CYCL ING IN T HE WIL DE RNE SS Sue Spa no MD, F ACE P, F - - PowerPoint PPT Presentation

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CYCL ING IN T HE WIL DE RNE SS Sue Spa no MD, F ACE P, F - - PowerPoint PPT Presentation

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CYCL ING IN T HE WIL DE RNE SS Sue Spa no MD, F ACE P, F AWM Dire c to r, Wilde rne ss Me dic ine F e llo wship Unive rsity o f Ca lifo rnia Sa n F ra nc isc o F re sno CALIFORNIA TO SOUTH AMERICA Ste ve Sto ltz MD, F ACP

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SLIDE 1

CYCL ING IN T HE WIL DE RNE SS

Sue Spa no MD, F ACE P, F AWM Dire c to r, Wilde rne ss Me dic ine F e llo wship Unive rsity o f Ca lifo rnia Sa n F ra nc isc o F re sno

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SLIDE 2

CALIFORNIA TO SOUTH AMERICA

  • Ste ve Sto ltz MD, F

ACP

Clinical Professor of Medicine UCSF Fresno

  • One of the few cycled the Darien Gap
  • Between Panama and Colombia
  • 30 ye a rs a g o
  • Va c c ine s, Ma la ria , De ng ue
  • No c e ll pho ne s, GPS, o r… g ra ve l

b ike s

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SLIDE 3

BI K E

  • PACK

I NG T ODAY

  • Great Divide Route
  • 2,768 mi: Continental

Divide

  • Banff, Alberta to Antelope

Wells, New Mexico

  • Idaho Hot Springs Trail
  • 500-mi loop
  • 50 natural spas
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SLIDE 4

E

  • BI

K E S I N WI L DE RNE SS?

  • 2019: DOI exempts e-

bikes from the definition

  • f motor vehicle
  • Ac c e ss fo r

no ntra ditio na l use rs

  • E
  • b ike s: fa ste st-

g ro wing se g me nt o f U.S. b ike ma rke t

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SLIDE 5

OBJE CT I VE S

  • K

no w b e fo re yo u g o (e pide mio lo g y/ injurie s)

  • Wilde rne ss 911
  • F

ie ld c a re , impro visa tio n, & surviva l stra te g ie s

  • Wha t to b ring ?
  • Mo de rn e nviro nme nta l ste wa rdship
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SLIDE 6

BACK GROUND

  • Ho t-b utto n issue : mo unta in b iking b a n (1984)
  • E

ro sio n vs. so c ia l issue s

  • Wilde rne ss (fe de ra l la nds)
  • Mo st pro te c tive la nd de sig na tio n
  • De sig na te d b y Co ng re ss o nly
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SLIDE 7

POL L : WORST

INJURY SE VE RIT Y?

  • Mo unta in b ike s
  • E
  • b ike s
  • E

le c tric sc o o te rs

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SLIDE 8

2000 T O 2017 US CONSUME R PRODUCT SAF E T Y COMMI SSI ON’ S NAT I ONAL E L E CT RONI C I NJURY SURVE I L L ANCE SYST E M (NE I SS),

  • 245 million U.S. E

D injur ie s

9.4 millio n pe da l b ic yc le (385.4 pe r 10,000)

  • 130,797 sc o o te r

(5.3 pe r 10,000)

  • 3,075 e -b ike injurie s

(0.13 pe r 10,000)

25.2 yo tr aditional bike s; 72.4% male 29.4 yo sc oote r s, 60% male 10-14: lar ge st gr

  • up

31.9 yo; 83.3% male 18-44 and 45-64: lar ge st age gr

  • ups
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SLIDE 9

U.S. I NJURI E S: E BI K E S

  • ↑ 3x: c o llisio ns with pe de stria ns
  • Hig he r ra te s o f ho spita liza tio n
  • ↑ > 2x: inte rna l injurie s ( 17% ) vs pe dal b ike s (7.5%)
  • 0.25 injurie s pe r 100,000 (2017)
  • vs 125 pe r 100,000 (pe dal b ike s)
  • E

uro pe an studie s: injurie s similar

  • Olde r ride rs, ↑ he lme t use
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SLIDE 10

F irst Aid Ca rdia c T ra uma No n-Ca rdia c Me dic a l

WI L DE RNE SS 911: WHO’ S CAL L I NG?

