Welcome to the Land of Enchantment! The National Conference on Wilderness SANTA FE May 29 - June 2, 2019

“Medicine and the Spirit of Adventure”

Wilderness & Worldwide Active CME Adventures See brochure inside for Adventure Travel CME 2019-2020 schedule CMe destinAtions! Adventure trAvel Welcome to Santa Fe

anta Fe is unlike any other destination in the country, and in Sfact, is nicknamed “The City Different.” There is a colorful, international-style charm about Santa Fe that has attracted people for over 400 years. It is the oldest capital city in the United States and is unique in the blending of Native American, Hispanic, and Anglo cultures. The center of town is the Plaza, a tree-lined park surrounded by shops and historic churches, much like in traditional European cities. SETTING/CLIMATE – Santa Fe is a place of enchanting beauty, set at 7,000 feet in the Rocky Mountain foothills. It has indescribable blue skies and boasts over 300 days of sunshine each year. As you experience its pure light, and feel its positive energy, you’ll understand why this city has attracted so many artists over the years and become an international art center. Daytime temperatures range from 70-80ºF. ART/FOOD/CULTURE – Despite its small population of 80,000 residents, Santa Fe overflows with world-renowned cuisine, art, and culture. Stroll the adobe-lined streets that feature over 250 art galleries, countless restaurants, and noted music, theater, and dance performances. Santa Fe is a city of museums including The Georgia O’Keeffe Museum, The International Folk Art Museum, and several that focus on indigenous history and culture. SHOPPING – Santa Fe is a well-known shopper’s paradise. Much of the merchandise is made in Santa Fe and the Southwest, including art, specialty food products, clothing, jewelry, woven and leather goods, pottery, and furniture. INDIAN PUEBLOS – Be sure to visit some of the nearby Indian Pueblos, among the oldest communities in America. Attend ceremonial dances and experience the rich art and culture that has endured for several hundred years.

Bandelier National Monument

Hiking at Tent Rocks Recreation Near Santa Fe To enhance your experience during your week in Santa Fe, a variety of activities can be enjoyed individually or as a family. More information can be found at wilderness-medicine.com.

REGIONAL EXCURSIONS – Santa Fe is a natural base for excur- sions into northern New Mexico. The surrounding area is brim- ming with wilderness recreation, and hundreds of sites from early American cultures — including Pecos National Historic Park, the Puye Cliff Dwellings, and Taos Pueblo (pictured). RAFTING – The most popular trip on the Rio Grande is the nearby 1/2 day “Racecourse”. Exciting class II & III rapids in a spectacular canyon - ideal for both first-time and experienced paddlers. HIKING – Bandelier National Monument - The park harbors Anasazi (early Pueblo Indian) ruins and cliff dwellings among deep canyons and cliffs on the edge of one of the largest inac- tive volcanoes in the world. The renowned Tent Rocks National Monument offers stunning rock formations and scenery. Welcome to the Land of Enchantment!

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 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. accreditation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership 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 47.50 AMA PRA Category 1 Credits™ (Main Conference: 24.0, Global Health Symposium: 8.0, AWEP Workshop: 15.5, Wound Management Workshop 2.0). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is anticipated to offer up to 47.50 hours of AOA Category 2-A CME credit, pending approval by the AOA. Disclosure: It is the policy of Center for Emergency Medical Education (CEME) to ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities, and that all contributors present information in an objective, unbiased manner without endorsement or criticism of specific products or services and that the relationships that contributors disclose will not influence their contributions. Those in a position to control the content of this educational activity are required to disclose to learners all relevant financial relationships with any commercial interests prior to the beginning of the educational activity. Resolution of Conflicts of Interest: In accordance with the ACCME Standards for Commercial Support of CME, the Center for Emergency Medical Education implemented mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity. AAFP: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. ACEP: Application for CME credit has been filed 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 47.50 hours of nursing credit. Physician Assistants: The American Association of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME. Special Pre-Conference Workshops WILDERNESS SURVIVAL “COME BACK ALIVE” MAP AND COMPASS NAVIGATION ESSENTIALS: Wednesday, May 29 9:00 am – 4:00 pm Wednesday, May 29 1:00 pm – 4:30 pm A dynamic hands-on survival training program Become confident in orienteering! Hands-on training designed to provide real skills and experience in a in direction finding, detailed map reading, plotting short time. Learn practical techniques and demo routes, and calculating the slope of terrain. Map and equipment to help you survive a wilderness survival compass activities to improve accuracy when follow- emergency. ing a direction and navigating a planned route. Maps This exciting workshop is lead by renowned and compasses are provided. expedition physician Howard Donner, MD and is Sheryl Olson, RN, BSN ...... $75 conducted both in the classroom and outdoors at our PRACTICAL WILDERNESS MEDICINE SKILLS local field site. Limited enrollment register early! Wednesday, May 29 9:00 am – 4:30 pm Topics and experiences include: This intensive and fast-paced workshop will include: • Building micro-survival kits • Assessment tips for the wilderness medical provider • Protective gear and technology • Improvised evacuation / packaging • Small group rescue techniques • Building fires • Field management of spine injuries • Safe travel / signaling for rescue Howard Donner, MD • Improvised splinting, and much more • Emergency shelter building World renowned Expedition physician Includes critiqued skills, scenario practice, and all • Improvisation skills equipment. Howard Donner, MD and Kyle Allred, PA-C . . . . $135 Carl Gilmore, WEMT ...... $135

