The agenda for the 2023 Expedition Medicine National Conference is now posted!
We are pleased to include a number of interesting and diverse topics covering wilderness medicine, tropical medicine, travel medicine, snake envenomations, medical evacuations, and more.
Please refer to the agenda below for the full list of topics and speakers for our upcoming conference!
Friday, April 21st, 2023
8:00-9:00 am The Expedition Physician, Donner
9:00-10:00 am Malaria, Townes
10:00-10:15am Break
10:15-11:15 am Backcountry Medical Kits, Donner
11:15-12:15 pm Travel Vaccines, Freedman
12:15-1:30pm Lunch
1:30-2:30 pm North American Snake Envenomations, Bush
2:30-3:30 pm Viral Diseases in Travelers, Freedman
3:30-4:30 pm Geospatial Technology in Humanitarian & Disaster Response, Greenough
4:30-5:30 pm Disaster on Everest, Kamler
Saturday, April 22nd, 2023
8:00-9:00 am BackcountryWater Disinfection & Purification, Donner
9:00-10:00 am Schistosomiasis, Freedman
10:00-10:15am Break
10:15-11:15 am High-Altitude Medicine, Donner
11:15-12:15 pm International Snake Envenomations, Bush
12:15-1:30pm Lunch
1:30-2:30 pm Cruise Ship Medical Evacuation, Callahan
2:30-3:30 pm Fever in the Returned Traveler, Freedman
At ExpedMed, we are committed to bringing together the best faculty in the world to teach wilderness and expedition medicine.
Our 2023 event that will be held in Little Rock, Arkansas, from April 21-22, 2023, is already shaping up to be one of our best events on record.
In addition to our previously mentioned faculty, we are happy to announce the addition of Dr. Seth Hawkins to our faculty list.
Dr. Hawkins is an Emergency Medicine physician with extensive experience teaching wilderness medicine and leading EMS crews into remote and austere regions. He is the chief editor of the text Wilderness EMS and the founder of the Carolina Wilderness EMS Externship. Dr. Hawkins has won numerous awards as an instructor and researcher, and currently serves as an Associate Professor of Emergency Medicine at Wake Forest University. For Dr. Hawkins’ full bio, please see here.
Please join us in April at the Expedition Medicine National Conference!
At ExpedMed, we pride ourselves in creating the best CME events for adventurous medical professionals.
Excellent CME begins with excellent instructors and so it's with great enthusiasm that we introduce another of our stellar faculty members, Dr. David Townes.
Dr. Townes is an Emergency Medicine physician and member of the Global Health faculty at the University of Washington in Seattle. He is an expert in tropical medicine and working in extreme environments, and he served as a co-editor of our textbook, Expedition and Wilderness Medicine.
We're incredibly honored that Dr. Townes will be visiting Little Rock in March to speak at the Expedition Medicine National Conference. Reserve your seat today for this exciting event!
Here is Dr. Townes' full bio:
David Townes, MD, MPH, DTM&H, received his medical degree from the University of Massachusetts and completed his internship and residency in emergency medicine at the University of Illinois at Chicago where he also completed a fellowship in International Emergency Medicine earning a Master's Degree in Public Health (MPH) with a concentration in Health Policy and Administration. He is board certified in emergency medicine. He also holds a Diploma in Tropical Medicine and Hygiene (DTM&H) from the London School of Hygiene and Tropical Medicine.
Dr. Townes joined the faculty at the University of Washington in 2001 in the Division of Emergency Medicine. In addition, he is currently a Public Health and Medical Technical Advisor to the Office of Foreign Disaster Assistance (OFDA) at the United States Agency for International Development (USAID) and Medical Epidemiologist in the Emergency Response and Recovery Branch (ERRB) at the Centers for Disease Control and Prevention (CDC). In this capacity his interests and responsibilities include providing expert technical advice, formulating and conveying OFDA public health policy and technical positions, reviewing all health proposals submitted to OFDA, and design, implementation, and monitoring and evaluation of some OFDA funded programs.
