34th Annual The National Conference on Wilderness

Big Sky Resort, Montana

Beautiful Location Near Yellowstone July 25 - 29, 2020 Medicine and the Spirit of Adventure Register Online at Wilderness–medicine.com or Call 844-945-3263 Beehive Basin –– Big Sky Resort Backdrop Advanced Certification Course

Advanced Wilderness & Expedition Provider AWEP Certification® (Participants receive 15.50 additional CME credits) Advanced level intensive hands-on training taught by leaders in Wilderness Medicine including, Howard Donner, MD, and Sheryl Olson, RN/BSN. Students will learn practical techniques and practice them in mock scenarios. Successful completion of course leads to AWEP Certification®. Please see website (wilderness-medicine.com) for detailed curriculum and schedule. Course tuition: $545 AWEP Certification® is good for four years and is the highest wilderness medicine certification offered. (Includes 15.50 additional AMA PRA Category 1 Credit(s)™ ) (All supplies, syllabus, breakfast, certificate and patch.)

Special Evening Presentation NATIONAL GEOGRAPHIC’S Queen Maud Land Expedition In a corner of Antarctica known as Queen Maud Land, a six-man team including climbing legends Alex Lowe, Rick Ridgeway, Jon Krakauer, Gordon Wiltsie, and Conrad Anker climb a towering blade of granite never before scaled. Acclaimed National Geographic Photographer, Gordon Wiltsie presents one of the most challenging expeditions ever recorded. Tuesday, July 28, 8:00 PM Gordon Wiltsie Left: Jared Ogden ascends Great Sail Peak. The ice lake of Steward Valley stretches below, ringed by a fortress of unnamed, never climbed peaks.

Right: Perched near the summit of Kubus Mountain in Antarctica, climber Conrad Anker looks out over the mile- thick ice cap that buries Queen Maud Land.

Register Online at Wilderness–medicine.com or Call 844-945-3263 Pre-Conference Workshops Wilderness and Urban Survival Wilderness Navigation Saturday, July 25, 8:00 am – 4:00 pm $125 Saturday, July 25, 8:00 am – 4:00 pm $125 A unique opportunity to learn and practice both basic and advanced Learn and practice essential skills for safe survival skills from a Navy Seal Instructor and other renowned and efficient wilderness navigation including survival experts who train our elite Special Forces. This all day trip planning and implementation. Practice “hands-on” workshop is a practical and fun, skill building experience, interpreting topographic (contour) maps, designed to prepare you to survive on land, in the sea, in wilderness take and follow compass bearings, and apply and urban environments. Limited enrollment (register early!) altimeter / GPS information. Learn pitfalls Participants will learn how to: to avoid and tricks to get out of • Signal and “be found” • Protect yourself trouble. Course includes a syllabus, • Obtain food and water during a disaster maps and ski lift ride into the • Build fires with primitive tools • Travel safely in developing beautiful mountains around Big • Escape a hotel fire countries and avoid being Sky. We provide compasses, • Construct & improvise “ripped off” altimeters, and GPS units, or survival kits • Find and construct bring your own! • Survive a plane crash emergency shelters Faculty: Nick Beer The Program Saturday, July 25, 2020 2:00 - 4:30 pm Registration 4:30 pm Wilderness Medicine Case Studies Eric A. Weiss, MD 5:15 pm Expedition, Foreign Travel & Backcountry Medical Kits Howard Donner, MD 6:30 pm Welcome Reception (Family & Friends invited) Music, Drinks & Refreshments! Sunday, July 26, 2020 7:00 am Registration/Continental Breakfast/Exhibits 7:30 am Surviving The Unexpected Night Out Gary Kibbee 8:20 am Sunscreens & Insect Repellents Lee Kaplan, MD 9:10 am & Maladies Karen Van Hoesen, MD 10:00 am Coffee Break 10:15 am Venomous Sea Creatures & Shark Attacks Karen Van Hoesen, MD “Entire faculty was incredible! The most 11:05 am Heat Emergencies & Illness Eric A. Weiss, MD fun course I have been to…I didn’t want it 11:50 am Dental Care in Remote Environments to end.” Henry Herrmann, DDS Catherine Worthy, NP 12:30 pm Adjourn – FREE TIME Enjoy Big Sky or attend an optional workshop 7:45 pm Floods and Rivers: Whitewater Medicine & Rescue Kyle Allred, PA 8:35 pm The Thai Cave Rescue A Navy SEAL expert in confined space and dive rescue that worked with the Thai Navy SEALs will discuss the training, special equipment and operational challenges of the rescue. Gary Kibbee

