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Medicine · Patrick Fink, MD

Wilderness Medicine Updates

by Patrick Fink, MD

The podcast for medical providers at the edges, bringing you digestible updates at the growing edge of Wilderness Medicine, Wilderness EMS, Search and Rescue, and more. 

Latest episodes

Showing 20 · updated from the feed

Ep. 34 - Icy Hot, a case of Heat Illness with Dr. Gavin Clark and Dr. Nick Daniel

Dr. Patrick Fink interviews Dr. Nick Daniel and Dr. Gavin Clark about an in-hospital case of exertional heat stroke in a mid-20s runner who collapsed just before the fini

Sep 10
42 min

Fast Push #5 - TCCC Tourniquet Update

Forty to seventy-five percent of tourniquets placed in the field are never actually needed. In Ukraine, tourniquets left on too long during delayed evacuations have cost

Aug 25
19 min

Ep. 33 - Heat Illness Fundamentals: Recognize the Spectrum, Cool First, Transport Second

Dr. Patrick Fink reviews the spectrum of heat illness using 2024 Wilderness Medical Society guidelines, covering recognition, physiology, field treatment, and key mimics.

Jul 30
44 min

Fast Push #4: Expired Resuscitation Medications

That EpiPen in your kit expired eighteen months ago. Anaphylaxis is happening. Do you use it? This episode digs into a 2025 systematic review from the American Red Cross

Jun 3
12 min

Ep. 32 - Airway Fundamentals for Austere Settings

Prehospital Airway Fundamentals for BLS: Positioning, Pocket Mask, NPA/OPA, BVM, and LMA Dr. Patrick Fink presents a BLS-focused airway fundamentals episode for prehospi

May 19
44 min

Ep. 31: Hypothermia Basics

In this episode, Dr. Patrick Fink reviews accidental hypothermia for wilderness providers, building on Ep. 27 Thermoregulation, explaining physiologic changes as core tem

Mar 12
49 min

Ep. 30 - Rethinking Spinal Immobilization: EMS Evidence Update

Reevaluating Spinal Motion Restriction: Evidence Update In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink delves into the evolving guidelines and pra

Feb 9
22 min

Ep. 29 - Wilderness Orthopedics with Dr. Chris Healy

Wilderness Orthopedics: Managing Trauma in Remote Environments with Dr. Chris Healy In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink tackles orthope

Jan 18
1 h 18 min

Ep. 28 - Laura McGladrey, Responder Alliance, and Stress Injury: How to Get Back to Green and Save Living While Saving Lives.

Understanding Stress Injuries in First Line Responders with Laura McGladrey This episode of Wilderness Medicine Updates, hosted by Patrick Fink, features a conversation

Nov 14 2025
59 min

Ep. 27 - Thermoregulation: The Physics and Physiology of Body Temperature Regulation

In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the topic of thermoregulation, explaining how our bodies regulate temperature in response to

Nov 4 2025
32 min

Fast Push #3: Safeback SBX for Avalanche Asphyxia Prevention

In this episode of Wilderness Medicine Updates, host Patrick Fink delves into groundbreaking technology designed to improve safety during avalanche events. The focus is o

Oct 10 2025
17 min

Ep. 26 - Physical Training for Mountain Rescue Professionals with Rob Shaul of Mountain Tactical Institute

On this episode of Wilderness Medicine Updates, host Patrick Fink shifts focus from the science and literature of wilderness medicine to practical fitness tips for search

Oct 2 2025
47 min

Ep. 25 - Tree Well Burial Study / Wilderness Med Careers AMA with Zack Majd

In this episode of Wilderness Medicine Updates, host Patrick Fink breaks down a recent research paper on the differences between simulated avalanche burial and tree well

Sep 8 2025
1 h 01 min

Ep. 24 - Airway Management in Austere Environments with Dr. Nicholas Weinberg

In this episode of Wilderness Medicine Updates, Dr. Patrick Fink discusses airway management in austere situations with Dr. Nicholas Weinberg. They explore two cases publ

Aug 12 2025
46 min

Ep. 23 - Inhaled Xenon Gas for Altitude Adaptation

Exploring Xenon Gas for Altitude Acclimatization and Sport Performance In this episode of Wilderness Medicine Updates, host Patrick Fink delves into the use of inhaled xe

Jun 6 2025
19 min

Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue.

In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly

Apr 22 2025
1 h 28 min

Ep. 21 - Snow Immersion Suffocation

In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID). Unlike avalanches, snow immersion

Mar 26 2025
23 min

Ep. 20 - Out of Hospital Airway Adjuncts: King Tube vs LMA

King Tube vs IGEL for Airway Management In this episode of Wilderness Medicine Updates, Dr. Patrick Fink addresses a listener's question on whether to use a King Tu

Mar 14 2025
27 min

Ep. 19 - Methoxyflurane, the Green Whistle, with Dr. Ross Hofmeyr

Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of

Feb 12 2025
45 min

Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg

Ketamine Use in Wilderness Pain Management: An Interview with Dr. Chris Van Tilburg In this episode of Wilderness Medicine Updates, host Patrick Fink discusses wildernes

Jan 12 2025
45 min

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