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Wilderness & Expedition Medicine Society of Southern Africa
- 1. Wilderness Medicine in the South African context Sean Buchanan
- 4. Wilderness & Expedition Medicine • Purposeful medicine: – predicted, planned, performed • Characteristics: – Remote – Unusual physiological demands – Reliance on clinical examination – Reliance on good judgement – Need for ingenuity & improvisation – Pragmatic ‘Austere care is no excuse for poor care’
- 5. Uniquely broad demand for practical & pragmatic skills… ideal for EM practitioners!
- 7. 0 1000 2000 3000 4000 5000 6000 7000 8000 1848 1853 1858 1863 1868 1873 1878 1883 1888 1893 1898 1903 1908 1913 1918 1923 1928 1933 1938 1943 1948 1953 1958 1963 1968 1973 1978 1983 1988 1993 1998 2003 2008 2013 Where is the evidence? Keywords: “Wilderness Medicine”
- 8. 0 1000 2000 3000 4000 5000 6000 7000 8000 1848 1853 1858 1863 1868 1873 1878 1883 1888 1893 1898 1903 1908 1913 1918 1923 1928 1933 1938 1943 1948 1953 1958 1963 1968 1973 1978 1983 1988 1993 1998 2003 2008 2013 Keywords: acute mountain sickness zoonoses zoonotic disease rickettsia tick bite fever dysentry typhoid dengue envenomation plant dermatitis poisonous plants
- 9. Wilderness Medicine Education in SA • Short courses: – Wilderness Emergency Medicine (KZN) – Winter Wilderness Medicine (Matroosberg, WC) – Kilimanjaro Mountain Medicine • Dip/MSc/PhD programmes in extreme physiology – Tropical medicine – Aerospace medicine – Hyperbaric medicine – Emergency Medicine • Fellowship in Wilderness Medicine (FAWM) • Diploma in Mountain Medicine (DiMM)
- 10. Fellow of the Academy of Wilderness Medicine (FAWN) Requirements: • Any WMS member • $255 for 5 years • Points-based system needing total of 100: – Core 55-70 – Elective 5-10 – Experience 20-40 • 16 domains including education and research WMS Members who proudly use the FAWM credential display the highest level of widely- recognized achievement in the field of wilderness medicine. They have demonstrated significant knowledge and experience in their disciplineand serve the community in a distinguished manner.
- 11. Hyperbaric Tropical and Travel Altitude Expedition Rescue Sports and Physiology Field Sanitation Environmental Improvisation Disaster & Humanitarian Aid Wilderness Emergencies Faculty Development
- 12. • Optic nerve sheath diameter & papilledema • Lung ultrasound for prediction of HAPE • Field pulse oximety comparisons • Wearable device trails • Inhalational analgesia at high altitude WEMSA Research
- 13. EMMSA SA Triage Score ARREST WEMSSA PECSA EM Ultrasound Prof. Dickerson (Chair) + 15 person committee
- 14. Objectives of the Society • Establish a professional forum for the recognition and advancement of WM professionals • Provide accredited training • Advocate for wilderness medical professionals and their patients • Review international wilderness protocols in respect to their local applicability • Develop, fund and conduct research • Foster cooperation across Africa
- 15. Priorities Accredited Education Opportunities WMS - Local Training CPD Training Program Membership Society blog Regional SeminarsResearch Collaboration Funding Volunteers Clinical Guidelines Trip Planning Snake bite Near Drowning Hypothermia
- 16. Are you ready to take your medical expertise to new places and new heights? www.wemmsa.org http://www.wms.org/