Wilderness Medicine Training Center International
  • Home
  • About Us
    • Mission, Vision, History, & Educational Strategies
    • Staff Profiles
  • Course Descriptions
  • Course Schedule
  • Recertification
  • Sponsor a Course
  • Store
  • Resources
    • Downloads
    • Links
    • Candidate Login
    • Instructor Login
  • Certification Database
  • Additional Services
    • Affiliate Program
    • Consulting
  • Contact Us
  • Blog
  • WMTC Japan
  • WMTC Colombia
  • COVID-19

Blog

Wilderness Medicine Case Study 72

4/22/2019

0 Comments

 
You are on a 6-day preseason guide training trip for a commercial river company operating on the Colorado River in the Grand Canyon. There is a party on the 3rd evening of the trip and many of the guides are drinking. When you head for bed around 10 pm there are still a few souls by the fire. An hour and a half later you are awakened by a drunken guide and asked to examine a 28 year-old male trainee who they cannot arouse.

You find Jim lying on his side on a sleeping pad near the fire. He is unresponsive with slow, irregular breathing; his pulse rate is 36 and regular, his skin is pale and his nail beds are blue-tinged. The night is slightly cool, likely in the mid-60s °F but it's warm by the fire where Jim is lying. You remember seeing Jim with a beer in hand but no one can remember how much he drank or if he had some of the whisky that had been passed around. Going through Jim's personal belongings reveals a bottle with a number of unidentified tablets.


What is wrong with Jim 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.
0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    RSS Feed

    Categories

    All
    1st Aid Kits
    Commentary
    Disaster Medicine
    Environmental Problems
    Epinephrine Auto Injector Laws
    Medical Problems
    Outdoor Program Mgt
    Pain Management
    Risk Mgt Case Studies
    Traumatic Problems
    WildMed Case Studies

    ​Our public YouTube channel has educational and reference videos for many of the skills taught during our courses. Check it out!
 Privacy Policy
  • Home
  • About Us
    • Mission, Vision, History, & Educational Strategies
    • Staff Profiles
  • Course Descriptions
  • Course Schedule
  • Recertification
  • Sponsor a Course
  • Store
  • Resources
    • Downloads
    • Links
    • Candidate Login
    • Instructor Login
  • Certification Database
  • Additional Services
    • Affiliate Program
    • Consulting
  • Contact Us
  • Blog
  • WMTC Japan
  • WMTC Colombia
  • COVID-19