Previously, Dr. Townes was appointed as an Epidemic Intelligence Service (EIS) Officer and Medical Epidemiologist in the Malaria Branch at the CDC and served as a Lieutenant Commander in the United States Public Health Service (USPHS).
In addition to his global health experience, Dr. Townes has worked extensively in the areas of wilderness and expedition medicine, including serving as an expedition physician in Antarctica, Costa Rica, and on Mt. Kilimanjaro. He has been a physician member of the National Ski Patrol and the Yosemite National Park Search and Rescue Team. He is an editor of Expedition and Wilderness Medicine published by Cambridge University Press in 2009.
Dr. Townes has worked in Antarctica, Costa Rica, Ethiopia, Ghana, Guatemala, Haiti, Indonesia, Jordan, Kenya, Malawi, Mozambique, Russia, Senegal, Tanzania, Turkey, the West Indies, and Zambia.
His research interests include response to complex humanitarian emergencies, disease surveillance in humanitarian emergencies, health policy for humanitarian emergencies, refugee and internally displaced populations, and malaria.
An up close visit with one of the polar bears of Churchill.When we began building ExpedMed, we tried to look for ways to expose medical professionals to Expedition Medicine and Wilderness Medicine experiences in authentic ways. We recruited the best faculty and published an acclaimed textbook to help us present these important topics.
In 2009, we began offering CME trips to give our participants "hands on" experience in exotic environments.
Our goal was to partner with the best travel companies in the world. Our partners were expected to have not only exemplary records of safety and expertise in their travel programs, but also be committed to eco-friendly policies and sustainable growth practices that invest in local, indigenous poulations.
Downtown Churchill, CanadaOur first trip was with Tusker Trail, one of the preiminent safari and trekking companies in Africa. Tusker leads our Kilimanjaro CME trips each year.
Our most recent trip was to Churchill, Canada to visit this remote outpost that sees more polar bears than anywhere on earth. We selected travel company Frontiers North Adventures to partner with our ExpedMed team, and the result was a great experience in the "frozen tundra." This is a quick report on our trip...
Our trip was in later October and began in Winnipeg, Canada.
Winnipeg is a medium-sized city in which I was able to spend a few days. During my time in Winnipeg I took a recommendation from Urbanspoon and visited Hermanos, a local restaurant. The food at Hermanos was great. I went there twice and got great service and ate the ribeye each time. Fantastic. I even splurged one night and tried their Black Gold dessert which was incredible. Great place to eat.
The morning of the trip, our ExpedMed group boarded a shuttle and were transported with the rest of the Frontiers North crowd to a private jet for our flight to Churchill. It was efficient and stress-free. We had plenty of space to spread out and we landed in Churchill without any problems.
When we were on the tarmac, the wind was howling and the temperature was noticeably cooler than it was in Winnipeg.
I was ecstatic to finally be in Churchill, a town I had read about years before as an amazing intersection of polar bears and humans.
We spent that first day touring the small town and visiting the "polar bear jail," a place where polar bears are sent when they wander into town.
Churchill has been dealing with polar bears for so long, they have developed a system for protecting the humans in this remote outpost and also being respectful and protective of the bears. Any polar bear that wanders into Churchill is either tranquilized or, more often, caught in one of the large polar bear traps. Once captured, the bear is sent to the "jail" for a period of time then flown outside the city and released.
Late in the afternoon our group boarded a famed "Tundra Buggy" and headed to our lodging for the next few days: the Tundra Buggy Lodge.
Those touring Churchill can decide to stay in town or in the Tundra Buggy Lodge. Our group booked rooms in the Lodge so we could get the feel for staying out on the Tundra, in the environment of the awesome creatures we hoped to see.
The next few days went by quickly.
We spent our days rolling around the tundra looking for bears and the evenings sharing excellent food and good company in the Lodge with our fellow travelers.