The Program Wednesday, May 29, 2019 5:00-7:00 pm Registration 7:00 pm Wilderness Medicine: Setting the Stage Kyle Allred, PA-C 7:15 pm Altitude Illness - Updates in Prevention & Treatment Howard Donner, MD 8:05 pm Environmental Heat Emergencies - Recognition & Treatment Eric A. Weiss, MD 8:45 pm Special Evening Program (Guests Welcome) From War-zones to Hurricane Relief - Frontiers in Humanitarian Medicine Michael J. VanRooyen, MD Thursday, May 30, 2019 6:30 am Late Registration / Continental Breakfast / Exhibits 7:30 am “Learn to Return” - Survive an Unplanned Night in the Wilderness Brian Horner 8:20 am Hypothermia: New Guidelines & Key Recommendations Eric A. Weiss, MD 9:05 am Snake Envenomations Timothy B. Erickson, MD 9:55 am Break 10:10 am Wilderness “911” - Remote Trauma Management & Improvised Care Eric A. Weiss, MD 10:55 am Wilderness - Key Findings & Prevention Jeri Mendelson, MD 11:40 am Medical-Legal Issues in Remote Medical Care - Avoiding Lawsuits Valerie Dobiesz, MD 12:25 pm Free Time - Enjoy Santa Fe (see recreation) or Attend an Optional Workshop 7:00 pm Dessert Reception 8:00 pm Special Evening Program (Guests Welcome) The Expedition & Travel Medical Kit - From the Tropics to the Tundra. What’s Common & What Works! Howard Donner, MD The Program Friday, May 31, 2019

