Whether from Sticks or stakes, branches or rebar, impalements can be a backcountry problem to contend with. In the field of wilderness medicine, there are specific protocols pertaining to impalements and how to manage them in a remote setting. These guidelines are attributed to the assessment and location of the impalement injury. Core  impalement. Impalements to the head, face, trunk and other core...

  One of the key characteristics that defines a "wilderness" location, apart from the 1 hour away from definitive medial care, centers on the lack of available resources and the necessity to improvise. Though field teams and expeditions may have some first aid / rescue gear with them, in emergency situations there is very seldom a surplus...

If you are a governing Agency, or someone who is planning on venturing out on a river trip with your family or friends, have you asked the question: How much professional training do river guides have?  Seems like a logical question for someone who is embarking on a trip with family or friends. After all,...

Our first class of 2105 was a great success. USC outfitters made their annual trek to northern California for a Wilderness First Responder course. 19 would-be WFRs rolled up in style to SkyRanch perched above the South Fork of the Yuba River just above Washington, CA. Over the ensuing  8 days and 80 hours, a...

Every year as I drop down into the Salt River Canyon, I take a deep breathe as I view the beauty of the Canyon.  Once again, the White Mountain Apache tribe welcomed our training to their lands.  During the 10 days that I was there, I had the pleasure of teaching a Wilderness First Responder...