While Churchill and the Tundra Buggy Lodge were interesting experiences, the bears were the stars, of course.
Polar bears are incredible animals, well-adapted to their frozen environment. I had seen a few during my trip to the North Pole in 2008, but these bears were up close-- really, really close. It was a privilege to see these magnificent beasts a few feet away from our Buggy, and a series of moments that I will never forget.
At some point in the future I hope to post some more about Churchill, our ExpedMed adventures, and polar bears, but for now I must round this up. I'll finish with a few more photos and a video of one of the big bears as it approached out Buggy heading for a seal carcass.
Our plane arrives in Churchill
A Tundra BuggyPolar bear in front of the Tundra Buggy LodgeTwo polar bears An ExpedMed lecture inside a Tundra Buggy
For those who can't find the time to click over to the Great White Shark Adventure informational page, here's the itinerary below.
More information about our dive partners, Shark Diver, can be found on their website: www.SharkDiver.com
Shark Diving Itinerary
Welcome to Shark Diver.Your dive expedition to the Pacific's most pristine and robust white shark dive site leaves from San Diego's famous H&M's Landing, 10 minutes from San Diego's airport and home to California's long range fishing fleets. Shark Divers vessel the MV Horizon boards divers from California to Isla Guadalupe. We are on site usually 20 hours later and beginning your first exciting white shark cage dives after a hearty breakfast. We take a maximum of 12 divers per trip - perfect for dive clubs, corporate groups, film crews, and photographers.
Day One
Boarding begins at 9:00pm -11.00pm on the evening prior to your expedition date. Prior to boarding most of our divers have booked with the Holiday Inn Bayside under our special Shark Diver Rate, we are happy to be working again this year with the Bayside, our 8th season with them. Divers generally come in a day early and take advantage of the Baysides free airport shuttle service and 7 minute location from the international airport. Our divers also like discover San Diego's Gas Lamp District, home to some of California's top restaurants and entertainment venues located minutes from the hotel. If you're coming to San Diego early plan on visiting the town. We generally depart from the docks at 11:00-12.00pm. Travel time to Guadalupe is approximately 20 hours. Once you arrive to the vessel you'll be greeted by Martin Graf, your dive operations manager. Martin holds the enviable distinction of spending the most time at Isla Guadalupe aside from the shark researchers at CICIMAR. His wealth of shark knowledge and dive operations prowess makes Martin our top choice again this year to run the white shark program on the MV Horizon. He also speaks German and Swiss fluently and works in tandem with the entire vessel crew who you'll soon get acquainted with. For now it's time to get settled and into bed, try and get some sleep because in a few hours from now the next time you set your head on your pillow just know there will probably be two or three white sharks swimming underneath it!
Day Two
We will arrive at Guadalupe approximately 9:00 am (breakfast time). The arrival to the island is, and remains, one of our favorite moments. For many of our shark divers who booked with us almost a year ago this is it, the Island of the Great White Sharks, you have arrived. If you're an early coffee drinker this moment will be etched in your mind for the rest of your life as you stand on the bow of the vessel taking in the scene. Guadalupe's craggy volcanic flanks rise 4000' to literally scrape the bottoms of cloud formations here, it's a big island. The large rock off to the tip of the island is Point Norte, or Shark Fin Rock, we'll pass this on to the small bay just ahead, white shark central. Upon arrival, we anchor, deploy our huge shark cages and begin operations. Breakfast is served in the galley, and Martin will be doing an in depth dive safety review prior to your cage time. Cage diving rotations are usually one hour at a time and the vessel is divided into four crews of three with six divers in the water at any given time. Your first cage dive is usually preceded by someone yelling "White Shaaaark!". A few years ago we had a young deck hand "Mikey from Main" who's tell tale white shark yell is a tradition we carry on to this day. Welcome to cage diving, keep your eyes open as you walk down a short ladder into the industries largest shark cages, chances are in a few minutes you'll ba face to face with the Great White shark. Lunch is served around noon and for most divers this is a welcome break from the morning and getting used to the world of cage diving. We pick up the afternoons cage diving rotations after lunch or power through depending on the shark action this day. Dinner is served approximately 6:00pm. After a hot shower and a change into your post shark encounter clothes, it's time for a sunset beer, or three on the bow with the other newly minted shark divers. Congratulations, it took you a long time to get here, but you did it, and now you're ready for the next two days of white sharks, and more. You are an official Shark Diver.