6:30 am Continental Breakfast / Exhibits 7:30 am Flood and River Rescue, White Water Medicine & Safety Kyle Allred, PA-C 8:15 am Preparing for Foreign Travel - Keys to Staying Healthy in the Developing World Michael J. VanRooyen, MD 9:05 am Break 9:20 am Traveler’s Diarrhea - Prevention and Treatment Phil Rasori, MD 10:10 am Arthropods Bites & Stings Timothy B. Erickson, MD 11:00 am Parasites: Neglected Tropical Diseases and a Traveler’s Nightmare Jeri Mendelson, MD 11:45 pm Free Time - Enjoy Santa Fe (see recreation) or Attend an Optional Workshop 7:00 pm SCUBA Diving - Hazards & Current Treatment Karen Van Hoesen, MD 7:45 pm Special Evening Program (Guests Welcome) Wild Animal Attacks: Patterns and Prevention Brian Horner 8:40 pm Avalanche Survival, Safety, and Rescue Lanny Johnson, FNP/PA Saturday, June 1, 2019 6:30 am Continental Breakfast / Exhibits 7:30 am Fracture & Dislocation Management in The Wilderness Setting Joseph B. Serra, MD 8:30 am Shark Attacks and Hazardous Marine Life Karen Van Hoesen, MD 9:15 am Break 9:30 am , Dengue, & Other Mosquito-Borne Diseases “Extraordinary Phil Rasori, MD conference... 10:20 am Mountain Search & Rescue most enjoyable Lanny Johnson, FNP/PA learning experi- ence I have ever 11:10 am “Is There A Doctor On Board?” encountered.” Tips for Providing Care on Commercial Flights Joseph Easle, MD Howard Donner, MD 12:00 pm Free Time - Enjoy Santa Fe (see recreation) or Attend an Optional Workshop 7:00 pm Special Evening Program (Guests Welcome) A Life of Exploration and Adventure in Photography Nevada Wier 8:00 pm “Dreams In Focus” - The Quest to Eliminate Treatable Blindness Abroad Matt Oliva, MD All presentations will be at the Santa Fe Convention Center. Time, topics and speakers may vary somewhat from published brochure and syllabus. Sunday, June 2, 2019 Workshops & Concurrent Sessions 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. FROSTBITE & COLD INJURY - PREVENTION LIGHTNING STRIKES! PREVENTION, 1 & FIELD TREATMENT: A review of a spectrum of 7 TREATMENT, & UPDATES: Many myths and cold-related injuries including frostnip, chilblains, misconceptions exist about lightning. Learn how to Raynaud’s, and frostbite. Howard Donner, MD lessen your chances of being struck and how to treat “STAYING FOUND” UPDATE ON CURRENT lighting injuries. Sheryl Olson, RN 2 RESCUE TECHNOLOGY: Life-saving technologies ASSESSMENT AND IMPROVISED TREATMENT for communication and signaling for help in remote 8 AND PACKAGING OF TRAUMA PATIENTS: environments. Howard Donner, MD Participants will practice utilizing improvised and OCEAN SURVIVAL: Survival at sea requires a set specialized rescue equipment to splint, stabilize, and 3 of skills and equipment often not familiar to the transport trauma patients. Carl Gilmore, WEMT land-based survivalist. This presentation reviews a WILDERNESS WISDOM FOR WOMEN: In the spectrum of ocean survival situations, preparation, & 9 backcountry, women often have different needs and equipment. Sheryl Olson, RN concerns than men. Learn strategies for packing light, FRACTURE, SPRAINS & DISLOCATION personal safety, and other unique needs of a woman 4 MANAGEMENT: Methods for recognizing, reducing, traveling in the wilderness or a foreign country. and splinting fractures and dislocations in the Sheryl Olson, RN backcountry will be demonstrated. Joe Serra, MD WILDERNESS EYE CARE AND EMERGENCIES: HANDS-ON ASSESSMENT OF COMMON HIKING 10 Learn strategies to avoid and treat common eye 5 & SKI INJURIES: Learn techniques for the assessment problems that have the potential to be “trip enders”… and stabilization of common injuries including the or worse. Matt Oliva, MD wrist, knee, and ankle. Lanny Johnson, FNP/PA HELP! HELICOPTER SAFETY, MANAGEMENT, BACKCOUNTRY WATER DISINFECTION / 11 & RISK ASSESSMENT: A former flight nurse for 6 PURIFICATION: A review of chemical, filtration, and over 18 years covers what you should know about natural water disinfection techniques. Important for helicopters before calling for one. Learn practical ways health care professionals in wilderness environments to maximize the effectiveness & safety of air transport. and the developing world. Howard Donner, MD Sheryl Olson, RN About Our World-Class Faculty

