Well there it was; blunt news of a friend’s near death. Malcolm Daly (pronounced “daily”), president of the climbing gear company Great Trango Holdings, Inc. and a well-known figure in the US climbing community, had suffered a serious heart attack while ice climbing in Colorado. The email was brief but ended with a typically upbeat assessment by Malcolm:
All I’ve had to do is relax so; I’m getting antsy. Time to think about some exercise…again.
Daly’s story is compelling, scary, and hopeful. It’s compelling because he is like many of us: relatively young (40-something), quite fit, and with no serious family or personal history of heart problems. It’s scary because he is like many of us, and he almost died. It’s hopeful because Malcolm’s recovery is progressing well, and we can all learn from his experience.
July/August 2004 ISSN-1059-6518 Volume 17 Number 4
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Beware the Giant Hogweed
/in Environemtal Injuries, Rash/by WMN EditorsWILDERNESS DERMATOLOGY
Giant Hogweed –Heracleum mantegazzianum
Beware the Giant Hogweed
Huge exotic weed gives new meaning to the word NASTY
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A 40-something fit athlete has a heart attack
/in cardiac, Disease/by WMN EditorsWell there it was; blunt news of a friend’s near death. Malcolm Daly (pronounced “daily”), president of the climbing gear company Great Trango Holdings, Inc. and a well-known figure in the US climbing community, had suffered a serious heart attack while ice climbing in Colorado. The email was brief but ended with a typically upbeat assessment by Malcolm:
All I’ve had to do is relax so; I’m getting antsy. Time to think about some exercise…again.
Daly’s story is compelling, scary, and hopeful. It’s compelling because he is like many of us: relatively young (40-something), quite fit, and with no serious family or personal history of heart problems. It’s scary because he is like many of us, and he almost died. It’s hopeful because Malcolm’s recovery is progressing well, and we can all learn from his experience.
July/August 2004 ISSN-1059-6518 Volume 17 Number 4
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NEUROLOGY II
/in Level of Consciousness, Neurological/by WMN EditorsThe previous edition of the WMN gave a detailed review of neuroanatomy, neurophysiology, brain mapping by neuronal activity, neurologic deficits, and the neurological exam. This edition will explore and review the various etiologies of changes in levels of consciousness (LOC), their recognition, emergent treatment, and management in the extended care environment.
May/June 2004 ISSN-1059-6518 Volume 17, Number 3
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Change in Level of Consciousness
/in Level of Consciousness, Neurological/by WMN EditorsWhen an individual presents with a changing or deteriorating level of consciousness, it can be one of the most disconcerting and challenging aspects of providing emergency care.
In urban emergency care, the standard is to maintain the airway, place the patient in a safe position, give oxygen, transport immediately, and do your best to try to find out why they have a deteriorating level of consciousness. Most likely the patient will not deteriorate much more in the intervening minutes until arrival at the emergency department. This is one of the few areas where there may not be a lot that can be done in the prehospital setting, but early recognition and rapid transport can and will save brain cells.
March/April 2004 ISSN-1059-6518 Volume 17, Number 2
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