Best Patrick Fink MD Podcasts (2025)

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Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue. 1:28:50

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1M ago1:28:50

1:28:50

In this episode of Wilderness Medicine Updates, host Patrick Fink interviews Moose Mutlow, an experienced outdoor educator and search and rescue professional with nearly four decades of experience globally. Moose discusses his extensive career from being an Outward Bound instructor to working with Yosemite Search and Rescue, and his role as a Famil…

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Ep. 21 - Snow Immersion Suffocation 23:36

2M ago23:36

23:36

In this episode, we dive into one of the most overlooked but deadly hazards in deep powder skiing: snow immersion suffocation (NARSID). Unlike avalanches, snow immersion deaths happen silently—often within feet of a groomed run—when skiers and snowboarders fall into deep snow or tree wells and become trapped. We explore the research behind these in…

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Ep. 20 - Out of Hospital Airway Adjuncts: King Tube vs LMA 27:27

3M ago27:27

27:27

King Tube vs IGEL for Airway Management In this episode of Wilderness Medicine Updates, Dr. Patrick Fink addresses a listener's question on whether to use a King Tube or an IGEL as an out-of-hospital airway adjunct. The episode begins with an overview of airway management techniques from mouth-to-mouth resuscitation to supraglottic airway devices. …

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Ep. 19 - Methoxyflurane, the Green Whistle, with Dr. Ross Hofmeyr 45:28

4M ago45:28

45:28

Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of methoxyfluorane, an anesthetic gas for pain management in wilderness settings. Joined by guest Dr. Ross Hofmeyr, an anesthesiologist and wilderness medicine expert from South Afric…

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Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg 45:33

5M ago45:33

45:33

Ketamine Use in Wilderness Pain Management: An Interview with Dr. Chris Van Tilburg In this episode of Wilderness Medicine Updates, host Patrick Fink discusses wilderness pain control with guest Dr. Chris Van Tilburg, focusing on the effective use of ketamine. The episode delves into how ketamine serves as a versatile medication for pain management…

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Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm 42:23

7M ago42:23

42:23

In episode 17 of Wilderness Medicine Updates, host Patrick Fink delves into the ICAR resuscitation algorithm for buried avalanche victims. The episode reviews the physiology of avalanche burial and discusses critical determinants of survival, such as duration of burial, airway patency, signs of life, and lethal injuries. The Basic Life Support (BLS…

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Ep. 16 - Medications for Alpine Hut Trips 17:10

7M ago17:10

17:10

In this episode, I share an intense story of dealing with a suprise medical condition during a backcountry hut trip in Colorado. I walk through the diagnostic process, treatment options, and the importance of preparation for stays in remote places. Essential medications and tools needed for handling such emergencies in remote settings are discussed…

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Ep. 15 - Airway Patency in Avalanche Victims 10:35

8M ago10:35

10:35

This episode, I look at a study from the Eurac research group on rates of airway occlusion in critically buried avalanche victims. Eurac looked at this critical feature of avalanche resuscitation triage as it both affects the way we treat buried avalanche victims, and it helps us to better understand whether technologies like the black diamond Aval…

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Ep. 14 - Spinal Immobilization Guidelines Update 13:35

10M ago13:35

13:35

Today, we discuss updates in the WMS guidelines regarding the protection of patients with suspected spinal injuries. The Wilderness Medicine Society Clinical Practice Guidelines are all open-access, and you can find links to all of these guidelines on the right sidebar of this page. The education in this episode is based on the: Wilderness Medical …

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Ep. 13 - The High Route: Arguments for Avalanche Airbags 48:51

1y ago48:51

48:51

This episode is a repost of an interview that was first posted on The High Route Podcast. Hosted by the editor of The-High-Route.com, Jason Albert, we discuss my background in wilderness medicine, and then move on to discuss the research that support my argument and assertion that the avalanche airbag backpack should be standard equipment for backc…

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Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology 18:36

1+ y ago18:36

18:36

This is part 1 of a multi-part series on the resuscitation of critically buried avalanche victims. In this episode we learn the physiology that we need to understand the resuscitation algorithm. To learn the necessary biology, we follow a rider as they are carried in an avalanche, subjected to traumatic injury, and are then buried and begin to asph…

