You are leading for a week-long rafting trip for a drug addiction program in Costa Rica. It's 6 PM and one of your students, Amalia, does not respond to your call for dinner. A quick search finds her lying in her shelter on her sleeping bag apparently asleep. She does not fully awaken when you call her name and lightly shake her. Her breathing is slow and easy, at 8 breaths per minute and her pulse rate is 46 and regular. Her medical form shows her normal resting pulse is 78 and regular and her normal respiratory rate is 16 and easy. She is in your program for opioid abuse after getting injured in an automobile accident a year ago. What is wrong with Amalia and what should you do? 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.
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