Dr. Paul Auerbach is the world's leading outdoor health expert. His blog offers tips on outdoor safety and advice on how to handle wilderness emergencies.
Dec 01 2011
Epinephrine for Out-of-Hospital Treatment of Anaphylaxis
For management of a serious (even life-threatening) allergic reaction, I have been teaching adults to administer epinephrine (adrenaline) by injection for years. This can be a lifesaving intervention. The Emergency Medical Services (EMS) commu...
Nov 28 2011
Update on Zanfel Pricing
I recently received a note mailed to health care providers from Steve Sisler, Vice President of Sales Development for Zanfel Laboratories, Inc. Zanfel is a product used to decrease the skin reaction attributable to poison ivy and similar plants...
Nov 14 2011
Stinging nettle plants, courtesy of Dezidor (CC BY 3.0)Hikers often brush up against injurious plants, such as poison oak or thorny shrubs. One particularly vexing plant is the “ubiquitous weed, Urtica dioica,” commonly known as stinging nettl...
Oct 24 2011
Emergency Veterinary Medicine
There is a lot written about how to take care of people in the outdoors, but what about our “furry friends?” In the textbook Wilderness Medicine, there is a chapter on Emergency Veterinary Medicine. Given that we are apt to hike or camp with pe...
Oct 20 2011
Anvenom Approved by FDA For Treatment Of Scorpion Stings
Bark Scorpion of Arizona, photo courtesy of Musides at en.wikipedia, CC BY-SA 3.0The Food and Drug Administration (FDA) recently approved an antivenom product, Anascorp for the treatment of scorpion stings. From an Associated Press report, th...
Oct 13 2011
Snake Bites Dog
Toby, Paul's Labrador retriever/border collie mix.It was bound to happen. Toby, our Labrador retriever/border collie mix, ran ahead on the trail. He came back excited, carrying something special in his mouth. That something special was an adult...
Sep 19 2011
Comparing New Agents Used to Control Bleeding
Once of the major recent advances in trauma care has been the evolution of topical substances that can be applied to wounds in order to limit or stop hemorrhage (bleeding). This is very important in wilderness medicine, because uncontrolled ble...
Sep 06 2011
Armadillos & Leprosy in the Southern U.S.
A baby 9-band armadillo, native to the southern U.S.Zoonoses are diseases caused by exposure to animals. Leprosy (Hansen’s disease) caused by Mycobacterium leprae has had enormous significance worldwide historically. It is not just a disease of...
Aug 18 2011
Good News Regarding Fab Antivenom for Snakebite
The current standard of care with regard to using antivenom for pit viper snakes (e.g., rattlesnakes, copperheads, cottonmouths) in North America is to use Crotalidae polyvalent immune Fab antivenom (CroFab;FabAV). This antivenom is created usi...
Jul 14 2011
Fatal Bear Attack
By now, most everyone is familiar with the tragic circumstances in which a visitor on a trail in Yellowstone National Park on July 6, 2011 surprised a brown (grizzly) bear with cubs, provoking a fatal attack. Fortunately, events like this are r...