-effects and limitations. In addition, application of behavioural and cognitive modification skills will be described.
At the end of this session, participants will be able to:
- Summarize the etiology of motion sickness and the impact on performance;
- Identify pharmacological treatment options for motion sickness and the associated side effects and limitations; and
- Describe desensitization, behavioural and cognitive modification techniques and their application.
Keynote Presentation: The Role of Preparation & Self-Sufficiency in Wilderness Accidents
1800-1920 MST - Cyril ShokoplesCell phone, sat phone, InReach, Spot, Zooleo, PLB, GPS... It’s a new world. Go ultralight and fast as rescue is just a push of a button way. Who needs a tarp and first aid kit? Gear just slows you down when you are trying to post about your incredible fast pace. Why bother with expensive wilderness emergency response training? Accidents rarely happen and when they do, just push a button. Yup, it’s a new world. Use your phone as a GPS and update Facebook and Instagram from the summit, your ski tour or paddling route! Everything is great until your battery fails and an accident occurs just as the weather comes crashing down. You and your pals now have to figure it all out from first principles.
Using real life examples from his decades of experience, Cyril will chat about how equipment, training and preparation, or lack thereof, led to extremely variable outcomes in mountain emergencies he has been involved in.
Imagine yourself attempting to do the first ascent of a significant frozen waterfall. No communications with the outside world are possible. You and two partners are doing well until the leader falls 60 to 80 feet (20 – 25m) and lands on his head, dangling from the rope well below you. Game on. The story of Kitty Hawk, the waterfall... Now transport yourself into a summer setting at 10,000’ (3000m) on a mountain near the Alberta / BC border. You are leading three climbers on technical ground. The group is varied. One gal is on her first alpine climb ever. One lad has climbed a fair amount recreationally. The third has experience in mountain rescue in the UK and has climbed a lot in the Alps. He’s your ace in the hole if something goes wrong. You summit and all is well. You start the descent. A large rock is knocked loose, falls 25m and strikes two members of your party. Oh crap, your ace is one of the two people injured and he is the worst off. You are still on technical ground. Your radio doesn’t work as you are on the wrong side of the mountain. Here we go again. The story of Petain...
Hypothermia Wraps from Ideal to Improvised Live and Virtual Workshop
0800-1000 MST - Pete SymonsFor Virtual Attendees Only
This workshop will focus on field techniques in managing the hypothermia patient along with the materials and skills needed to make a Hypothermia Wrap. Additional focus will be on prolonged patient contact where evacuation is delayed and on self-hypothermic care.
Improvised Patient Packaging
0800-1100 MST - Raven RescueLightweight Self/Buddy Rescue Systems
0900-1100 MST - CTOMS, Chris KoppThis workshop will focus on three different capabilities/applications with two different rope systems.
The first will be escape from heights with the Firefly system. The Firefly system is an emergency egress micro system that uses a 3.6mm rope. This would be applicable to paragliders for tree landing egress, and stalled lift escape for ski patrollers. It will cover an overview of the equipment, anchoring, harness donning, adjusting the rope in the device, descending, and resetting the system. Each participant will get at least one descent on the system.
The second component will consist of crevasse rescue using TRACE Systems aimed particularly at ski guides. This will include an equipment overview, running the system which includes anchoring, rappelling down to the casualty, connecting the casualty to the system, ascending the rope, and hauling the casualty. Each participant will have the opportunity to run the system.
Helicopter Rescue Techniques in the Kananaskis Region
1100-1200 MST - Mike Koppang, Matt Mueller, Chris RobertsonThe presentation will discuss different types of backcountry rescue extractions with the Bell 407 Aircraft that is used for both the Banff Visitor Safety Program as well as the Kananaskis Public Safety program. Rescue specialists will discuss first aid techniques that can be done in the remote environment including limitations on different techniques given the aircraft and the extraction techniques used. Discussions will include the use of specialized tools such as Vacuum mattress and splints, types of limited first aid gear we carry based on 44 years of practical experience in the field. A discussion of mCPR and the use of the Zoll Autopulse will be had and how it can be incorporated into a teams tool box.
A 407 Aircraft will be on hand and all of the applicable rescue gear carried by Public Safety Specialist in the Field.
Kananaskis Public Safety is a professional rescue team working within Alberta since 1978. All members of the team are certified members of the Association of Canadian Mountain Guides as well as Professional members of the Canadian Avalanche Association.
Wilderness MCI Workshop: Live & Virtual
1300-1600 MST - Wilderness MD: Dr.Steven Roy, Dr. Chris Lipp, Dr. Heather Coombs, Jean-Sebastian BerlinguetteThis workshop/lecture will cover the essentials of coordinating & providing multicasualty incident (MCI) medical care in the wilderness.
The first day (virtual and in person) will review the basics of MCI management in the low-resource setting. This includes fundamentals of patient triage, the Incident Command System, resource management, and medical management of threats to life in the setting of severely constrained resources.
The second day (in person only) will include a 2-hour simulation of a wilderness MCI followed by a debrief with the faculty.
Participants should ideally already have previous hands-on training in wilderness medicine.
Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First Aid
0820-0900 MST - Dr. Jon Dean and Rebecca BassetSaskatoon Search and Rescue is a Canadian ground SAR chapter comprised of over forty active volunteer members with varied professional backgrounds. While standard first aid certification is a national requirement for searchers, geography, climate, and urban-wilderness interface can complicate extraction of a found subject and isolate search teams from professional medical responders. Consequently, Saskatoon SAR’s approach to training focuses on promoting team cohesion, problem solving, and comfort with medical problems beyond a standard first aid level for all members.
Through anecdotes of both training and search experiences, this presentation will highlight how our organization has successfully elevated the capability of all volunteer members, including those with no formal medical background. Presenters will walk through the team’s progressive, layered learning experiences, its use of role modelling and debriefing, and the importance of realistic, simulated medical scenarios that harness current medical education theory. Presenters will further discuss how Saskatoon SAR’s approach has led to standardization of individual members’ medical kits, and how our training has positively impacted organization culture. Next steps in growth of the organization’s training program will be explored.
Locally identified challenges have influenced our training methods and vision for members’ first aid capabilities. Aspects of Saskatoon Search and Rescue’s approach can be tailored to other organizations, both inside and outside of SAR, to raise the medical experience of all volunteers. Attendees will be encouraged to reflect on the needs of their local contexts.
At the end of this session, participants will be able to:
- Discuss the importance of the dissemination of medical capability throughout an organization working in an austere or remote environment
- Assess how both role modelling and debriefing can impact medical learning and training culture
- Employ a medical education approach to building practical and engaging austere learning experiences
Descending the Oxygen Cascade: Assessing Physiological Responses during Incremental Ascent to High Altitude on the Everest Base Camp Trek in the Nepal Himalaya.
0900-1000 MST - Dr. Trevor DayAscent to high altitude (HA) is a profound physiological stressor, imposing systemic hypoxia and risk of high altitude illnesses (e.g., acute mountain sickness; AMS). To protect oxygenation and acid-base balance, acclimatization to HA includes the integrated coordination between cardiac, cerebrovascular, hematological, pulmonary, and renal systems. For example, with acclimatization, respiratory responses to hypoxia become more sensitive, but the kidneys must compensate for the resulting acid-base disturbance from the resulting reduction in CO 2 . The magnitude and variability of these inter-related acclimatization processes within and between organ systems renders some individuals well-acclimatized, yet some more susceptible to AMS and other altitude illnesses (e.g., high altitude pulmonary edema).
Despite the popularity of trekking and climbing expeditions to HA, little is known about why some people are more at risk of AMS than others. Although behavioural aspects appear to play a larger role at lower altitudes (e.g., exertion, ascent profile, hydration and nutrition), age, fitness or sex do not predict AMS susceptibility as trekkers ascend higher. Using a visual journey of incremental ascent to HA along the Everest Base Camp trek in the Nepal Himalaya, this presentation will highlight several novel physiological and analytical perspectives to assess acclimatization during incremental ascent to HA.
At the end of this session, participants will be able to:
- Differentiate between normobaric vs. hypobaric low oxygen (hypoxia)
- Differentiate between rapid ascent and residence vs. incremental ascent to high altitude
- Differentiate between acute responses, acclimatization, developmental and population level adaptation to hypoxia
- Understand the types and risks of high altitude-related illnesses, including prevention and treatment
- Understand the organ system responses and interactions involved during exposure to acute hypoxia and acclimatization to high altitude
The Evolution of Diver Protection
1020-1120 MST - Dr. Neal PollockCompressed gas diving has always been thought of as an equipment-dependent activity, but the degree to which this is true has accelerated over time. This presentation will juxtapose human physiology alongside recent, emerging, and future technologies to demonstrate how both risks and protections are evolving and are likely to continue evolving. The goal is to promote thoughtful diving and an appreciation of both safe practice and possibilities.
Learning objectives:
- Review common and critical issues related to diving health and safety.
- Discuss the evolution of protections for diving safety.
- Describe research efforts to assess diver risk.
Certified Wilderness Paramedic: A New International Standard
1120-1200 MST - Dr. Jeff Thurman and David FiferWilderness EMS is a rapidly evolving area of out-of-hospital medicine, distinct as a specialty within the broader field of wilderness medicine. This evolution is driven by the need for highly trained medical professionals to be capable of treating patients in the wilderness under their full scope of practice and as members of an organized healthcare system. This presentation will discuss the history and evolution of Wilderness EMS, and current challenges in the model of education, certification, licensure, and credentialing that is necessary to support this specialty. Additionally, this presentation will discuss the forthcoming WP-C (Wilderness Paramedic-Certified) credential from the International Board of Specialty Certifications (IBSC), which represents a new international standard for professional Paramedics operating in wilderness settings. Although high quality wilderness medical education has existed for many decades and various governmental bodies may recognize wilderness medicine to various extents, there has been no 3rd party, validated certification of that knowledge prior to the initiation of the WP-C credential.
At the conclusion of this presentation, participants will be able to:
- Understand the current state of Wilderness EMS in the United States, North America, and globally
- Understand the importance of professional certification in Wilderness EMS
- Understand the International Board of Specialty Certifications (IBSC) Wilderness Paramedic-Certification (WP-C) project
Oropharyngeal Frostbite? - a Rare Case of Cold-Induced Airway Collapse
1300-1320 MST - Dr. Stefan CowtanA very interesting case report of severe oropharyngeal swelling and airway compromise secondary to inhalational frostbite. Although there are case reports of thermal airway injury secondary to toxicologic inhalations such as nitrous oxide or dry ice, frostbite injury such as this is not described in the literature. The severity of this eventually required tracheostomy in the OR. Ill discuss the interesting presentation of this case as well as the medical management of oral and airway swelling from cold injury.
By the end of this session, learners will:
- have reviewed the basic pathophysiology of frostbite
- Understand the considerations for rare airway compromise secondary to oropharyngeal frostbite
- Have an approach to medical management of significant oropharyngeal swelling from cold injury
Freediving: Approach to Patient Assessment and Management
1320-1340 MST - Dr. Helene MorakisFreediving as a sport has gained popularity through the COVID-19 pandemic, in Canada and worldwide. Some coastal BC Indigenous communities have programs that teach their youth freediving for harvesting aquatic life. Dives range from 5m deep (harvesting, recreational) to 214m (world record “no limits” dive), and they are not using compressed air. The most common medical adverse events related to freediving competitions are cerebral hypoxia, pulmonary edema, ear/sinus barotrauma; while decompression sickness and thoracic barotrauma are less common.
Learning Objectives:
- freediving as a sport and foraging activity
- At the end of this presentation, participants will understand the epidemiology of freediving injuries/accidents, and how this may differ from scuba diving
- At the end of this presentation, participants will have an approach to assessment of an injured freediver
- At the end of this presentation, participants will have an approach to the management of an injured freediver
Wilderness Ultrasound - Feasibility Considerations
1340-1400 MST - Dr. Sydeney TodorovichAs point of care ultrasound technology has gotten smaller, more durable, and more cost effective there is increasing desire to bring these devices into the wilderness. However, a number of barriers and considerations still exist when deciding how and if these devices should be included in our kits. This presentation will assess various handheld ultrasound devices based on several factors relevant to wilderness use, including battery life, durability, points of failure, and image storage. It will also discuss potential strategies to minimize the challenges these high-tech devices face when exposed to out of hospital use. Lastly, it will discuss approaches to the problem of bringing ultrasound gel, a rather heavy and voluminous commodity, into the wilderness setting.