ERIC A. WEISS, MD, FACEP: Professor of (Emeritus), Stanford University School of Medicine, Founder and former Director, Stanford University Wilderness Medicine Fellowship; Author of A Comprehensive Guide to Wilderness and Travel Medicine and Editor of Wilderness & Environmental Medicine in the 2017 Clinics of North America. VALERIE DOBIESZ, MD, FACEP: Director of External Programs: STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham & Women’s Hospital; Harvard Medical School, Harvard Humanitarian Initiative HOWARD J. DONNER, MD: Member 1997 NOVA Everest Expedition; NASA consultant; expedition physician, 1988 Kangchenjunga (28,121’) Expedition; Medical Officer, Denali Medical Research Project; Co-author of Field Guide to Wilderness Medicine. TIMOTHY B. ERICKSON, MD, FACEP, FACMT, FAACT: Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham and Women’s Hospital; Harvard Medical School, Harvard Humanitarian Initiative LANNY JOHNSON, FNP/PA: for Jackson Hole Ski Patrol; mountaineering guide for over 20 years; former climbing park ranger and medical advisor, Grand Teton National Park. JERI MENDELSON, MD: Dermatologist, Medford, Oregon; Formerly Wildlife Biologist with Smithsonian in Thailand. MATT OLIVA, MD: Associate Clinical Professor, Division of International Ophthalmology, Oregon Health Sciences Univer- sity; Board Member, Himalayan Cataract Project; Assistant Medical Director, SightLife Eye Bank which focuses on interna- tional eye care training, infrastructure development, and eradication of treatable blindness. SHERYL OLSON, RN, BSN: Outdoor survival and navigation instructor; flight nurse; wilderness safety instructor; backpack and adventure trip guide; Manitou Springs. PHIL RASORI, MD: Medical Director of Village Hopecore International; travel medicine and global health consultant; for- merly Assistant Clinical Professor of Medicine UCSF. JOSEPH B. SERRA, MD: Founding Member of the Wilderness Medical Society; Orthopaedic Surgeon, Stockton, California; 25-year member, National Ski Patrol; Rotary International to Africa. MICHAEL J. VANROOYEN, MD, MPH, FACEP: Director, Harvard Humanitarian Initiative; Director, Vice Chairman, Dept. of Emergency Medicine, Brigham and Women’s Hospital; Professor of Medicine, Harvard Medical School and Harvard School of Public Health. KAREN B. VAN HOESEN, MD, FACEP: Professor of Emergency Medicine, Director, UCSD Center and Dive Medicine Fellowship, University of California San Diego School of Medicine, San Diego, CA. KYLE ALLRED, PA-C: Professional expedition and whitewater guide. Has guided extensively on five continents. Wilderness sur- vival instructor and co-founder of MedCram.com and MedWild.com. SCOTT KUIPERS: Wilderness Survival Skills Instructor; professional tracker and guide. CARL GILMORE, WEMT: University of New Mexico Instructor Coordinator; Wilderness Medicine Instructor, Taos, NM. BRIAN HORNER: President, Learn To Return, Anchorage, Alaska; USAF SERE; US Army SF Survival Instructor; Denali National Park High Altitude Rescue; Wilderness, SRT and Tactical Medicine Instructor; crash and firefighting instructor; expeditionary medic and guide. ARI RASORI-ALLRED, FNP: International Guide on four continents. Travel Medicine and Global Health Instructor & Consultant. In accordance with ACCME Standards and CEME policy, all faculty are required to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s). AWEP Certification Course

Advanced Wilderness & Expedition Provider Optional Course leading to AWEP Certification™ Advanced level intensive and hands-on training taught by leaders in Wilderness Medicine including, Howard Donner, MD, Sheryl Olson, RN/BSN, Eric Weiss, MD, and Larry Moore, MD. Students will learn practical tech- niques and practice them in mock scenarios. Successful completion of course leads to AWEP Certification™. Thur, 1:30 – 5:30 pm Fri, 1:30 – 5:30 pm Sat, 1:30 – 5:30 pm Sun, 1:30 – 6:30 pm Course tuition: $495 Includes 15.5 additional AMA PRA Category 1 Credits™ all supplies, syllabus, breakfast, patch, and certificate.

Optional “Hands-On” Workshops 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 course workshops which are included in your tuition on Sunday, June 2. Urban Survival Workshop: A detailed and practical session Tracking Workshop: Learn the lost art of tracking and the on survival skills for the urban environment. Topics include: ability to notice subtle disturbances in the environment left being taken hostage, protecting your family, surviving behind by others (called sign cutting). These skills are fun to aircraft crashes, surviving an earthquake, and equipment/ learn and can be life-saving — for finding lost persons and supplies used for disaster management. Thursday, May 30, getting out of trouble. Friday, May 31 or Saturday, June 1, 1:00 - 5:00 pm. $75 Faculty: Brian Horner 1:00 - 4:30 pm. $75 Faculty: Scott Kuipers Wilderness Wound Management: A practical workshop on cleaning and suturing a laceration in a non-sterile environment. Participants will have the opportunity to practice suturing, stapling, taping, and tissue gluing techniques on pig limbs. All supplies provided. Saturday, June 1, 3:30 - 5:30 pm. $60 - 2 additional AMA PRA Category 1 Credits™ Faculty: Lanny Johnson PA-C Practical Wilderness Medicine Skills: Learn the art and skills necessary to perform effective backcountry assessment of an injured patient. Participants will also learn and Ropes and Knots for Wilderness Medicine and Rescue: practice improvised splinting techniques using materials This workshop will teach you how to use ropes and tie knots commonly found in the backcountry along with packaging for high angle rescue swift water rescue, and improvised and transportation skills. Friday, May 31 and Saturday, medical care. Thursday, May 30, 1:30 - 3:30 pm. $50 June 1, 1:30 - 3:30 pm. $60 Instructor: Carl Gilmore Faculty: Carl Gilmore Obstetrics In Remote Environments: Using mannequin- based simulation, learn and practice management of normal and complicated deliveries in remote settings, including shoulder dystocia, breech delivery, eclampsia, postpartum hemorrhage and multiple gestation. Thursday, May 30, 2:00 - 4:00 PM Faculty: Valerie Dobiesz, MD. $60 Fire Building for Survival: From stoves to friction, to using the sun! This workshop gives participants hands-on Humanitarian Medicine - Volunteering And Staying Healthy experience in generating heat in every emergency and every Abroad: Explore the possibilities of using your medical environment. Survival expert Brian Horner takes students degree to volunteer abroad! Learn skills and resources to outdoors and concentrates on actively allowing practice implement and participate in humanitarian medicine. building fires from the ground up. Friday, May 31, 1:00 - Saturday, June 1, 1:30 - 4:30 pm. Faculty: Phil Rasori MD, 5:00 pm. $75 Faculty: Brian Horner Ari Rasori-Allred, FNP $60 Outdoor Photography Seminar

