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There is a Limit

Paul Auerbach, M.D.

There is a story in the press about a 29-year old man from New Jersey who died a year ago from exhaustion and dehydration while participating in a wilderness survival adventure. According to reports, he exerted steadily for at least 10 hours in temperatures that at times exceeded 100 degrees Fahrenheit. Ed White of the Associated Press refers to the event as a "death march."

It is tragic that this man died, and made all the worse by the fact that he was accompanied by "expert" guides from the Boulder Outdoor Survival School who could have ended the exercise and administered water to the victim at any point. On May 7, 2007, it was announced that a law suit has been filed against BOSS.

I am not a jury or judge and admit that I do not have first hand knowledge of the specifics of what happened. The details will hopefully be revealed in court. If we have learned anything from the Duke lacrosse team fiasco, it should be that there is a presumption of innocence until all the facts are known.

However, from what has been reported, there may be a huge problem here. What sort of experts were these? If the accounts are accurate, what were they thinking to deny a struggling man a drink of water? If they were experts, what was their expertise? Did they know about heat illness, dehydration, exhaustion, and the obvious risk of pushing an inexperienced person beyond his physical and emotional limits? If they were wilderness survival experts responsible for the welfare of their clients, then they absolutely should have been educated about these topics. It makes no difference whether the victim was in shape or out of shape, signed a waiver form, or tried to wave them off. By eyewitness accounts, his mental status was altered, he fell repeatedly, and was no longer able to fend for himself. In this situation, there is a duty to rescue, and to say or think otherwise is untenable.

Forced dehydration has been abandoned as a conditioning technique by everyone who knows anything about its potential catastrophic effects. In sports, it is prohibited, and in the military, it is appropriately intensively monitored. Regardless of the outcome of the legal proceedings that are now attached to this incident, everyone should know clearly that severe dehydration can be rapidly fatal, and take every reasonable precaution to prevent an episode such as this.

I am saddened by this event, for the victim, for the family, and for all responsible persons who teach wilderness survival. David Buschow's death appears to have been unnecessary, and only serves the purpose, hopefully, of instructing others to not put themselves into a similar situation, either as victims or inadequate supervisors. There is risk in the wilderness, for sure, but there was no risk whatsoever to this man's companions had they chosen to do the proper thing and try to save his life with cooling, rest, and water.

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5 Comments:

  • At Fri May 11, 10:36:00 AM 2007, Anonymous Anonymous said…

    I attended BOSS 2 yrs ago. I am heart sick about the loss of this man. I'd really like to talk to his mother if she agrees.

     
  • At Mon May 14, 10:11:00 AM 2007, Anonymous Anonymous said…

    Please visit Dave's website at www.rememberdave.net. Dave's mother can then contact you by e-mail.

    Thank you for your kind thoughts.

     
  • At Wed May 16, 12:20:00 PM 2007, Anonymous wfr said…

    I don't know what they teach at BOSS but I took WFR classes with SOLO and dehydration was one of the few problems a wilderness medic can competently assess and treat successfully. If the allegations are true this episode is a travesty and probably the result of professional avarice overtaking good medical and humane sense.

     
  • At Wed May 16, 02:38:00 PM 2007, Anonymous Anonymous said…

    There is a website dedicated to the memory of Dave Buschow. If you check the AP Wire story printed in any of the online news sites, the website address is listed.

    rememberdave

    If you register and post a comment, I can get it to Dave's mom.

     
  • At Tue Jun 05, 04:53:00 AM 2007, Anonymous Anonymous said…

    It is sickening that BOSS let Dave died unecessarily -- there were MANY signs of dehydration and chose not to act to save him -- the survival instructors of BOSS had NO common sense whatsoever! They held Dave's life in their hands and failed him! What is despicable is that they blame Dave for his demise. It is shameful that BOSS hide behind the so called "waiver" that Dave signed and they are not man enough to stand up to take responsiblity of their stupid actions. Dave's family will have their day in court and the TRUTH will come out to show how negligent BOSS is! My hearts goes out to Dave's family. As a retired U.S. Air Force Senior NCO, I salute Dave for his service to our Nation. Sincerely, Mike DeGuzman, MSgt, USAF, Ret.

     

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