At the end of this session, participants should be able to:
- Identify barriers to ultrasound application in different wilderness settings
- Discuss methods to mitigate these various environmental and technological challenges
The Importance of Objective Measures in End-Stage Rehabilitation for Major Knee Injuries and What They Mean for a Successful Return to Activity
1400-1420 MST - Niko SalerNote: This Presentation has a follow-up Workshop of the same name on Sunday 1420-1440 MST
In modern rehabilitation, return to activity decisions can be very difficult for clinicians to make appropriately. The re-injury rates of major knee injuries can be extremely high and individuals may not return to their activity or sport after ligamentous or meniscal injuries of high severity. The need for comprehensive rehabilitation programs has arisen and puts a large emphasis on heavy strength training and re-exposure of the body to plyometrics and high-speed movements patterns towards end-stage rehab.
The aim of this presentation will be to describe major ligamentous, primarily ACL and meniscal injuries, their prevalence and how return to activity decisions are complex decisions which require a lot of testing and very rigorous rehabilitation. Testing batteries have classically been described as a mixture of strength tests and hop tests for knee injuries. However, with recent literature, there has been an emphasis towards objective strength measures using dynamometers and strength ratios to help guide clinicians abilities to conduct appropriate return to activity tests. Return to activity guidelines without the use of strength testing measures can be incomplete due to the ability of the body to hide and compensate around strength deficiencies. The use of objective strength testing measures have been shown to be paramount with regards to the decisions around return to activity, but also the direction of rehabilitation programs centered on changing these deficiencies and returning patients to their meaningful activities.
At the end of this presentation listeners will be able to:
- Have an understanding of the complexity of the rehabilitation needs for major knee injuries.
- Identify the limitations of conventional style rehabilitation without objective measures for major knee rehabilitation.
- Identify different means of objectives testing batteries and how they relate to return to activity.
- Have an understanding of exercise prescription based off objective testing measure results.
Medical Direction in Remote Settings
1420-1520 MST - Dr. Marc GosselinPresentation by a team of experienced medical professionals (Physician and onsite medic) to describe the challenges of providing medical care for workers in remote areas. From the preparation to the field deployment identifying the main components of creating a medical system adapted to the specific environment and type of industrial activity. Through the presentation of various real life cases, the presenter will highlight significant clinical teaching points and help the audience understand the challenges and adaptation needed to ensure proper medical coverage in resource limited environments.
Presentation will be interactive with demonstration of various available modalities for communicating in these difficult environments.
Specific objectives for this talk include:
- Understanding the main components of providing medical coverage for remote operations from a medical perspective :
- Developing a medical coverage plan adapted to the specific environment, onsite medical personnel , type of activity and local-regional regulations.
- Development of appropriate protocols and treatment guidelines as well as an adapted medical toolkit.
- Identifying limitations and challenges of the various communication medium used in providing medical support
- Through discussion of specific cases, identifying clinically relevant information’s ( Pearls & Pitfalls ) associated with providing medical support in remote operations.
- Understanding the main components of providing medical coverage for remote operations from a onsite medical personnel perspective :
- Preparation for field deployment (Specific training & certifications)
- Challenges in communications.
- Challenges of providing long term care in remote environments
- Enacting the emergency response plan , putting theory into action.
Current and Future Avalanche Search and Rescue (AvSAR) Training in Canada
1540-1600 MST - Lisa PaulsonAt a recreational level, there is a well-established learning progression involving the Avalanche Skills Training 1 and 2 and the Companion Rescue Skills courses. A summary of these courses will be presented through an orientation of the Avalanche Canada website. There are changes proposed to the progression of professional-level courses. These changes include the creation of an AvSAR fundamentals course as a prerequisite to the Avalanche Operations Level 1 Operations course and an Advanced AvSAR course as a prerequisite to the Avalanche Operations Level 2. These courses will be described in the presentation. Lastly, the existing Avalanche Incident Management course will also be described as it may be of interest to those who may be involved in an avalanche SAR response.
At the end of this presentation, attendees will:
- Understand the progression of existing courses for recreationalists
- Understand the changes in the professional progression of AvSAR training with the development of an AvSAR fundamentals and advanced skills course (pending the approval of a SAR-NIF grant application)
- Understand the value of the Avalanche Incident Management course for individuals who can be involved in a large AvSAR response
Between a Rock and a Hard place: Crush Syndrome in 2022
1600-1620 MST - Dr. Dirk Chisholm and Dr. Kevin HanrahanCrush syndrome is a controversial clinical syndrome often seen in austere medical settings. There is significant variance in the prehospital treatment of crush syndrome, with many therapies lacking any robust evidence. Participants in the session will gain an understanding of what crush syndrome is, how it develops, and then use this knowledge to understand various proposed treatment modalities.
By the end of the session, participants will be able to:
- Describe the pathophysiology of crush syndrome to understand treatment interventions in addition to being able to recognize at risk groups.
- Establish an evidence based approach to the management and treatment of crush syndrome in austere environments.
Suspension Trauma - Facts, Fictions, and the Case for Evidence-Based Medicine
1620-1720 MST - Len JamesSince the original research in the 1970, there has been little it the way of hard research into the injuries related to being suspended in a harness. However, in the fall prevention industry there is a prevailing belief that if you hang in a harness (even for 10 minutes) there is a high risk of cardiac arrest. Along with this is a wide range of treatment strategies: keep the patient in a sitting position, supine position is preferred, apply tourniquets.
The diverse opinions and vast amount of (mis) information related to this phenomenon is a fabulous example of the need for Evidence Based Medicine. This presentation will argue for an evidence-based approach to understanding and treating injuries related to suspension in a harness.
This presentation will attempt to summarize the evidence and will identify the numerous gaps and opportunities for further research. As well, it will argue for the medical community to develop an evidence-based understanding to combat the plethora of misinformation on this topic.
By the end of the presentations participants will:
- Review and appraise the current literature regarding hanging in a harness related injury.
- Be able to Identify the significant gap in our understanding of these syndromes.
- Be able to evaluate the wide range of treatment strategies and identify a reasonable and evidence-based approach to these patients.
Practical Hemorrhage Control
0800-0830 MST (Session 1) or 0830-0900 MST (Session 2) - CTOMS, Chris KoppThis workshop will teach the practical use of hemorrhage control tools, including the most common tourniquets and junctional tourniquets, as well as wound packing. Tourniquets will be self-applied and applied on peers after a safety briefing has been given. Wound packing practice is conducted on wound packing task trainers. This session will not get into hemorrhage control theory or background information and it is highly recommended that all participants complete the online CTOMS Emergency Bleeding Control Course prior to attendance, though this is not mandatory.
Austere Prehospital Pain Management Strategies
0800-0900 MST - TEAAM, Miles RandellWilderness MCI Workshop: Live (Day 2)
0900-1200 MST - Wilderness MD: Dr.Steven Roy, Dr. Chris Lipp, Dr. Heather Coombs, Jean-Sebastian BerlinguetteSpinal Cord Protection in a Vacuum Mattress and Improvised Splinting
1300-1600 MST - Cyril Shokoples, Pete SymonsHalf of this workshop is an introduction to the vacuum mattress for transportation of the patient with suspected spinal injuries.
In the “Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection” (updated 2019) the following statements are made:
- “Several studies have demonstrated that a vacuum mattress provides significantly superior spine stability/ motion restriction, increased speed of application, and markedly improved patient comfort when compared to a backboard and a cervical collar alone. Vacuum mattress immobilization of the potentially injured spine is the current recommendation of the International Commission for Mountain Emergency Medicine.”
- “Recommendation: Vacuum mattress provides superior motion restriction and improved patient comfort (with corresponding decreased risk of pressure sores) and is preferred over a backboard for motion restriction of either the entire spine or specific segments of concern. (Evidence grade: 1C).”
Vacuum mattress use in Europe has been widespread for decades. The vacuum mattress has similarly been widely used since the 1990s within mountain National Parks in Canada. Kluane National Park in the Yukon began using the vacuum mattress for wilderness rescue in the 1980s. Many Canadian Heliski companies have used the vacuum mattress in preference to the backboard since the early to mid 1990s. Despite their extensive use by many agencies and the growing body of evidence supporting the superiority of the vacuum mattress over the backboard, many EMS providers and urban medical practitioners have never seen or used a vacuum mattress.
The other half of this workshop will focus on Improvised splinting in the backcountry. Basic splinting and in particular improvised splinting is a skill that many advanced care practitioners have struggled with over the years relying on analgesic medication and rapid ground or helicopter evacuation. This workshop will look at the situations where rapid evacuation is not possible and situations where the patient may need to assist in their own evacuation or movement to a more suitable rescue point.
Prevention of Common Mountaineering Overuse Injuries Through Warm Up and Pre Conditioning Exercises
1300-1400 MST - Rebecca MottramTwo Rope Rescue Systems for High-Angle Mountain Rescue
Nov 14, 0900-1600 MSTThis outdoor workshop is designed to provide a brief overview of several of the more common variations of 2 rope rescue systems used in mountain rescue. Through demonstrations and hands-on practice, the participant will be exposed to purpose-built systems using the MPDTM and ClutchTM as well as lighter-weight component based systems using the Scarab® or ATC®.
The presenter(s) will demonstrate a structured approach to command and control, selecting an edge transition location, constructing edge restraints and subsequent main anchor construction and evaluation using the DARN Solid mnemonic.
Advanced Topics in Wilderness Medicine: Cancer Patients & Survivors
Nov 14, 0900-1600 MSTCoast Hotel & Conference Centre
511 Bow Valley Trail, Canmore, AB T1W 1N7 Canada (click for maps link)CAWM Attendees have the opportunity to book hotel rooms at the Coast Hotel for a discounted rate of $119 per night (plus taxes and applicable fees).
Limited rooms available, book by October 13 2022 to guarantee the discounted rate.
Website Booking
- Visit this link: http://coa.st/CAWM2022
- When the pop-up appears, click 'Select and go to Next Step'
- Select the duration of your stay (to extend your stay beyond the conference dates please call the number below instead of using the website).
- Select Coast King or Coast Two Queens (to upgrade your room please call the number below instead of using the website)
- Select any enhancements you desire, then when you're ready click 'Add Room & Checkout'
Phone Booking
Call 1-800-663-1144 and quote the code CCM-GFC5229 or CAWM 2022 during the booking process.
Coast Hotels recommends the following travel providers:
From Calgary Airport to the Hotel - Banff Airporter drops travelers off directly in front of the Coast Hotel.
Around Canmore and Banff - Three Sisters Taxi provides transportation around the streets of both towns.
The conference rooms can be directly accessed from the lobby.
Registration will take place in the Concourse
The main meeting space and meal room is the joined Crocus & Arnica ballroom
The Cougar, Grizzly, and Ladyslipper rooms will be used for breakout sessions
The following meals are included with the in-person registration.
Friday
- Lunch
- Snack
Saturday
- Hot Breakfast
- Snack
- Lunch
- Snack
Sunday
- Hot Breakfast
- Snack
- Lunch
Additionally, a bar service will be available on Saturday from 5pm to 8pm. Drinks from this bar will be charged separately.
- You can still purchase virtual access to our conference and the videos will be available until June 13, 2023.
Note: Virtual attendance of our conference will still provide you with CME credits! - The videos of our conference are live on our Full Conference Page, please head there if you're looking to watch any of our speakers lectures
- If you have any questions or concerns regarding the conference, please email programdirector@cawm.ca
Conference materials can be accessed and downloaded from this google drive folder: https://drive.google.com/drive/folders/1sgTns_YUreKpfDqMp-Xu37lhLZqnPUCk?usp=sharing.
This folder will be continually updated with the latest downloads and materials available.
Here you can access any virtual workshops you are registered for. It should be blank if you haven't registered for any.
Click the Workshops tab (visible once conference begins) below the live feed to see access to workshops you are registered to. Only the four virtual workshops will have live feeds, not in-person ones. Furthermore, workshops will only be available during the conference. The recorded content will be available for those who purchased virtual workshops only.
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Conference materials can be accessed and downloaded from this google drive folder: https://drive.google.com/drive/folders/1sgTns_YUreKpfDqMp-Xu37lhLZqnPUCk?usp=sharing.
This folder will be continually updated with the latest downloads and materials available.
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New Member Discount
Non-Members who register with CAWM 2022 receive 35% off their first year of CAWM Membership. For more information see the bottom of the post-registration CAWM 2022 Page.
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
The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. 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 21.5 MOC Section 1 Group Learning credits. Each physician should claim only those credits accrued through participation in the activity.
CFPC MainPro+
This 1 credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada for up to 18.5 Mainpro+® credits.