In two intensive half-day sessions, Nevada Wier, an award-winning National Geographic photographer, will combine lectures and outdoor demonstrations. Learn how to combine technical, practical and creative aspects of travel photography to get images that elevate above the usual travel clichés. Training includes how to photograph all hours of the day, and in all elemental and lighting conditions. Thursday, May 30 and Friday, May 31, 1:00 – 4:00 pm. Faculty: Nevada Wier. $75 Nevada Wier Optional Pre-conference: Global Health / Humanitarian Medicine Symposium

Wednesday, May 29, 2019 | Santa Fe, NM This optional workshop includes 8.0 additional AMA PRA Category 1 Credits™. Humanitarian Medicine overlaps in a significant way with Wilderness Medicine because both involve rendering health care in remote or austere environments with minimal equipment. Learn ways to improve the effectiveness of humanitarian strate- gies for relief, protection, and prevention. Global health plays an increasingly crucial role in global security. The symposium addresses critical global health threats and responses to some of the complex health issues that challenge us all. This optional symposium which precedes the National Conference on Wilderness Medicine is Co-Sponsored by The Brigham & Women’s Hospital & The Harvard Humanitarian Initiative. It brings together several well-known authorities in Global Health and Humanitarian Medicine.

Symposium on Global Health / Humanitarian Medicine Schedule Co-Sponsored by The Brigham & Women’s Hospital & The Harvard Humanitarian Initiative Theme: Humanitarian Response to the Global Population Crisis 7:30 am Registration and Coffee 8:00 am Global Population: Humanitarian Health Perspectives Michael J. VanRooyen, MD, MPH 8:30 am Challenging Cases in Global Health, the Wilderness & Beyond: Lessons Learned from the Field Timothy B. Erickson, MD & Michael J. VanRooyen, MD, MPH 9:30 am Climate Change and Global Health Sheryl Olson, RN, BSN, FAWM 10:20 am Global Women’s Health: Awareness and Call to Action Valerie Dobiesz, MD, MPH 11:10 am Clean Water in a Contaminated World Howard Donner, MD 12:00 pm Lunch Break (Lunch is included) 1:00 pm The Global Impact of Contaminated Water Eric A. Weiss, MD 1:50 pm Global Threats and Bioterrorism Jeri Mendelson, MD 2:40 pm Global Health & Humanitarian Medicine in the 21st Century Phil Rasori, MD 3:30 pm Cutting-Edge Humanitarian Medicine Articles That Will Change your Practice & Perspective Timothy B. Erickson, MD & Michael J. VanRooyen, MD, MPH 4:00 pm Panel Discussion - Avenues for Getting Involved in Global Health and Humanitarian Medicine: Individuals Making a Difference V. Dobiesz, T. Erickson, M. VanRooyen, P. Rasori

