Symposium Schedule

2023 Final International Mountain Medicine

Symposium Schedule

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.
2023-09-27
2023-09-27
Kendall Mountain Recreation Center
2023-09-28
2023-09-28
Kendall Mountain Recreation Center
2023-09-29
2023-09-29
Town Hall
The Coffee Bear Cafe
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
2023-09-30
2023-09-30
Train Depot
Town Hall
The Coffee Bear Cafe
San Juan County - Destination TBD
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
2023-10-01
2023-10-01
Town Hall
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
Kendall Mountain Recreation Center
Kendall Mountain Recreation Center
Town Hall
The Coffee Bear Cafe
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
Train Depot
Town Hall
The Coffee Bear Cafe
San Juan County - Destination TBD
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
Town Hall
Kendall Mountain Recreation Center
Grand Imperial Hotel
Downtown Silverton
08:00 - 17:00
Pre-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 16 students. Sign up early as this workshop will fill up quickly! Learn More

Ian Ellis, EMS/SAR Captain, EMT-P
Silverton Medical Rescue
Kelly Weakley, EMT-P
Silverton Medical Rescue
Ryan Copenhagen, EMT-P
Durango Fire Rescue Authority, Silverton Medical Rescue
08:00 - 17:00
Pre-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 16 students. Sign up early as this workshop will fill up quickly! Learn More

Ian Ellis, EMS/SAR Captain, EMT-P
Silverton Medical Rescue
Kelly Weakley, EMT-P
Silverton Medical Rescue
Ryan Copenhagen, EMT-P
Durango Fire Rescue Authority, Silverton Medical Rescue
07:00
Registration Desk Opens
08:00 - 08:30
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
08:30 - 09:30
General Session: Diving at Altitude – The Best of Both Worlds?

A discussion of the physiologic issues related to scuba diving rescue in alpine lakes.

Darryl Macias MD, FACEP, FAWM, DiMM
Darryl Macias MD, FACEP, FAWM, DiMM
09:45 - 10:45
General Session: Avalanche Resuscitation – Updates from the ICAR MEDCOM

This lecture will review the current literature and new recommendations published in Resuscitation in 2023. Emphasis will be on applying best practices to the reality of mountain medicine in Colorado.

Alison Sheets, MD, ABEM, MRA President, ICAR MEDCOM Vice-President, CAIC Medical Advisor
11:00 - 12:00
Breakout: Tropical Infectious Disease Cases

A presentation with case examples on common tropical diseases and treatment considerations.

Hannah Loewenberg, MD, EMT, SRT
11:00 - 12:00
Breakout: Recognizing Critical Patient Changes in the Field

A rescue case study focusing on identifying the critical patient as they go from bad to worse.

Angela Martz, PA-C, MS
11:00 - 12:00
Breakout: Hemorrhage Control in the Field

This presentation will review the process of bleeding and hemostasis, then discuss methods to achieve hemostasis in the field.

Shane Baird, Paramedic, Managing Paramedic Officer
12:00 - 13:30
CANCELLED FOR WILDFIRES: Lunch with Helitack Hoist Demo (Fire Season & Weather Permitting)
Colorado DFPC Helitack
13:30 - 14:30
General Session: The Animas River: A Near-Drowning & Hypothermia Case Presentation

A case presentation with discussion of current guidelines for the management of drowning and hypothermia patients.

Melissa Villars, MD, MPH
14:45 - 15:45
Breakout: Critical Thinking – Urban to Austere

The ability to think critically is a desired skill by EMS providers and rescuers at all levels, yet the concept isn’t easily defined, quantified, or taught. This presentation explores how we use information under pressure, and how critical thinking skills can be taught and practiced.

Scott Sholes, BA, EMT-P
EMS Chief at Durango Fire Protection District
14:45 - 15:45
Breakout: Stress Injury in Search and Rescue

Stress injury is inevitable in SAR, ski patrol, and EMS. This lecture will provide information on stress injury risk factors, resilience training, field coping techniques and post incident response.

