Wilderness Medicine Lessons to Help Your Business Thrive
- By Kevin Foley
- •
- 30 Jun, 2019
Earlier this month I completed an 80-hour wilderness medicine training course. It was filled with dozens of lectures, quarts of fake blood and no shortage of hands-on practice - both as a rescuer and a victim. There were approximately 22 students and two seasoned instructors. My classmates came from many different backgrounds, and included backcountry trip leaders and guides, search and rescue volunteers, nursing students, park rangers, and even one sustainability manager & consultant (guess who that was?). The 80 hour course was split evenly between in-class lecture and hands-on practice.
What is Wilderness Medicine?
According to the 18th Edition Wilderness Medicine Handbook, Wilderness Medicine is practiced in the context of delayed access to care, in challenging environments, often with the need to improvise gear, with limited communication and independent decision-making on the need for and urgency of evacuation.
Why I Chose to Get Certified
Recently a family member very dear to me was injured, and I was the person responsible for her initial treatment and transport to a hospital. Overall, I handled the situation well, improvised quickly, and got her to the emergency room in a safe and timely manner. However, my decision making was not as quick as I would have liked. This situation is what inspired and motivated me to become certified as a Wilderness First Responder.
As intense or even "scary" as this situation was, I was also in the “front country,” or an urban setting, which meant that “definitive care,” or modern medical facilities (hospitals), were only minutes away. However, in the “wilderness,” or “backcountry,” (or any place that is hours or days away from definitive care), the rules can change. Time spent with the patient is greater, and time from the onset of illness/injury to definitive care may be much longer. For these and potentially other reasons, a person's injury may merit a different treatment approach than it would in an urban context to ensure the best possible outcome.
While I am most often in the front country, I enjoy spending as much time as I can in the backcountry. Given this fact, the concept of wilderness medicine was not new to me. In fact, I had taken a two-day Wilderness First Aid course four years ago. The Wilderness First Aid course was 18 hours long and administered by the National Outdoor Leadership School, or NOLS. It was an informative class and I learned a great deal.
However, despite my 18 hours of training, I couldn’t kick the feeling that I was only mildly prepared for the situations I might encounter. I knew I had only scratched the surface of the broad field of wilderness medicine. These feelings re-surfaced when my family member was injured and I was called upon to manage her initial treatment and get her to definitive care.
It was after this incident that I made a decision to commit to the 80-hour Wilderness First Responder Course. The Wilderness First Aid course had breadth, but the Wilderness First Responder course had breadth with depth. I knew that if I ever wanted to take my knowledge to the next level, this 80-hour First Responder course was my answer.
As intense or even "scary" as this situation was, I was also in the “front country,” or an urban setting, which meant that “definitive care,” or modern medical facilities (hospitals), were only minutes away. However, in the “wilderness,” or “backcountry,” (or any place that is hours or days away from definitive care), the rules can change. Time spent with the patient is greater, and time from the onset of illness/injury to definitive care may be much longer. For these and potentially other reasons, a person's injury may merit a different treatment approach than it would in an urban context to ensure the best possible outcome.
While I am most often in the front country, I enjoy spending as much time as I can in the backcountry. Given this fact, the concept of wilderness medicine was not new to me. In fact, I had taken a two-day Wilderness First Aid course four years ago. The Wilderness First Aid course was 18 hours long and administered by the National Outdoor Leadership School, or NOLS. It was an informative class and I learned a great deal.
However, despite my 18 hours of training, I couldn’t kick the feeling that I was only mildly prepared for the situations I might encounter. I knew I had only scratched the surface of the broad field of wilderness medicine. These feelings re-surfaced when my family member was injured and I was called upon to manage her initial treatment and get her to definitive care.
It was after this incident that I made a decision to commit to the 80-hour Wilderness First Responder Course. The Wilderness First Aid course had breadth, but the Wilderness First Responder course had breadth with depth. I knew that if I ever wanted to take my knowledge to the next level, this 80-hour First Responder course was my answer.
Lessons Learned
During the course, I learned about bee stings and snake bites, lacerations, hypothermia, shock, CPR, lung injury, altitude sickness, heat exhaustion, and much more. I learned how to conduct a thorough physical exam, obtain a patient history, assess vital signs, provide emergency care in the wilderness, and make crucial evacuation decisions. This information could save a life someday, and I am glad to have learned it.
While the instructors sent us out with confidence and a feeling of empowerment upon our graduation from the course (and although there’s so much more to learn), they emphasized one point over and over. They said, “The best tool in wilderness medicine is not something you keep in your emergency kit, but the organ between your ears.” Using your brain can help you avoid needing wilderness medicine at all. The best medicine is in fact preventing injury and illness in the first place.