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Ep. 11 - After the Avalanche with Michael Buchanan 53:38

1+ y ago53:38

53:38

Episode 11 brings you my conversation with Michael Buchanan is a flight paramedic and senior firefighter / paramedic at the West Valley City Fire Department. He is the founder and operation of Mountain Medical Academy, a passion-driven backcountry medical care education company. We discuss the medical care of avalanche victims which Michael has mad…

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Ep. 10 - Tourniquets from Space Blankets 6:56

1+ y ago6:56

6:56

In this episode, I discuss the article "Arterial Occlusion Effectiveness of Space Blanket-Improvised Tourniquets for the Remote Setting". In this short blast I get into the meat of this article, and though the authors would tell you that space blankets aren't ready for primetime, I have some thoughts on the matter. In the podcast, I mistakenly say …

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Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki 33:18

1+ y ago33:18

33:18

In this episode Dr BZ is back to talk about his experience deploying with the Federal Emergency Management Agency (FEMA) Urban Search and Rescue Task Force (USAR). Dr BZ just returned from a deployment with FEMA USAR to Lahaina, HI, where he served as a team physician supporting rescue and recovery efforts there. We touch on: -Training and gear -De…

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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment 15:59

2y ago15:59

15:59

In this two-part episode, I review an article from the Annals of Emergency Medicine "Occupational Accidents Among Search and Rescue Providers During Mountain Rescue Operations and Training Events" https://doi.org/10.1016/j.annemergmed.2022.12.015 In the second half, we review the treatment of diarrhea in the returning traveler. As always, thanks fo…

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Fast Push #2.2 - Safety Third 8:33

2y ago8:33

8:33

In this second Fast Push, you get a riff on a great article from JEMS entitled "Safety is Third, Not First, and We All Know It Should Be" by Christopher Davis MD et al. Apologies to all who got V1.0-- something weird happened in post that made me sound like a chipmunk. I might be a medical professional, but I'm no AV specialist. Summary: 1. Get the…

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Ep. 7 - Wildfire Smoke and Your Health 26:09

2y ago26:09

26:09

In this episode I go deep on the health effects of wildfire smoke, answering some key questions that are relevant to recreational athletes, outdoors professionals, wildland firefighters, and industrial athletes alike: Why is wildfire smoke harmful? Is there a safe level of exposure? Can we trust the EPA's guideline levels? (Spoiler: no) Does the be…

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Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki 49:21

2y ago49:21

49:21

In this inaugural interview episode I have the pleasure of grilling Dr. Brant-Zawadzki about operating an urban EMS system at a wilderness boundary. We talk about: - Improvising outside the protocol - Interfacing with SAR, rangers, and road workers - How response kit and expectations are changed beyond the pavement - What a fellowship in Wilderness…

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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue 17:55

2y ago17:55

17:55

In this episode we review the available evidence, and the pros and cons, of using mechanical CPR devices like the LUCAS or Autopulse for ski patrol and mountain rescue applications. Episode links: CPR With a Lucas Device - An example video from EMS training Viglino et. al. - Outcomes of On-Hill Cardiac Arrests - More saves, probably because of youn…

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Ep. 4 - HOPE Score for Severe Hypothermia 22:27

2+ y ago22:27

22:27

In this episode we discuss the HOPE score, a tool that improves our ability to select the severely hypothermic patients who can benefit from warming with extracorporeal life support (ECLS). We begin the with the case of Tayyab Jafar, a young man who was successfully resuscitated from severe hypothermia with both cardiopulmonary bypass and ECMO, but…

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Fast Push #1 - Beacon Interference 8:22

2+ y ago8:22

8:22

For today, a new format, the Fast Push: Quick updates that you need to know sooner rather than later. This fast push tackles the growing issue of avalanche beacon interference. To see the source post and useful graphics, check out this link to the Utah Avalanche Center: https://utahavalanchecenter.org/blog/74828 TL:DR -Electronics, magnets, heated/…

