Back from the wild

ouchieSo, it has been a couple of weeks since I've really posted anything to my blog.  Apparently it was harder coming down to earth (i.e. realworld) then i thought.  I've been trying to distract myself with various projects.  I've purchased a IGEPv2 board as a carputer for my truck which I'm rebuilding.  It has been a long process trying to do it from Memphis and while in Medical school but this summer looks promising for getting it running for the first time in about 10 years.  Wow, it's been a long time.

Anyway, I'm currently working on building Android for it.  I'm using the HTPC I built over Christmas (runs a Core i7 860) so the builds are very fast.IGEPv2 with case

My second toe still has a bruise from the hike.  It looks quite lovely.  Doesn't hurt or anything but it will be a while until it heals.  

Sunrise

Now that I'm getting back into the hospital setting and studying along those lines, I've been able to enjoy some really beautiful sun rises.

Well, I'll post some more pictures of my projects later, but for now, enjoy the picture of the IGEPv@ and what will become it's case :)

| etmeek | No comments |     | Life, Useless Facts

WMS Day 15 - Good to be back

Please note all the injuries are simulated (i.e. no real blood).

All injuries are simulated - except being coldAfter a long weekend we are starting our final week of lectures and scenarios.  The month has flown by and it is starting to sink in that we are finishing up.  Only 3 more days after today and so far the course has been great and I'm sad to see it ending.  I've met a bunch of great individuals and have learned a tremendous amount about wilderness medicine.

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| etmeek | No comments |     | Adventure, Life

WMS Elective Day 9 - Lectures

From my years of practice I have discovered testosterone and alcohol are a failed combination. - TK

LecturesI think this quote is a great summary of our day.  It was a day of many lectures imparting lots of wisdom, some student lectures and a little hands on demonstrations.  Our day consisted of lectures about High Altitude illnesses, Cold injuries, Facial Trauma, a talk from a Chiropractor and ending with a lecture about orbital injuries.

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| etmeek | No comments |     | med school, Life

WMS Elective Day 6

We left this morning from camp at 8 am for the Blount County Sheriff's Department to learn about different types of weapons, entrance and exit injuries and tracks.  Those instructing us in the various firearms took aim as the pig heads with 4 or 5 different firearms.  After demonstrating the effects on the pig heads we progressed to the human simulate to see the actual tracts through something with the consistency of flesh.  Yeah, it is sorta morbid but necessary in wilderness medicine.
After the demonstrations, we were given the opportunity to try our hands at the firearms.  Yep, it was really great to have the opportunity to fire the different rifles and handguns.  The instructors were so generous with their time and resources.  It was a cold and dreary day and there were little thanks to go around for their generosity except our smiles and handshakes.
After returning to the lodge for lunch, we had an emergency medicine doc give us lectures throughout the afternoon on various topics including "Leave No Trace," "Flight Medicine" and "Fire."  Soon the lectures were over and we were done for the week, done to enjoy a day of rest and then the Superbowl.  Yeah, it was a good day and week all around…

A hunting we will go . . .We left this morning from camp at 8 am for the Blount County Sheriff's Department to learn about different types of weapons, entrance and exit injuries and tracks.  Those instructing us in the various firearms took aim as the pig heads with 4 or 5 different firearms.  After demonstrating the effects on the pig heads we progressed to the human simulate to see the actual tracts through something with the consistency of flesh.  Yeah, sorta morbid but necessary in wilderness medicine.

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| etmeek | No comments |     | med school, Adventure, Life

WMS Elective Day 5

Well, we are back from our day off and are starting up with Search and Rescue.  We have Jeff Wadley presenting today and are going to "skim the surface" of this topic.  Also just found out that our first night scenario is next Monday.  Gotta start hitting the trails and make sure we know the area to keep the night a bit shorter.
As to Days 5 & 6, they were days full of multiple and varied experiences as are becoming common here at the WMS Elective.  Each and every experience has broadened my perspective on Wilderness Medicine.  Not all have been as glamorous and exciting as my posted highlights, but all have served to increase my appreciation for the wilderness.

Well, we are back from our day off and are starting up with Search and Rescue.  We have Jeff Wadley presenting today and are going to "skim the surface" of this topic.  Also just found out that our first night scenario is next Monday.  Gotta start hitting the trails and make sure we know the area to keep the night a bit shorter.Heritage Museum (hat-tip to John)

As to Days 5 & 6, they were days full of multiple and varied experiences as are becoming common here at the WMS Elective.  Each and every experience has broadened my perspective on Wilderness Medicine.  Not all have been as glamorous and exciting as my posted highlights, but all have served to increase my appreciation for the wilderness.

