ISBN-10:
1493027182
ISBN-13:
9781493027187
Pub. Date:
Publisher:
Wilderness Medicine: Beyond First Aid

Wilderness Medicine: Beyond First Aid

by William W. Forgey M.D.

Paperback(7th Edition)

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Overview

Now fully revised and updated, Wilderness Medicine: Beyond First Aid is essential reading for any trail user, from trip leaders and guides to EMTs and paramedics.

You’ll learn vital skills, such as:
·How to survey, assess, and stabilize the victim and the medical situation
·How to manage physical symptoms
·What questions to ask to gain necessary vital information
·How to care for wounds and orthopedic injuries, and much more

Packed with useful information, Wilderness Medicine is the ultimate resource for anyone faced with providing immediate care when access to a medical facility is difficult or impossible.


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Product Details

ISBN-13: 9781493027187
Publisher: Falcon Guides
Publication date: 10/05/2017
Edition description: 7th Edition
Pages: 304
Sales rank: 422,114
Product dimensions: 5.90(w) x 8.80(h) x 0.20(d)

About the Author

Veteran outdoor author William Forgey, M.D. is engaged in the full-time practice of family medicine and is a member of the board of trustees of the International Association for Medical Assistance to Travelers, a fellow of the Explorers Club, and a past president of the Wilderness Medical Society. A former Boy Scout scoutmaster and Medical Explorer Post and High Adventure Post advisor, he currently serves on the National Health and Safety Committee and as an advisory board member for the Northern Tier High Adventure Base for the Boy Scouts of America. He is the author of many wilderness medicine and camping books, including Basic Illustrated Wilderness First Aid (FalconGuides).