Day Three
If we decide to try a different site, we move early and begin operations at sunrise. Cage diving continues throughout the day and rotation times will be increased. Usually we stay in place as our crews and vessel captain know where to place the vessel and where the sharks are. Chances are you'll see another long range boat in the bay, but the sharks will transit from boat to boat, and with the density of animals on site everyone get's into sharks. We may get boarded by the MX Navy while were on site. They will board each vessel at least three or four time during the season. They are looking for valid commercial shark diving permits, passenger manifests, and some water or a soda. These young marines work very hard with little pay, so we always offer them lunch and water. Do not be surprised to see guns, this is a a typical Mexican boarding procedure and they have been doing this since 2008. The good news is their presence deters unlawful sport fishing boats who, in 2007, hooked a white shark right in front of us. Fortunately we sent a small boat over to them to film what they were doing and they soon cut the line and ran away. Having the MX Navy on site is a good thing. Day three ends as day two did, by now you have moved over to the expert class of Shark Diver and you know what the color of a white sharks eye really is. Only a real shark diver knows this so consider yourself one of the fortunate few. Like we said before, tonight when you go to sleep just know that a few feet below you lurk some of the white sharks you have come to know over the past few days. Shredder with his unique dorsal fin, Fat Tony, Mau, or even Bruce. They'll be here when you wake up.
Day Four
By now, everyone will be old pros and enjoy the relaxed feel of things. Your shark cage team will be some of your best friends even after this latest adventure with Shark Diver. Cage teams typically assign names for themselves, "The Wild Ones", "Team Dark Tide" when it's time to go cage diving you're team is ready and able, knowing where all the gear is located and how to suit up. Our photographers will be focused on getting the "best of the trip" shot and shark fans will now be able to accurately measure, sex, and identify each new shark. Shark Diver has a share and share alike policy towards shark images. Basically if you happen to nail the best trip shot, share it. Each night we provide memory sticks so divers can offload images and share them with each other. That way every divers goes home with the absolute best images they can, a group effort. The last cage rotation is always bitter sweet, time to say good by to animals that have captured our imaginations since, for many, childhood. It's amazing but sometimes if you really connect with an animal, there's a moment where the two of you just click. Shredder has been clicking with divers since our first season, and we hope you get to meet him this year, as he has proven to be quite a unique and wonderful animal.We depart around dinner time and head for home, make sure you take some last minute snap shots of Shark Fin Rock on the way out, usually the light is just right and it's a great way to say good by.
Day Five
We travel back to San Diego and arrive at the docks approximately 5:00 - 7:00 pm.
Just wanted to check in with you guys and let you know about a new CME trip we've developed here at ExpedMed for February 28 - March 3, 2013.
The trip is on Little Saint Simons Island, a private island that allows no more than 32 overnight guests, has seven miles of pristine beach, in overrun with birds, gators, dolphins, crabs, fish, deer, and other amazing wildlife, and has won numerous travel awards for its incredible food, history, service, and sustainable eco-friendly policies.
Little Saint Simons Island is an incredible place. It's been in private hands for over 100 years and was converted from a hunting lodge into an eco-resort. I toured it recently just to make sure it's what we would need for an event, and it was awesome.
While on the island, I saw a bald eagle adult sitting on its nest with a chick peeking out over the nest edge, two adult gators (and two young gators), lots of birds, and wandered along a beach with no one but my friends as far as I could see in any direction.
