Clinical Practice Guidelines
Recommendations on the Use of Epinephrine in Outdoor Education and Wilderness Settings
The Epinephrine Roundtable took place on July 27, 2008 during the 25th Annual Meeting of the Wilderness Medical Society (WMS) in Snowmass, CO. The panelists were, in alphabetical order: The WMS convened this roundtable to explore areas of consensus and uncertainty in the field treatment of anaphylaxis. There is a paucity of data that address the treatment of anaphylaxis in the wilderness. Anaphylaxis is a rare disease, with a sudden onset and drastic course that does not lend itself to study in randomized, controlled trials.The Use of Extrication Devices in Crevasse Accidents: Official Statement of the International Commission for Mountain Emergency Medicine and the Terrestrial Rescue Commission of the International Commission for Alpine Rescue Intended for Physicians, Paramedics, and Mountain Rescuers
Injured patients in crevasses who are suspected of having sustained spinal injuries should ideally be extricated after being immobilized in a horizontal position on a stretcher and having a cervical collar applied. Sometimes, however, horizontal stabilization is not possible, because the crevasse is too narrow, and the patient needs to be stabilized in a vertical position. In such cases an extrication device can be a useful adjunct. The Kendrick Extrication Device™ stabilizes the position of the body and maintains firm support of the head, neck, and torso.
