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 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
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
E -BI K E S I N WI L DE RNE SS? • 2019: DOI exempts e- bikes from the definition of 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
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
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
POL L : WORST Y ? INJURY SE VE RIT • Mo unta in b ike s • E -b ike s • E le c tric sc o o te rs
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 25.2 yo tr aditional bike s; (385.4 pe r 10,000) 72.4% male • 130,797 sc o o te r 29.4 yo sc oote r s, 60% male (5.3 pe r 10,000) 10-14: lar ge st gr oup • 3,075 e -b ike injurie s 31.9 yo; 83.3% male 18-44 and 45-64: lar ge st age (0.13 pe r 10,000) gr oups
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
WI L DE RNE SS 911: WHO’ S CAL L I NG? F irst Aid Ca rdia c T ra uma No n-Ca rdia c Me dic a l Ca lifo rnia NPS units, 2005
F I E L D ME DI CAL K I T : MUST T RE AT T ra uma • T ra uma / F irst a id Me dic a l • 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*
SHOUL DE R DI SL OCAT I ONS
CUNNI NGHAM VI DE O
PAT E L L A DI SL OCAT I ON
WE T (ACT I VE L Y BL E E DI NG) WOUNDS
“I K I ND OF MACGYVE RE D I T ”
BL E E DI NG CONT ROL ?
AI RWAY E ME RGE NCI E S 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
RE COVE RY POSI T I ON
PRE F ABRI CAT E D BARRI E R MASK S
WWMD?
GL OVE S AS A F L UT T E R VAL VE
E ME RGE NCY CRI COT HYROT OMY
I MPROVI SE D E T T S?
QUI NT E SSE NT I AL “I MPROVI SAT I ON” T OOL
10 “USE S” F OR A T AMPON
BASI C SURVI VAL RUL E S 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 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
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
10ft T AL L 8” WIDE
SI GNAL I NG
SI GNAL I NG
SI GNAL I NG
SURVI VAL K I T • 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 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
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
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
T OI L E T I NG: NOT SO GROSS
SUMMARY -b ike s: ↑ inte rna l injurie s, g ro wing ma rke t E 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
Thank you
Recommend
More recommend
