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Medicine and the Spirit of Adventure Wilderness-Medicine.com Hyatt Regency Maui Resort March 13 – 17, 2019 Maui THE 34 TH ANNUAL National Conference on Wilderness Medicine

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Medicine and the Spirit of Adventure Wilderness-Medicine.com

Hyatt Regency Maui Resort

March 13 – 17, 2019

Maui

THE 34TH ANNUAL

National Conference on

Wilderness Medicine

Maui is known for its idyllic beaches and breathtaking scenery

Program Objectives

The Premier Wilderness Medicine Conferences since 1982

Testimonials From Your Colleagues...“Absolutely the most enjoyable and interesting CME conference I have ever attended! Probably the best group of lecturers I have ever experienced.” – Robert Smith, MD

“Blew me away! Incredibly inspirational, high-quality education. Surpassed my expectations.” – Jennifer Cramer, RN

“Most enjoyable and useful conference I’ve attended in the last 20 years. I hope to return every year hereafter.” – Alan Lyn, MD

“Truly, the CME course of a lifetime.” – Christopher Lang, MD

1) Identify prevention and treatment of altitude illness based on an understanding

of the underlying physiology

2) Recognize and properly manage frostbite in the field

3) Identify and treat hypothermia in the field

4) Identify fracture and dislocation in the wilderness

5) Identify the pathophysiology and treatment of heat related illness

Target Audience: Primary care physicians, nurses, physician assistants, and other health care providers who might encounter patients in remote settings or who may treat patients that develop medical problems after visiting remote areas. No outside commercial support has been received for this activity.

Howard Donner, MD teaching a ropes and knot tying workshop

The National Conference on Wilderness Medicine

Maui March 13 – 17, 2019

Learn more at Wilderness–Medicine.com

Relaxation on Maui is a given… And the opportunities for fun are virtually endless:Hiking - Maui is a hiker’s paradise… Explore remote beaches, spectacular canyons, idyllic waterfalls, and the panoramic high altitude views of Haleakala Crater National Park (elevation over 10,000 ft.).

Snorkeling & Scuba Diving - Some of the best snorkeling and diving in Hawaii is found near the Maui Hyatt… and the nearby Molokini Crater is world famous.

Surfing, Windsurfing, & Kitesurfing - Maui has everything from protected lagoon waters to world renowned surfing spots.

Golf - World-class golf courses including Kapalua, Makena, Wailea, and Royal Kaanapali.

Whale & Dolphin Watching is a highlight. Whale watch cruises and sails also go out daily… or paddle your own kayak to view the many whales swimming right off the coast.

Helicopter Flight Tours - One of the top destinations in the world, featuring the West Maui Valleys & Haleakala Crater.

Zipline & Waterfall Rappels - Soar above the tree canopy and rappel down a 50’ waterfall.

Drums Of The Pacific Luau - An exciting luau featuring Polynesian songs and the unique Samoan fire-knife dance. Conveniently located at the Hyatt.

Kayaks And Stand Up Paddle Boards are fantastic ways to explore the Maui coast. Available for rent or guided tours.

Fishing - Maui is popular for saltwater anglers (Marlin, Ahi, Ono, and Aku.)

MAUI, THE ISLAND

OF DISCOVERY

Some of Hawaii’s best snorkeling is a short walk from the Hyatt

Learn more at Wilderness–Medicine.com

MAUI IS EASILY

ACCESSIBLE

BY NUMEROUS

FLIGHTS TO

KAHULUI AIRPORT

Register Online at Wilderness–Medicine.com or Call 844-945-3263

Enjoy the conference at the beautiful Hyatt Regency on Maui.A spectacular 40-acre beachfront resort on the world-class Ka’anapali Beach.

Relax by the sparkling waters of the Pacific Ocean or choose from a wide variety of exciting activities.

A few reasons why the Hyatt was voted a Top 10 Resort in Hawaii by Conde Nast Traveler:

■ Elegant guestrooms with private balconies, stunning views, and premium amenities at special conference rates beginning at $219 - an outstanding value on the Island of Maui!

