Sprained Ankle Bandage

November/December 2007   ISSN-1059-6518     Volume 20 Number 6

Sprained Ankle Bandage

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

Perhaps the most common orthopedic problem in a wilderness setting is a sprained ankle. You’re hiking along an easy trail in your running shoes when your foot slips off the side of a rock and you twist an ankle—OUCH.

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The Risk of Caring

Since its conception 20 years ago, the Wilderness Medicine Newsletter has tended to concentrate on the world of providing care in the wilderness and extended care environments. But, our view of the world is expanding. There are many individuals and organizations outside of the traditional wilderness medicine community for whom this information is also relevant—who may find themselves in locales where the access to medical care can be delayed or even nonexistent.

November/December 2007     ISSN-1059-6518    Volume 20 Number 6

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Naegleria Fowleri

September/October 2007    ISSN-1059-6518   Volume 20 Number 5

The Story of Naegleria fowleri

By Frank Hubbell, DO

Naegleria fowleri is a free-living amoeba that is typically found in warm, fresh water around the world. It causes no harm to humans unless you happen to get it up your nose and into your sinuses. There it can multiply and enter your central nervous system through the olfactory nerve as it traverses the cribiform plate between the sinuses and the brain. domain name search Once in the brain, it will continue to multiply and cause Primary Amoebic Meningoencephalitis (PAM).

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ALLERGIES – RUNNY NOSE TO ANAPHYLAXIS

Brian was a recent college graduate. While in school, he was involved in the outing club and discovered the great outdoors. Whether he was out on a day hike, a week-long backcountry ski adventure, or floating on a pond in his canoe, he didn’t care—he just wanted to be out in the wilds. No one was surprised when he began to pursue an outdoor career.

To add to his knowledge-base he participated in a weekend seminar in backcountry essentials: a survival program that concentrated on bivouac and short-term survival skills. At the end of the first day, the group was four miles into a local mountain wilderness area and had gained 3000’ in elevation. After a great day of exploring and making improvised shelters, the group sat to enjoy the sunset and feast on a delicious dinner which included wonderful wholegrain bread encrusted with sunflower seeds.

 

 

September/October 2007   ISSN-1059-6518   Volume 20 Number 5

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