Beyond The Edge

It was an honor to be accepted for our abstract and to present data from our recent project. Nerve racking presenting and speaking with these world leading Doctors in Mountain Medicine. The World Congress on Mountain Medicine draws leaders from global mountain medicine, the expedition and mountaineering knowledge is off the charts too! Rising to the level to grasp some of the data and share data is confounding. Thank you to the ISMM for the opportunity and great event! While front country Medicine focuses on ABC’s/CAB’s as an assessment, the Military medics have been using MARCH as an algorithm… MARCH is a must for all providers, globally, when it comes to addressing trauma. Our data showed that even MARCH had noticeable markers that are main contributors to successful outcomes…terse treatment of massive hemorrhaging, HEAD to TOE no matter the distracting injuries, correct use of the CAT TQ ( do not store TQ pre looped, stretch out TQ before placement, push on buckle while pulling strap to tighten, high and tight always [ people don’t stab each other with 2-3 inch knives ], check TQ every pt assessment, sweep out bloody wounds when possible to find the root of the bleed, converting a TQ takes a long time 1/4 turn and watch the source of bleeding for 2-3 minutes-1/4 turn and etc…Airway-Crawl walk run, ET tube is second to last choice-not first for medics, ears to eternal notch no head tilt chin lift, double NPA-AerFree device-IGEL-et tube-cric, understand trauma and a TBI need different O2 needs and pressures, you need less air from a BVM than you think, feel-don’t look for chest rise and fall, good breathing coaching and solid BVM work is a life saving skill train on it, blast/gsw/trauma + dehydration + starvation (low sugar) + high stress environment is a multi-system trauma pt. Treatment of one can deteriorate treatment of another, understand any fluid you think you want to add, base NS/LR on a radial pulse for trauma- TBI fluids needs are incredibly different, walking blood banks can work overcoming religious and cultural beliefs make them difficult, blood exchange programs are not that complicated we could have them in EMS to Wildland fire.

It was amazing watching “Ren” sort out a track today, seconds on the scent and going! Seeing and learning about this K9 and her work in England was phenomenal. In the days we have been in Northern England it has gone from rain to sunshine constantly, Ren works one of the toughest environments we can image, this little Collie makes our Dutch Shepherd look small! Thank you ISMM for hosting and Edale SAR for the great scenarios today! Learning what our friends across the pond are doing and using has been educationally stimulating!

Due to events in Mexico we have moved the course to the Big Island! Same great instructors, same great courses! We will be offering deep discounts for Hawaii and Oregon residents, not to mention the continued discounts for first responders.

Sometimes you need to just Pivot to keep going forward.

Freedive and Mental Health Resiliency training with and Four amazing days. Focused on military and first responders.

Phoebe gets to have huge amounts of time off lead/leash. As you can see she is roaming freely and is allowed to explore her curiosity. Even though she is off lead, being a Dutch Shepherd she will never wander far from her primary, me. Most programs train high levels of obedience and/or heavy lead usage. We do the opposite and find the K9’s have more drive, can be multi disciplined and perform work while making the decisions themselves. The major downside to this type of training, you have to be hyper vigilant to your surroundings and have a high tolerance for chaos the first few years of training. What would be considered obedience by Phoebe, is actually the continuous time spent together for years, she has no obedience training. She has a 100% tracking record to date.