You are a guide for a river company in Cataract Canyon. Two days into the five day trip the 19 year old daughter, Jessie, of one of your clients develops a rash that covers most of the sun exposed areas of her body. She lives in northern British Columbia has been wearing shorts, a jog bra and using SPF 30 sunscreen on her exposed skin. The rash is itchy, uncomfortable, and interfering with her enjoyment of the trip. Jessie is healthy with no prior history. She is taking an oral contraceptive containing estrogen-progestin.
What do you think is wrong and what can you do about it? Click here to find out.
Don't know where to begin or what to do? Take one of our wilderness medicine courses. Guides and expedition leaders should consider taking our Wilderness First Responder course.
Looking for a reliable field reference? Consider consider purchasing one of our print or digital handbooks; our digital handbook apps are available in English, Spanish, and Japanese. Updates are free for life. A digital SOAP note app is also available.
Our public YouTube channel has educational and reference videos for many of the skills taught during our courses. Check it out!