PHARM Podcast 149 On the Mountain and in the Air with David Weber
by ketaminh on September 7, 2016
Weber at 11,200 feet during a Denali rescue patrol this past summer (photo Menno Boermans)
Hi folks, this episode I chat to flight medic and Denali park ranger, David Weber. Amongst other great things we talk about, his service in Denali ditched the hard neck collar 5 yrs ago and only use soft collars and vacuum spinal mattress for prehospital spinal care! Ha!
Weber leading a rope rescue training at 16,200 feet as part of the Nepalese Technical Exchange Program with climbing guides from the Everest region (photo Menno Boermans)
Weber monitoring radio communications during a search and rescue mission from the communications tent at 7,200 feet on Denali (photo Menno Boermans)
ber during a short haul training evolution from Denali’s 7,200 foot base camp (photo Menno Boermans)
Weber and Dr Katie Russell discuss treatment strategies for a high altitude cerebral edema (HACE) patient being treated in a portable hyperbaric chamber at 14,200 feet on Denali (photo Brian Scheele)
What is PHARM? Its the area of clinical medicine involved with the assessment and stabilisation of acutely ill or injured patients in the prehospital setting, who require transport to definitive care. It requires a wide range of skills and knowledge including emergency medicine, paramedicine, critical care and aeromedicine. The working environments span the entire range of those on our planet and challenges placed on prehospital providers are both demanding, mentally and physically. There is no backup, you are the backup and what you bring with you is all you have. We who work in the area and face these challenges in hostile and austere settings choose to, with the belief that a patient's location should not dictate the level of emergency care they deserve and we can provide. This is the discipline.