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Second-year medical students lead course on intersection between wilderness and emergency medicine

If someone breaks a leg during a hike in the woods, how does a bystander respond? What can be done to help? These are the questions that a group of second-year  students are helping to answer in their .

The student-led, seven-session course teaches medical students how to identify and manage common injuries and emergencies that happen in the outdoors. On topics ranging from ankle sprains to high altitude illness, the students provide insite on how to create makeshift tools to potentially save a limb or even a life.

鈥淚t鈥檚 all about using the resources you have in the environment you鈥檙e in to treat injuries ranging from minor to serious and even life-threatening situations.鈥 said Emily Vicks, SOM 鈥23, a student in the .

鈥淲e cover a variety of scenarios in our training, such as responses in avalanches, natural disasters and beyond,鈥 said Charles Feinberg, SOM 鈥23. 鈥淭hese situations occur all the time and can happen anywhere, so it鈥檚 great to be prepared to jump into action.鈥

Participants learn how to improvise a variety of first aid essentials, such as crutches, splints and backboards to stabilize an injured person鈥檚 neck and head. The students use only the materials they have with them, which forces them to get creative.

鈥淲ilderness medicine is like MacGyver medicine,鈥 said John Karpuk, SOM 鈥23. 鈥淵ou learn how to slap together ski poles, backpacks and water bottles into a device that could potentially rescue someone.鈥

鈥淲e spread out our curriculum over the course of the entire year,鈥 said PURCH student Nathan Taber, SOM 鈥23. 鈥淭his way, we can get exposure to a broad range of seasons and conditions, practicing responses to hypothermia, heat stroke and things of that nature.鈥

鈥淲e teach a concept called 鈥榮tay or go,鈥 which is the decision to stay put and call for help or attempt to evacuate a scene on your own,鈥 said Molly Olmsted, SOM 鈥23. 鈥淎lthough everyone might not find themselves in these kinds of situations, it鈥檚 important as future doctors to understand how different emergencies could be handled.鈥

The course is best conducted in person and COVID-19 has put some activities on hold due to social distancing requirements. However, during the warmer months, the group held some small outdoor sessions for hands-on experience. Throughout the winter, students will hold virtual workshops and lectures, covering topics such as careers in wilderness medicine and medical kit building.

鈥淯Mass Medical School has been very accommodating and helpful in this process. We鈥檙e able to do what we can in person, but as things evolve, we will see how we can transition our plans and lessons,鈥 said Eileen McGarry, SOM 鈥23.

鈥淭he student organizers have worked hard to find creative ways to teach what is usually a hands-on, interactive course in a safe but still engaging manner,鈥 said Hillary Irons, MD, PhD, assistant professor of emergency medicine and optional enrichment elective faculty advisor. 鈥淭hey have been focused on learning but flexible with teaching methods in this unprecedented time.鈥