Register Online at Wilderness–medicine.com or Call 844-945-3263 The Program Monday, July 27, 2020 7:00 am Continental Breakfast / Exhibits 7:30 am Preparing for Travel: Update on Immunizations, , Emerging Infections & Safety Michael J. VanRooyen, MD 8:20 am Snake Envenomation Update Timothy B. Erickson, MD 9:10 am Poison Ivy/Oak & Other Rashes Lee Kaplan, MD “The conference is 9:45 am Coffee Break just teaming with 10:00 am Arthropod Envenomation: great speakers... Spiders, Scorpions, Bees & Ants magnificently Timothy B. Erickson, MD exciting talks... just 10:50 am Blister Prevention & Treatment a perfect balance of Kyle Allred, PA business and fun.” 11:30 am Mountain Search & Rescue Carol Ferris, MD Lanny Johnson, FNP/PA 12:30 pm Adjourn – FREE TIME Enjoy Big Sky or attend an optional workshop 7:45 pm Medical-Legal Issues in Wilderness, International & Disaster Medicine Valerie Dobiesz, MD 8:30 pm Trauma & Improvised Care in Austere Environments Learn innovative techniques for diagnosing and managing traumatic injuries in resource-limited environments. What would MacGyver do? Eric A. Weiss, MD Tuesday, July 28, 2020 7:00 am Continental Breakfast / Exhibits 7:30 am Update: Malaria, Dengue, Typhoid, Zika Michael J. VanRooyen, MD 8:15 am Bear & Other Wild Animal Attacks Timothy B. Erickson, MD 9:00 am Traveler’s Diarrhea & Parasitic Infections Eric A. Weiss, MD “Extraordinary 9:45 am Coffee Break conference... most enjoyable learning 10:00 am Altitude Illness: Update on Prevention & Treatment experience I have ever Howard Donner, MD encountered.” 10:50 am : Updated Guidelines Eric A. Weiss, MD Joseph Easly, MD 11:30 am Backcountry Water Purification Howard Donner, MD 12:05 am Fractures & Dislocation Management in the Backcountry Joseph B. Serra, MD 1:00 pm Adjourn – FREE TIME Enjoy Big Sky or attend an optional workshop 7:00 pm Banquet* (Guests Welcome) 8:00 pm Special Presentation (Guests Welcome) National Geographic’s Queen Maud Land Antarctica Expedition Gordon Wiltsie Note: Times, topics and speakers may vary somewhat from published brochure and syllabus. * Banquet is optional. Tickets are $55 Register Online at Wilderness–medicine.com or Call 844-945-3263 Workshops & Concurrent Sessions Wednesday, July 29, 2020 8:00 am - 12:00 pm Participants may attend 4 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. “IS THERE A DOCTOR ON BOARD?” − MEDICAL AVALANCHE SURVIVAL, SAFETY & RESCUE: 1 CARE AT 30,000 FEET: Medical considerations if you 6 Learn strategies to minimize risk in avalanche terrain and are called as a health care provider to assist a passenger on a com- recognize dangerous conditions. Includes details on state-of-the- mercial air flight. Howard Donner, MD art equipment. Lanny Johnson, FNP/PA FRACTURE & DISLOCATION MANAGEMENT: UPDATE ON NEW & INNOVATIVE SURVIVAL 2 Learn how to recognize, reduce and splint fractures and 7 AND RESCUE TECHNOLOGY: Life-saving technolo- dislocations in the backcountry. Joseph Serra, MD gies for communication, signaling and rescue in remote environ- ments. Howard Donner, MD OCEAN SURVIVAL: Survival at sea requires a skill- 3 set and specialized equipment different from land-based ORIENTEERING/ROUTE FINDING: An introduc- survival. Learn about possible scenarios, preparation & equip- 8 tion to navigation using map, compass, and GPS. Nick Beer ment. Sheryl Olson, RN LIGHTNING PREVENTION & INJURIES: Light- SURVIVAL STRATEGIES FOR THE ADVENTURE 9 ning is not only spectacular, it is dangerous. Many myths 4 TRAVELER: Learn how to protect yourself and stay and misconceptions exist about lightning. Learn how to lessen safe while traveling. Learn what to do if you’re caught in a fire, your chances of being struck and how to treat lightning injuries. disaster, or hijacked airplane, lose your passport, and what Sheryl Olson, RN precautions to take when you’re away from home. Philip White TACTICAL COMBAT CASUALTY CARE: WILDERNESS WISDOM FOR WOMEN: In the back- 10 TRANSITIONING BATTLEFIELD LESSONS TO 5 country, women may have different needs and concerns WILDERNESS MEDICINE: Created by the U.S. Department than men. This workshop will address topics such as packing of Defense, this course teaches evidence-based and life-saving light, personal safety and other needs of women traveling in the strategies for providing care - learned on the battlefield – in aus- wilderness or a foreign country. Sheryl Olson, RN tere settings. Gary Kibbee Optional “Hands-on” Workshops