Alison Sheets, MD, ABEM, MRA President, ICAR MEDCOM Vice-President, CAIC Medical Advisor
14:45 - 15:45
Breakout: Pain Control in Austere Environments
A discussion of best practices for controlling pain in austere environments driven by expert panel and WMS recommendations.
Jay Mathers, DO, FAWM, C-ISTM
16:00 - 17:00
General Session: Avalanche Burial and Pathophysiology
Scott McIntosh MD, MPH, FAWM, DiMM
Director, Wilderness Medicine Fellowship
17:00 - 18:30
Dinner and Libations (Many Downtown Locales to Choose From)

Not provided for by Symposium

18:30 - 19:30
Sundown Session: The History of Mountaineering on Denali
Jennifer Dow, MD, MHA, FACEP, FAWM, DiMM
07:30
Registration Desk Opens
08:00 - 09:00
General Session: Search and Rescue in Alaska’s Wildlands

Alaska is a great place to get lost! Using actual cases as a platform we will explore the challenges of SAR in this vast wilderness.

Jennifer Dow, MD, MHA, FACEP, FAWM, DiMM
09:15 - 10:15
Breakout: Airway Finesse for the Austere Setting – A Case Series

A kinesthetic walk through a case series of challenging airway situations.

Benjamin Stone, FP-C
CareFlight of the Rockies, Silverton Medical Rescue
09:15 - 10:15
Breakout: Sticks and Stones May Break My Bones, but Airway Is Always King

An interactive demonstration of splinting as well as management of ABCs in the wilderness, followed by a discussion on what to carry in your IFAK (Individual First Aid Kit) and Base Camp Bag.

Mitchel Faulkner, MD
09:15 - 10:15
Breakout: Tools for Optimizing Helicopter Search

Join experienced mountain pilot Brandon Laird and SAR physician Tim Durkin as they discuss benefits, limitations and use-cases for current and emerging helicopter search technologies including visual searching, cameras, night vision, infrared, heli-RECCO, avalanche transceivers, and cellular detection. 

Timothy Durkin, DO, FAAEM, CAQSM
Timothy Durkin, DO, FAAEM, CAQSM
10:29 - 12:00
Lunch Session: Avalanche Awareness and SAR Response

This presentation will focus on avalanche awareness and will introduce attendees to the natural hazard of avalanche phenomena. Through the course of this we will be discussing pearls learned from local SAR avalanche incidents.

Travis Laverty, EMT
10:30 - 13:00
Working Lunch: Avalanche Resuscitation Workshop

This is a hands-on workshop that aims to cover medical and trauma topics particular to the avalanche victim. We will meld the best practices and expert recommendations provided by ICAR, WMS, and Avalife to provide a framework and approach for what to do After the Avalanche.

Registration Limited to 16 Participants

Scott McIntosh MD, MPH, FAWM, DiMM
Director, Wilderness Medicine Fellowship
TJ Hartridge, DO, FAWM
Lindsey Fell, MD
10:30 - 13:15
Working Lunch: 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
10:30 - 13:00
Working Lunch: An Interactive Workshop on Stress, Task Performance, and Decision-Making

This is a workshop in which small groups of attendees will complete a task under time pressure, fear, and other distractors. After a brief review of theories from cognitive psychology and neuroscience on expertise, problem solving, and decision-making participants will reflect on how stresses affect task performance in the demonstration and in real work, as well as discussing ways to maximize performance under various stresses.

Registration is Limited to 20 Participants

Russ Costa, Ph.D
12:30 - 13:15
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
13:30 - 14:30
General Session: A New Look at Your Drug Box

We will examine common, inexpensive drugs that can be used for life threatening emergencies in the backcountry which are not traditionally utilized for these situations.