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Ep. 3 - Methoxyflurane for Prehospital Analgesia 15:07

2+ y ago15:07

15:07

Methoxyflurane: inhaled gas of the past and prehospital analgesic of the future? Only if we’re talking about ‘the future’ in North America. Used in Australian EMS for almost half a century, this safe and effective medication is only now starting to get the attention that it deserves outside of the down-under. Today’s paper: Trimmel, H., Egger, A., …

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Ep. 2 - Pain Management for Scorpion Stings 10:43

2+ y ago10:43

10:43

Today we look at IV acetaminophen vs IV NSAID vs topical lidocaine vs placebo for treatment of pain due to scorpion stings, with some bonus learning on tramadol. Turgut K, Yavuz E, Gülaçtı U, Aydın İ, Sönmez C, Aktaş N, Arslan E. Comparison of Intravenous Paracetamol, Dexketoprofen Trometamol, or Topical Lidocaine Use for Pain Relief in Scorpion St…

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Ep. 1 - Fentanyl on the Ski Hill? 15:21

2+ y ago15:21

15:21

Is intranasal fentanyl safe and effective for the treatment of acute severe pain on the ski hill? Lynch TV, Callas PW, Peterson TD, Schlein SM. Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol. Wilderness Environ Med. 2022 Sep;33(3):296-303. doi: 10.1016/j.wem.2022.05.003. Epub 2022 Jul 16. PMID: 35851192. DOI: 10.1016/j.wem.2022.05.003 …

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Ep.0 - An Introduction 3:31

2+ y ago3:31

3:31

Welcome to Wilderness Medicine Updates! This podcast, new for 2023, delivers brief reviews of research in wilderness medicine, SAR, disaster/austere medicine, and wilderness EMS to help you stay current and provide the best care to patients in challenging environments. As always, thanks for listening to Wilderness Medicine Updates, hosted by Patric…

Patrick Fink MD Podcasts

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Wilderness Medicine Updates

Patrick Fink, MD

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Ep. 22 - Moose Mutlow: Yosemite Swiftwater SAR, Family Liaison Officer, and longevity in rescue. 1:28:50

1
Ep. 21 - Snow Immersion Suffocation 23:36

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Ep. 20 - Out of Hospital Airway Adjuncts: King Tube vs LMA 27:27

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Ep. 19 - Methoxyflurane, the Green Whistle, with Dr. Ross Hofmeyr 45:28

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Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg 45:33

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Ep. 17 - Resuscitation of the Buried Avalanche Victim, Part 2: The Rescue Algorithm 42:23

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Ep. 16 - Medications for Alpine Hut Trips 17:10

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Ep. 15 - Airway Patency in Avalanche Victims 10:35

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Ep. 14 - Spinal Immobilization Guidelines Update 13:35

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Ep. 13 - The High Route: Arguments for Avalanche Airbags 48:51

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Ep. 12 - Resuscitation of the Buried Avalanche Victim, Part 1: Physiology 18:36

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Ep. 11 - After the Avalanche with Michael Buchanan 53:38

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Ep. 10 - Tourniquets from Space Blankets 6:56

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Ep. 9 - FEMA Urban Search and Rescue with Dr Graham Brant-Zawadzki 33:18

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Ep. 8 - SAR Provider Injuries & Traveler's Diarrhea Treatment 15:59

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Fast Push #2.2 - Safety Third 8:33

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Ep. 7 - Wildfire Smoke and Your Health 26:09

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Ep. 6 - EMS at the Wilderness Boundary with Dr. Graham Brant-Zawadzki 49:21

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Ep. 5 - Mechanical CPR for Ski Patrol and Mountain Rescue 17:55

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Ep. 4 - HOPE Score for Severe Hypothermia 22:27

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Fast Push #1 - Beacon Interference 8:22

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Ep. 3 - Methoxyflurane for Prehospital Analgesia 15:07

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Ep. 2 - Pain Management for Scorpion Stings 10:43

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Ep. 1 - Fentanyl on the Ski Hill? 15:21

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Ep.0 - An Introduction 3:31