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 concurrent course workshops which are included with your tuition on Wednesday, July 29th. WILDERNESS SURVIVAL ADVENTURE PHOTOGRAPHY WORKSHOP Sunday, July 26 or Tuesday, July 28, 1:30 – 5:30 pm., $75 Monday July 27, and Tuesday, July 28, 2:00 – 5:00 pm. $100 This workshop is a hands-on skill building experience. You will Learn new ways of viewing and capturing the world from learn how to construct shelters, obtain food and water, build fires acclaimed National Geographic expedition photographer, Gordon with primitive tools, signal, track, route-finding and survival kits. Wiltsie. This 2-afternoon seminar will teach you how to work with Gary Kibbee nature and your camera to create beautiful, exciting and memora- WILDERNESS NAVIGATION ble images in the spectacular landscapes surrounding Big Sky. Sunday, July 26, 1:30 – 5:30 pm. $75 There will be constructive critique of participants’ photographs. Learn and use essential skills for trip planning and travel with map, Gordon Wiltsie compass, GPS, and altimeter. Something for everyone: beginner to BASIC WOUND MANAGEMENT/SUTURE LAB advanced. Nick Beer Monday, July 27, 2:00-4:00 pm. $75 URBAN & TRAVEL SURVIVAL A practical workshop on suturing and improvised laceration repair Monday, July 27, 1:30 - 5:30 pm. $75 in a backcountry environment. Participants will have the opportu- You have just lost all of your belongings and your passport in an nity to practice basic suturing, stapling, taping, and tissue gluing earthquake or act of terrorism. Your hotel was destroyed, and your techniques on pig limbs. All supplies are provided. companion is missing. Few Americans are prepared to cope with (Includes 2.0 additional AMA PRA Category 1 Credit(s)™ ) this type of crisis. Urban and travel survival can be more Lanny Johnson, FNP/PA challenging than survival in the backcountry. Learn how to travel safely and protect yourself. Gary Kibbee and Phil White TECHNOLOGY FOR WILDERNESS TRAVEL ROPES & KNOTS FOR WILDERNESS MEDICINE & RESCUE Tuesday, July 28, 1:30 – 4:00 pm. $75 Monday, July 27, 4:30 – 6:30 pm. $45 An update on the latest technologies for wilderness / adventure Learn how to use ropes and tie knots for high angle rescue, swift travel. Make better plans, stay out of trouble and get help when water rescue, and improvised medical care. Sheryl Olson, RN needed. Includes GPS Apps for smartphones, global distress bea- WILDERNESS NAVIGATION PRACTICUM cons, off-grid communications, and other tools. Field time Monday, July 27, 1:30 – 5:30 pm. $75 includes a short, off-grid GPS-powered hike and technology A great opportunity to learn, practice and hone your skills. Follow demonstration. Nick Beer a compass bearing, verify your location, and interpret terrain while BACKCOUNTRY : TRICKS OF THE TRADE walking on and off trail at Big Sky. Nick Beer Tuesday, July 28, 2:00 - 4:00 pm. $75 TRACKING WORKSHOP A unique opportunity to learn and practice techniques for treating Monday July 27, and Tuesday, July 28, 1:30 – 5:30 pm. $75 common dental emergencies. Topics include: replacing lost teeth, Learn the lost art of tracking from veteran tracker Scott Kuipers. applying temporary fillings, repairing crowns, managing dental The ability to notice subtle disturbances in the environment left and gum trauma, treating dental infections, extractions and more. behind by others (called sign cutting) can be life saving— for (Includes all materials and Cavit®for your first aid kit.) finding lost persons and getting out of trouble. Participants also (Includes 2.0 additional AMA PRA Category 1 Credit(s)™ ) gain insight on animal behavior and human impacts on the Henry Herrmann, DDS natural world. Scott Kuipers