The food was incredible and the cottages were really cool-- many were originals that had been updated with AC and electricity (but no tv, thankfully!).
Although we’ve reserved the entire island, I only have 11 rooms available. The cost per room is $1,950 which includes three nights on the island, all food, and all activities for two people.
Activities include fishing (with all gear and bait), kayaking, guided tours of the island with naturalists, biking, exploring with motorized skiffs, beach wandering, bird and other wildlife watching, and hiking.
Rooms are double occupancy so if two people are in the room it's $325 per night each for three nights.
We are offering our 20 hour online course for CME plus 8 hours of live CME training. CME fees are $799 (for a total of 28 hours of Category I CME).
Please let me know ASAP if you are interested. I’ve already sold three rooms and only have 8 more left.
This is an incredible opportunity to visit one of my favorite places on earth. By the way, kids are welcome and will love it-- when I toured the island last week I took my five year old and another dad with his 5 year old son. Both the kids went crazy-- it was an awesome experience for all.
Here at ExpedMed we've been working hard to put together yet another great conference agenda for our annual Expedition Medicine National Conference this September 28-30, 2012.
Since 2007 we've had this event in Washington, DC and we're pleased to announce the 2012 agenda. There are a few new names on the speaker list, and over the next few weeks we'll be introducing you to some of our new lecturers.
For those who want to make sure not to miss this exceptional eduational opportunity, we're already taking registrations. The event will once again be at the Omni Shoreham Hotel in downtown DC, and will cover many important topics related to medical care on expeditions and in remote locations.
So, without further ado, here's the agenda for our 2012 ExpedMed event in Washington, DC. Remember, all participants will receive 20 hours of Category I CME credits and our 700 page hardback textbook Expedition & Wilderness Medicine, free of charge.
September 28th, Friday
8:00-10:00am The Expedition Medical Kit, Michael Callahan
9:00-10:00am Travel Immunizations, David Townes
10:00-10:30am Break
10:30-11:30am Living and Working Abroad, Gregory Bledsoe
11:30-12:30 High Altitude Medicine I, Peter Hackett
12:30-2pm Lunch
2:00pm-3:00pm Wilderness Medicine EMS, Will Smith
3:00pm-4:00pm High Altitude Medicine II, Peter Hackett
4:00-4:30pm Break
4:30-5:30pm Wilderness Mass Casualty Incident, Will Smith
5:30pm-6:30pm Disaster Medicine, Christina Catlett
September 29th, Saturday
8:00-9:00am Medical Direction in the Wilderness, Will Smith
9:00-10:00am Patients at Altitude, Peter Hackett
10:00-10:30am Break
10:30-11:30am Bringing Combat Medicine to the Wilderness, Will Smith
11:30-12:30 Malaria Prevention and Chemoprophylaxis, Alan Magill
12:30-2pm Lunch
2pm-3pm Telemedicine, David Townes
3pm-4pm Getting High for Science, Peter Hackett
4:00-4:30pm Break
4:30-5:30pm Rabies, Alan Magill
5:30pm-6:30pm Reptile Envenomations, Michael Callahan
September 30th, Sunday
8:00-9:00am Dive Medicine, Matthew Partrick
9:00-10:00am Self-Treatment for Expeditions, Alan Magill
10:00-10:30am Break
10:30-11:30am When Animals Attack, Christina Catlett
11:30-12:30 Arthropod Envenomations, Michael Callahan
Dr. Jerri Mendelson is a Dermatologist practicing in the northwest United States. She also is a former wildlife biologist and a recognized expert in Wilderness Medicine. In this video, Dr. Mendelson talks about her career and how she made the transition from wildlife biologist to Dermatologist. Dr. Mendelson's bio is below.
Dr. Jeri Kersten Mendelson is a board-certified dermatologist. She began her professional career as a wildlife biologist with a degree from the University of Wyoming. Her wildlife jobs took her to Wyoming, northern Thailand and eastern Oregon where she worked as a big game biologist for the Ochoco National Forest.
