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November/December 2010  ISSN-1059-6518  Volume 23 Number 6

GEO MEDIC ™

Extended Care Emergency Medicine and Remote Medicine

for Missionary, Disaster, and Relief Medical Personnel

February 2 – 11, 2011

 

The world of emergency medicine is designed around the Golden Hour. This is the one hour that it takes for response, extrication, treatment, and transport of an ill or injured patient to a nearby definitive care facility. Most emergency medical training focuses on these principles of rapid assessment and treatment. But, what happens when the emergency care extends beyond this Golden Hour, into the arena of extended care, or even longer, into remote care?

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Special Issue for the People and Rescuers in Haiti

The November/December issue of the Wilderness Medicine Newsletter was originally to be an issue dedicated to Celiac disease. However, due to the magnitude of the disaster in Haiti, we felt that the most direct way that we could help was to pull together a number of articles that pertain specifically to disaster management and make those article available to anyone who might be involved in the rescue and recovery efforts in Haiti. Therefore, our regular subscribers will recognize the contents of this issue as a compilation of past articles.

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Extended and Remote Care Part II

This is Part II of The Principles of Long-Term Patient Care. In the previous issue we reviewed the principles of long-term patient care concerning aspects of monitoring and re-SOAPing the patient, the environmental emergencies, and medical emergencies. This edition of the WMNL will concentrate on long-term patient care and the trauma patient.

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NAVIGATION−exploring the mysteries of going from Point A to Point B

Each summer as I sail the Maine coast, I monitor channel 16 on the VHF radio. For those of you who are not boating enthusiasts, 16 is the emergency channel. Mariners are expected to monitor channel 16 at all times while underway for news of navigational hazards and other vessels in distress. If a distress call comes from a position near your own position, you are expected  to join the radio call and offer assistance if you can safely do so.

While monitoring the radio, I am amazed by the number of people who radio the Coast Guard asking for assistance but who are unable to tell the Coast Guard where they are.

 

ISSN-1059-6518

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