Ryan Hodnick, DO, FAWM, NR-Paramedic
14:45 - 15:45
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
14:45 - 15:45
Breakout: Splinting in the Backcountry

A hands-on workshop for splinting extremities in extremis.

Angela Martz, PA-C, MS
14:45 - 16:45
Workshop: Patient Assessment and Communications

Mountain and wilderness clinicians often need to telecommunicate patient information to other rescuers, consultants and receiving facilities. In this workshop we will review patient assessment skills as well as communication means and methods utilized in the backcountry.

Registration is Limited to 16 Participants

Timothy Durkin, DO, FAAEM, CAQSM
Timothy Durkin, DO, FAAEM, CAQSM
16:00 - 17:00
General Session: Silverton EMS – The Greatest Hits

A review of interesting cases from one isolated mountain town.

David Hughes, MD
17:00 - 18:30
Dinner and Libations (Many Downtown Locales to Choose From)

Not provided for by Symposium

18:30 - 18:45
Commemorative Leo Lloyd SAR Award Ceremony
Kimmet Holland NRP AIARE II, Seminar Planning Committee Member
Silverton Medical Rescue
Scott Sholes, BA, EMT-P
EMS Chief at Durango Fire Protection District
18:45 - 20:00
Sundown Sessions: Stories from the Tibetan Plateau: Heli Rescue in the Himalayas

 

 

Pemba Sherpa, Pilot
07:00
Registration Desk Opens
08:00 - 09:00
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
09:15 - 10:15
Breakout: The Neuroendocrine Stress Response

A presentation on the individual’s neuroendocrine response to psychological stress.

Hannah Loewenberg, MD, EMT, SRT
09:15 - 10:15
Breakout: Trauma Assessment and Care in the Austere Enviroment

Using a case study from an ice climbing fall we will take an in-depth look into the human body systems and their roles in maintaining homeostasis.

Nathan McGrath, EMT-P
09:15 - 10:15
Breakout: Pelvic Fractures – Identification and Management in the Prehospital Environment

This lecture will focus on the identification of pelvic fractures and review recent literature regarding when pelvic binding may be clinically indicated.

Nicholas Weiss, DO
10:30 - 12:30
Lunch 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.

Robbie Klimek, Founder & Owner of Klim-Loc Medical, FP-C
CareFlight of the Rockies
10:30 - 13:00
Working Lunch – Lowering Systems and Patient Packaging for Rope Rescue

This is a hands on skill station that will provide opportunities to view, discuss, and practice various lowering systems for high-angle rope rescue. In addition, this station will demonstrate patient packaging techniques for high-angle rescue using a litter.

Registration is limited to 15 participants.

Travis Laverty, EMT
Jonathan Wilson, Paramedic
10:30 - 12:30
Working Lunch: Shoulder Injury Evaluation and Reduction Workshop

Shoulder injuries are common in outdoor recreation and the shoulder joint is the most commonly dislocated joint in the body. Shoulder dislocation can be debilitating in a mountain environment, but can often be easily reduced in the field. In this workshop we will review evaluation of the acutely injured shoulder and teach attendees proven reduction methods that can be safely used in the field. 

Registration is limited to 16 participants.

Timothy Durkin, DO, FAAEM, CAQSM
Timothy Durkin, DO, FAAEM, CAQSM
13:30 - 14:30
General Session: Avalanche Injuries – A Case Review

We’ll be presenting a recent avalanche case review in the San Juans from the SAR and medical standpoint.

Travis McGrath, RN, BSN, CFRN
14:45 - 15:45
General Session: Finding Purpose. My Story. My MS.

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
16:00 - 17:00
General Session: A Case Study in Crevasse Rescue

Here we tell the riveting story of a crevasse rescue in Alaska to take home both the technical lessons as well as an understanding of the dangers for rescuers involved.

Erin Laine, W-EMT, AIARE Course Leader, AMGA Ski Guide and Apprentice Alpine Guide
17:00 - 17:30
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
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.