Paramedic CME* (Coming Soon)
Cyril Shokoples
Keynote Presentation: The Role of Preparation & Self-Sufficiency in Wilderness AccidentsGordon Giesbrecht
Pre-Conference Workshop: Coldwater Bootcamp. A tale of two crevasses: it was the best of times; it was the worst of times!Gordon Giesbrecht, Ph.D. is a Professor of Thermophysiology at the University of Manitoba. He has conducted hundreds of cold water immersion studies that have provided life-saving information about physiology and pre-hospital care for human hypothermia. He has also conducted over 100 vehicle submersions with people in them, to study survival and exit strategies in sinking vehicles. He has over 100 publications, and helped create instructional educational programs for drowning prevention and treatment, such as Beyond Cold Water Boot Camp; Baby It’s Cold Outside (www.bicorescue.com for responders and www.ownthecold.ca for the public) and written protocols used by Emergency Response Operators around the world. Dr. Giesbrecht has been a consultant for the military in Canada, the US and Sweden, as well as the Coast Guard in Canada and the US. He has also worked with the FBI and other law enforcement organizations across Canada and the US.
Josh Bezanson
Pre-Conference Workshop: Coldwater BootcampJoshua is a staff emergency and hyperbaric medicine physician at the Misericordia Community Hospital in Edmonton. His interests include disaster medicine and prehospital care and he serves as the department of emergency medicine’s disaster medicine coordinator and also assists with teaching residents in core content rounds. He completed a masters in disaster medicine and an EMS fellowship. He is the Hazardous Materials Physician for the Calgary Fire Department and a transport physician with STARS as well as the medical director for multiple EMS agencies including an international air ambulance service. He is also active with several disaster relief organizations including Canada Task Force 2 which is Alberta’s all-hazards disaster response team and has been a part of multiple large scale deployments in Canada and abroad. He has worked in Fire/EMS in the Bow valley for over 15 years including with ski patrol. He co-hosts a disaster podcast called EPIC (Emergency Preparedness in Canada).
Dave Jerome
The Value (and Lack Thereof) of Triage ToolsDave is a Family Physician who works full time with the Canadian Armed Forces. He has deployed overseas with both the army and the navy. He has volunteered for over 10 years with Ground SAR teams in NS, NL and NWT. He completed his Fellowship in the Academy of Wilderness Medicine (FAWM) in 2020, and is currently completing an extra year of residency in Emergency Medicine at Queen's. Dave was one of the co-founders of CAWM and currently serves as the CAWM President. Dave’s favourite outdoor activities include paddle sports, diving, orienteering, backcountry hiking and sport climbing.
Matt Frey
Spinal Injury Concerns in Austere EnvironmentsMatt Frey is an Emergency Physician primarily based Calgary since completing his CCFP-EM residency there in 2013. He previously completed a BSc(Hons) and medical school at UBC. He remains active working in both provinces and holds Clinical Lecturer positions at UBC and U of C. He volunteers both locally with the Lake Louise Ski Patrol and globally, having previously worked in Haiti and Ethiopia. Despite COVID-related delays, he is finally formalizing his interest in Wilderness Medicine by completing his DiMM in 2022. Personal interests include mountain biking, climbing, travel for kiting or diving and spending time with family.
Steve Delage
Canadian Forces Search and Rescue system and Search and Rescue Technicians capabilitiesSteve Delage is a Canadian Forces Search and Rescue Technician (SAR Tech) that currently works at 1 Canadian Air Division under the Division Surgeon. In collaboration with the SAR Tech Medical Director, he helps with the SAR Tech medical training and standard across all SAR units in Canada. Join the military in 2000 as infantry soldier to complete two operational deployments, transfer SAR in 2007 to serve in two operational units 424 and 435 Squadron and spent 2 years at the Canadian Forces School of Search and Rescue (CFSSAR) as an instructor and standard Warrant Officer before his current employment.
Janet Mcleod
Effects of Trauma: Why Group Therapy is Effective for Mountain Trauma and GriefJanet S. McLeod is a well known “psych guide” specializing in Clinical and Community Psychology. Janet guides mountain professionals to modulate and heal trauma, loss and critical stress injuries. Janet knows the terrain of recovery as a “thriver” from PTSD. This alchemy of training and life experience comes together so she can assist clients to move “stuck” memories into the present tense. Death and loss colours the tapestry of life in the mountains. As a founder of Mountain Muskox, Janet believes the next level of healing is through “Trauma Informed Peer Support”. Each person’s healing journey is to travel from the isolating burden of carrying loss individually to a community sense of safety, fellowship and caring with peers knowing similar experiences. Critical incidents cannot be carried by an individual alone, it takes a tribe, a community to remind us of our resilience and recovery.
Sarah Hueniken
Effects of Trauma: Why Group Therapy is Effective for Mountain Trauma and GriefSarah has been a sponsored mountain athlete and ACMG Alpine Guide in the Bow Valley for 20 years. An avid climber she's established new routes in Canada, China, Japan, Africa, Iceland and North America, and worked full-time running a business focused primarily on teaching, guiding and empowering women in the mountains. In March of 2019 Sarah's world was turned upside down when a guided group on her women’s camp experienced a natural avalanche and claimed the life of her dearest friend. Through the shattered pieces of her foundation, she has learned that community, togetherness and compassion are the only ways to handle the grief, shame and regret of mountain accidents like hers. Her hope is to share these learnings while still learning herself how to embrace her passion for the mountains. She currently acts at the Executive Director of the Mountain Muskox and Ice climbing Ambassador for Avalanche Canada.
Lisa Paulson
Balancing patient care in mountain rescue. Case studies on how Parks Canada Banff Visitor Safety Team works with Banff ALS medics & STARS to optimize care… when possible…For the past 30 years, Lisa has worked in mountain and water rescue throughout the mountain national parks. She currently enjoys working with her Banff team where they receive approximately 400 calls per year, including calls to the Northern National Parks. She has a keen interest in optimizing all aspects patient care and transport. She co-founded and co-chairs the Canadian Mountain Park Backcountry Medical Council. Lisa lives in Banff with her family.
Kaighley Brett
Fitness for Diving ConsiderationsLCdr (Dr) Kaighley Brett is a Family Physician and a Consultant in Diving and Submarine Medicine (CDSM) with the Canadian Armed Forces. She is currently serving as the Head of the School of Operational Medicine at the Canadian Forces Environmental Medicine Establishment.
She has completed advanced training in Diving and submarine medicine, including a BScMedScHons in Underwater Medicine through Stellenbosch University in 2017 and a Fellowship in Undersea and Hyperbaric Medicine at the University of California San Diego in 2018.
Outside of medicine, she is a recreational diver with a passion for marine life and underwater photography.
Rebecca Basset
The Shirt Off Your Back: Backcountry First Aid WITHOUT a Kit. Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First AidRebecca Basset is the Training Director and active Search Manager with Saskatoon Search and Rescue. She is the owner / operator and lead instructor with Back40 Wilderness First Aid, where she focuses on providing austere, high-fidelity experiences that are practical and engaging for learners of both medical and non-medical backgrounds. Rebecca graduated from the University of Saskatchewan with a degree in Kinesiology in 2005. She and her family frequent the mountains to camp, hike, ice climb, bike, and snowmobile in the back country.
Nick Fisher
Lessons learned practicing medicine in resource poor environments, from the poppy fields of Afghanistan to the Mountains of BCDr Nick Fisher is a Family/ Emergency Medicine Practitioner. Originally from the UK, he trained at Glasgow University where he focussed on integrating mountaineering, climbing and skiing with medicine. He joined the British Army in 2001 on a promise of continuing this approach, however world events in September 2001 frustrated him, and he spent much of his military career in deserts rather than mountains. He retired from military service in 2012, moving to Pemberton, BC where he finally achieved his goal combining rural medicine with SAR, Ski Patrol and a busy family life with 2 young sons.
Bryce Culver
Membership to the National Search and Rescue ProgramBryce Culver is a Canadian Forces Search and Rescue Technician (SAR Tech) currently employed at the Canadian Joint Operations Command (CJOC) Headquarters. CJOC is the Force Employer of all Canadian Armed Forces (CAF) operations, including SAR. Bryce provides SAR Tech expert advice related to national provisions of SAR operations in collaboration with the 1 Canadian Air Division (1 CAD) SAR cell, SAR Squadrons across Canada, Joint Rescue Coordination Centres, Canadian Coast Guard, Public Safety and Transport Canada. Bryce first joined the CAF in 1999 as an Aviation Technician working on CF18 Fighter Jets later transferring to the SAR Tech occupation in 2005. Bryce has worked at 3 operational units 103, 424 and 442 Squadrons plus 1 year as a Standards Evaluator with the 1 CAD SAR Standards Evaluation Team before his current employment at CJOC HQ in Ottawa.
Pete Symons
Live and Virtual Workshop: Hypothermia Wraps from Ideal to ImprovisedPeter is an Alberta ACP with over 35 years in the mountain parks. His background ranges from military medic to ski patroller to owner of the Jasper Ambulance service in 1980’s. Peter had the 1st Alberta public access defibrillator save while teaching an AED course at the Columbia Icefields. He teaches ACLS, ACLS-EP and ITLS and is an AWLS Instructor. Peter was instrumental is having the hypothermia protocols changed for Alberta Health Services EMS Branch. He also wrote the hypothermia chapter for ITLS Duty to Respond text. His passions are cycling, ocean kayaking and international travel.
Rob Vance
Improvised Patient Packaging (Raven Rescue)Rob is the Manager of Teaching Resources for Raven RSM. He has been actively teaching Wilderness Medical and Rescue courses since 2009.
Rob has worked in various outdoor education fields all across Canada. Rob has spent 15 years guiding in the paddling community - working for organizations including Outward Bound and Canadian River Expeditions.
Rob currently works as a frontline Firefighter for Calgary Fire.
Mike Wickham
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and their toysThe very first person I befriended as a 12 year old kid moving from Ontario to Calgary in ’79, was the son of a Lake Louise ski patroller and ski instructor. Lake Louise and the Bow Valley have been my home and passion ever since. Friendly Fortress Mountain would give me free ski passes, lessons and swamp parties so long as I wore an ugly Patrol jacket and did a few hut duties. These early patrol connections introduced me to the world of ski racing in the late 90’s as the downhill event was moved from Whistler to Louise. And so my journey through an industry combining skiing and medicine began. I’ve been an ER doc in Canmore for 25 years and Chief of Medical for the Lake Louise Women’s World Cup Downhill races for as many. And I thoroughly enjoy giving back to the incredible patrol community as the medical director for Lake Louise. I’ve added mountain biking to the activities that keep me grounded along with my very special wife, 2 boys and 12 year old golden retriever.
Glenn Bonsall
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and their toysMonday – Friday
- Thirty years of high-tech industry experience as a Mechanical Design Engineer and Senior Manager. Worked for various company sizes ranging from small start-ups to International Corporations.
- Products varied from: Head Mounted Displays, Ruggedized Computers, Military Communication Systems, GPS products & high end Audio solutions.
Saturday – Sunday
- Joined the Canadian Ski Patrol (volunteer) at Lake Louise in 2002 and still enjoying the amazing experience. Stepped forward for various leadership roles at all levels of the organization. Currently the “P0” or Chief of Patrol for the Medical Team on the Ladies’ World Cup downhill week.
- We are a skiing family with ex-racer kids.
- Avid hunter in the Foothills of Alberta with both archery and rifle. Perfected my jerky recipe
- Little league baseball coach for 12 years.
Jamie Riggs
Dream to reality: mental practice for High Acuity, Low Opportunity proceduresDr Jamie Riggs is chief resident in emergency medicine at the University of Toronto. His interests lie in trauma, human factors, prehospital medicine and medical education. Jamie has shared his research on mental practice and HALO procedures nationally and internationally in forums such as the SMACC conference and the EMCrit blog. Outside of work he spends his time on a variety of bikes or searching for the perfect cup of coffee.
Mike Koppang
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich EnvironmentMike is a Mountain Safety specialist based out of Canmore working for Alberta Environment and Parks in Kananaskis Region.
Mike was born in Alberta then began working with Alberta parks in the 90s obtaining his Association of Canadian Mountain Guides Ski Guide certification in 2003. During his time in parks he has attending numerous backcountry rescues in remote settings in all types of terrain. He was also one of the founding members of the Canadian Mountain Parks Backcountry medical council which represents Parks Canada and Kananaskis Rescue specialists and physicians in developing medical protocols and training priorities within these professional programs. Mike also works portions of his winters with RK Heliski as a heliski guide.
Don McPhalen
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich EnvironmentDr. McPhalen works primarily at the Alberta Children’s Hospital where he has been Division Head, Medical Staff President and Cleft Palate Clinic Medical Director over the years. He also works in Undergrad Medical Education at the Cumming School of Medicine (U of C) as a Master Teacher and as co-chair of the Well Physician (Professionalism Skills) Course.
Outside of work at the Alberta Children’s Hospital he enjoys the mountains west of Calgary and serves as Medical Director for the Mountain Rescue Service in Kananaskis Country in the eastern Rocky Mountains. He is an active member of the Canadian Avalanche Association and is a validated avalanche dog handler with the Canadian Avalanche Rescue Dog Association.