Register Online at Wilderness–medicine.com or Call 844-945-3263 About Our Distinguished Faculty

ERIC A. WEISS, MD, FACEP: Professor of HOWARD J. DONNER, MD: (Emeritus), Stanford Filmmaker/Physician/Guide, Member University School of Medicine, Founder and 1997 Nova Everest Expedition; NASA former Director, Stanford University consultant; expedition physician, 1988 Wilderness Medicine Fellowship; Author of American Kangchenjunga Expedition; A Comprehensive Guide to Wilderness and Medical Officer, Denali Medical Research Travel Medicine and Editor of Wilderness & Project; Certified Flight Instructor, Environmental Medicine in the 2017 Clinics of Founding Co-Author of Field Guide to Wilderness Medicine. North America. CME Accreditation VALERIE DOBIESZ, MD, MPH, TIMOTHY B. ERICKSON, MD, FACEP, FACEP: Director of Internal Programs, FACMT, FAACT: Chief, Division of Neil and Elise Wallace STRATUS Center Medical Toxicology, Department of for Medical Simulation, Director of Emergency Medicine, Brigham & Women’s Women’s Leadership Initiative, Brigham Hospital and Harvard Medical School. Core & Women’s Hospital and Harvard faculty, Harvard Humanitarian Initiative; Medical School; Faculty, Harvard Founder and former Director of the UIC Humanitarian Initiative, Boston, MA. Center for Global Health, Boston, MA.

JOESEPH B. SERRA, MD: Founding MICHAEL J. VANROOYEN, MD, MPH, Member of the Wilderness Medical Society; FACEP: Professor, Harvard Medical School Orthopedic Surgeon, Stockton, California, and Harvard School of Public Health; 25 year member, National Ski Patrol, Chairman, Department of Emergency Orthopedic Surgeon, Rotary International Medicine, Brigham and Women’s Hospital; to Africa. The Lavine Professor of Humanitarian Studies, Harvard T.H. Chan School of Public Health; Director, Harvard Humanitarian Initiative. Optional “Hands-on” Workshops LEE KAPLAN, MD: Clinical Professor of KAREN B. VAN HOESEN, MD, FACEP: , University of California, San Professor of Emergency Medicine, Director, Diego, Former Chief of the Dermatology UCSD Diving Medicine Center and Dive Section of Scripps Memorial Hospital, La Medicine Fellowship, University of Jolla, CA. California San Diego School of Medicine, San Diego, CA. Former Board of Directors and consultant for Divers Alert Network (DAN).

LANNY JOHNSON, FNP/PA: Physician KYLE ALLRED, PA: Professional Assistant, Jackson Hole, Wyoming; expedition and whitewater guide; Has Medical Advisor and former Climbing Park guided extensively on five continents; Ranger and Park , Grand Teton Wilderness survival instructor; National Park, Wyoming. Co-founder of MedCram.com and MedWild.com

SHERYL OLSON, RN, BSN: Outdoor GARY KIBBEE: Navy Seal; Special Survival and Navigation Instructor, Forces Survival Instructor; swiftwater Flight Nurse, Wilderness Safety rescue, high angle rescue, and dive rescue Instructor, Cruise Ship Nurse, Colorado instructor; specialist in tactical and Springs, Colorado. wilderness medicine, escape and evasion, and confined space rescue.

HENRY HERRMANN, DMD, FAGD: NICK BEER: Research Consultant, Dentist, Falls Church, Virginia; Author of University of Washington, Navigation and Wilderness Dental Emergencies, in Survival Instructor and Guide; Outward Wilderness Medicine; Dentist for US Bound Chief Instructor. Olympic Kayak Team.

