You and and a friend are on a week-log hut trip in British Columbia. You have been backcountry skiing; it has been bitterly cold all day. On the way back to the hut your friend starts to complain of cold hands. Back at the
 
 
Four years ago we opened our hybrid Distance Learning Project (DLP) wilderness medicine courses to the general public. Overall they were — and are — hugely successful. Our hybrid course curriculum is continually evaluated and our delivery systems updated annually. Each of our medical courses has a hybrid option and each hybrid course has it's own dedicated web site that may be accessed via a personal computer, iPad, or tablet. Students use the presentations on the course web site and hard copies of our textbook and/or handbook
 
 
Introduction
Whether you are traveling alone, taking part in an expedition, or responding as a member of a search & rescue (SAR) team, you will need a first aid kit. What you should take and how you should package it depends on many things. There is no generic first aid kit. Here are a few basic concepts that you will need to know in order to begin building a first aid kit that will meet your needs. Make sure your expedition has a well thought out and, if possible, tested Emergency Action Plan including emergency communication.
 
 
An intramuscular injection of epinephrine combined with an oral antihistamine is the treatment of choice for life-threatening anaphylactic reactions that occur in remote settings. Legal issues aside, the purpose of this brief post is to review the options available to outdoor programs who wish to carry epinephrine into the field. There are currently four available. All have been used successfully. All have their advantages and disadvantages.
 
 
_What are they & what's the difference between them? Briefly, each are a set of guidelines for spine assessment. All are backed by solid research and all are in common use. Here's a quick summary of the differences:
 
 
_By now many of you are aware that the American Red Cross offers a Wilderness & Remote First Aid Course based on the curriculum developed by the Boy Scouts of America. They have also launched a massive marketing campaign to attract students, instructors, and sponsors. This is a "buyer beware" situation. While the Red Cross has a long history in teaching urban first aid, their Wilderness and Remote First Aid course leaves much to be desired when compared to the Wilderness First Aid courses offered by most of the professional providers. Below is a list of pros and cons. Read it carefully.
 
 
_Many outdoor people wear contact lenses during their trips. If you are one of them, most problems can be avoided by carefully adhering to the following guidelines:
 
 
_ You are a leading a snow mobile tour outside of Glacier Park in northwestern Montana when one of your clients, a 62 y/o man in apparently good health, tells you in a worried tone that he has a deep pulsing sensation with
 
 
_While backcountry skiing you see a party of two caught in a soft slab avalanche. It takes you about 15 minutes to reach the site. One person, a 26 y/o female was only partially buried and was able to dig herself out. By the
 
 
Winter is here...and in many places it brings snow to the mountains. Lots of it. And with lots of mountain snow comes avalanches. Some of them are fatal.