SYMPOSIUM CO-DIRECTORS Michael J. VanRooyen, MD, MPH, FACEP: Director, Harvard Humanitarian Initiative; Director, Vice Chairman, Dept. of Emergency Medicine, Brigham and Women’s Hospital; Professor of Medicine, Harvard Medical School and Harvard School of Public Health. Timothy B. Erickson, MD, FACEP, FACMT, FAACT: Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham and Women’s Hospital; Harvard Medical School, Harvard Humanitarian Initiative. The remainder of faculty listed on the faculty page. Cost of symposium (includes lunch and 8.0 additional AMA PRA Category 1 Credits™) $150 All CME proceeds will go to aid the Shiprock Northern Navajo Medical Center. Accommodations A wide selection of hotel rooms and condominiums have DRURY PLAZA HOTEL – An upscale historic building been reserved for conference participants. Please make your steps from the plaza. Group rates include complimentary reservation as early as possible – May and early June is breakfast and happy hour. Rates start at $169. For “prime time” in Santa Fe. See each property below for how reservations call 1-800-378-7946. Group Code: 2354125 to make your group-rate reservation. Or, to book group- rates online visit wilderness-medicine.com. SANTA FE CONVENTION CENTER – The conference will take place at the state-of-the-art environmentally friendly convention center located in the heart of Santa Fe. ELDORADO HOTEL – Located adjacent to the Convention Center, only footsteps from the Plaza. Enjoy the charm of Santa Fe and the luxury of a grand hotel. Numerous amenities include the renowned Nidah Spa, rooftop pool, & fitness center. Special group room rate: $169/night. Make your reservation by calling the Eldorado at 1-800-955-4455 Santa Fe is nestled in the Sangre de Cristo Range and using Group Code: 190523WILD. HOTEL SANTA FE – Authentic flavor of Santa Fe and Traveling to Santa Fe traditional Native American hospitality. Suites start at $149. Albuquerque (ABQ) has excellent air service, is a short drive ZONA ROSA – These condominium units are a perfect from Santa Fe, and is easy to fly to from any city in the USA. choice for families or people looking for a kitchen facility. 2 Flying directly to Santa Fe (SAF) is also possible. bedroom rate: $299, 3 bedroom rate: $399. Wilderness Medicine has negotiated 2-5% discounts on airline fares, and 5-15% discounts on car rentals for our LAS PALOMAS DE SANTA FE – Just three blocks from conference attendees. Please visit the travel page on our Santa Fe’s Historic Plaza, you will find the charm, elegance, website for discount codes. and ambiance that makes this such a special place. Studio rates begin at $119. What a collection of expertise…where else could For group-rate reservations at Hotel Santa Fe, Zona Rosa, and you learn so much, so well – in such a short period Las Palomas De Santa Fe, call the Hotel Santa Fe Group at of time…I don’t know how you could improve… 877-259-3409 or email [email protected], and identify Thanks for a great week… 5 star!” yourself as a participant of the Wilderness Medicine Group. Donald Turner, MD (Fam. Practice), Dayton, OH 3 Easy Registration Options Visit Wilderness-Medicine.com ––– or ––– Call 844-945-3263 ––– or ––– Mail, e-mail, or fax this form:

Santa Fe Registration – May 29 ‑June 2, 2019 Name______Title______Address______City______State/Zip______Recreation Near Santa Fe Phone______E-mail ______❑ Physician $760 ❑ PA/NP $595 ❑ Nurse $545 ❑ Non Professional (no CME) $400 ❑ 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, 3790 El Camino Real, Suite 2029, Palo Alto, CA 94306 Register by Fax: (650) 887-2113 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). REFUNDS must be requested by April 29, 2019, and will be subject to a $100 service charge. After that date, no refunds will be given. Sponsors cannot be responsible for travel difficulty or inclement weather conditions. ENROLLMENT – Tuition includes USB syllabus and continental breakfasts. Advance registration is required and attendance will be limited. Everest Base Camp Trek CME The National Conference on April 5 – 22, 2020 & April 23 – May 10, 2020 Wilderness Medicine Santa Fe, New Mexico May 29 – June 2, 2019

CME ADVENTURES WORLDWIDE Learn Wilderness Medicine on an active adventure! Optional Pre-conference: wilderness-medicine.com Global Health / Humanitarian Medicine Symposium Fiji Scuba and Snorkel CME Bhutan Exploration CME Wednesday, May 29, 2019 January 30 – February 8, 2020 April 8 – 19, 2019 Co-sponsored by the Harvard Humanitarian Initiative October 2 – 13, 2019

WILDERNESS AND TRAVEL MEDICINE PRE-SORTED STANDARD U.S. POSTAGE 3790 El Camino Real, Suite 2029 Palo Alto, CA 94306 PAID PERMIT NO. 110 844-945-3263 Medford, OR wilderness-medicine.com TIME VALUE

Africa Wildlife Safari with optional Kilimanjaro Climb October 6 – 20, 2019 & October 21 – November 4, 2019