■ A massive pool featuring waterfalls and a slide, lush tropical gardens, an oceanfront spa, and legendary sunset viewing

■ Just steps from running and hiking trails, whale and dolphin viewing excursions, stand up paddle boarding, kayaking, surfing, a championship golf course, scuba diving, cultural activities, family and children’s activities, helicopter tours…

■ A short walk down the beach to Black Rock where some of the best snorkeling in Hawaii is located (and a great optional “rock jump” into the ocean)

■ A 10 minute beach walk to the shops of Whalers Village, and a short 10 minute drive to the town of Lahaina

Exclusive lodging and travel discounts - book early for the best rates and availability.Wilderness Medicine has arranged special discounts on airfare and car rentals for attendees and their guests. Many airlines offer nonstop flights to Maui’s primary airport - Kahului Airport.

Please visit the travel page on our website for discount codes from participating airline and rental companies at wilderness-medicine.com.

Wilderness Survival: Learn to ReturnWednesday, March 13th, 8:00 am – 4:00 pm $135

A dynamic hands-on survival training program designed to provide real skills and experience in a short amount of time. Renowned survival expert, Brian Horner demonstrates techniques and equipment that can be applied in both wilderness and urban settings. This exciting, all day workshop is conducted both in the classroom and outdoors. Limited enrollment (register early!)

Topics and experiences include:• Safe travel / Signaling for rescue• Protective gear & Technology• Emergency shelter building• Building fires• Create improvised footwear & clothing• Techniques for surviving in the jungle

Special Pre-Conference Survival Workshop

Wednesday, March 13, 20192:00-4:00 pm Registration

4:00 pm Wilderness Medicine: “Setting The Stage” Kyle Allred, PA-C

4:15 pm Heat Illness Eric Weiss, MD

4:50 pm High Altitude Illness: Prevention, Treatment, & Updates Howard Donner, MD

5:40 pm Below Sea Level: Updates in Dive Medicine & Safety Karen Van Hoesen, MD

6:30 pm Adjourn

Thursday, March 14, 20197:00 am Late Registration / Continental Breakfast / Exhibits

7:30 am Survive an Unplanned Night in the Wilderness Brian Horner

8:20 am Improvised Trauma Care - Do More With Less! Eric Weiss, MD

9:10 am Preparing for International Travel - Stay Healthy Abroad Phil Rasori, MD

10:00 am Break

10:15 am Flood & River Dynamics - Understand the Hazards and Stay Safe Kyle Allred, PA-C

11:05 am The Wilderness Eye - Solar Radiation, Sunglasses, & Potential “Trip Enders” Howard Donner, MD

11:45 am Wilderness 911: Search & Rescue, Evacuations, Decision Making Lanny Johnson, PA/NP

12:35 pm Adjourn - Enjoy Maui (see recreation) or attend one of our optional workshops

“Extraordinary conference... most enjoyable learning experience I have ever encountered.”

Joseph Easly, MD

The Program

Special Pre-Conference Survival WorkshopFriday, March 15, 2019

7:00 am Continental Breakfast/Exhibits

7:30 am Shark Bites & Hazards of The “Surf zone” Karen Van Hoesen, MD

8:15 am Hypothermia - New Guidelines & Recommendations Eric Weiss, MD

9:05 am Wild Animal Attacks - Patterns and Prevention Brian Horner

9:55 am Break

10:10 am Fracture and Dislocation Management in the Backcountry Joe Serra, MD

11:00 am Portable Water Treatment for the Wilderness & Developing World Howard Donner, MD

11:50 am Agony of De-Feet - Innovative Management of Blisters & Other Foot Maladies Kyle Allred, PA-C

12:25 pm Adjourn - Enjoy Maui (see recreation) or attend one of our optional workshops

7:30 pm Lightning Strikes! Prevention, Treatment, & Updates Sheryl Olson, RN

8:20 pm Wilderness Knee & Ankle Injuries - Practical Diagnosis and Management Lanny Johnson, PA/NP

Saturday, March 16, 20197:00 am Continental Breakfast/Exhibits

7:30 am From the Peaks to the Sea: Practical Strategies to Avoid Cold Injuries Brian Horner

8:15 am Travelers Diarrhea, Giardia, & Other Wilderness Infections Eric Weiss, MD

9:00 am Is There a Doctor on Board? Medical Emergencies at 35,000 Feet Howard Donner, MD

9:50 am Break

10:05 am Malaria, Dengue, & Other Mosquito Borne Diseases Phil Rasori, MD

10:55 am Planning Your Wilderness & Expedition Medical Kit: From The Tundra to the Tropics Howard Donner, MD

11:45 am Venomous Creatures: Marine Animals & Terrestrial Snakes Karen Van Hoesen, MD

12:35 pm Adjourn - Enjoy Maui (see recreation) or attend one of our optional workshops

“The conference is just teeming with great speakers... magnificently exciting talks... just a perfect balance of business and fun.”