PHILIP WHITE: Fire Chief (retired), KATHLEEN KERRIGAN, MD, FACEP: South San Francisco Fire Department; Assistant Professor of Emergency Senior Fire Instructor and Instructor Medicine, University of Massachusetts of Heavy Rescue (building collapse); School of Medicine - Baystate; Director Hazardous Materials specialist; CBRNE of Simulation, Department of Emergency Project Manager, Bay Area Urban Area Medicine, Baystate Medical Center, Security Initiative. Springfield, MA; Co-Founder, Special Deliveries. Register Online at Wilderness–medicine.com or Call 844-945-3263 Register Online at Wilderness–medicine.com or Call 844-945-3263 Optional “Hands-on” Workshop

OBSTETRICS IN REMOTE ENVIRONMENTS Monday, July 27, 2:00 - 4:00 p.m., $75 Using mannequin-based simulation, learn and practice management of normal and complicated deliveries in remote settings, including shoulder dystocia, breech delivery, postpartum hemorrhage, and multiple gestation. (Includes 2.0 additional AMA PRA Category 1 Credit(s)™ )Valerie Dobiesz, MD and Kathleen Kerrigan, MD CME Accreditation This activity has been planned and implemented in accordance with the accreditation requirements 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 39.50 AMA PRA Category 1 Credits™. Main conference earns 24.00 credits; Optional AWEP® course earns 15.50 credits; Wound Manage- ment earns 2.0 credits; Dental workshop earns 2.0 credits; OB workshop earns 2.0 credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for up to 39.50 hours of AOA Category 2-A CME credit. 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 39.50 hours of nursing credit. Physician Assistants: The American Association of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME. PROGRAM OBJECTIVES • Identify prevention and treatment of altitude illness based on an understanding of the underlying physiology • Recognize and properly manage frostbite in the field • Identify and treat hypothermia in the field • Identify fracture and dislocation in the wilderness • 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. 3 Easy Registration Options Visit Wilderness-Medicine.com ––– or ––– Call 844-945-3263 ––– or ––– Mail, e-mail, or fax this form: Big Sky Summer Registration – July 25 ‑29, 2020 Name______Title______Address______City______State/Zip______Phone______E-mail ______❑ Physician $789 ❑ PA/NP $615 ❑ Nurse $595 ❑ Non Professional (no CME) $425 ❑ Residents / Medical Students* / /EMT’s $495 We’re proud to offer a 20% discount to Active Military *Student Scholarships available. Call for details. ❑ “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# ______Register by Mail: Wilderness Medicine, 333 South State Street, V324, Lake Oswego, Oregon 97034 Register by Fax: (971) 236-8088 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). ENROLLMENT – Advance registration is required and attendance will be limited. Tuition includes USB syllabus, welcome reception and continental breakfasts. REFUNDS must be requested by June 26, 2020, and will be subject to a $100 service charge. After that date no refunds will be given. SponsorsRegister cannot be responsible Online for travel atdifficulty Wilderness due to road or weather –conditions.medicine.com or Call 844-945-3263 Lodging Traveling to Big Sky LODGING BEGINNING AT $89! STILLWATER CONDOMINIUMS – Within easy walking distance to the conference center. Rates start A wide selection of hotel at $114. rooms and condominiums have been reserved for confer- BIGHORN CONDOMINIUMS These fine units ence participants. A sampling offer three bedrooms and are within an easy walk to the of accommodations is listed conference center. Rates start at $227. below. Book online by visit- WHITEWATER INN - 10 miles from conference ing wilderness-medicine.com center. Rates starting at $89. or by calling Big Sky Resort at 1-800-548-4486 and iden- TRAVEL TO BIG SKY tifying yourself as a wilderness With excellent air service, Big Sky is easy to reach from medicine participant. any major city in the US. Flights are operated daily by Alaska, Allegiant, American, Delta, Frontier, Jet SUMMIT HOTEL/CONDOMINIUM – Big Sky’s Blue and Sun Country Airlines. Big Sky is located 43 finest accommodations with hotel rooms, studios, and miles south