After leaving the Forest Service she attended the University of Oregon where she received a Masters degree studying bat echolocation. It was at the U of O where she met her husband and for the next several years followed him to Northwestern University, University of Pittsburgh and finally to the University of Arkansas for his post doctoral training in neurophysiology and physical therapy. Along this journey she taught anatomy and physiology and general biology. She attended the University of Arkansas medical school and dermatology residency program while her husband ran a medical research lab and practiced physical therapy. Together, they raised two active Razorback-loving boys.
Dr. Mendelson is a certified Dermatologist, MD FAAD and currently practices in Medford. As a clinical associate professor at Oregon Health and Science University (OHSU), Dr. Mendelson also teaches dermatology to family practice residents during their rotations in the clinic. She has continued her educational interests by working with school groups and community organizations in sun/skin awareness programs. Jeri is a part time speaker and faculty member for the Wilderness Medicine Society.
I've been organizing and directing medical conferences since 2006. One of the benefits of these events is that I have the opportunity to meet many fascinating and inspiring individuals. Of all these individuals, one of my favorites is Dr. Howard Donner.
Howard is a hilarious person who I first heard speak at a Wilderness Medicine conference when I was still a resident. Years later, Howard authored the first chapter of our Expedition & Wilderness Medicine textbook, and has spoken numerous times at our ExpedMed events.
In this interview, I sit down with Howard to hear not only about his career, but also about the history of how Wilderness Medicine began as an organized discipline. As always, Howard's interview-- complete with outtakes and side discussions-- is lively and fun and provides a number of insights into how someone can build a career in Wilderness Medicine. I've posted his bio below the video.
Howard Donner is a Family Practice physician and a well-known expert in Wilderness Medicine. Dr. Donner served as an Expedition Physician on the 1988 Kangchenjunga Expedition, the 1997 NOVA Everest Expedition, and as a medical officer on the Denali Medical Research Project. As co-author of Field Guide to Wilderness Medicine, Dr. Donner is a frequent national lecturer and has provided medical support as a volunteer for the National Park Service. In addition to his medical expertise, Dr. Donner works as a commercial pilot and independent filmmaker.
In the summer of 2009, I was working in my local Emergency Department when my cell phone informed me of an incoming text.
"At 14,500 feet. Preparing to summit tomorrow. All is well," read the text.
"Great," I thought, "and here I am dealing with sniffles and low back pain."
The text had come in from the face of Mount Kilimanjaro, the highest peak on the continent of Africa and one of the famed "Seven Summits." The sender was my good friend Dr. David Townes who was helping lead a group of physicians to the summit of Kili for an ExpedMed CME event.
I was happy for Dave and excited for the CME participants, but also insanely jealous.
Kilimanjaro is one of those romantic "must do" experiences for adventures around the world. It stands just over 19,000 feet in northeastern Tanzania and rises independently from the plains of the surrounding region. Mentioned by famed writers like Hemmingway (The Snows of Kilimanjaro), this magnificent peak towers over the African landscape and is the backdrop to many classic safari portraits.
I am pleased to say that Dave and the rest of the ExpedMed CME group made it to the top of the mountain in 2009. The participants enjoyed it so much, we swore we'd lead another group back to Kili in the near future, but of course, as often happens, months turn into years and no new ExpedMed Kilimanjaro climbs were scheduled-- until now.
In the spring of 2012 we have scheduled another CME climb up Kilimanjaro. The dates are March 24-April 6, 2012 . Our outfitters are once again our esteemed friends at Tusker Trail. Details of the CME trip can been seen at this Tusker link.
Find more information including pictures from the last Kili CME climb can be found on the ExpedMed Kilimanjaro CME Adventure page under the "Expedition & Wilderness Medicine Adventure" tab above. Here's a video about this majestic mountain:
We've partnered with Shark Diver, a great organization headed by Patric Douglas, to give you an exceptional travel experience. Shark Diver is one of the finest travel companies in the world and their exceptional experience with the Great Whites of Guadalupe Island is unparalleled.