Carol Ferris, MD, (EM)Hamilton, Bermuda

“I was inspired on many levels - certainly the best conference I have ever attended...this conference is such a unique one...such a wonderful experience...it reminds me of why I went into medicine in the first place!”

Sandra Deveny, MD (Emergency Medicine)

The Program

The Program

PRACTICAL EVACUATION, IMPROVISED SPLINTING AND TRANSPORTATION SKILLS:

Participants will practice utilizing improvised and spe-cialized rescue equipment to stabilize and transport trauma patients. Howard Donner, MD

OCEAN SURVIVAL: Survival at sea requires a set of skills and equipment often not familiar to the land

based survivalist. This presentation reviews a spectrum of ocean survival situations, preparation, & equipment. Sheryl Olson, RN

PRACTICAL & CUTTING EDGE ADVANCES IN GLOBAL HEALTH: The Medical Director of

HopeCore (A Kenyan based non-profit) for over 18 years shares his organization’s journey of challenges and suc-cesses in humanitarian medicine & poverty eradication. Phil Rasori, MD

FRACTURE, SPRAINS & DISLOCATION MANAGEMENT: Methods for recognizing, reduc-

ing, and splinting fractures and dislocations in the back-country will be demonstrated. Joe Serra, MD

WILDERNESS WISDOM FOR WOMEN: In the backcountry, women often have different needs

and concerns than men. Learn strategies for pack-ing light, personal safety, and other unique needs of a woman traveling in the wilderness or a foreign country. Sheryl Olson, RN

MOUNTAIN METEOROLOGY: A review of me-teorology, geared towards improving prediction of

potential weather hazards in a wilderness setting. Howard Donner, MD

TAKING CHILDREN SAFELY INTO THE WIL-DERNESS: Covers common medical issues for

children in backcountry/foreign travel. Learn how to maximize enjoyment, appreciation, and safety on family wilderness trips. Karen Van Hoesen, MD

CLIMATE CHANGE AND GLOBAL HEALTH: A discussion of multiple ways climate change and

extreme weather patterns may impact the allocation of health care resources and the spread of disease. Sheryl Olson, RN

HANDS-ON ASSESSMENT OF COMMON HIK-ING & SKI INJURIES: Learn techniques for the

assessment and stabilization of common injuries includ-ing the wrist, knee, and ankle. Lanny Johnson, FNP/PA

HELP! HELICOPTER SAFETY, MANAGEMENT, & RISK ASSESSMENT: A former flight nurse for

over 18 years covers what you should know about he-licopters before calling for one. Learn practical ways to maximize the effectiveness & safety of air transport. Sheryl Olson, RN

AVALANCHE AWARENESS, EQUIPMENT, AND RESCUE: Learn the latest techniques, tech-

nology, and strategies to minimize risk. Lanny Johnson, FNP/PA

LESSONS LEARNED FROM DIVING ACCI-DENTS - HOW TO BE A SAFER DIVER: The

Director of UCSD Diving Medicine reviews innovative equipment and advanced techniques to avoid and treat diving related accidents. Karen Van Hoesen, MD

Sunday, March 17, 2019 7:30 am - 12:30 pm Participant may attend 5 different workshops of their choice. (One hour each - listed below). The workshops below are included in your course tuition, and do not require pre-registration.

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Exciting Course Workshops

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Center for Emergency Medical Education (CEME) and Wilderness and Travel Medicine, LLC. The Center for Emergency Medical Education (CEME) is accredited by the ACCME to provide continuing medical education for physicians.Credit Designation: The Center for Emergency Medical Education (CEME) designates this live activity for a maximum of 40.75 AMA PRA Category 1 Credits™. Main conference earns 23.25 credits; Optional AWEP course earns 15.5 credits and Optional Wound Management course earns 2 credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is anticipated to offer up to 40.75 hours of AOA Category 2-A CME credit, pending approval by the AOA. Disclosure: It is the policy of Center for Emergency Medical Education (CEME) to ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities, and that all contributors present information in an objective, unbiased manner without endorsement or criticism of specific products or services and that the relationships that contributors disclose will not influence their contributions. Those in a position to control the content of this educational activity are required to disclose to learners all relevant financial relationships with any commercial interests prior to the beginning of the educational activity.Resolution of Conflicts of Interest: In accordance with the ACCME Standards for Commercial Support of CME, the Center for Emergency Medical Education implemented mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.AAFP/ACEP: Application for CME credit has been filed with the American Academy of Family Physicians and with the American College of Emergency Physicians. Determination of credit is pending.Nurse Credit: Under the new BRN guidelines, this course is also accredited for up to 40.75 hours of nursing credit.Physician Assistants: The American Association of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME.

