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How NOT to Die in the Wilderness 101

4/12/2012

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Disclaimer: I am not a certified medical professional in any way.  The following post is a recap of a 2-hour, informal, wilderness medicine course that I took at Red Rock Rendezvous (a rock climbing festival).  If you are interested in first aid or wilderness medicine, please seek out your local school for certification courses. 

In keeping with the trend, I am late on posting about my experiences at Red Rock Rendezvous, which took place in the greater Las Vegas area on March 30-April 1.  I took two clinics, one was Photo/Climbing (which I promise to write about soon) and the other was Wilderness Medicine. 

I essentially stumbled into the Medicine course on accident.  I had originally registered for Backcountry Cooking, or something along those lines, which sounds super dope, right? Well I'm sure it would have been except for the fact that the Access Fund folks disappeared and the class disappeared with them.  In their defense, we were basically in hurricane-esque weather and most of the tents had crumbled like blue cheese.

One of the neighboring tents, TrailMed, was generous enough to adopt all of us who were misplaced by the Cooking class.  It ended up being one of the most informative and fascinating two hours that I've had in a long time.

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[via www.NatalieDee.com]
1. Most of us are walking around like dehydrated zombies.

You really need to listen to Mr. Water because he's right; drinking water is very serious business.  We've been taught since grade school that our body is made up of mostly water.  Yet for some reason, we insist on dehydrating ourselves constantly.  We inhale coffee and alcohol because that's the society we live in.  We should be drinking 2 liters of water per day.  As climbers, we should be drinking at least 3 liter of water on climbing days. 

This is my NUMBER ONE goal right now and it should be yours too.  DRINK MORE WATER.  DO IT.  NOW!

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2. The mylar blanket should be renamed Myracle Blanket.

Most of you probably have a mylar blanket tucked away in their First Aid kit.  I see you nodding your ahead in affirmation.  Well, that's fantastic! But only if you know how to use a mylar blanket efficiently and effectively. I was under the misconception that, if needed, I could simply drape the blanket around my body and miracles would occur.  Well, dreams DO come true, but I didn't realize that I was missing an unlikely character in this fairy tale: a black trash bag.

When the trash bag and mylar blanket join forces, miracles do happen!  Take my lovely friend to the right... she has the mylar blanket wrapped around her body and she has covered herself with the trash bag.  

Hopefully most of us passed high school and remember that black does one thing very effectively: attract light.  It's simple, the light from the sun is attracted by the color of the trash bag and the mylar blanket keeps the warmth from that light close to our body.  Genius, right? Physics is cool.  


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3.  If someone falls from 30 feet in the air, we can all agree things are looking grim.

We've been taught that if someone is injured, that we shouldn't move them because it might aggravate the situation.  If someone falls while climbing, this is REALLY bad and the person might be REALLY hurt.  But you can't just sit there and wish the person better.  Most climbing incidents will be out of the beaten path, and some form of action should occur until help can be found.

Assuming the person is breathing and CPR isn't necessary, you should do an overall inspection of the body, without moving it too much, to see what injuries have been sustained.  I'm not even going to try to run you through all the things you need to do to carefully assess the situation- so again, go take a class.  The reason you don't just sit there and you try to determine if there are injuries, is because you can eliminate wasted time when paramedics arrive by pointing them to a serious injury.

Now, assuming the person is conscious and not in a dire emergency, there are two important things you should focus on: get the person warm and get them food and water.  You guys are pros at making someone warm because I've already walked you through the wonders of the Mylar blanket.  Food and water are just as important.    Also, great way to warm someone up is through sugar.  It gets the blood flowing and body temperature rises.  

Bottom line: the paramedics are going to have a lot more to worry about if they arrive and the person is half-starved, half-frozen, and completely dehydrated when you get there.  So when someone is injured, just remember, you can take action.

Well that's, like, everything I know about medicine and this isn't even one of my longest posts.  I'm probably one of the worst sources ever for wilderness medicine, but I hope you enjoyed the graphics.  Take care now!

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Lessons in Crack

4/3/2012

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I KNOWWWW, I'm so behind on my blog posts.  I have 5 drafts sitting here patiently waiting to be brought to completion. My crazy schedule the past two weeks has kidnapped any free time I normally have to write.  Anyway, I had originally written the first line of this post to say "This past Saturday..."  Well, that's now false.  Let's try again:

Not this past Saturday, but the one before that, I had the opportunity to participate in a crack climbing clinic in Joshua Tree hosted by my friend Erin Guinn.  Bruises and scratches aside, I had a really amazing time learning about the very challenging world of crack.  I absorbed a few key take-aways that I've decided to share with you.

First off, it's really freaking hard.  Take everything you know about sport climbing and throw it out the window.  Okay, that's a bit extreme.  Most of what you know about sport/face climbing is not applicable to crack climbing.  However, there are universal themes, such as balance and shifting weight, that will always help you become a better climber.  Warning: Prepare to be humbled.

Second, if you think you are a clumsy climber NOW, just you wait.  When sport climbing, I average about one knee-bump and/or one elbow-bump per session.  I came up with a fool-proof formula to calculate exactly how many bruises you will walk away with after a crack-climbing session: Take your current number and multiply by gazillion.  It's been 10 days since the clinic and I still have bruises.  One bruise, in fact, has really overstayed it's welcome and has been slowly consuming my entire knee cap.  Luckily, it seems most of my battle scars are ultimately very superficial and look at lot worse than they feel.  Again, you've been warned.

More than ever I'm noticing that grades don't mean jack.  I could go on and on about you being a special snowflake and you don't need to judge your success by anyones standards except your own, yadda yadda yadda (clearly I spend too much time at work with my Jewish-stock-broker-bosses).  I COULD go on about this, but I won't... I'll just tell you that I'm right and you should listen to me unquestionably.  GRADES DON'T MEAN JACK.  If you don't believe me, read Andrew Bisharat's take on bouldering grades (fascinating stuff, READ IT).  As a side-note, grades also don't mean jack in 'grade' school.  Grades will make you obsessive, and that shouldn't be what learning or climbing is about.  After crack climbing in Joshua Tree, I'm even more convinced that grades hinder us more than they help us.  A lot of crack climbing success comes from the width of the crack in proportion to the size of your hands and arms.  A 5.9 might be easy for one person and f*cking impossible for the next.  So, the moral of my third point, if I had to sum it up, is......um.... just do it. 

And now, for some pictures of my crack climbing experience in Joshua Tree!  The quality isn't great since they were stolen from my friend's Facebook page... but you get the idea.
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