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Winter Sports Medicine
Welcome to our Winter Sports Medicine conference .
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MESSAGE FROM THE PREMIER Gary Doer
This meeting includes subjects often not encountered in regular sports medicine texts and may be new. Our choice of topics only scratches the surface of relevant Wilderness medicine issues. We hope these forums will stimulate further discussions. We are also pleased to announce a satellite session on "Review of Health Benefits of Multivitamins- an evidence based approach" which will take place outside of our regular meeting.
Our Speakers Dr Jim Wilkerson graduates from Erskine in 1954 and entered the Johns Hopkins University School of Medicine, graduated in 1958, and took a surgical internship and a residency in anatomic pathology at the University of Virginia. Two years in the Army were followed by faculty appointments in the medical schools at UCLA, University of Utah, University of Nevada, and the University of Alabama in Birmingham before settling into private practice in Merced, California, a farming community sixty miles north of Fresno and near Yosemite Valley, in 1985. His wife, Sam (short for Elizabeth), and he met in a snowball fight between medical and nursing students and were married immediately after medical school. She has a Ph.D. in biophysics and teaches at Fresno State. They have four children, and he was in practice with the oldest for about eight years before retiring. The second has a Ph.D. in physical geography and is on the faculty of the University of Minnesota Mankato. The third-our girl-is a computer programmer and is married to a biochemist who is the director of research for a nutritional supplements company. Our youngest is an airline pilot. They have seven grandchildren and--like most grandparents--consider them the smartest, most attractive kids in the world. They have been blessed with excellent health and still pursue our varied outdoor interests. Jim and Sam hiked up Kilimanjaro three years ago, rowed our own raft through the Grand Canyon two years ago, and have rafted other rivers since. Interest in the outdoors and medicine has led to an interest in wilderness medicine, the editing of two books, "Medicine for Mountaineering," now in its fifth edition, and "Hypothermia, Frostbite, and other Cold Injuries," and an active role in the Wilderness Medical Society (wms.org). They retired at the end of 2004 and purchased a home in Park City, Utah, one of the sites for the 2002 Winter Olympics. They are less than five miles from three major ski areas and have season passes for one (Deer Valley) that was rated number one in the country by Ski Magazine. They have purchased a home with six bedrooms (and a family of foxes in the back yard) and are looking forward to spending the approaching years skiing in the winter, back-packing, golfing, and fly fishing in the summer, and enjoying their family and friends.
Dr Gary Podolsky is a Manitoba graduate and now works in Winnipeg in both Sports Medicine and Travel Medicine. He has worked in Churchill and the North West Territories as well as other jobs outside Canada. His interest in Travel led him to start lecturing about ideas he had learned from other physicians abroad. J acinda Wagner has worked as a pharmacist for 2 and 1/2 years but has worked in pharmacies for 8 and 1/2 years. She also has a honours degree from Acadia university in Wolfville Nova Scotia in biology specializing in physiology. Her thesesi was on "The effcts of ANP (atrial natriuretic peptide) on the posterior lymph heart rate and pressure, blood heart rate and pressure and urine flow in the toad Bufo marinus (L., 1758) She has certified as a compounding pharmacist from the University of Florida College of Pharmacy since 2004. She is currently the pharmacy manager at the Portage and Moray Shopper's Drug Mart and is registered to begin training to become a certified diabetes expert and educatorand studying marketing, finance and sales in order to be eligible to buy her own pharmacy.
Erin Murray BMR-PT Is a University of Manitoba Graduate and first worked at the Health Science Centre (1992-1994) and worked as a traveling physiotherapist (i992-2004 in MI, MA, FL, NC, MT, and CO). She worked with Steadman Hawkins Orthopedic Group in Vail Colorado for the last 2 years. She has rturned to Winnipeg to set up her own Physiotherapy practice, Verve Physiotherapy on Tache ave.
Greetings ................................................................................................................................ 2
Introduction ........................................................................................................................... 3
Contents ................................................................................................................................. 5
Splinting Workshop ............................................................................................................ 7
Avalanche .............................................................................................................................. 20
Ski Injuries ............................................................................................................................. 32
Tick Bourne Diseases ........................................................................................................ 37
High Altitude .......................................................................................................................... 68
Blood Borne Diseases ....................................................................................................... 99
Trauma ................................................................................................................................. 108
Pain in Wilderness ............................................................................................................... 116
Afterward ................................................................................................................................ 122
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