You are paddling with some friends on a the Jarbidge River in Idaho when Dan missed his line in a challenging rapid and pinned under water still in his kayak on one of the numerous log jams in the river. It takes roughly five to ten minutes to free him. Once on shore he is unresponsive, with no pulse or respirations. You begin CPR. During chest compressions, copious amounts of foam issue from his mouth and nose quickly covering his face. Breathing forcefully through the foam, you continue CPR. A few minutes later, his pulse and respirations spontaneously return; he remains unresponsive. Putting your ear to his chest you hear crackling noises.
What is wrong with Dan and what should you do? What is Dan's prognosis? 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!