CME Accreditation

Youth WorkshopsThese activities have been designed to maximize enjoyment and education for your entire family. Classes fill quickly!

Survival for Teens — This course is designed to teach older kids and teens how to travel safely and avoid getting lost in the back-country, how to build improvised shelters and fires, find food, and build micro-survival kits. (Ages 12 and up)Saturday, March 16, 9:00 am - 1:00 pm Faculty: Brian Horner $75

Marine Biology / Marine Animal Identification Workshop A fun and educational introduction for kids and spouses to fasci-nating sea creatures and their habits taught by renowned expert Karen Van Hoesen, M.D. Friday, March 15, 10:00 - 11:30 am $25

URBAN SURVIVAL WORKSHOP: A detailed and prac tical session on survival skills for the urban environment. Topics include: being taken hostage, protecting your family, surviving aircraft crashes and earthquakes, and equipment used for disaster management. Thursday, March 14, 1:15 - 5:00 pm Faculty: Brian Horner $75

ROPES & KNOTS FOR WILDERNESS MEDICINE & RESCUE: This workshop will teach you how to use ropes and tie knots for high angle rescue, swift water rescue, and improvised medical care. Thursday, March 14, and Friday, March 15, 1:00 - 2:30 pm. Faculty: Howard Donner, MD $35

MARINE BIOLOGY / MARINE ANIMAL IDENTIFICATION WORKSHOP: An introduction to common marine species found in the Hawaii area. Taught by Karen Van Hoesen, MD, director of Diving Medicine at UCSD. Friday, March 15, 10:00 – 11:30 am. $25 Children and spouses welcome.

FIRE BUILDING FOR SURVIVAL: From stoves, to friction, to using the sun! Get hands-on experience generating heat for every emergency and environment. Practice building fires from the ground up using a wide variety of materials with survival expert Brian Horner. Friday, March 15 1:15 – 5:00 pm. $75

HANDS-ON OCEAN SURVIVAL SKILLS: Learn and practice skills that will be invaluable if you are caught in an open water survival situation. Participants will be donning life jackets and survival equipment and going into the ocean to practice survival skills. Life jackets and survival equipment included. Friday, March 15, 1:00 – 3:00 pm. Faculty: Sheryl Olson, RN $50

BASIC WOUND MANAGEMENT/SUTURE LAB: A practical workshop on suturing and improvised laceration repair in a backcountry environment. Participants will have the opportunity to practice basic suturing, stapling, taping, and tissue gluing techniques on pig limbs. All supplies provided. 2 additional AMA PRA Category 1 Credits™Saturday, March 16, 3:00 – 5:00 pm. Faculty: Lanny Johnson, FNP/PA $60

HUMANITARIAN MEDICINE - VOLUNTEERING AND STAYING HEALTHY ABROAD: Explore the possibilities of using your medical degree to volunteer abroad! Learn skills and resources to implement and participate in humanitarian medicine. Saturday, March 16, 1:30 – 4:30 pm. Faculty: Phil Rasori MD, Ari Rasori-Allred, FNP $60

PRACTICAL SPLINTING SKILLS: Learn techniques for immobilizing fractures and severe sprains using SAM splints (you will receive a SAM Splint to practice with and keep) or other improvised devices. Friday, March 15, 3:30 – 5:00 pm. Faculty: Kyle Allred, PA-C $40

PRE-REGISTRATION REQUIRED & CLASS SIZE IS LIMITED. The optional workshops listed below are offered in conjunction with the conference to enhance your experience. Please note that these workshops are separate from the course workshops which are included with your tuition on Sunday, March 17th.

Workshops feature practical skills taught in small groups.

Advanced Wilderness & Expedition ProviderOptional Course leading to AWEP Certification™

Advanced level intensive and hands-on training taught by leaders in Wilderness Medicine including, Howard Donner, MD, Sheryl Olson, RN/BSN, Eric Weiss, MD, and Larry Moore, MD. Students will learn practical tech-niques and practice them in mock scenarios. Successful completion of course leads to AWEP Certification™.