of Bozeman. The drive takes you along the 3-bedroom condominium suites. Rates start at $126. spectacular Gallatin River, star of the movie, A River SHOSHONE LODGE – Deluxe view condominiums Runs Through It. Have your camera ready to capture the next to the conference center. Suites to accommodate bountiful wildlife you may encounter. up to 6 people. Rates start at $189. EXCLUSIVE TRAVEL DISCOUNTS VILLAGE CENTER SUITES - New one and two Wilderness Medicine has arranged special meeting bedroom slope-side condo units. Rates start at $126. discounts on airfare and car rentals for attendees and their guests. Please visit the Big Sky Conference travel HUNTLEY LODGE is located at the base of Lone page at wilderness-medicine.com for details. Mountain and is adjacent to the conference center. There is an elegant dining room, Chet’s Bar, outdoor Excellent shuttle service between Bozeman Yellowstone heated pool, jacuzzi, saunas, and a game room. Rates International Airport (BZN) and Big Sky is available start at $121. through Karst Stage. Recreation / Activities Discover why Montana is called Big Sky Country! We have put together some of the areas best offerings to enhance your experience of this fantastic destination. A brief outline follows or you can view the full details at wilderness-medicine.com. DISCOVER YELLOWSTONE NATIONAL PARK — ONLY 18 MILES SOUTH! — Yellowstone, the world’s oldest national park, is a national treasure and a World Heritage Site. Led by the fabled Old Faithful, the park has 10,000 geysers and hot springs, the greatest concentration on the planet. Over 1,000 miles of trails lead through incredible scenery and allow visitors to see bison, bighorns, bull elk, grizzly bears, moose, pronghorn, and trumpeter swans. Spectacular Grand Teton National Park and Jackson Hole are also nearby. WHITEWATER RAFTING — On the Blue Ribbon Gallatin River- star of the movie “A River Runs Through It.” Exhilarating class III/IV whitewater and inspiring scenery make for a memorable experience! 1/2 day and full day trips are available. Call Geyser Whitewater at 406-995-4989, or visit raftmontana.com to book. Rafting the Gallatin River KAYAK INSTRUCTION — Taught by the finest guides in the area. Learn the basics of reading currents, catching eddies, and avoiding obstacles. Enjoy 1/2 day instruction on the beautiful Gallatin River. Be sure to ask about kayak clinics for kids. Call Geyser Whitewater at 406-995-4989, or visit raftmontana.com to book GUIDED FLYFISHING TRIPS — The Big Sky area is home to five Blue Ribbon trout streams all within easy driving distance. Call Gallatin River Guides 406-995-2290 for guided trips. FLYFISHING INSTRUCTIONAL WORKSHOP — Our introduction to flyfishing class will feature an hour of instruction detailing equipment selection, fly selection, fishing strategies, and stream conservation. Then enjoy personalized casting instruction by a professional guide. After class, hire a guide or go-it-on-your-own to practice your new skills on the Gallatin River, one of Montana’s finest trout streams. Includes use of rod and reel. Call Gallatin River Guides 406-995-2290, or visit montanaflyfishing.com. MONTANA BY HORSEBACK— Native wranglers saddle you up at the homestead for a journey into the spectacular backcountry of Porcupine Creek. Experience incredible vistas of the Gallatin National Forest - with snow capped peaks, mountain meadows and abundant wildlife. Two hour rides scheduled with longer trips available. 12 years old and up. Call Cache Creek at 406-995-3888, cachecreekoutfitters.com or Jake’s Horses at 800-352-5956, jakeshorses.com HIKING — Imagine endless trails, fresh air, unbelievable vistas, strolling with animals...and you can begin to visualize the experience gained by hiking with our local naturalists and wildlife guides. Beginner and intermediate hikes available or just grab a map and explore on your own. ROCK CLIMBING — Guided trips/instruction with Montana Alpine Guides. Beginners to advanced skill levels. Fun for the whole family. Horseback trip in the adjacent Rockies 406-586-8430. mtalpine.com

Register Online at Wilderness–medicine.com or Call 844-945-3263 Register Online at Wilderness–medicine.com or Call 844-945-3263 BIG SKY – ROCKY MOUNTAIN PARADISE