Ca lifo rnia NPS units, 2005

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SLIDE 11

F I E L D ME DI CAL K I T : MUST T RE AT

  • T

ra uma / F irst a id

  • He mo rrha g ic sho c k
  • E

nviro nme nta l c o nditio ns

  • Airwa y e me rg e nc ie s
  • Ba sic surviva l*

T ra uma Me dic a l

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SLIDE 12

SHOUL DE R DI SL OCAT I ONS

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SLIDE 13

CUNNI NGHAM VI DE O

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SLIDE 14

PAT E L L A DI SL OCAT I ON

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SLIDE 15
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SLIDE 16
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SLIDE 17
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SLIDE 18
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SLIDE 19

WE T (ACT I VE L Y BL E E DI NG) WOUNDS

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SLIDE 20
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SLIDE 21

“I K I ND OF MACGYVE RE D I T ”

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SLIDE 22

BL E E DI NG CONT ROL ?

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SLIDE 23
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SLIDE 24
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SLIDE 25

 Airwa y o b struc tio n

  • Re spira to ry ARRE

ST

  • =>Pro lo ng e d re sc ue b re a thing

AI RWAY E ME RGE NCI E S

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SLIDE 26

RE COVE RY POSI T I ON

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SLIDE 27

PRE F ABRI CAT E D BARRI E R MASK S

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SLIDE 28

WWMD?

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SLIDE 29
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SLIDE 30

GL OVE S AS A F L UT T E R VAL VE

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SLIDE 31

E ME RGE NCY CRI COT HYROT OMY

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SLIDE 32

I MPROVI SE D E T T S?

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SLIDE 33

QUI NT E SSE NT I AL “I MPROVI SAT I ON” T OOL

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SLIDE 34

10 “USE S” F OR A T AMPON

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SLIDE 35
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SLIDE 36
  • 1. Pla n the run, run the pla n
  • L

e a ve yo ur itine ra ry in yo ur c a r

  • 2. Ne ve r tra ve l a lo ne
  • a ltitude , hypo the rmia =>AMS
  • 3. L
  • o k b a c k fre q ue ntly
  • 4. Ca rry a surviva l kit
  • 5. Pra c tic e surviva l skills

BASI C SURVI VAL RUL E S

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SLIDE 37

SURVI VAL

  • 80% me nta l
  • ST

OP:

  • Sit do wn
  • T

hink

  • Ob se rve
  • Pla n
  • 10% e q uipme nt
  • 10% surviva l skills
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SLIDE 38
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SLIDE 39
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SLIDE 40

8” WIDE

10ft T AL L

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SLIDE 41

SI GNAL I NG

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SLIDE 42

SI GNAL I NG

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SLIDE 43

SI GNAL I NG

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SLIDE 44
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SLIDE 45
  • F

ire sta rte r

  • She lte r
  • K

nife

  • Sig na ling
  • Ma p a nd c o mpa ss
  • Wa te r purific a tio n ta b le ts
  • F
  • o d (e xtra )
  • E

xtra c lo thing a nd sung la sse s

  • F

irst a id kit: g lo ve s, ta pe , ta mpo ns*

  • F

la shlig ht/ e xtra b a tte rie s

  • I

de ntity ta g

SURVI VAL K I T

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SLIDE 46

SI MPL E F I RST AI D K I T

  • T

a pe

  • Ga uze
  • Glo ve s
  • Sa fe ty pins
  • Multiuse to o l
  • Me dic a tio ns
  • NSAI

D T yle no l

  • I

mo dium Zo fra n

  • Be na dryl

Rx

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SLIDE 47

MODE RN E NVI RONME NT AL ST E WARDSHI P

  • Ba c kc o untry b ide t
  • Ca mp fire s
  • L

e ss c he mic a ls

  • Sunsc re e n
  • Bug spra y
  • Ha nd sa nitize r
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SLIDE 48

T OI L E T I NG: NOT SO GROSS

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SLIDE 49
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SLIDE 50

SUMMARY

 E

  • b ike s: ↑ inte rna l injurie s, g ro wing ma rke t

 Pre pa re fo r ma jo r injurie s, no t sc ra pe s  Ca n’ t impro vise : g lo ve s, ta mpo ns, o r ta pe  Co nside r b e a r spra y  L

e a ve the wilde rne ss b e tte r

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SLIDE 51

Thank you