Symposium Schedule

2024 International Mountain Medicine Symposium Schedule Below

2024 International Mountain Medicine Symposium Schedule

This Year’s Schedule is now Posted!

Please be aware that the schedule, much like anything in life, is at the mercy of the greater forces and events around us.
The agenda below may be subject to change.
2024-10-04
2024-10-04
Train Depot
Town Hall
The Ambulance Carriage House - 1450 Greene St.
Grand Imperial Hotel
Downtown Silverton
2024-10-05
2024-10-05
Town Hall
The Coffee Bear Cafe
The Ambulance Carriage House - 1450 Greene St.
San Juan County - Destination TBD
Grand Imperial Hotel
Downtown Silverton
2024-10-06
2024-10-06
Town Hall
2024-10-07
2024-10-07
Kendall Mountain Recreation Center
2024-10-08
2024-10-08
Kendall Mountain Recreation Center
Train Depot
Town Hall
The Ambulance Carriage House - 1450 Greene St.
Grand Imperial Hotel
Downtown Silverton
Town Hall
The Coffee Bear Cafe
The Ambulance Carriage House - 1450 Greene St.
San Juan County - Destination TBD
Grand Imperial Hotel
Downtown Silverton
Town Hall
Kendall Mountain Recreation Center
Kendall Mountain Recreation Center
07:30
Registration Desk Opens
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
08:30 - 09:00
Welcome and Opening Remarks
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
Tyler George, Director of Operations, Conference Planning Committee Member, EMT
Silverton Medical Rescue
09:00 - 09:45
General Session: The AvGAR – A Decision-Making Tool for the Assessment and Deployment of Avalanche SAR Missions

As we rethink our approach and recalibrate our utilization of AvSAR decision making matrices we should consider frameworks which lead to dialogue rather than mathematical answers. Through substantive conversations, AvSAR teams have the best chance to address the difficult question: Do we GO? Do we HOLD? Do we decide it’s a NO GO?

Jonathan Wilson, Paramedic
Michael Ackerman
10:00 - 11:00
General Session: Teamwork in Search and Rescue: Lessons from Aviation

This presentation will examine pitfalls in communication and crew resource management in SAR and aviation.  We will discuss specific aviation and SAR accidents, some of which have been publicized in the media.   We will analyze how crews demonstrated good and not-so-good methods of working as a team.  Participants will learn how to use their personal strengths to function well as a SAR and aviation crew member.

Scott McIntosh MD, MPH, FAWM, DiMM
Director, Wilderness Medicine Fellowship
11:00 - 12:00
Flight for Life HEMS Q&A

A backcountry Q&A hosted in-person by one of Silverton’s regional HEMS services. This will take place out at Silverton’s in-town helicopter LZ (weather permitting).

Flight for Life of Colorado
11:15 - 12:00
Breakout: Stop the Bleed! A Case Study

A rescue case study demonstrate effectiveness of bleeding control applications to include, direct pressure and tourniquet application. The goal is to improve patient care in the field.

Angela Martz, PA-C, MS
11:15 - 12:00
Breakout: Paragliding Injuries

Paragliding is an increasingly popular sport in the US and around the world. Modern paragliders are allowing us to fly farther more safely than ever before but more people in the air means more accidents. Learn how and why paraglider pilots get injured and how to better care for them.

Joshua Marcum, DO
13:30 - 14:15
Breakout: The Implications of Backcountry Spinal Injury

This presentation discusses a critical-thinking approach to treating and transporting patients who have suffered high-mechanism trauma in the backcountry with possible spinal injury.

Shane Baird, Paramedic, Managing Paramedic Officer
13:30 - 14:15
Breakout: Crystal Clear: C-Spine Stabilization in Snowy Conditions

A review of current guidelines of C spine motion restriction and the impact snow rescue has on implementation of these current guidelines.

Molly Enenbach, DO
13:30 - 14:15
Breakout Session: 96 Degrees in the Shade
Mitchel Faulkner, MD
14:30 - 15:15
Breakout: Harness Suspension Stress

Harness suspension stress (HSS) is a rare, but potentially fatal complication of hanging motionless in a harness. It is critical for prehospital medical providers in the mountainous environment to be able to identify and appropriately manage patients experiencing HSS.

Nicholas Weiss, DO
14:30 - 15:15
Breakout: MacGyvering Wilderness Medicine

In the wilderness our supplies are often very limited. Finding versatile ways to use a single tool is key to being able to care for people with only what we can carry on our backs. Learn some untraditional ways to use common supplies and share your favorites MacGyver techniques (feel free to bring supplies for show and tell).

