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Wilderness Medicine Newsletter, 1999. INSTITUTION Wilderness Medicine Newsletter, Inc., Conway, NH DOCUMENT RESUME ED 437 240 RC 022 190 AUTHOR Weber, Holly A., Ed. TITLE Wilderness Medicine Newsletter, 1999. INSTITUTION Wilderness Medicine Newsletter, Inc., Conway, NH. ISSN ISSN-1059-6518 PUB DATE 1999-00-00 NOTE 53p.; For Volume 9, see ED 430 748. AVAILABLE FROM Wilderness Medicine Newsletter, P.O. Box 3150, Conway, NH 03818 (1-year subscription, $24, foreign $29; back issues: any 1-4 issues $3.50 each, discounts for 5 or more issues). Web site: <http://www.wildernessmed.com>. PUB TYPE Collected Works - Serials (022) JOURNAL CIT Wilderness Medicine Newsletter; v10 n1-6 1999 EDRS PRICE MF01/PC03 Plus Postage. DESCRIPTORS *Accidents; Athletics; Crisis Management; *First Aid; *Injuries; *Medical Services; *Outdoor Activities; Physical Health; Prevention; Rescue; Safety; Training; *Wilderness IDENTIFIERS Hiking; Mountaineering ABSTRACT The six issues of Wilderness Medicine Newsletter published in 1999 provide medical and rescue information for the nonphysician in remote wilderness areas. Feature articles include: "Tendinitis: Overdoing a Good Thing" (Buck Tilton); "A Sport for the Season: Trail Running" (injuries and health problems common to trail runners)(Rebecca S. Newton); "Taking the Sting Out of Anaphylaxis" (Frank Hubbell, William Kane); "A Sport for the Season: Mountain Biking" (injuries and health problems common to mountain bikers)(Rebecca S. Newton); "Clearing the Spine: A Brief Refresher" (Buck Tilton); "When a Crisis in the Wilderness Becomes a Critical Incident" (stress reactions and interventions among participants and rescue teams) (D. Craig Newton, Pat Thorney); "A Sport for the Season: Kayaking" (injuries and health problems common to kayakers)(Rebecca S. Newton); "Children Going to the Mountains" (Union Internationale des Associations D'Alpinisme); "Medical Considerations for Patient Tie-Ins" (tying a patient into a litter)(Keith Conover); "Buyer Beware: What's Getting on Your Skin?" (harmful ingredients in personal care products)(Jeff Backer); "Oh, My Aching Feet!" (common and activity-specific problems) (Jeanne Twehous); "The Joy of Socks" (Murray Hamlet); "Breathing Hard in the Backcountry" (Sue Barnes); and "People with Pre-existing Conditions Going to the Mountains" (J. S. Milledge). Issues also contain announcements of wilderness first aid and medical training, search and rescue training, conferences, publications, new products, and product problems. (SV) Reproductions supplied by EDRS are the best that can be made from the original document. Wilderness Medicine Newsletter Volume 10,Number 1-6 January 1999-December 1999 U.S. DEPARTMENT OF EDUCATION and improvement Oltice of Educational ReSEIBICh "PERMISSION TO REPRODUCE INFORMATION THIS EDUCATIONALRESOURCES CENTER (ERIC) MATERIAL HAS BEENGRANTED BY 15.(5 document has been reproduced ari received born the person ororganization originating it. made 10 improve 0 Minor changes have been reproduCtion duality. Pio ksys cryi stated in this docu- Points 01 view eerilyor opinions represent (Alicia( ment do not TO THE EDUCATIONAL OERI position or °obey. RESOURCES INFORMATION CENTER(ERIC)." 2 BEST COPY AVAI 'Wks' WRAN frit M.go6ne letter COGNITION, , ANDPREVENTIOff Cff MgMERNIESS EMERGOMIM JANUARY/FEBRUARY1999 ISSN-1059-6518 VOLUME 10, NUMBER 1 TeReirlEmo It all started innocently enough. Nights were The sheath secretes synovial fluid, the same viscous, growing longer and colder, and the cabin depended slimy fluid that keeps joints lubricated and keeps your lungs stuck effortlessly to your chest wall while allowing on wood for its heat. We set aside a sunny weekend the lungs to move freely when the chest wall moves. to put up fuel for the winter. My job was splitting the sawn lengths into a size that would fit in the wood- When you've split hundreds of chunks of wood, or cast your bait hundreds of times on a day of fishing, or burning stove. It was a fine weekendgood pulled your paddle through the water hundreds of times, a weather, good friends, good exercisebut Monday tendon may get overworked.The sheath tries to keep morning I awoke with an aching right elbow, and an things running smoothly and secretes more fluid, but the sheath can't expand to hold the increase in fluid, so the attempt to flip a pancake brought a tendon gets compressed. The tendon and stab of hot-knife pain to the outside the sheath swell and inflammation begins. of the joint. Now the tendon calls for more lubrication, and the sheath responds with more fluid, The problem was tendinitis, specifi- and the problem multiplies each time that cally (in my case) "tennis elbow," and I particular tendon is used. haven't lifted a tennis racket for twenty- five years. Tendinitis! What a pain! Even though no tendon is immune to trouble, some parts of your body Almost all. voluntary movement in the human body are more susceptible than