Wed, 8:00 am – 4:00 pm Thur, 2:00 – 5:30 pm

Fri, 3:00 pm – 5:30 pm Sat, 2:00 – 5:30 pm

Course tuition: $495

Includes 15.5 additional AMA PRA Category 1 Credits™ all supplies, syllabus, breakfast, patch, and certificate.

Optional Conference Workshops

AWEP Certification Course

ERIC A. WEISS, MD, FACEP: Professor of Emergency Medicine (Emeritus), Stanford University School of Medicine, Founder and former Director, Stanford University Wilderness Medicine Fellowship; Author of A Comprehensive Guide to Wilderness and Travel Medicine and Editor of Wilderness & Environmental Medicine in the 2017 Clinics of North America.

KYLE ALLRED, PA-C: Professional Expedition and Whitewater guide; Has guided extensively on five continents; Wilderness Survival Instructor; Co-founder of MedCram.com and MedWild.com.

JOSEPH B. SERRA, MD: Founding Member of the Wilderness Medical Society; Orthopedic Surgeon, Stockton, California, 25 year member, National Ski Patrol, Orthopedic Surgeon, Rotary International to Africa.

PHIL RASORI, MD: Medical Director of Village HopeCore International; Travel Medicine and Global Health Consultant; Assistant Clinical Professor of Medicine, UCSF.

KAREN B. VAN HOESEN, MD, FACEP: Professor of Emergency Medicine, Director, UCSD Diving Medicine Center and Dive Medicine Fellowship, University of California San Diego School of Medicine, San Diego, CA.

SHERYL OLSON, RN, BSN: Outdoor Survival and Navigation Instructor, Former Flight Nurse in the Rocky Mountains for 18 years, Wilderness Safety Instructor, Cruise Ship Nurse.

BRIAN HORNER: Director and founder of LTR Training Systems, Inc. - A multi-discipline training institution with programs in fall protection, aviation safety, remote medical response and rescue for over 30 years. Former Military SERE (Survival, Evasion, Resistance, and Escape) Instructor.

LANNY JOHNSON, FNP/PA: Physician Assistant, Jackson Hole, Wyoming; Medical Advisor and former Climbing Park Ranger and Park Paramedic, Grand Teton National Park, Wyoming.

HOWARD J. DONNER, MD: Filmmaker/Physician/Guide, Member 1997 Nova Everest Expedition; NASA consultant; expedition physician, 1988 American Kangchenjunga Expedition; Medical Officer, Denali Medical Research Project; Certified Flight Instructor, Founding Co-Author of, Field Guide to Wilderness Medicine.

About Our Distinguished Faculty

3 Easy Registration Options

Register by Mail: Wilderness Medicine, 3790 El Camino Real, Suite 2029, Palo Alto, CA 94306Register by Fax: (650) 887-2113 E-mail: [email protected]

Tax deduction for educational purposes: Under the Tax Reform Act of 1986, Treasury Regulation 1.162-5 permits an income tax deduction for educational expenses (registration fees and cost of travel, including meals and lodging).

REFUNDS must be requested by February 13, 2019, and will be subject to a $100 service charge. After that date no refunds will be given. Sponsors cannot be responsible for travel difficulty or inclement weather conditions. ENROLLMENT – Tuition includes USB syllabus and continental breakfasts. Advance registration is required and attendance will be limited.

❑ Physician $760 ❑ PA/NP $595❑ Nurse $575 ❑ Non Professional (no CME) $400 ❑ Residents / Medical Students* / Paramedics/EMT’s $495 We’re proud to offer a 20% discount to Active Military *Student Scholarships available. Call for details.

Maui Registration – March 13-17, 2019

Name _________________________________________________________________Title ________________

Address ______________________________________ City ___________________ State/Zip__________ __

Phone ______________________________________ E-mail _________________________________________

Visit Wilderness-Medicine.com––– or –––

Call 844-945-3263––– or –––

Mail, e-mail or fax this form:

❑ “Team” (group) discounts - 3 or more participants from the same institution can sign up simultaneously and receive $100 off of each registration fee. Use Code: Group3

Method of Payment [ ] Visa [ ] Mastercard [ ] American Express [ ] Check (please make checks payable to Wilderness Medicine)

Account # ____________________________________________________________Exp:______/______ CVV# ________

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