Joshua Marcum, DO
14:30 - 15:15
Breakout: High Altitude Illness

A presentation highlighting High Altitude Illness considerations in austerity.

Jay Mathers, DO, FAWM, C-ISTM
15:30 - 16:15
Breakout: Compartment Syndrome: The Importance of Early Recognition

Understanding the concerning mechanisms of injury and the importance of early recognition, signs and symptoms, and also treatment of compartment syndrome.

Kim Furry, MD
15:30 - 16:15
Breakout: Operational Mindsets and SAR Risk Management

This presentation will instruct the participant on traditional forms of SAR risk management (definitions, ICS, GAR), as well as, introduce the concept of operational mindset as a risk management tool.

Travis Laverty, EMT
16:30 - 17:30
General Session: Colorado Hoist Rescue Team

A unique military civilian collaboration changing search and rescue in Colorado.

Alison Sheets, MD, ABEM, MRA President, ICAR MEDCOM Vice-President, CAIC Medical Advisor
17:30 - 18:30
Social Hour: Location TBD

Not provided for by Symposium

08:00
Registration Desk Opens
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
09:00 - 09:45
General Session: ICAR Stress Resiliency Recommendations

Continuing the movement to improve rescuer mental health and longevity.

Alison Sheets, MD, ABEM, MRA President, ICAR MEDCOM Vice-President, CAIC Medical Advisor
10:00 - 10:45
Breakout: Stabilization of the Drowning Patient

A deep dive into the care of drowning patients from immediate stabilization in the field to the basics of emergency department care.

Greg Doctor, MD
10:00 - 10:45
Breakout: Developing Critical Thinking in You and Your Staff

The term “Critical Thinking” is overused and misunderstood in EMS. What does it actually mean? In this session, we will attempt to illustrate the concept of critical thinking in a practical manner.

Shane Baird, Paramedic, Managing Paramedic Officer
11:00 - 13:15
Working Lunch: ARDS: A Four-Letter Word, a Ventilator, and You in the Backcountry

A workshop walking through case studies which highlight the rare but invaluable need for understanding of pulmonary mechanics and ventilator use in a setting with no places to plug in an extension cord…

It is recommended you bring your own lunch if attending.

Benjamin Stone, FP-C
CareFlight of the Rockies, Silverton Medical Rescue
11:00 - 13:15
General Session: Patient Prep and Packaging for Heli Operations in the Wilderness Millieu

Prehospital helicopter patient packaging seems simple, but doing it properly when a life is on the line during hot operations takes, skill, artistry and a grasp on physiology of the human body.  In this hands-on demonstration we’ll learn how to prep and package with the help of our own helicopter present to help instill these lessons.

It is recommended you bring your lunch if attending.

Robbie Klimek, Founder & Owner of Klim-Loc Medical, FP-C
CareFlight of the Rockies
11:00 - 13:15
Working Lunch – Rope Techniques for Patient Access

This demonstration and workshop opportunity for hands-on practice will provide participants with information on how to gain rope access to a patient in technical terrain.

Registration is limited to 10 participants.

It is recommended you bring your own lunch if attending.

Travis Laverty, EMT
13:30 - 14:15
Breakout: Rising Towards the Sun: Heat Illness at Altitude

A discussion of heat related illness, treatment, and risk factors at altitude.

Molly Enenbach, DO
13:30 - 14:15
Breakout: Hemorrhage Control in the Field

In the last ten years, EMS has seen fundamental changes in the best practices of bleeding control. Old tools like tourniquets have joined new ones like hemostatic gauze and tranexamic acid in the arsenal of providers. At the same time, new prescription anti-coagulant medications have changed the landscape of bleeding control. In this presentation we will describe the physiology behind bleeding and clotting and contextualize the available tools in field practice.

Shane Baird, Paramedic, Managing Paramedic Officer
14:30 - 16:15
Workshop: An Introduction to Whitewater Safety

A water-based workshop on whitewater safety and rescue techniques.

Registration limited to 12 participants.

Hannah Loewenberg, MD, EMT, SRT
14:30 - 16:15
Workshop: Ultrasound for the Mountain Medicine Provider

This workshop geared to austere environments encompasses comprehensive training to prepare providers to see eFAST in theory, perform an eFAST, and test their eFAST knowledge with an assessment.

Registration is Limited to 20 Participants

Harrison Steins, MS, MSIII, EMT
14:31 - 15:30
Workshop: Austere Ortho Injuries (Part 1 of 2)
Mitchel Faulkner, MD
15:30 - 16:15
Workshop: Splinting in the Backcountry (Part 2 of 2)

A hands-on workshop for splinting extremities in extremis.