Steven Roy
Pharmaceutical Considerations for Medical Care in Extreme Environments. Wilderness MCI Workshop Live & VirtualDr. Roy is an intensive care physician and a consultant in high altitude and wilderness medicine. 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 the Diploma in Wilderness & Expedition Medicine. His academic interests in wilderness medicine include Wilderness Medicine education, pre-existing medical conditions in the wilderness, and environmental implications for medications & equipment. He sits on the Medical Commission of the International Commission of Alpine Rescue, the UIAA Medical Committee, the WMS Research Committee, the Executive Committee of the International Society for Mountain Medicine, and the CAWM Governance Committee.
Sophie Thomas
Training to Communicate: The Role of Simulation in Marine Search and Rescue & Pre-Hospital CareI am a third-year medical student at the Northern Ontario School of Medicine. Before medical school, I worked as a Crewmember for two years and a Coxswain for two years with the Canadian Coast Guard Marine Search & Rescue IRB program. This experience largely influenced my interest in Wilderness Medicine. Additionally, I have a keen interest in Emergency Medicine, particularly pre-hospital and retrieval medicine and am excited to learn from wilderness experts during this conference. My passions include anything outdoors, especially skiing, hiking, boating, and running.
Gillian Hutton
Training to Communicate: The Role of Simulation in Marine Search and Rescue & Pre-Hospital CareI am a fourth-year medical student at the University of British Columbia in the Northern Medical Program. My interest in wilderness medicine grew over 6 years of working in search and rescue with the Canadian Coast Guard, both as seasonal crew and training staff. I am especially interested in pre-hospital acute care and simulation and look forward to learning about many more topics at this year’s conference! When I’m not on the water, I love to cross country ski, mountain bike and trail run!
Chris Lipp
Wilderness MCI Workshop Live & VirtualDr. Chris Lipp is a full time emergency physician in Calgary with a consistent outpatient practice at Innovative Sport Medicine; he also is passionate about all aspects of wilderness and austere medicine.
Emergency physician - Calgary AB - FMC/SHC
Clinical Lecturer, University of Calgary
Regional Lead - Calgary/Rockies - Climbing Escalade Canada
FAWM
Jean-Sébastien Berlinguette
Wilderness MCI Workshop Live & VirtualJean-Sébastien is an outdoor guide, EMT, and flight nurse with a speciality in remote and austere environments. We has been working in healthcare since 2004, and has practiced all around the globe has an expedition nurse, guide, and wilderness medicine instructor. His current work is primarily in small indigenous villages in the Canadian arctic.
Jennifer Ma
The Prevention and Management of Bear Attacks: Lessons Learned in the Great OutdoorsJennifer Ma, BSc, MD Candidate 2023
Jen Ma is a 4th year medical student at Queen’s University and previous co-chair of the Queen’s Wilderness Medicine Interest Group. Growing up on the North Shore of Vancouver, Jen developed a keen interest in outdoor recreation and encountered various black bears, including many within her own neighbourhood. Prior to medical school, she completed her BSc in Behavioural Neuroscience at UBC and worked as a Bear Safari Guide in Whistler, BC. Her favourite outdoor activities include rock climbing, hiking/backpacking, road cycling, and skiing. She is excited to combine her passion for the outdoors with medicine as part of the CAWM community.
Cassandra Poirier
Regional Anesthesia in the Prehospital SettingCassandra Poirier is a second-year resident in Anesthesiology at the University of British Columbia. She completed her medical undergraduate degree at McGill University, where she presided over the Wilderness Medicine Association for two years. She is an avid mountain and ice climber having summitted some of the world’s highest mountains, including Mount Aconcagua (6,900 m). Her research interests include high altitude physiology and emergencies and regional anesthetic interventions in austere environments.
Rob Long
Wilderness Medical Delegation: Exploring the current medical and legal implications of physician delegation in the outdoor industry.Rob worked as a raft guide and outdoor ed facilitator for a few years before going to school for social work. He then worked as an addictions counselor at a wilderness therapy program near Nordegg, Alberta, doing a mix of counselling and guiding. He is now a second year medical student at the University of Calgary. Professionally, he is interested in improving primary care for people with disabilities, making the wilderness more accessible to underrepresented groups, and adventure therapy. In his spare time, he likes getting outside with his friends, whether its biking, climbing, or splitboarding.
Miles Randell
The Tree Well: The ultimate Chain of Survival StoryFather of 6 1/2 year old Bodie. Husband to Amy. Skier, ski mountaineer, ice climber, rock climber, mountain biker, surfer, mountain runner.
ALS Paramedic
SAR Medic3
TEAAM Aeromedical -president/founder/helicopter rescue paramedic
SARMed - owner/lead instructor
Search and Rescue Medic - 1991-2021
Whistler Blackcomb Pro Ski Patrol- 2004-2022
BC Ambulance Service - 1997-2018
Mountain Rescue Specialist
Swift Water Rescue Tech
Post Traumatic Stress Survivor
Canadian Forces School of Search and Rescue - instructor 2006-2009
Justice Institute of BC Paramedic Academy - lead instructor/program development 1999-2006
Joel McKinnon
Step one, protect yourself: An exploration injury research/prevention for Wilderness First RespondersJoel is a physiotherapist in Grande Prairie, Alberta. He currently works at Adventure Physiotherapy working with an outpatient musculoskeletal population and he works for Alberta Health Services in outpatient neurology and an intensive interdisciplinary community rehabilitation program. Joel is a volunteer member with Grande Prairie Technical Search and Rescue, and is currently a member in training. Whenever Joel is not in clinic or training you can find him cross country skiing, mountain biking, hiking, or most likely drinking a coffee and on the hunt for the Peace region’s best cinnamon bun.
Melissa Gear
From sea to sky: What to do when motion sickness makes you miserableMajor Melissa Gear is a physician with the Canadian Armed Forces. She has completed residencies in Family Medicine through Dalhousie University, and Aerospace Medicine with the United States Air Force School of Aerospace Medicine. Currently, she holds the position of Aeromedical Standards Flight Surgeon at the 1 Canadian Air Division Headquarters in Winnipeg, MB and is part of the team that advises on medical aspects of Royal Canadian Air Force training and operations. While missing the ocean as a displaced Newfoundlander, she enjoys exploring the prairie skies and landscapes with her husband and two boys.
Jon Dean
Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First AidDr. Jonathan Dean, MD BSc FRCPC PGDip MEd
Dr. Jonathan Dean is Past-President of Saskatoon Search and Rescue, member of the training committee, and active ground SAR team lead. He is an assistant professor and general internal medicine physician at the University of Saskatchewan, where he is involved in residency program curriculum development, and the clinical and simulation-based teaching of medical students and resident doctors. He holds a post-graduate diploma in medical education through the University of Dundee.
Trevor Day
Descending the Oxygen Cascade: Assessing Physiological Responses during Incremental Ascent to High Altitude on the Everest Base Camp Trek in the Nepal HimalayaDr. Trevor Day holds a B.Sc. and a Ph.D. (University of Calgary). He is currently a Professor of Physiology at Mount Royal University, where he teaches courses in basic and applied human physiology. His research interests include the integration and interactions between the heart, lungs, brain and kidneys in response to acute and chronic blood gas stressors (e.g., high altitude). His federally-funded research program (NSERC Discovery) includes undergraduate trainees in every aspect of the research endeavour. Trevor was recently inducted into the Royal Society of Canada as a member of the College of New Scholars, Artists and Scientists (2020-2027).
Neal Pollock
The Evolution of Diver ProtectionNeal Pollock holds a Research Chair in Hyperbaric and Diving Medicine and is an Associate Professor in Kinesiology at Université Laval in Québec, Canada. He was previously Research Director at Divers Alert Network (DAN) in Durham, North Carolina. His academic training is in zoology, exercise physiology and environmental physiology. He is an editor emeritus of the journal Wilderness & Environmental Medicine.
Jeff Thurman
Certified Wilderness Paramedic: A New International StandardJeff Thurman, MD, FACEP, FAWM is a board-certified Emergency Medicine and EMS physician. He is Gratis Faculty at the University of Louisville in the Division of EMS. Jeff is currently medical director for several EMS services and LEMA for the US Forest Service in Kentucky. He is associate medical director for RedSTAR, a wilderness EMS response team, operating in Kentucky's Red River Gorge. Jeff is part of the leadership team for the IBSC project to develop a WP-C exam. He is a member of the WMS SAR committee, NAEMSP Wilderness EMS committee, and Kentucky Board of EMS Wilderness Paramedic Taskforce.
David Fifer
Certified Wilderness Paramedic: A New International StandardDavid Fifer is an Assistant Professor of Emergency Medical Care and Director of the Center for Wilderness & Outdoor Public Safety at at Eastern Kentucky University. David also works as a Paramedic for Kentucky's Powell County Ambulance Service, where he is the founding coordinator of the Red River Gorge Special Treatment, Access, and Rescue team (RedSTAR) and flies with the Kentucky State Police as a hoist rescue technician.
He is a member of the Board of Directors of the Appalachian Center for Wilderness Medicine, and has been a key leader in the development of the International Board of Specialty Certification's WP-C (Certified Wilderness Paramedic) exam.
David earned his B.A. in Political Science and M.S. in Safety, Security, and Emergency Management from EKU, and is a Fellow in the Academy of Wilderness Medicine.
Stefan Cowtan
Oropharyngeal Frostbite? - a rare case of cold-induced airway collapseStefan Cowtan is a fifth 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 he is currently pursuing a low-resource and wilderness medicine niche in residency.
Rebecca Mottram
Workshop: Prevention of Common Mountaineering Overuse Injuries through warm up and pre conditioning exercisesRebecca graduated from the University of British Columbia in 1996 with a Bachelor of Science in Physical Therapy. She initially developed her main interest for muscle balance and exercise prescription while working in North Vancouver. This is where she took Shirley Sarhmann’s muscle balance courses that inspired her present focus on specific exercises to treat mechanical dysfunctions. She moved to Banff in 2000 and rapidly developed extensive knowledge in mountain sport rehabilitation. Working closely with our local orthopaedic surgeons, Rebecca is always up to date and educated on all of the recent surgical techniques and rehabilitation protocols. This ensures a seamless transfer of patient care from the operating room to the physiotherapy gym. It is through a diligent home exercise program and habitual change of postures that Rebecca believes is the solution to a pain free healthy body.
Hélène Morakis
Freediving: approach to patient assessment and managementDr. Morakis is a fourth year resident in Emergency Medicine (EM) at Vancouver General Hospital. She has a longstanding interest in Wilderness Medicine and is a candidate of the Fellowship of the Academy of Wilderness Medicine. She has worked as an event medic during residency, including for a freediving competition. 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.
Sydney Todorovich
Wilderness Ultrasound - Feasibility ConsiderationsSydney Todorovich is a 5th year emergency medicine resident and POCUS fellow at Western University. Since starting medicine she's wanted to find a way to bring her work outdoors, completing wilderness electives and teaching sessions whenever possible. More recently she's become interested in how hand-held ultrasound can be effectively utilized in wilderness and austere environments and intends to weave these interests into her career moving forward. She spends her spare time canoe tripping, trail running, mountain biking, and has recently taken a liking to adventure racing.
Niko Saler
The importance of objective measures in end-stage rehabilitation for major knee injuries and what they mean for a successful return to activityI graduated in 2016 with a Bachelor of Kinesiology with Distinction from the University of Alberta and followed up my undergraduate studies with a Masters of Science in Physical Therapy in 2018. During this time, I played five years with the Golden Bears men’s soccer team, being named CIS Rookie of the Year in 2012. I was a five-time Canada West All-Star, two-time CIS All-Canadian, and two-time Golden Bears Soccer MVP. In 2016/17, my last year of eligibility, we won a CIS/USports National Championship and I was named the University of Alberta Male Athlete of the Year. I was also fortunate enough to have played professional soccer with FC Edmonton and the Vancouver Whitecaps U-23 team.
Marc Gosselin
Medical direction in remote settings• President of Sirius Wilderness Medicine since December 2017 and Medical Director since 2013
• Emergency Medicine physician for more than 20 years in the Laurentians (St-Jérôme and Sainte-Agathe-des-Monts). Director of the Department of Emergency Medicine and Traumatology at the St-Jerome Hospital Center from 1999 to 2008.
• Northern Medicine (Nunavut, Nunavik and James Bay) intermittently over the years.
• Specialization in Sports and Exercise Medicine, Diploma in Mountain Medicine ( Grenoble).