Dr. Michael VanRooyen is the Director of the Harvard Humanitarian Initiative. He's also the founder or co-founder of four start-up companies including Ibex, a patient tracking system for Emergency Departments that was eventually bought by Picis.
From 2002 to 2004, I worked as one of Mike's International Emergency Medicine fellows within the Johns Hopkins Department of Emergency Medicine.
This is a video clip of Mike's talk at our 2009 Medical Fusion Conference. While Mike is most well-known for his humanitarian work, he's also a very astute businessman and entrepreneur. If you're a Wilderness Medicine aficionado, you are probably familiar with Mike's work in international health, but in this video you get to see another side of him through his entrepreneurial experiences.
One of the purposes of this blog is to introduce you guys to the personalities behind the research and field work. Mike is one of those dynamic individuals who is a leader in his field, and a great prototye for those interested in making Wilderness Medicine a career focus.
One of the true privileges I have as the director of the ExpedMed and Medical Fusion conferences is the opportunity to meet and associate with so many amazing individuals. Over the past few years I have been blessed to spend time with some incredibly talented and exceptional colleagues. These associations have inspired and encouraged me, and I have grown tremendously because of these relationships.
One of these talented and inspiring individuals in Dr. Ken Kamler, Vice President of The Explorers Club. I first met Ken a number of years ago at an Explorers Club event in New York City. Since that first meeting, Ken has become a dear friend who has written a chapter in our Expedition & Wilderness Medicine textbook and also spoken numerous times at our conferences.
The lecture above is a video of Ken giving a presentation at TED about the 1996 disaster on Mount Everest. This event was chronicled in Jon Krakauer's book Into Thin Air. Ken was the only physician on the mountain during this episode, and even though I have heard his talk numerous times, I still find it incredibly gripping.
Take a few minutes to watch Ken's presentation. You won't be disappointed.
Thanks once again to Ken for his participation in our events and his inspiring career, and thanks to all the other talented individuals who make our conferences so successful.
For those of you who are interested in learning more about Expedition Medicine or Wilderness Medicine, I'd like to mention our textbook, Expedition & Wilderness Medicine, that was recently published by Cambridge University Press.
This textbook is used as the syllabus for our Expedition Medicine National Conference and also as a teaching tool for many other courses and organizations around the globe.
The textbook is a hardcover text over 700 pages in length, with full-color photos and diagrams. We recruited more than sixty experts from around the world who contributed content for this project. Contributors include many notable individuals such as
Richard Carmona, MD, MPH, FACS: 17th Surgeon General of the United States
We have been pleased to read many favorable reviews of our book in multiple journals including the New England Journal of Medicine and JAMA. Here's an excerpt from the JAMA review:
Expedition&Wilderness Medicine, edited by Bledsoe, Manyak, and Townes, is a comprehensive guide to the multitude of issues facing the expedition physician. The book is organized into 3 sections covering expedition planning, specific and unique environments, and specific wilderness illnesses and injuries. The comprehensive and often humorous chapters have been edited in a style that allows for easy reading, and they include numerous excellent illustrations.
Several of the chapters are written by some of the world’s authorities on the topic. Not only have many of the authors published widely on their areas of expertise, they have spent considerable time in the field. The authors have diverse experience ranging from serving as the expedition physician on a climb of an 8000-m peak in the Himalayas to providing medical care to a patient injured thousands of feet underground in a Mexican cave. This experience—and the willingness of many of the authors to illustrate ways to avoid future problems by describing their own misadventures in the field—contribute to the strength of this text.