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| etmeek | No comments |     | med school, Adventure, Life

WMS Elective Day 4

What about day 4?  I'm glad you would ask.Brad teaching us to lash. Photo by Gabriel  Today started of student presentations.  Each of us is required to give a presentation on a certain topic related to wilderness medicine.  Today we had about 10 individuals give their presentations.  All were quite refreshing without power points.  I'm trying to figure out how to give mine without any slides.

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| etmeek | No comments |     | med school, Adventure, Life

WMS Elective Day 3

More pre-hospital medicine & pseudo simulations

Tuesday brought another day of learning and many really interesting stories.  Of all our instructors almost are all volunteers and this day our teachers were from Roan State Community College, an assistant chief of the Knoxville Fire Department and a Park Ranger Smokey Mountain National Park.  Each was great and really taught us many useful tools for survival and rescue. 

Must use care in little onesOur day started out with learning intubation techniques and airway management in both urban and wilderness pre-hospital settings.  I guess now would be a good time to ensure everyone knows what "pre-hospital" means.  I wondered the first time I heard it and the answer is the most obvious answer - it is pre-hospital care.  Yep, so obvious it almost hit me in the face.

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| etmeek | No comments |     | med school, Adventure, Life

WMS Elective Day 1 & 2

Well, all finished with day 2 and it has been an interesting and fruitful experience so far.  Entering this elective I wasn't quite sure what to expect.  I know several of the faculty from UT who teach for it but details were sketchy.  All I really know was what one of the faculty told me, "You'll really enjoy it."  When people would ask me what to expect all I could say, "Take a look at the website to see."

So, for the first two days of the month, we have had two days full of lectures and practical survival skills.  A pleasant surprise, however, has been the camp.  Camp Wesley Woods has been a wonderful hosting facility and the staff has been excellent.  The introduction games and leadership games they have used are very thought provoking and great for learning names.  Normally, I have a horrible time learning names but now I feel much more confident after all these exercises.  

One specific leadership game they had us perform used a hula-hoop®.  Everyone stood in a circle and placed both index fingers pointing toward the center of the circle with the hula-hoop® resting on the index fingers.  The task was simple.  Lower the hoop to the ground.  Yes, a simple task but hard to execute.  It is a weird feeling to be standing with six other individuals wondering why the hoop is going up and not down.  We eventually got the hoop on the ground and advanced to two hoops, one on the right index fingers and one on the left above it.  These hoops couldn't touch and both had to be lowered.  After the experience with the one we did a much better job with keeping these on a downward course.

Otherwise yesterday we learned about incline rescue and evacuation using ropes and how to setup a system.  Today we did navigation ending with a two-mile trek around the camp to specific points and the leadership exercises.   The rest of the week is going to be a full week with the days starting at 7:30am and lasting till about 7-7:30pm all the way through Saturday.  We won't really have much other then didactics this week but the real fun will be starting next week when we start the "scenarios."  What are the "scenarios?"  Well, maybe an example of what happened yesterday is better then me trying to explain.  

So, after all the introductions and just before dinner, one of the pre-hospital instructors asked popup if anyone brought some through away cloths.  I as ever readily mentioned I had some and was instructed to go change into it.  We were going to learn the proper technique of removing the cloths in a wilderness emergency.  Yes, the "scenarios" I am mentioning have us (the students) as the victims and the rescuers.  In this case, I was just a "dummy" and my cloths were sacrificed popup but in the real scenarios we will be given make-up and instructions as to the type of injuries.  We will be placed out in the woods and our team will have to come rescue us.  It is all live simulation and will require the exact same response.  There is no other way to simulate it and learn.

What does that mean, well if a student is an "unconscious" victim and during the primary survey our team forgets to cover us up in the cold or rain, we get really cold and wet.  It is to help teach us what it is like as a patient and learn invaluable lessons in patient care.  Some of the simulations we will be running will be a night.  Some will have victims in the cold water.  Who knows all they have dreamed up for us?  All I know, it will be an invaluable experience in my medical studies.

Well, that's all for now.  Better get some reading done and ready for tomorrow.

| etmeek | No comments |     | med school, study, Adventure, Life
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