• Medical Director of Centre de Medecine Sportive des Laurentides
• Specialist in Event Medicine: Medical Director for Dokever Canada and Ironman Mont-Tremblant events from 2012 to 2017 and since 2019 & volunteer physician at various races & events.
• Outdoor sports and endurance sports enthusiast : mountaineering and alpine hiking, nordic and cross-country skiing, telemark, mountain bike, triathlon, canoeing etc.
Emily Grady
Current and future avalanche search and rescue (AvSAR) training in CanadaEmily Grady is based in Revelstoke, BC where she works for the Canadian Avalanche Association (CAA) as a curriculum specialist and instructor. She is also an Association of Canadian Mountain Guides assistant ski guide. As the CAA's curriculum specialist, Emily has led curriculum development projects, including several avalanche search and rescue-related ones. During the CAWM 2022 conference, Emily will describe the current and future learning progression of avalanche search and rescue courses from the recreational to professional level of training. As part of the presentation, Emily will emphasize the value of the Avalanche Incident Management course for individuals who may be involved in a large AvSAR response.
Dirk Chisholm
Between a rock and a hard place: Crush Syndrome in 2022Dirk is a Resident Physician in the Emergency Medicine Program at the University of Calgary. Before medical school, he worked as a Primary Care Paramedic in a variety of settings, including as a Ski Patroller where his interest in Wilderness and Austere Medicine started. He continues to work with Canada Task Force 2, Alberta's National Disaster Response Team, and has interests in disaster, wilderness and prehospital transport medicine. Outside the hospital, he's happiest in the mountains skiing, trail running or enjoying a beverage.
Kevin Hanrahan
Between a rock and a hard place: Crush Syndrome in 2022Kevin has been a Physician for over three decades and works as an Emergency Physician in Calgary. He is a retired firefighter and is active in pre-hospital medical direction with roles in EMS, Downhill Ski Areas, Canada’s Alpine Ski team and one of Canada’s disaster teams. He has a diploma in mountain medicine and has been working in the Banff area as a volunteer ski patroller since 1988. He enjoys ski touring and mountaineering in the winter as well as mountain biking, hiking, golf and adventure motorcycling in the summer. He has 2 grown children and spends many days on the trails and slopes with his wife Diana in the Rockies.
Len James
Suspension Trauma - facts, fictions, and the case for evidence-based medicineLen is the Director of Medical Curriculum and Program Development for RavenRSM. He has been actively teaching wilderness medical courses since the 1980’s. Len has taught diverse clientele in Asia, South/Central America and across Canada. Len has degrees in Physical Education and specialities in Outdoor Ed. He has worked in various outdoor education settings including Outward Bound Canada. Len has been a member of OBC’s national safety committee for over 20 years. For over 40 years, Len has worked in a variety of leadership roles in pre-hospital care. Len maintains his clinical activity through working part time as an Advance Care Paramedic for the District Nipissing Paramedic Service.
One-Day Crevasse Rescue for The Alpinist
Nov 10, 0800-1600 MSTAST 1: Two-Evening Virtual Classroom and 1 Field Day
Nov 7, 1800-2100 MST (Webinar 1) + Nov 9, 1800-2100 MST (Webinar 2) + Nov 10 (Field Day)Join Yamunska Mountain Adventures for a webinar-based learning approach to the AST 1 classroom portion of the course. Over two webinar sessions, we will cover all the material that was traditionally covered during the classroom day. The webinar will have an interactive approach with break-out rooms and group sessions to bring you the most up-to-date curriculum that is being developed through Avalanche Canada.
If you would like to enhance your course experience, join us for an additional day of backcountry skiing following our Level 1 avalanche course.
Cold Water Boot Camp
November 10, 0900-1600 MSTThe Value (and Lack Thereof) of Triage Tools
1300-1340 MST - Capt (Dr) Dave JeromeTriage is the process of sorting casualties in order of priority so that finite medical resources can be applied to the casualties who have the greatest need and who are most likely to benefit from urgent intervention. Triage is especially important in a wilderness context where medical resources are usually limited and medical evacuation takes longer than in an urban setting.
More than a dozen triage tools have been developed and are currently in use by emergency response organizations internationally. Trauma medicine courses (including Advanced Trauma Life Support (ATLS), International Trauma Life Support (ITLS) and courses run by the Canadian Armed Forces) direct that these triage tools should be employed by responders during Mass Casualty Incidents (MCIs). Trained responders who participate in MCIs, however, consistently report that they did not employ a formal triage tool during their response to these real-world events.
This presentation will review the evidence supporting the use of triage tools. Attention will be paid both to how effectively responders apply triage tools, as well as the accuracy of triage tools at identifying casualties who require urgent lifesaving interventions. This presentation will also identify where evidence supporting the use of triage tools is lacking and recommend areas for future research.
By the end of this presentation, participants will be able to:
- Describe clinical scenarios where it would be appropriate to employ triage principles
- Employ triage tools commonly used by emergency medical response organizations in Canada
- Describe the evidence that supports the use of triage tools
- Identify where evidence for the use of triage tools is currently lacking, and opportunities for future research
Spinal Injury Concerns in Austere Environments
1340-1400 MST - Dr. Matt FreyThis presentation will be a succinct overview of relevant evidence (where available) related to management of potential spinal injuries in austere environments. This will include a brief introduction of the epidemiology of these injuries, the common mechanisms involved with a focus on particularly high-risk scenarios. Efforts will be made to summarize the most recent guidelines and protocols from relevant organizations, include regional rescue and EMS systems. The overall theme will be on how to practically apply this data in more austere environments. Particular attention will be directed at weighing potential benefit versus the potential risks and consequences of efforts to maintain spine immobilization. Case-based examples may be used (time-permitting). Sufficient time will be allotted for audience participation during a question period at the end.
By the end of this presentation, participants will:
- Have reviewed relevant evidence (where available) related to management of potential spinal injury in the backcountry
- Understand the risks and potential consequences of maintaining immobilization
A Tale of Two Crevasses: It Was the Best of Times; It Was the Worst of Times!
1400-1440 MST - Dr. Gordon GiesbrechtThe main threats to survival for someone who has fallen unroped into a crevasse are trauma, asphyxiation from inability to expand the chest, and cold exposure. The longest documented survival in a crevasse was 6 days for a victim who was able to sit on the snow at the bottom. Survival time for someone wedged in a crevasse would be much shorter. This session will review two recent cases with unexpectedly divergent results. In Antarctica, a 62 y-old pilot was wedged in a crevasse for 4 hours. He was extricated vertically and dragged over the edge of the crevasse where he soon went into cardiac arrest. Although it could reasonably be expected that he would survive, he did not. In Alaska, a 32 y-old mountaineer was hopelessly wedged in a crevasse for 16 hours. Although rescuers felt survival was impossible, they continued their efforts. After extrication, the patient was brought into a tent and quickly transitioned out of wet clothes and into a hypothermia wrap and then loaded on helicopter for a 1 h 40 min transport to hospital. Although he was not expected to survive, he did without sequalae. This session will review potential factors affecting survival including age, clothing, morphology, ability of the rescue team to handle the patients gently and keep them horizontal, medical training, and available equipment. It will also demonstrate 2 procedures for achieving horizontal hoisting position within a crevasse, and gentle transition over the lip of a crevasse.
By the end of this presentation, participants will be able to:
- Identify physiologic concerns related to safe extrication of a cold victim form a crevasse
- Identify the main thermal responses of a cold patient wedged in a crevasse
- Identify the factors that could lead to rescue collapse of a cold patient wedged in a crevasse
- Describe basic principles for transition to a horizontal patient position for hoisting and extrication
The Tree Well: The Ultimate Chain of Survival Story
1440-1520 MST - Miles RandellThis presentation is the story of the rescue of a 24 year old who was found in severe accidental hypothermic cardiac arrest after being frozen in a tree well for seven hours.
At the end of this session, participants will be able to:
- Identify severe accidental hypothermic cardiac arrest
- Understand treatment and transport decisions for severe accidental hypothermic cardiac arrest
- Understand transport challenges of cardiac arrest patients in austere settings
- Understand ECMO’s role in severe accidental cardiac arrest management Austere Prehospital Pain Management Strategies
Effects of Trauma- Why Group Therapy is Effective for Mountain Trauma and Grief
1600-1640 MST - Janet Mcleod & Sarah HuenikenIt takes a tribe and a community to heal after an accident in the mountains. Inspired by the defensive circle of the muskoxen that protect their young and weak, our peer circle can provide healing safety, connection and support.
We are a group of mountain community members coming together with professional clinicians to create a sustainable support network for those who have gone through a traumatic event in the mountains. We are in our second year running and growing. Two chapters in Canada now exist with a third starting in Montana soon.
In our presentation, Janet and Sarah will discuss the effects of mountain trauma and how people respond socially, and physically. The Nervous system will also be discussed with some humor and some insight into the importance of regulation and understanding. Here is an example of the talk we did and will do something similar again.
Balancing Patient Care in Mountain Rescue. Case Studies on How Parks Canada Banff Visitor Safety Team Works with Banff ALS Medics & STARS to Optimize Care… When Possible…
1640-1700 MST - Lisa Paulson ACMG, CAA, Parks Canada Visitor SafetyThe Parks Canada Banff, Yoho, and Kootenay Visitor Safety team is a small 10 person team of ACMG mountain guides with enhanced medical training under medical direction. They respond to about 400 search and rescue calls a year, most are minor where callers can be helped over the phone or by direct response with a few staff. Occasionally, there are calls where the hazards are known, can be managed, and it’s clear the help of a prepared ALS medic would benefit the patient. Over the past 10 years, Parks Canada has built a response relationship through joint training with medical director Dr. Kyle McLaughlin. A few case studies will be reviewed to highlight the benefits of this partnership.
At the end of this presentation, attendees will:
- Understand the nature of responses in the Banff, Yoho, and Kootenay (BYK) regions
- Know the technical & medical response capabilities of the BYK VS team
- Understand the factors and risks evaluated prior to requesting a joint response to the accident site with ALS and when to request STARS
- Gain insight to a few case studies that highlight the value of this relationship in patient care
Fitness for Diving Considerations
1700-1800 MST - LCdr (Dr) Kaighley Brett, Canadian Armed ForcesDiving has become an increasingly popular recreational activity, however, as with any sport there are potential risks that may be exacerbated by underlying medical conditions.
Unfortunately, medical curricula often lack instruction on undersea and hyperbaric medicine. This leaves clinicians in a difficult position of trying to determine fitness to dive or how to seek assistance and/or additional review. Further, access to physicians with advanced training in undersea and hyperbaric medicine may be limited depending on location.
Lessons Learned Practicing Medicine in Resource Poor Environments, From the Poppy Fields of Afghanistan to the Mountains of BC
1800-1840 MST - Dr. Nick FisherThis presentation will start with a brief biography followed by a collection of anecdotes and experiences from Dr. Fisher’s career in the UK Armed Forces, including deployments to Iraq, with a Field Hospital, and Afghanistan as an Airborne Medical Officer with the elite Parachute Regiment. This will segue into expeditions he supported in Nepal and Norway culminating in my move to BC, and application of his skills in Search and Rescue, Ski patrol as well as rural generalist primary/ ER care. Dr. Fisher will explore working in small tightly knit teams, ways to manage them and leadership approaches required. He will also review my approaches to resilience and management of acutely stressful situations both during and after high intensity events. Throughout there will be a strong emphasis on lifelong learning, humility and cultivating an adaptable/improvised approach.
At the end of the session, participants will be able to:
- Identify the medical risks of the undersea/hyperbaric environment
- Develop a generic approach to fitness for diving
- Appropriately refer, as required, for fitness to dive considerations
The Shirt Off Your Back – Backcountry First Aid WITHOUT a Kit
1700-1800 MST - Rebecca BassetMembership to the National Search and Rescue Program
0800-0900 MST - MWO Bryce CulverIn 1986, the Government of Canada directed the establishment of a National Search and Rescue (SAR) Program. The National SAR Program is a cooperative effort by federal, provincial and municipal governments along with other SAR organizations. The objective of the National SAR Program is to save lives by enhancing SAR prevention and provide effective and affordable SAR services in Canada’s SAR areas of responsibility.
Membership in the National SAR Program does not in any way change existing jurisdictions, responsibilities or authorities, nor requires the mandatory expenditure of resources. Membership does, however, provide a structure and process to produce effective, efficient and economical use of resources.
By the end of this presentation, participants will be able to:
- Define the components of the National SAR Program;
- Identify key SAR organizations that make up the National SAR Program;
- Describe the roles and responsibilities SAR organizations; and
- Appreciate the importance of interoperability between SAR organizations.