Angela Martz, PA-C, MS
Kim Furry, MD
16:30 - 17:30
General Session: Concepts of Managing Multiple Patients in the Backcountry – An Army Medic’s Approach

We will explore the challenges and strategies involved in managing multiple patients in a backcountry setting. Focusing on practical, real-world applications, we will discuss triage principles, resource allocation, communication tactics, evacuation planning, and improvised care techniques when standard medical infrastructure is unavailable.

Zach Hertzel, PA-C
17:30 - 19:00
Dinner & Libations (Many Downtown Locales to Choose from)
19:00 - 20:00
Sundown Session: Thin Air Perspectives from the Next World Over

HEMS Pilot Pemba Sherpa shares a collection of stories highlighting lessons for SAR providers from his career of flying rescue missions in Nepal.

Pemba Sherpa, Pilot
07:00
Registration Desk Opens
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
08:00 - 08:45
General Session: Combining SAR and EMS Programs in San Juan County

A presentation on the history of Silverton’s SAR and EMS forebears and the challenging path that was taken to unite the two into Silverton Medical Rescue: a unique ambulance service providing advanced medicine to an isolated mountain community, all the while responsible for SAR operations in one of Colorado’s most austere settings.

Tyler George, Director of Operations, Conference Planning Committee Member, EMT
Silverton Medical Rescue
09:00 - 09:45
General Session: Termination of CPR in Mountain Rescue

Here we will discuss current recommendations regarding the decision to terminate resuscitation efforts in the mountain rescue care setting. We will use the ICAR MedCom 2023 recommendations as a framework.

Greg Doctor, MD
10:00 - 10:45
General Session: Psychological First Aid

A presentation on the individual’s neuroendocrine response to psychological stress and how best to mitigate it for yourself and coworkers.

Hannah Loewenberg, MD, EMT, SRT
11:00 - 11:45
General Session: A Diagnosis was Exactly the Gift I Needed

A session that focuses on inspiring and motivating others to understand the importance of health and wellness and to take action to be the best version of themselves through hard work and discipline.

Robert Weisbaum, Chief of Crested Butte FPD, FP-C, MPO, BS
12:00 - 12:45
General Session: Field Ultrasound – Glimpsing Back to See Beyond

We take a look through the retrospectacles at a series of published cases in which field ultrasound might possibly have had an impact in the treatment, patient outcome, or even career of the care provider.

Benjamin Stone, FP-C
CareFlight of the Rockies, Silverton Medical Rescue
12:45 - 13:00
Closing Remarks
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
Tyler George, Director of Operations, Conference Planning Committee Member, EMT
Silverton Medical Rescue
08:00 - 17:00
Post-Symposium Technical Rope Rescue Workshop

This 2-day hands-on workshop is structured for mountain rescue personnel committed to developing and reinforcing their technical rope rescue skills in a variety of challenging terrain settings. Our primary emphasis in this team-oriented overview will be exploring select rigging options and techniques that are safe, timely, efficient, and most importantly gentle on the patient and rescuers. In addition, a critical thinking hands-on approach in introducing the “whys” behind safe, timely and efficient rope rescue rigging and systems analysis based on the rules of physics will be the hallmark of this workshop.

Much of our time will be spent in realistic, practical, and challenging terrain settings in and around the Silverton area. Workshop size is limited to 12 students. Sign up early as this workshop will fill up quickly! Learn More

Travis Laverty, EMT
Ian Ellis, EMS/SAR Captain, EMT-P
Silverton Medical Rescue
08:00 - 17:00
Post-Symposium Technical Rope Rescue Workshop

This 2-day hands-on workshop is structured for mountain rescue personnel committed to developing and reinforcing their technical rope rescue skills in a variety of challenging terrain settings. Our primary emphasis in this team-oriented overview will be exploring select rigging options and techniques that are safe, timely, efficient, and most importantly gentle on the patient and rescuers. In addition, a critical thinking hands-on approach in introducing the “whys” behind safe, timely and efficient rope rescue rigging and systems analysis based on the rules of physics will be the hallmark of this workshop.

Much of our time will be spent in realistic, practical, and challenging terrain settings in and around the Silverton area. Workshop size is limited to 12 students. Sign up early as this workshop will fill up quickly! Learn More

Travis Laverty, EMT
Ian Ellis, EMS/SAR Captain, EMT-P
Silverton Medical Rescue
Select date to see events.
Please be aware that the schedule is subject to change.
This course has been approved for Fellowship in the Academy of Wilderness Medicine (FAWM) credits through the Wilderness Medical Society.
Actual credits awarded depend on personal credit needs and history.
Click here to download the Schedule in PDF format.