othersshoulders, wrists, and involves tendons moving across joints. Look at the inside elbows, for example. of your wrist and make a fist. The stringy cords that you see shifting under the skin are tendons. These particular In my case, the muscles of the forearm that allow the ones connect the muscles of your forearm to your wrist wrist to be cocked up, the muscles of wrist extension, had and fingers, allowing them to work. begun to microscopically tear loose from the outside of my elbow where the muscle attaches to the bone. This place Tendons are attached to muscles on one end and to where muscle attaches to bone is not technically a tendon bones at an insertion point on the other. On the way from since it does not run through a sheath, but the pain is muscle to bone, the tendon passes through a tendon sheath similar and referred to by the same term of "tendinitis." which is attached to the underlying bone.When the muscle flexes, it contracts, shortens, drawing the tendon Another insidious form of tendinitis attacks the ten- back toward the muscle. The sheath stabilizes the tendon dons that hold the upper arm bone to the shoulder, usually and acts like a pulley. Without the tendon sheath the when the shoulder has been overworked in some kind of tendon would straighten as a rope does when it is tied to a overhead activity. The tendons at the back of the shoulder weight and pulled on by someone who wants the weight to rub against the underside of the shoulder blade until they move. The tendon sheath keeps the tendon near the bone, are rubbed raw. You can get essentially the same result increasing the efficiency of the system and Preventing us from a sudden, violent movement such as falling on an from looking funny when we flex a muscle. outstretched arm. A more severe type of tendinitis can be had if you Fires L-AumOsIrrache Builevmaation ffarr ignore the developing problem until calcium salts grow in M7rwassir C011irmlberrz mind Zputingi Sftrlens an inflamed area. The sharp pieces of calcium irritate the Offered by the bursa sac, the tough bag that surrounds all joints to keep New Hampshire Outdoor Council the lubricating synovial fluid from running away. The irri- By Peter Crane, WEMT tated bursa starts to overproduce fluid.Eventually, the entire sac becomes inflamed and tense, and the whole joint Anyone who hikes, climbs, or skis in. New Hamp- becomes an agonizing burden to bear. At this point the shire's backcountry will want to obtain some free informa- standard treatment of tendinitis may not work. tional material offered by the New Hampshire Outdoor Council. The material, which focuses on the potential haz- The standard treatment is simple: Don't use the joint ards of avalanches and how to avoid them, is being made until it gets better. There is little chance it will hurt if you available by the NHOC as a public service to outdoor en- do not move the inflamed tendon. And, without use, the thusiasts. The information is designed to help make back- tendon will finally heal. Application of cold packs several country visitors more aware of some of the dangers of fall, times a day for about 20 minutes will help speed the heal- winter, and spring travel in the wild mountain areas of the ing by reducing the swelling, and a regimen of an over-the- Granite State and of how proper preparation can lessen counter, anti-inflammatory drug will also reduce pain and those dangers. improve the rate of mending. You can also benefit from massaging the offending tendon, but rub it one way only According to the Council, "The free information since back and forth rubbing can cause further damage. packet includes a great brochure published by the Cana- dian Avalanche Association which covers many topics Like most people, I found the need to use my elbow which are as important to travelers in New Hampshire's far outweighed any chance of letting it rest. The pain and mountain backcountry as they are to travelers to peaks disability got worse over the next couple of months, and, north of the border. Many people who visit the White in the end, my doctor was able to earn some more money Mountains in fall, winter, and spring aren't aware of the off me. I received a painful cortisone injection in the joint, real possibility of avalanches, especially on steep open an injection which begins to knock doWn the inflammation slopes and gullies. Mount Washington, for instance, has in a few hours. For six weeks I wore a removable splint on seen ten avalanche fatalities and numerous avalanche- my lower arm that prevented me from moving my wrist. I related accidents, which have affected hikers, technical took 800 mg. of the OTC, anti-inflammatory drug, ibupro- climbers, and spring skiers." While Mount Washington fen, three times each day. I got better. may be most notorious for its hazards, the Council notes that avalanche accidents can and have occurred elsewhere This is what you should do.
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