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High Sierra Wilderness Medicine Conference

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Course Number: MMC13025
Start: Wednesday, March 20, 2013
End: Friday, March 22, 2013
Location: Yosemite National Park, California
Tenaya Lodge, Yosemite National Park, CA

Before 2/16/13
Physican $500
AHP $400

After 2/16/13
Physican $575
AHP $475


Conference Workshops & Breakout Sessions

Thursday, March 21st, 5:00 PM:  Twilight activity with Naturalist Shirley Spencer. Open to all attendees.  There is no cost for this event but it is optional.

Friday, March 22nd,  1:00 PM:  Hike with  Rescue exercise; Open to all attendees.  There is no cost for this event but it is optional.

Optional Box Lunch - $22 includes choice of sandwich, potato chips, whole fruit, cookie and bottled water (pick one or more)

  • Wednesday, March 20
  • Thursday, March 21
  • Friday, March 22
Credit: 15.5 AMA PRA Category 1 Credit(s)™

Join the University of California San Francisco, Fresno Department of Emergency Medicine for the 5th Annual High Sierra Wilderness Medicine Conference. Don’t miss this opportunity to meet and collaborate with top educators, guest lecturers, and fellow explorers at this intimate conference. The High Sierra Wilderness Medicine Conference is designed to address the needs of those who journey into the wilderness and who may encounter life-threatening emergencies with limited resources. This includes not only emergency physicians but also family practitioners, internists, nurses, first responders, backcountry rangers, and members of the search and rescue community. With a combination of didactic lectures and hands-on skills practice, we will explore topics including survival and field treatment of environmental illness, rescue techniques, and lessons learned from the delivery of medical care in austere settings from Antarctica to our own National Parks.

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Upon completion of the High Sierra Wilderness Medicine Conference, attendees should be able to:

  • Apply evidence-based management options of medical problems that are unique to the wilderness setting, including high altitude illness, environmental exposure, avalanche, and toxic plant ingestions
  • Improvise necessary skills for remote medical care including patient assessment, trauma care, management of orthopedic injuries
  • Understand basic principles of survival and rescue, from trip planning to behaviors that are likely to result in a successful rescue

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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 15.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirement under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME.

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™.

Physician Assistant:
AAPA accepts category 1 credit from AOACCME, prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

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Course Outline:

Wednesday, March 20

8:00am-5:00pm Registration

8:00am-8:00pm Vendor displays in main meeting hall

8:00am Continental Breakfast

9:00am It's a Jungle Out There: Poisonous Plants You Need to Know
Dr. Patil Armenian

10:00am High Altitude Illness: Treatment and Prevention
Dr. Grant Lipman

11:00am Exposure: Prevention and Management of Environmental
Dr. Lori Weichenthal

12:00pm Lunch (on own; box lunch can be provided for $22)

1:00pm Practical Rotation 1

3:00pm Practical Rotation 2

6:00pm Opening Reception (Drinks/Light Snacks)

8:00pm Western Artists and Their Impact on the National Parks
Shirley Spencer


Thursday, March 21

8:00am-5:00pm Registration

8:00am Continental Breakfast

9:00am Search and Rescue in the National Parks
Dr. Geoff Stroh, Dr. Marc Shalit, Dr. Danielle Campagne,
Erika Jostad, Dr. Megann Young

11:00am Hanta Virus and More: Emerging and Re-emerging Infections
from the North American Wild
Dr. Sukhjit Takhar

12:00 Lunch (on own; box lunch can be provided for $22)

1:00pm Practical Rotation 3

3:00pm Practical Rotation 4

5:00pm Twilight Activity with Naturalist Shirley Spencer

7:00pm Dinner (included in conference cost)

8:00pm Keynote Speaker: "Hitchhiking in Antarctica: Expedition
Medicine in Extreme Environments"
Dr. Dean Gushee


Friday, March 21

8:00am-5:00pm Registration

8:00am Continental Breakfast

9:00am Poster Presentations

10:00am Don't Get Stung: Poisonous Envenomations
Dr. Rais Vohra

11:00am Buried Alive: Rescue and Treatment of Avalanche Patients
Dr. Conal Roche

12:00pm Lunch (on own; box lunch can be provided for $22)

1:00pm Hike with rescue exercise*

*This is an optional final exercise that will involve an hour hike/snowshoe and then a scenario that will test the participants' wilderness medicine skills including initial assessment, stabilization and packaging and evacuation. The exercise will require that participants have a basic level of physical fitness that allows them to complete a moderate hike/snowshoe and be able to perform bending, lifting, and carrying. Participants should also be prepared for inclement weather including but not limited to rain, snow, and wind.


Practical Rotations:
Fracture and Dislocation Management (Dr. Danielle Campagne)
Discussion and demonstration of techniques for reduction; improvised splinting techniques;improvised traction; pain control; management of open fractures; etc.

Planning for Survival and Rescue (Dr. Lori Weichenthal)
A case-based discussion of trip pre-planning; building a first aid kit and survival kit; communication in the wilderness; and self-rescue planning and/or ways to assure you are found if injured or lost.

Initial Patient Assessment and Improvisation to Save a Life (Dr. Megann Young)
Discussion and practice of initial patient assessment, including scene safety and early evacuation considerations; and improvisations that deal with the ABCs (needle decompression, improvised chest tubes, etc.)

Stabilization, Packaging, and Plans for Evacuation (Dr. Conal Roche, Dr. Tom Fralich)
Discuss and practice of patient packaging techniques for both evacuation and stabilization, including rope litters; and carrying techniques for self-evacuation.

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Lori Weichenthal, MD
Megann Young, MD
Danielle Campagne, MD

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Patil Armenian, MD
Assistant Clinical Professor of
Emergency Medicine

Tom Fralich, MD
Resident, UCSF Fresno

Conal Roche, MD
Wilderness Medicine/EMS Fellow,
UCSF Fresno

Marc Shalit, MD
Clinical Professor of Emergency Medicine
Medical Advisor, National Park Service

Geoff Stroh, MD
Associate Clinical Professor of
Emergency Medicine
Medical Advisor, National Park Service

Rais Vohra, MD
Assistant Clinical Professor of
Emergency Medicine
Director of Clinical Toxicology



Dean Gushee, MD, MS, FACEP
Emergency Department Medical
Director and Hospital CMO, Mason
General Hospital, Shelton WA

Erika Jostad
NPS Ranger, Sequoia and Kings
Canyon National Parks

Grant S Lipman, MD, FACEP
Clinical Assistant Professor of Surgery
/ Emergency Medicine
Associate Director Wilderness
Medicine Fellowship
Stanford University School of Medicine

Mark Spencer
Firefighter/Paramedic, Sanger Fire Department
International Mountaineer

Shirley Spencer, MS
Botanist/Sierra Nevada Specialist

Sukhjit Takhar, MD
Brigham and Women's Hospital
Instructor of Medicine (Emergency
Medicine) Harvard Medical School
Boston, MA

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Travel & Lodging:

The course will take place at the Tenaya Lodge at Yosemite. A block of rooms has been reserved at the special UCSF rate of $130 per night.

The cutoff date is 2/16/13, or until the room block is filled. After this date, rooms will be provided on a space-available basis only.

To make your reservations, please call 1-800-635-5807. You may also reserve rooms online at www.tenayalodge.com using group code 30Q7H7. Please identify yourself as a member of this UCSF conference to receive the special rate.

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Cancellation Policy:
Cancellations received in writing before the first day of the course will be frefunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date.

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