Table of Contents

Preface x

How to Use This Book xii

How to Prepare for Remote Wilderness Travel xiv

Mental Preparation xiv

Physical Preparation xv

The Wilderness Expedition Medical Kit xvi

Improvisation xviii

Chapter 1 Assessment and Stabilization 1

Assessment and Care 1

Initial Assessment 3

Survey the Scene

Check the Airway and Breathing

Check Circulation

Check for Severe Bleeding

Check the Cervical Spine

Focused Assessment 5

The Physical Exam

Vital Signs 6

Level of Responsiveness

Pulse

Respirations

Skin Signs

Blood Pressure

Temperature

Medical History and Physical Examination 8

Head

Neck

Chest

Abdomen

Back

Pelvis/Hip

Legs Shoulders and Arms

Shock 10

Difficult Respirations 12

Foreign Body Airway Obstruction 13

Adult One-Rescuer Cardiopulmonary Resuscitation (CPR) 14

Adult Two-Rescuer CPR 17

Rapid Breathing 17

Cardiac Evaluation and Care 18

Heart Attack-Myocardial Infarction

Rapid Heart Rate 21

Tachycardia

Slow Heart Rate 22

Bradycardia

Chapter 2 Body System Symptoms and Management 24

Symptom Management 24

Fever/Chills

Lethargy

Pain

Itch

Hiccups

Headache

Eye 33

Eye Patch and Bandaging Techniques

Foreign Body Eye Injury Contact Lenses

Eye Abrasion

Snow Blindness or Ultraviolet

Eye Injury

Conjunctivitis

Iritis

Allergic Conjunctivitis

Sties and Chalazia

Spontaneous Subconjunctival Hemorrhage

Blunt Trauma to the Eye

Glaucoma

Nose 48

Nasal Congestion

Foreign Body Nose Injury

Nosebleed Nose Fracture

Ear 50

Earache

Outer Ear Infection

Middle Ear Infection

Foreign Body Ear Injury

Ruptured Eardrum

Temporomandibular Joint (TMJ) Syndrome

Mouth and Throat 56

Sore Throat

Infectious Mononucleosis

Mouth Sores

Gum Pain or Swelling

Mouth Lacerations

Dental Pain

Lost Filling Loose or Dislodged Tooth

Pulling a Tooth

Chest 64

Bronchitis/Pneumonia

Pneumothorax

Pulmonary Embolus

Abdomen 67

Abdominal Pain

Gall Bladder Problems and Appendicitis Vomiting

Motion Sickness

Diarrhea

Constipation Hemorrhoids

Hernia

Bladder Infection

Reproductive Organs 79

Venereal Diseases

Vaginal Discharge and Itching

Painful Testicle

Menstrual Problems

Spontaneous Abortion

Ectopic Pregnancy

Poisoning 84

Plant or Food Poisoning

Petroleum Products Poisoning Ciguatera Poisoning

Scombroid Poisoning

Puffer Fish Poisoning

Paralytic Shellfish Poisoning

Managing Diabetes 87

Water and Waste 88

Oral Fluid Replacement Therapy

Water Purification Human Waste Disposal

Chapter 3 Soft Tissue Care and Trauma Management 96

The Bleeding Wound 97

Stop the Bleeding

Clean the Wound

Antibiotic Guidelines

Wound Closure Techniques 105

Tape Closure Techniques

Stapling

Suturing

Special Considerations 110

Shaving the Wound Area

Bleeding from Suture or Staple Use Scalp Wounds

Eyebrow and Lip Closure

Mouth and Tongue Lacerations

Control of Pain

Dressings

Other Types of Wounds 112

Abrasions

Puncture Wounds

Splinter Removal

Fishhook Removal

Friction Blisters

Thermal Burns

Human Bites Animal Bites

Finger and Toe Problems 124

Ingrown Nail

Paronychia (Nail Base Infection)

Felon Blood under the Nail

Wound Infection and Inflammation 127

Abscess

Cellulitis

Skin Rash 129

Fungal Infection

Allergic Dermatitis

Bacterial Skin Rash

Seabather's Eruption

Chapter 4 Orthopedic Injuries 133

Concepts of Orthopedic Care 134

Muscle Pain-No Acute Injury

Muscle Pain-Acute Injury Joint Pain-No Acute Injury

Joint Pain-Acute Injury Fractures

Diagnosis and Care Protocols 142

Head

Neck

Spine

Collarbone

Shoulder

Shoulder Blade Upper Arm Fractures (near the Shoulder)

Upper Arm Fractures (below the Shoulder)

Elbow Trauma

Forearm Fractures Wrist Fractures and Dislocations

Thumb Sprains and Fractures Hand Fractures

Finger Fractures and Sprains

Hip Dislocation and Fracture

Thigh Fractures

Kneecap Dislocation

Knee Sprains, Dislocations, and Fractures

Ankle Sprains, Dislocations, and Fractures

Foot Injuries

Chest Injuries

Chapter 5 Bites and Stings 170

Bee Stings 171

Anaphylactic Shock

Snake Bites 173

Identifying Common North American Poisonous Snakes

Signs and Symptoms of Pit Viper Bite

Treatment of Pit Viper Bite Neurotoxic Snake Bites

Treatment of Coral Snake Bite

Insect Bites and Stings 177

Spider Bites

Ticks

Caterpillar Reactions

Millipede Reactions Centipede Bites

Mosquitoes

Black Flies

No-See-Ums and Biting Gnats

Scorpion Stings

Ants/Fire Ants

Aquatic Stings, Cuts, and Rash 184

Sea Urchin

Jellyfish

Coral Stings

Coral and Barnacle Cuts Stingray

Catfish

Scorpion Fish

Sponge Rash 184

Chapter 6 Infectious Disease 188

Anaplasmosis

Babesiosis

Blastomycosis

Chikungunya Fever

Cholera

Coccidioidomycosis

Colorado Tick Fever

Dengue Echinococcus

Ehrlichiosis

Encephalitis

Giardiasis

Hantavirus Hepatitis A

Hepatitis B

Hepatitis C

Hepatitis D

Hepatitis E

Hepatitis G

Leptospirosis

Lyme Disease Malaria

Meningococcal Meningitis

Plague

Rabies

Relapsing Fever

Rocky Mountain Spotted Fever Schistosomiasis

Stari

Tapeworms

Tetanus

Tick Paralysis Trichinosis

Trypanosomiasis

African (African Sleeping Sickness)

Trypanosomiasis, American (Chagas Disease) Tuberculosis

Tularemia

Typhoid Fever

Endemic Typhus, Flea-Borne

Epidemic Typhus, Louse-Borne

West Nile Virus Yellow Fever, Zika Virus

Chapter 7 Environmental Injuries 216

Hypothermia 217

Chronic Hypothermia

Acute Hypothermia

Cold Water Submersion

Cold-Stress Injuries 221

Frostnip

Frostbite

Cold-Induced Bronchospasm Immersion Foot

Chilblains

Heat-Stress Injuries 225

Dilutional Hyponatremia

Heat Cramps

Heat Exhaustion

Heat Stroke

Prickly Heat

Lightning 231

High Altitude Illnesses 234

Acute Mountain Sickness (AMS)

High Altitude Pulmonary

Edema (HAPE)

High Altitude Cerebral Edema (HACE)

Other High Altitude Conditions

Sawyer® Accident/Evacuation Record 240

Appendix A The Wilderness Expedition Medical Kit 241

Topical Bandaging Module 244

Non-Rx Oral Medication Module 250

Rx Oral/Topical Medication Module 252

Rx Injectable Medication Module 258

Cardiac Medication Module (contains Rx and non-Rx components) 260

Appendix B International Immunizations and Travel Risk Assessment 262

Clinical Reference Index 264

About the Author 282

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