Expedition & Wilderness Medicine is a must-read before any expedition. It carefully details what an expedition medical kit should contain, along with details on what to consider taking along for toxicological and dental emergencies. Although this book is aimed at the expedition and wilderness medicine physician, many of the chapters are superb summaries of core emergency medicine knowledge that are better distilled and presented than chapters in some more traditional textbooks of emergency medicine. We recommend this text to all who practice acute care medicine and all physicians who hike, climb, or vacation outside the city or who might encounter anyone else who does.
Jones ID, and CM Slovis. JAMA. 2009;302(4):442-44
We'll be writing more about opportunities in Wilderness Medicine and Expedition Medicine here on the ExpedMed blog, but for those of you who need something to begin your journey, pick up a copy of our textbook online or attend our Expedition Medicine National Conference and receive the book for free.
How do most physicians die in international medicine?
Here’s a pop quiz: The most dangerous thing you and your companions will do while on your next expedition is:
(A) Trek to 14,000 feet while trying to avoid altitude sickness
(B) Push through that jungle trail hoping not to pick up a malaria parasite along the way
(C) Dive deep in the ocean while dodging Great Whites and the Bends
(D) Drive from the local airport to your hotel
If you answered “D” then give yourself a prize.
When most people think about international travel risks, they think about terrorists, wild animal attacks, exotic infectious diseases, or some other uniquely international threats such as lava flows or voodoo hexes. However, many people are surprised to learn that statistically, the most dangerous thing they’ll do during their international trip is drive in an motorized vehicle. Mountaineers talk about the “death zone” on a high-altitude peak, above which life is very sketchy. For most international travelers, their “death zone” is a busy road in an unfamiliar international location.
Consider a few practical tips for traveling via automobile when traveling abroad. This includes avoiding the temptation to drive yourself. If you can hire a local driver, you might get a better sense of the region you are traveling, and if there is a traffic mishap, you are not held directly (and financially) accountable. If you have to drive, take your time, know where you are going, and seek major routes. It is also wise to avoid driving at night. Navigating the poorly lit roads in Nairobi in an unfamiliar vehicle, with many pedestrians walking along the road (as there are very few sidewalks) is a recipe for disaster, both for the person or persons you may hit, and for you.
Become familiar with your vehicle in less crowded conditions
Don’t drive at night
Drive slowly and in control
Avoid large gatherings or busy markets
Wear a seat belt, always
Avoid driving when you are suffering from jet lag
If you need to rent a car, look for a common type vehicle from a reputable dealer, and make sure the car is in good working order, making note of any preexisting body damage. Consider getting a car with air conditioning so you can have the windows rolled up and the car locked when you are in it. If you encounter what appears to be an informal road block or rocks across the road creating a makeshift barrier, there is a good likelihood that these are ploys to get you to stop. Turn around and drive away. Carjackers and thieves work in very organized groups around service stations, parking lots, markets and along major highways. Be suspicious of anyone who flags you down, or points to your car to indicate a flat or an oil leak, hails you or tries to get your attention when you are in or near your car.
Also, it is generally unwise to rent a motorcycle or motor scooter. While locals may be whirring conveniently around, nimbly navigating through traffic, as an outsider you have a reasonable chance of becoming a hood ornament, and being forced to be content with the local health care system. Many organizations who deploy field staff, the US Peace Corps included, have long since discouraged the use of motorcycles or scooters for their staff.
When my wife and I first moved to Doha, Qatar, a very busy urban area well-known for its aggressive drivers, we opted to drive a very solid Toyota Land Cruiser and practiced our driving during times when traffic was less. Within a short while, my wife and I could easily negotiate the local roundabouts without difficulty and had no problem following the rules of the road. However, had we not taken our time to get acclimated to the new driving scene, we most likely would have had some problems.
Motor vehicle accidents are a serious problem and a leading cause of death for international travelers. However, by following some common-sense tips for motor vehicle safety when traveling, you’ll do much to ensure the safety of yourself and your traveling companions. Be aware of the risks while traveling in your international “death zone” and you’ll up your chances for a safe and enjoyable time while overseas.