The Lake Louise World Cup Downhill Medical Team. A Tale of the Team and Their Toys
0900-0940 MST - Dr. Mike WickhamIt’s 1:13 pm on a Saturday in late November. Another spectacular blue-bird race day at
the Lake Louise Ski Resort. Racer #12 is held in the gate...her focus tempered slightly
by fear...There’s been a delay...700 meters downhill, the on-hill medical team work efficiently to stabilize and package an unconscious elite 25 year-old on a 30 degree ice track amidst the heavy rotor wash of a Bell 407 hovering above. 13 minutes earlier, with the world watching and the clock ticking, Racer #11 caught an edge on a low line at The Tower and tomahawked down
Fall Away at 110 km/hr wearing a skin suit. From Lollipops to Vac Mats, come back stage and learn about the politics, the toys and team members behind a squad that is considered the best in the on-hill rescue business of downhill ski racing.
At the end of this presentation, participants will be able to:
- Identify skills and personality traits that are essential in the successful integration of a multi-disciplinary alpine medical rescue team
- Give examples of how a local understanding of hospital resources can impact the timely care of a pre-hospital patient
- Describe the specific characteristics of a medication or medical device that is best suited to the pre-hospital alpine environment
Dream to Reality: Mental Practice for High Acuity, Low Opportunity Procedures
0940-1000 MST - Dr. Jamie Riggs MDWilderness medicine practitioners need to be comfortable with a broad range of high-acuity procedures, many of which we rarely see in practice. This session will introduce the concept of mental practice, and explore how we can use it to improve our performance of such high-acuity, low opportunity procedures. Mental practice, defined as the “cognitive rehearsal of a skill in the absence of overt physical movement”, has been shown to be as effective as physical practice in several areas, including athletics, music, team-based resuscitation and surgical skill acquisition. We will present our original research1 that describes how to develop tools for effective mental practice using scripts. Using semi-structured interviews with people experienced performing a cricothyrotomy, a rare but lifesaving procedure, we developed a script to facilitate effective mental practice. We will use this example to provide a framework for anyone to develop their own mental practice script to enhance their performance in rare procedures. We will also explore how to use mental practice to maintain competence in rare procedures, and how such mental practice may help reduce stress and improve performance in high pressure situations.
By the end of this presentation, those in attendance will be able to:
- Define mental practice and how it can apply to wilderness medicine
- Identify procedures and clinical situations where mental practice may improve performance
- Develop their own mental practice script
Backcountry Rescues in Kananaskis Region - 5 Years of Trauma in a Gravity Rich Environment
1020-1100 MST - Mike Koppang and Dr. Don McPhalenKananaskis was created in 1976 to preserve the front range areas between Banff national park out to the foothill regions of the eastern rocky mountains. Over the years the terrain has been expanded and now ranges from the Red deer river south to the Plateau Mountain Ecological reserve.
The terrain in Kananaskis ranges from Glaciated peaks to rolling foothills. As a result of the wide variety in landscapes many different user groups have access to Kananaskis. These groups include equestrian, OHV, hiking/scrambling, skiing (cross country and backountry), rock and alpine climbing as well as whitewater rafting and paddling.
The rescue program in Kananaskis is staffed by Professional Guides who are also members of the Canadian Avalanche Association. These staff are responsible for one of the busier rescue programs in Canada and have jobs that involve response, training, avalanche forecasting as well as education and awareness campaigns.
The intention of the presentation is to review the past 5 years of calls which have been broken down into a variety of different categories (Kananaskis Public Safety does between 350-500 calls in a given year, pandemic dependant). By focusing on the types of calls staff can focus there medical training as well as work with a group of physicians known as the “Canadian Mountain Parks Backcountry Medical Council '' to develop protocols specific to deal with common incidents. A busy day will be reviewed wherein staff responded to 13 calls throughout the park with 4 of them being red or critical patients. It's also important to note that the location of the calls often presents staff with challenging decisions about risk and risk management in the terrain.
Pharmaceutical Considerations for Medical Care in Extreme Environments
1100-1200 MST - Dr. Steven RoyMedications are the basis for modern medicine. It is not possible to provide advanced medical capabilities necessary to ensure crew health and performance during expedition missions or rescue without access to pharmaceuticals. However, the vast majority of human knowledge on pharmacology assumes conditions found in most hospitals, pharmacies, and pharmaceutical labs - namely room temperature, low-moderate altitude, average air humidity, and minimal UV, background radiation, or vibration. In this talk, we will review important effects of high and low temperatures, atmospheric pressures, radiation, and other environmental variable on medication stability, pharmacokinetics, and pharmacodynamics.
By the end of the presentation, participants will be able to:
- Identify environmental factors that can affect the stability of medications stored in the field
- Identify the potential impact of environmental factors on medication pharmacokinetics and pharmacodynamics
- Describe storage considerations and techniques to mitigate the environmental limitations of medications
The Role of Simulation in Marine Search and Rescue
1300-1320 MST - Sophie Thomas & Gillian HuttonThe Gulf Islands and the Broken Group are two of many vast training grounds for the Canadian Coast Guard and their maritime partners. Every year search and rescue crews come together to learn from multi-asset, multi-casualty training simulations spanning distances and many hours. These small teams find strength among their crew with large variation in marine experience, medical knowledge and personality! What lies at the route of success in each exercise is communication. Learn from two medical students who have both worked on and helped to trained crews across the east and west coasts. The aims of this presentation are to 1) provide an overview of the Canadian Maritime SAR system, 2) give insight into simulation design and how it has been optimized for training, 3) describe how communication serves as the primary objective of effective SAR training, and 4) understand how to apply lessons learned from pre-hospital simulation to other fields of medicine. Learn about the role of communication in search and rescue as the presenters take you through a simulation from pre-brief to de-brief.
At the end of this session, participants will be able to:
- Understand the components of the Canadian Maritime SAR System.
- Understand the role of Inshore Rescue Boat crews.
- Explore previous studies on simulation in the emergency setting
- Appreciate the design of marine search and rescue simulation for training purposes.
- Recognize the importance of multi-asset and multi-organization involvement in effective training exercises.
The Prevention and Management of Bear Attacks: Lessons Learned in the Great Outdoors
1320-1340 MST - Jennifer MaAs a previous Black Bear Safari Guide in the Sea-to-Sky region of BC and a current Queen’s medical student, Jennifer aims to combine my experiences with various bear behaviours and her interest in medicine to educate wilderness medicine professionals on the safety considerations of venturing into bear country. This presentation will explore the best practices of preventing, recognizing, and managing black and grizzly bear attacks. During her presentation, they will discuss how to differentiate bear species in Canada, identify territorial vs. predatory behaviours, and what to do (and not to do) if one encounters a bear in the backcountry. With the use of interactive cases, we will learn to identify bluff charges, defensive behaviours, and signs of a predatory attack. The audience will review real cases of bear maulings in North America and discuss the factors contributing to the attacks. Jennifer will also present an overview of the treatment and management of common injuries caused by bear encounters. While rare, bear attacks are likely an inevitable part of humans cohabitating with bears and recreating in bear country. Thus, it is critical to identify the impact of humans on bears and to educate all wilderness medicine specialists on the prevention of attacks and how to respond to anticipated injuries.
At the end of this session, participants will be able to:
- Understand the considerations for safely recreating in bear country.
- Identify the different types of bears in Canada, particularly black and grizzly bears, and describe their unique behaviours.
- Differentiate a bluff charge, a defensive attack, and a predatory attack.
- Respond appropriately to various human-bear encounters.
- Describe the treatment and management of injuries secondary to a bear mauling.
Regional Anesthesia in the Prehospital Setting
1340-1400 MST - Dr. Cassandra PorierThe role of regional anesthesia in providing analgesia throughout the perioperative period has long been well established in monitored hospital settings. However, this has not led to a direct translation of its application in the prehospital setting. Acute pain management in the trauma patient in the austere environment has generally relied on systemic analgesics, including opioids, which often lead to inadequate analgesia, especially upon mobilization, hemodynamic changes, respiratory depression, and delirium. Hesitations surrounding the use of peripheral nerve blocks (PNB) in this setting have been falsely founded on the assumption that they delay transport times, distort the validity of the clinical exam upon arrival to the hospital and mask early symptoms of compartment syndrome. The following presentation will provide a review of the existing literature, ranging from case studies to randomized controlled trials, demonstrating the safety and efficacy of ultrasound-guided PNB in prehospital trauma patients. A variety of blocks, including fascia iliaca, femoral nerve, sciatic nerve, interscalene, erector spinae, serratus anterior and digital blocks, will be discussed. These have in large part been performed by physicians working with emergency medical services (EMS) or aeromedical retrieval services, however there are several reports of successful blocks performed by paramedics and EMS nurses. The main complication reported in the literature has been failure of the block, with success rates ranging from 88% to 100%. In summary, PNB in the prehospital setting offer several unparalleled advantages, including immediate and complete analgesia, hemodynamic stability, potential fracture reduction, limb immobilization, and ultimately safe and effective evacuation.
By the end of this presentation, participants will be able to:
- Discuss how regional anesthesia fits into current analgesic options in the prehospital setting;
- Review the literature on the safety and efficacy of regional anesthesia techniques in the prehospital setting;
- Describe the types of ultrasound-guided peripheral nerve blocks performed in the prehospital setting, as well as important clinical considerations, equipment, landmarks, patient positioning, techniques and clinical pearls;
- Explore the potential barriers to the application of peripheral nerve blocks in the prehospital trauma patient;
- Outline future recommendations for out-of-hospital pain management.
Wilderness Medical Delegation: Exploring the Current Medical and Legal Implications of Physician Delegation in the Outdoor Industry.
1400-1420 MST - Rob LongThis presentation sheds light on the logistical, ethical and legal issues surrounding medical directorship and delegation, and aims to generate discussion on a path forward that balances regulation with flexibility.
By the end of this presentation, attendees will be able to:
- Identify the pitfalls and potential for change in medical delegation in the outdoor industry
Canadian Forces Search and Rescue Technicians Program, Capabilities, and Interoperability
1420-1500 MST - WO Steve Delage RCAF SAR TechThe CAF has about 140 SAR Technicians (SAR Techs), who are highly-trained specialists who help rescue people in distress in remote or hard-to-reach areas. They also provide advanced pre-hospital medical care. SAR Techs are trained to a primary care paramedic national standard.
They also have additional advanced skills. SAR Techs are land and sea survival experts. They specialize in rescue techniques. This includes Arctic rescue, parachuting, diving, mountain-climbing and helicopter rescue.
Through this presentation the RCAF SAR Techs will engage the audience with an overview of the Canadian SAR Tech program. They will highlight the training and strengths of the program, and highlight where they are best suited to integrate into civilian rescue operations. This will help create further understanding how to best utilize resources across Canada for the best patient outcomes.
At the end of the presentation participants will have an understanding of:
- SAR Tech training and capabilities;
- Search and Rescue Units locations and CAF SAR Aircraft platforms;
- SAR Tech interoperability with other agencies.
Step One, Protect Yourself: An Exploration Injury Research/Prevention for Wilderness First Responders
1500-1520 MST - Joel McKinnonIn this presentation on search and rescue injury and prevention. Physiotherapist and Search and Rescue member Joel will discuss injury epidemiology, and the lack of research pertaining to Wilderness First Responders/professionals. Through this presentation learners will be given information about prehabilitation required to create a healthy SAR member. Joel will identify general principles of prehabilitation and preventing injuries such as; training, exercise principles and frequency required to build or maintain strength in certain areas. Learners will learn through lecture and example how to prepare themselves for a long career in Wilderness Medicine/SAR.
Learning Objectives:
- Identify the need for research on the topic of rescuer injury and injury trends.
- Identify what are the likely injuries rescuers are at risk of
- Understand based on clinical experience/evidence available how practitioners can avoid these injuries.
- Understand general prehabilitation principles that would be useful to the Wilderness First Responder.
Understanding Trauma
1600-1700 MST - Christopher KoppThis presentation establishes a foundational understanding of the body’s physiology when inflicted with trauma. It will take relevant complex biochemistry and physiological processes and explain them in a coherent way, in simplified terms that are easy to understand and important to even the most basic care provider. This allows all levels of practitioners to benefit from understanding what is happening to the trauma casualty, and why certain interventions, even as basic as keeping the casualty warm, are so important.
At the end of this session, the participants will be able to:
- Summarize how and why a body dies from traumatic injury.
- Describe the acid base balance processes within the body and cells.
- Summarize applicable aspects of cellular respiration and cellular metabolism.
- Explain basic categories of cardiorespiratory insults and how they lead to cellular death.
- Describe the process and stages in the death of a cell.
- Summarize the pathophysiological process that the body’s thermoregulatory mechanisms become compromised due to cardiorespiratory insults.
- Describe the Lethal Trauma Triad and the Lethal Trauma Diamond.