WELCOME TO MONTANA – “BIG SKY” COUNTRY! Montana has been called the “last best place in the country.” Big Sky, Montana has been chosen for this meeting because of its wonderful natural beauty, first-class meeting and lodging facilities, and its close proximity to Yellowstone National Park. The nearby Gallatin River was the star of the movie “A River Runs Through It”. The summer weather at Big Sky is ideal – usually warm sunny days and cool nights. The landscape is lush and green with an abundance of wildflowers, and the surrounding peaks can be snow-capped into late summer. Big Sky is a wilderness recreation paradise. Backcountry trails radiate in all directions to access National Forest and wilderness areas. Fishing is great in the local streams and lakes. Whitewater rafting, mountain biking, horseback riding, rock climbing, wildlife viewing, and just about any wilderness activity you can think of is available here. CHILDREN & TEENS WORKSHOPS This series of workshops and activities have been designed to maximize enjoyment and education for your entire family. Our Youth Wilderness Education Program for Children is nationally acclaimed and classes fill quickly! Please register early as space is limited. Visit wilderness-medicine.com for course dates and times. SURVIVAL Survival for Kids — An interactive and educational workshop designed exclusively for children that provides a positive, fun and rewarding experience. Children learn how to avoid getting lost, how to spend a survival night out, and how to stay warm. Includes practice signaling and building improvised shelters. (Ages 6-11) $70. Survival for Teens — This course is designed to teach older children how to navigate safely, avoid getting lost in the backcountry, build improvised shelters and fires, find food, and survive an unexpected night out. (Ages 12 and up) $70. Surviving International Travel & Study Abroad — Many students travel abroad during high school and college for classes and semesters Children learn to build improvised shelters. in foreign countries, and many leave the US without adequate prepa- ration. This interactive course will teach important lessons on preparing for foreign travel, situational aware- ness, safety, lost passports and other important documents, communication and how to cope with a crisis or emergency when away from home. (Ages 12 and up) $70. FIRST AID Wilderness First Aid For Kids — This course will teach children how to recognize and manage common medical problems and emergencies. (Ages 7-11) $75. Wilderness First Aid For Teens — This exciting hands-on course is designed to teach young adults how to take care of themselves and others in an emergency. Includes a first aid kit. (Ages 12 and up) $75. ORIENTEERING Orienteering — Teaches children and teens basic map skills in an outdoor setting. Make and use maps, and finish with a fun scavenger hunt and mini-orienteering course. Students keep the provided map /compass (Ages 10 and up). $70. WILDERNESS ART CLASS Learn the basics of sketching & how to realistically depict scenes. We will go outside and sketch the wonderful scenery found in Big Sky. No experience necessary. All supplies provided (Ages 12 and up). $70. ACTIVITIES Adventure/Wildlife Movie — Nightly, 7 pm Free. Wall Climbing Clinic — Learn basics of rock climbing and belaying from experienced professionals. Kayak Clinic — Geyser Whitewater’s guides introduce your child to this exciting sport (Ages 11-16).

Register Online at Wilderness–medicine.com or Call 844-945-3263 CME ADVENTURES WORLDWIDE The National Conference on Learn Wilderness Medicine on an active adventure! Wilderness Medicine Visit wilderness-medicine.com for all destinations Big Sky Resort, Montana July 25 - 29, 2020

Africa Wildlife Safari with Fiji Scuba and Snorkel Course Features: optional Kilimanjaro Climb • Up to 39.50 Hours of CME Credit • Nationally Renowned Faculty • Certify in Advanced Wilderness & Expedition Medicine (AWEP Certification®) • “Hands-on” Practical Workshops • Survival Workshops for children & teens

Inca Trail/Machu Picchu Everest Base Camp Trek WILDERNESS AND TRAVEL MEDICINE 333 South State Street, V324 PRE-SORTED STANDARD Lake Oswego, Oregon 97034 U.S. POSTAGE Phone: 844-945-3263 PAID +1 (971) 236-8088 PERMIT NO. 110 wilderness – medicine.com Medford, OR TIME VALUE

“I was inspired on so many levels - certainly the best conference I have ever attended. Such a wonderful experience...It reminds me of why I went into medicine in the first place!” “Tremendously interesting and informative, entertaining and uplifting, I will recommend it to others and return myself!”