When you’re in the wilderness you’ll never have all the supplies, tools, or personnel needed to truly treat a severe injury. One must always be transported to “definitive care” (aka a hospital). If the injury is bad enough and/or the location is remote enough, this must often be done via a rapid evacuation, typically in a helicopter. The bottom line is that getting injured in a remote backcountry setting can have serious consequences. Whenever possible, you should prevent injuries in the first place.
A passage from the Wilderness Medicine Handbook illustrates this idea nicely. “Experienced wilderness leaders know it’s much easier to stay warm than to warm a hypothermic person in the backcountry. Whether it’s hypothermia or hygiene, prevention is an important theme in wilderness medicine.”
Ben Franklin once said: “An ounce of prevention is worth a pound of cure.” His advice carries a simple but powerful message, and, if taken to heart, could someday save your life. Prevention is king.
However, Franklin’s timeless wisdom isn’t exclusive to the world of wilderness medicine.
While the instructors sent us out with confidence and a feeling of empowerment upon our graduation from the course (and although there’s so much more to learn), they emphasized one point over and over. They said, “The best tool in wilderness medicine is not something you keep in your emergency kit, but the organ between your ears.” Using your brain can help you avoid needing wilderness medicine at all. The best medicine is in fact preventing injury and illness in the first place.
When you’re in the wilderness you’ll never have all the supplies, tools, or personnel needed to truly treat a severe injury. One must always be transported to “definitive care” (aka a hospital). If the injury is bad enough and/or the location is remote enough, this must often be done via a rapid evacuation, typically in a helicopter. The bottom line is that getting injured in a remote backcountry setting can have serious consequences. Whenever possible, you should prevent injuries in the first place.
A passage from the Wilderness Medicine Handbook illustrates this idea nicely. “Experienced wilderness leaders know it’s much easier to stay warm than to warm a hypothermic person in the backcountry. Whether it’s hypothermia or hygiene, prevention is an important theme in wilderness medicine.”
Ben Franklin once said: “An ounce of prevention is worth a pound of cure.” His advice carries a simple but powerful message, and, if taken to heart, could someday save your life. Prevention is king.
However, Franklin’s timeless wisdom isn’t exclusive to the world of wilderness medicine.
Lessons in Sustainability
In business as in wilderness medicine, preventative action goes a long way. In an age where businesses are beginning to be regulated and their stakeholders (employees, customers, community, investors) are starting to wield greater influence, the adoption of an organizational sustainability program is becoming a strategic necessity. Benefits include increasing profitability, avoiding costly compliance issues, strengthening stakeholder relations and accessing new markets. However, businesses often wait too long before taking this leap, and deciding to create a sustainability program.
Smart businesses don’t wait for their sustainability program to serve as a “rescue device.” They use it as a tool for prevention. Begin capturing the benefits of sustainability right now, on your own terms, and reap the rewards that come with it. Do not wait until you’ve been slapped with a hefty fine, forced to comply, or even worse, forced to shut-down your business entirely. These unwanted outcomes are easily avoidable with a bit of preventative planning.
Check Your Ego
In my wilderness medicine class, one of our instructors advised us to never allow ego to join in our backcountry adventures. She cautioned us that ego is one of the greatest contributing factors to experiencing preventable injuries.
Ryan Holiday said in his book Ego is the Enemy, “Pride blunts the very instruments we need to succeed: our mind, our ability to learn, to adapt, to be flexible, to build relationships, all of this is dulled by pride.”
A big part of prevention is having the self-awareness to leave your ego out of the equation. To allow your ego a spot at the decision-making table is to leave your thinking brain behind.
Ryan Holiday said in his book Ego is the Enemy, “Pride blunts the very instruments we need to succeed: our mind, our ability to learn, to adapt, to be flexible, to build relationships, all of this is dulled by pride.”
A big part of prevention is having the self-awareness to leave your ego out of the equation. To allow your ego a spot at the decision-making table is to leave your thinking brain behind.
Conclusion
Whether you're getting ready for a wilderness expedition, launching a new business, or growing an existing business, always keep your ego in check, and recognize that prevention is a major key to experiencing both growth and longevity.
We hope you enjoyed this article and decide to take action in your own sphere of influence, whether that be sustainability, wilderness medicine, or any other endeavor that is worth pursuing.
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We hope you enjoyed this article and decide to take action in your own sphere of influence, whether that be sustainability, wilderness medicine, or any other endeavor that is worth pursuing.
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