From Sea to Sky: What To Do When Motion Sickness Makes You Miserable
1700-1740 MST - Maj (Dr) Melissa GearMotion sickness is a common phenomenon which may impact performance on a variety of platforms used in wildness medicine. This presentation will outline the history and etiology of motion sickness, factors which may influence susceptibility, as well as the most commonly experienced symptoms and after-effects. There are several pharmacologic options for treatment of motion sickness which will be discussed, including the effectiveness, side-effects and limitations. In addition, application of behavioural and cognitive modification skills will be described.
At the end of this session, participants will be able to:
- Summarize the etiology of motion sickness and the impact on performance;
- Identify pharmacological treatment options for motion sickness and the associated side effects and limitations; and
- Describe desensitization, behavioural and cognitive modification techniques and their application.
Keynote Presentation: The Role of Preparation & Self-Sufficiency in Wilderness Accidents
1800-1920 MST - Cyril ShokoplesCell phone, sat phone, InReach, Spot, Zooleo, PLB, GPS... It’s a new world. Go ultralight and fast as rescue is just a push of a button way. Who needs a tarp and first aid kit? Gear just slows you down when you are trying to post about your incredible fast pace. Why bother with expensive wilderness emergency response training? Accidents rarely happen and when they do, just push a button. Yup, it’s a new world. Use your phone as a GPS and update Facebook and Instagram from the summit, your ski tour or paddling route! Everything is great until your battery fails and an accident occurs just as the weather comes crashing down. You and your pals now have to figure it all out from first principles.
Using real life examples from his decades of experience, Cyril will chat about how equipment, training and preparation, or lack thereof, led to extremely variable outcomes in mountain emergencies he has been involved in.
Imagine yourself attempting to do the first ascent of a significant frozen waterfall. No communications with the outside world are possible. You and two partners are doing well until the leader falls 60 to 80 feet (20 – 25m) and lands on his head, dangling from the rope well below you. Game on. The story of Kitty Hawk, the waterfall... Now transport yourself into a summer setting at 10,000’ (3000m) on a mountain near the Alberta / BC border. You are leading three climbers on technical ground. The group is varied. One gal is on her first alpine climb ever. One lad has climbed a fair amount recreationally. The third has experience in mountain rescue in the UK and has climbed a lot in the Alps. He’s your ace in the hole if something goes wrong. You summit and all is well. You start the descent. A large rock is knocked loose, falls 25m and strikes two members of your party. Oh crap, your ace is one of the two people injured and he is the worst off. You are still on technical ground. Your radio doesn’t work as you are on the wrong side of the mountain. Here we go again. The story of Petain...
Hypothermia Wraps from Ideal to Improvised Live and Virtual Workshop
0800-1000 MST - Pete SymonsFor Virtual Attendees Only
This workshop will focus on field techniques in managing the hypothermia patient along with the materials and skills needed to make a Hypothermia Wrap. Additional focus will be on prolonged patient contact where evacuation is delayed and on self-hypothermic care.
Improvised Patient Packaging
0800-1100 MST - Raven RescueLightweight Self/Buddy Rescue Systems
0900-1100 MST - CTOMS, Chris KoppThis workshop will focus on three different capabilities/applications with two different rope systems.
The first will be escape from heights with the Firefly system. The Firefly system is an emergency egress micro system that uses a 3.6mm rope. This would be applicable to paragliders for tree landing egress, and stalled lift escape for ski patrollers. It will cover an overview of the equipment, anchoring, harness donning, adjusting the rope in the device, descending, and resetting the system. Each participant will get at least one descent on the system.
The second component will consist of crevasse rescue using TRACE Systems aimed particularly at ski guides. This will include an equipment overview, running the system which includes anchoring, rappelling down to the casualty, connecting the casualty to the system, ascending the rope, and hauling the casualty. Each participant will have the opportunity to run the system.
Helicopter Rescue Techniques in the Kananaskis Region
1100-1200 MST - Mike Koppang, Matt Mueller, Chris RobertsonThe presentation will discuss different types of backcountry rescue extractions with the Bell 407 Aircraft that is used for both the Banff Visitor Safety Program as well as the Kananaskis Public Safety program. Rescue specialists will discuss first aid techniques that can be done in the remote environment including limitations on different techniques given the aircraft and the extraction techniques used. Discussions will include the use of specialized tools such as Vacuum mattress and splints, types of limited first aid gear we carry based on 44 years of practical experience in the field. A discussion of mCPR and the use of the Zoll Autopulse will be had and how it can be incorporated into a teams tool box.
A 407 Aircraft will be on hand and all of the applicable rescue gear carried by Public Safety Specialist in the Field.
Kananaskis Public Safety is a professional rescue team working within Alberta since 1978. All members of the team are certified members of the Association of Canadian Mountain Guides as well as Professional members of the Canadian Avalanche Association.
Wilderness MCI Workshop: Live & Virtual
1300-1600 MST - Wilderness MD: Dr.Steven Roy, Dr. Chris Lipp, Dr. Heather Coombs, Jean-Sebastian BerlinguetteThis workshop/lecture will cover the essentials of coordinating & providing multicasualty incident (MCI) medical care in the wilderness.
The first day (virtual and in person) will review the basics of MCI management in the low-resource setting. This includes fundamentals of patient triage, the Incident Command System, resource management, and medical management of threats to life in the setting of severely constrained resources.
The second day (in person only) will include a 2-hour simulation of a wilderness MCI followed by a debrief with the faculty.
Participants should ideally already have previous hands-on training in wilderness medicine.
Teaching in Orange: Developing a Search and Rescue Team’s Medical Capabilities Beyond Standard First Aid
0820-0900 MST - Dr. Jon Dean and Rebecca BassetSaskatoon Search and Rescue is a Canadian ground SAR chapter comprised of over forty active volunteer members with varied professional backgrounds. While standard first aid certification is a national requirement for searchers, geography, climate, and urban-wilderness interface can complicate extraction of a found subject and isolate search teams from professional medical responders. Consequently, Saskatoon SAR’s approach to training focuses on promoting team cohesion, problem solving, and comfort with medical problems beyond a standard first aid level for all members.
Through anecdotes of both training and search experiences, this presentation will highlight how our organization has successfully elevated the capability of all volunteer members, including those with no formal medical background. Presenters will walk through the team’s progressive, layered learning experiences, its use of role modelling and debriefing, and the importance of realistic, simulated medical scenarios that harness current medical education theory. Presenters will further discuss how Saskatoon SAR’s approach has led to standardization of individual members’ medical kits, and how our training has positively impacted organization culture. Next steps in growth of the organization’s training program will be explored.
Locally identified challenges have influenced our training methods and vision for members’ first aid capabilities. Aspects of Saskatoon Search and Rescue’s approach can be tailored to other organizations, both inside and outside of SAR, to raise the medical experience of all volunteers. Attendees will be encouraged to reflect on the needs of their local contexts.
At the end of this session, participants will be able to:
- Discuss the importance of the dissemination of medical capability throughout an organization working in an austere or remote environment
- Assess how both role modelling and debriefing can impact medical learning and training culture
- Employ a medical education approach to building practical and engaging austere learning experiences
Descending the Oxygen Cascade: Assessing Physiological Responses during Incremental Ascent to High Altitude on the Everest Base Camp Trek in the Nepal Himalaya.
0900-1000 MST - Dr. Trevor DayAscent to high altitude (HA) is a profound physiological stressor, imposing systemic hypoxia and risk of high altitude illnesses (e.g., acute mountain sickness; AMS). To protect oxygenation and acid-base balance, acclimatization to HA includes the integrated coordination between cardiac, cerebrovascular, hematological, pulmonary, and renal systems. For example, with acclimatization, respiratory responses to hypoxia become more sensitive, but the kidneys must compensate for the resulting acid-base disturbance from the resulting reduction in CO 2 . The magnitude and variability of these inter-related acclimatization processes within and between organ systems renders some individuals well-acclimatized, yet some more susceptible to AMS and other altitude illnesses (e.g., high altitude pulmonary edema).
Despite the popularity of trekking and climbing expeditions to HA, little is known about why some people are more at risk of AMS than others. Although behavioural aspects appear to play a larger role at lower altitudes (e.g., exertion, ascent profile, hydration and nutrition), age, fitness or sex do not predict AMS susceptibility as trekkers ascend higher. Using a visual journey of incremental ascent to HA along the Everest Base Camp trek in the Nepal Himalaya, this presentation will highlight several novel physiological and analytical perspectives to assess acclimatization during incremental ascent to HA.
At the end of this session, participants will be able to:
- Differentiate between normobaric vs. hypobaric low oxygen (hypoxia)
- Differentiate between rapid ascent and residence vs. incremental ascent to high altitude
- Differentiate between acute responses, acclimatization, developmental and population level adaptation to hypoxia
- Understand the types and risks of high altitude-related illnesses, including prevention and treatment
- Understand the organ system responses and interactions involved during exposure to acute hypoxia and acclimatization to high altitude
The Evolution of Diver Protection
1020-1120 MST - Dr. Neal PollockCompressed gas diving has always been thought of as an equipment-dependent activity, but the degree to which this is true has accelerated over time. This presentation will juxtapose human physiology alongside recent, emerging, and future technologies to demonstrate how both risks and protections are evolving and are likely to continue evolving. The goal is to promote thoughtful diving and an appreciation of both safe practice and possibilities.
Learning objectives:
- Review common and critical issues related to diving health and safety.
- Discuss the evolution of protections for diving safety.
- Describe research efforts to assess diver risk.
Certified Wilderness Paramedic: A New International Standard
1120-1200 MST - Dr. Jeff Thurman and David FiferWilderness EMS is a rapidly evolving area of out-of-hospital medicine, distinct as a specialty within the broader field of wilderness medicine. This evolution is driven by the need for highly trained medical professionals to be capable of treating patients in the wilderness under their full scope of practice and as members of an organized healthcare system. This presentation will discuss the history and evolution of Wilderness EMS, and current challenges in the model of education, certification, licensure, and credentialing that is necessary to support this specialty. Additionally, this presentation will discuss the forthcoming WP-C (Wilderness Paramedic-Certified) credential from the International Board of Specialty Certifications (IBSC), which represents a new international standard for professional Paramedics operating in wilderness settings. Although high quality wilderness medical education has existed for many decades and various governmental bodies may recognize wilderness medicine to various extents, there has been no 3rd party, validated certification of that knowledge prior to the initiation of the WP-C credential.
At the conclusion of this presentation, participants will be able to:
- Understand the current state of Wilderness EMS in the United States, North America, and globally
- Understand the importance of professional certification in Wilderness EMS
- Understand the International Board of Specialty Certifications (IBSC) Wilderness Paramedic-Certification (WP-C) project
Oropharyngeal Frostbite? - a Rare Case of Cold-Induced Airway Collapse
1300-1320 MST - Dr. Stefan CowtanA very interesting case report of severe oropharyngeal swelling and airway compromise secondary to inhalational frostbite. Although there are case reports of thermal airway injury secondary to toxicologic inhalations such as nitrous oxide or dry ice, frostbite injury such as this is not described in the literature. The severity of this eventually required tracheostomy in the OR. Ill discuss the interesting presentation of this case as well as the medical management of oral and airway swelling from cold injury.
By the end of this session, learners will:
- have reviewed the basic pathophysiology of frostbite
- Understand the considerations for rare airway compromise secondary to oropharyngeal frostbite
- Have an approach to medical management of significant oropharyngeal swelling from cold injury
Freediving: Approach to Patient Assessment and Management
1320-1340 MST - Dr. Helene MorakisFreediving as a sport has gained popularity through the COVID-19 pandemic, in Canada and worldwide. Some coastal BC Indigenous communities have programs that teach their youth freediving for harvesting aquatic life. Dives range from 5m deep (harvesting, recreational) to 214m (world record “no limits” dive), and they are not using compressed air. The most common medical adverse events related to freediving competitions are cerebral hypoxia, pulmonary edema, ear/sinus barotrauma; while decompression sickness and thoracic barotrauma are less common.
Learning Objectives:
- freediving as a sport and foraging activity
- At the end of this presentation, participants will understand the epidemiology of freediving injuries/accidents, and how this may differ from scuba diving
- At the end of this presentation, participants will have an approach to assessment of an injured freediver
- At the end of this presentation, participants will have an approach to the management of an injured freediver
Wilderness Ultrasound - Feasibility Considerations
1340-1400 MST - Dr. Sydeney TodorovichAs point of care ultrasound technology has gotten smaller, more durable, and more cost effective there is increasing desire to bring these devices into the wilderness. However, a number of barriers and considerations still exist when deciding how and if these devices should be included in our kits. This presentation will assess various handheld ultrasound devices based on several factors relevant to wilderness use, including battery life, durability, points of failure, and image storage. It will also discuss potential strategies to minimize the challenges these high-tech devices face when exposed to out of hospital use. Lastly, it will discuss approaches to the problem of bringing ultrasound gel, a rather heavy and voluminous commodity, into the wilderness setting.
At the end of this session, participants should be able to:
- Identify barriers to ultrasound application in different wilderness settings
- Discuss methods to mitigate these various environmental and technological challenges
The Importance of Objective Measures in End-Stage Rehabilitation for Major Knee Injuries and What They Mean for a Successful Return to Activity
1400-1420 MST - Niko SalerNote: This Presentation has a follow-up Workshop of the same name on Sunday 1420-1440 MST
In modern rehabilitation, return to activity decisions can be very difficult for clinicians to make appropriately. The re-injury rates of major knee injuries can be extremely high and individuals may not return to their activity or sport after ligamentous or meniscal injuries of high severity. The need for comprehensive rehabilitation programs has arisen and puts a large emphasis on heavy strength training and re-exposure of the body to plyometrics and high-speed movements patterns towards end-stage rehab.
The aim of this presentation will be to describe major ligamentous, primarily ACL and meniscal injuries, their prevalence and how return to activity decisions are complex decisions which require a lot of testing and very rigorous rehabilitation. Testing batteries have classically been described as a mixture of strength tests and hop tests for knee injuries. However, with recent literature, there has been an emphasis towards objective strength measures using dynamometers and strength ratios to help guide clinicians abilities to conduct appropriate return to activity tests. Return to activity guidelines without the use of strength testing measures can be incomplete due to the ability of the body to hide and compensate around strength deficiencies. The use of objective strength testing measures have been shown to be paramount with regards to the decisions around return to activity, but also the direction of rehabilitation programs centered on changing these deficiencies and returning patients to their meaningful activities.
At the end of this presentation listeners will be able to:
- Have an understanding of the complexity of the rehabilitation needs for major knee injuries.
- Identify the limitations of conventional style rehabilitation without objective measures for major knee rehabilitation.
- Identify different means of objectives testing batteries and how they relate to return to activity.
- Have an understanding of exercise prescription based off objective testing measure results.
Medical Direction in Remote Settings
1420-1520 MST - Dr. Marc GosselinPresentation by a team of experienced medical professionals (Physician and onsite medic) to describe the challenges of providing medical care for workers in remote areas. From the preparation to the field deployment identifying the main components of creating a medical system adapted to the specific environment and type of industrial activity. Through the presentation of various real life cases, the presenter will highlight significant clinical teaching points and help the audience understand the challenges and adaptation needed to ensure proper medical coverage in resource limited environments.
Presentation will be interactive with demonstration of various available modalities for communicating in these difficult environments.
Specific objectives for this talk include:
- Understanding the main components of providing medical coverage for remote operations from a medical perspective :
- Developing a medical coverage plan adapted to the specific environment, onsite medical personnel , type of activity and local-regional regulations.
- Development of appropriate protocols and treatment guidelines as well as an adapted medical toolkit.
- Identifying limitations and challenges of the various communication medium used in providing medical support
- Through discussion of specific cases, identifying clinically relevant information’s ( Pearls & Pitfalls ) associated with providing medical support in remote operations.
- Understanding the main components of providing medical coverage for remote operations from a onsite medical personnel perspective :
- Preparation for field deployment (Specific training & certifications)
- Challenges in communications.
- Challenges of providing long term care in remote environments
- Enacting the emergency response plan , putting theory into action.
Current and Future Avalanche Search and Rescue (AvSAR) Training in Canada
1540-1600 MST - Lisa PaulsonAt a recreational level, there is a well-established learning progression involving the Avalanche Skills Training 1 and 2 and the Companion Rescue Skills courses. A summary of these courses will be presented through an orientation of the Avalanche Canada website. There are changes proposed to the progression of professional-level courses. These changes include the creation of an AvSAR fundamentals course as a prerequisite to the Avalanche Operations Level 1 Operations course and an Advanced AvSAR course as a prerequisite to the Avalanche Operations Level 2. These courses will be described in the presentation. Lastly, the existing Avalanche Incident Management course will also be described as it may be of interest to those who may be involved in an avalanche SAR response.
At the end of this presentation, attendees will:
- Understand the progression of existing courses for recreationalists
- Understand the changes in the professional progression of AvSAR training with the development of an AvSAR fundamentals and advanced skills course (pending the approval of a SAR-NIF grant application)
- Understand the value of the Avalanche Incident Management course for individuals who can be involved in a large AvSAR response
Between a Rock and a Hard place: Crush Syndrome in 2022
1600-1620 MST - Dr. Dirk Chisholm and Dr. Kevin HanrahanCrush syndrome is a controversial clinical syndrome often seen in austere medical settings. There is significant variance in the prehospital treatment of crush syndrome, with many therapies lacking any robust evidence. Participants in the session will gain an understanding of what crush syndrome is, how it develops, and then use this knowledge to understand various proposed treatment modalities.
By the end of the session, participants will be able to:
- Describe the pathophysiology of crush syndrome to understand treatment interventions in addition to being able to recognize at risk groups.
- Establish an evidence based approach to the management and treatment of crush syndrome in austere environments.
Suspension Trauma - Facts, Fictions, and the Case for Evidence-Based Medicine
1620-1720 MST - Len JamesSince the original research in the 1970, there has been little it the way of hard research into the injuries related to being suspended in a harness. However, in the fall prevention industry there is a prevailing belief that if you hang in a harness (even for 10 minutes) there is a high risk of cardiac arrest. Along with this is a wide range of treatment strategies: keep the patient in a sitting position, supine position is preferred, apply tourniquets.
The diverse opinions and vast amount of (mis) information related to this phenomenon is a fabulous example of the need for Evidence Based Medicine. This presentation will argue for an evidence-based approach to understanding and treating injuries related to suspension in a harness.
This presentation will attempt to summarize the evidence and will identify the numerous gaps and opportunities for further research. As well, it will argue for the medical community to develop an evidence-based understanding to combat the plethora of misinformation on this topic.
By the end of the presentations participants will:
- Review and appraise the current literature regarding hanging in a harness related injury.
- Be able to Identify the significant gap in our understanding of these syndromes.
- Be able to evaluate the wide range of treatment strategies and identify a reasonable and evidence-based approach to these patients.
Practical Hemorrhage Control
0800-0830 MST (Session 1) or 0830-0900 MST (Session 2) - CTOMS, Chris KoppThis workshop will teach the practical use of hemorrhage control tools, including the most common tourniquets and junctional tourniquets, as well as wound packing. Tourniquets will be self-applied and applied on peers after a safety briefing has been given. Wound packing practice is conducted on wound packing task trainers. This session will not get into hemorrhage control theory or background information and it is highly recommended that all participants complete the online CTOMS Emergency Bleeding Control Course prior to attendance, though this is not mandatory.
Austere Prehospital Pain Management Strategies
0800-0900 MST - TEAAM, Miles RandellWilderness MCI Workshop: Live (Day 2)
0900-1200 MST - Wilderness MD: Dr.Steven Roy, Dr. Chris Lipp, Dr. Heather Coombs, Jean-Sebastian BerlinguetteSpinal Cord Protection in a Vacuum Mattress and Improvised Splinting
1300-1600 MST - Cyril Shokoples, Pete SymonsHalf of this workshop is an introduction to the vacuum mattress for transportation of the patient with suspected spinal injuries.
In the “Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection” (updated 2019) the following statements are made:
- “Several studies have demonstrated that a vacuum mattress provides significantly superior spine stability/ motion restriction, increased speed of application, and markedly improved patient comfort when compared to a backboard and a cervical collar alone. Vacuum mattress immobilization of the potentially injured spine is the current recommendation of the International Commission for Mountain Emergency Medicine.”
- “Recommendation: Vacuum mattress provides superior motion restriction and improved patient comfort (with corresponding decreased risk of pressure sores) and is preferred over a backboard for motion restriction of either the entire spine or specific segments of concern. (Evidence grade: 1C).”
Vacuum mattress use in Europe has been widespread for decades. The vacuum mattress has similarly been widely used since the 1990s within mountain National Parks in Canada. Kluane National Park in the Yukon began using the vacuum mattress for wilderness rescue in the 1980s. Many Canadian Heliski companies have used the vacuum mattress in preference to the backboard since the early to mid 1990s. Despite their extensive use by many agencies and the growing body of evidence supporting the superiority of the vacuum mattress over the backboard, many EMS providers and urban medical practitioners have never seen or used a vacuum mattress.
The other half of this workshop will focus on Improvised splinting in the backcountry. Basic splinting and in particular improvised splinting is a skill that many advanced care practitioners have struggled with over the years relying on analgesic medication and rapid ground or helicopter evacuation. This workshop will look at the situations where rapid evacuation is not possible and situations where the patient may need to assist in their own evacuation or movement to a more suitable rescue point.
Prevention of Common Mountaineering Overuse Injuries Through Warm Up and Pre Conditioning Exercises
1300-1400 MST - Rebecca MottramTwo Rope Rescue Systems for High-Angle Mountain Rescue
Nov 14, 0900-1600 MSTThis outdoor workshop is designed to provide a brief overview of several of the more common variations of 2 rope rescue systems used in mountain rescue. Through demonstrations and hands-on practice, the participant will be exposed to purpose-built systems using the MPDTM and ClutchTM as well as lighter-weight component based systems using the Scarab® or ATC®.
The presenter(s) will demonstrate a structured approach to command and control, selecting an edge transition location, constructing edge restraints and subsequent main anchor construction and evaluation using the DARN Solid mnemonic.
Advanced Topics in Wilderness Medicine: Cancer Patients & Survivors
Nov 14, 0900-1600 MSTCoast Hotel & Conference Centre
511 Bow Valley Trail, Canmore, AB T1W 1N7 Canada (click for maps link)CAWM Attendees have the opportunity to book hotel rooms at the Coast Hotel for a discounted rate of $119 per night (plus taxes and applicable fees).
Limited rooms available, book by October 13 2022 to guarantee the discounted rate.
Website Booking
- Visit this link: http://coa.st/CAWM2022
- When the pop-up appears, click 'Select and go to Next Step'
- Select the duration of your stay (to extend your stay beyond the conference dates please call the number below instead of using the website).
- Select Coast King or Coast Two Queens (to upgrade your room please call the number below instead of using the website)
- Select any enhancements you desire, then when you're ready click 'Add Room & Checkout'
Phone Booking
Call 1-800-663-1144 and quote the code CCM-GFC5229 or CAWM 2022 during the booking process.
Coast Hotels recommends the following travel providers:
From Calgary Airport to the Hotel - Banff Airporter drops travelers off directly in front of the Coast Hotel.
Around Canmore and Banff - Three Sisters Taxi provides transportation around the streets of both towns.
The conference rooms can be directly accessed from the lobby.
Registration will take place in the Concourse
The main meeting space and meal room is the joined Crocus & Arnica ballroom
The Cougar, Grizzly, and Ladyslipper rooms will be used for breakout sessions
The following meals are included with the in-person registration.
Friday
- Lunch
- Snack
Saturday
- Hot Breakfast
- Snack
- Lunch
- Snack
Sunday
- Hot Breakfast
- Snack
- Lunch
Additionally, a bar service will be available on Saturday from 5pm to 8pm. Drinks from this bar will be charged separately.
3 Days
34 Presentations
17 Workshops
Canadian Content
CME
Keynote Speaker
Cyril Shokoples
Saturday November 12, 1800-1920 MST
Cell phone, sat phone, InReach, Spot, Zooleo, PLB, GPS... It’s a new world. Go ultralight and fast as rescue is just a push of a button way. Who needs a tarp and first aid kit? Gear just slows you down when you are trying to post about your incredible fast pace. Why bother with expensive wilderness emergency response training? Accidents rarely happen and when they do, just push a button. Yup, it’s a new world. Use your phone as a GPS and update Facebook and Instagram from the summit, your ski tour or paddling route! Everything is great until your battery fails and an accident occurs just as the weather comes crashing down. You and your pals now have to figure it all out from first principles.
Using real life examples from his decades of experience, Cyril will chat about how equipment, training and preparation, or lack thereof, led to extremely variable outcomes in mountain emergencies he has been involved in.
The CAWM2022 conference will be hosted November 11-13, 2022 in partnership with Public Safety Canada's Search and Rescue New Initiatives Fund (SARNIF).
A hybrid format conference with pre-conference courses, lectures, social activities, a keynote speaker, workshops, and more!
All wilderness medical professionals and learners are welcome including paramedics, nurses, SAR personnel, guides, ski patrollers, first responders, academics, and physicians.
CAWM 2022 will be provided in English with simultaneous French translation for all presentations and select workshops. See workshop descriptions for more information.