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Wilderness and Austere Environment Medicine

Build the judgment to assess and stabilize patients in remote or resource-limited settings and decide when and how evacuation is needed.

What this track covers

This track covers care delivered far from standard hospital resources, where physical exam and improvisation replace labs and imaging. It spans altitude illness, temperature-related and environmental emergencies, envenomation, and the decision-making that goes into planning a safe evacuation.

What you will practice

  • Recognizing early signs of altitude illness and distinguishing progression toward more severe forms
  • Assessing and managing hypothermia, heat illness, and submersion injury without standard monitoring
  • Improvising splints, wound care, and airway adjuncts from available field materials
  • Approaching envenomation and lightning injury with a structured field assessment
  • Weighing evacuation urgency against terrain, weather, and transport risk

Simulator scenario

A multi-day trekking group member develops worsening neurologic symptoms at high altitude, and the clinician must decide on descent timing and evacuation route.

Board question topics

  • Altitude illness recognition and field management
  • Environmental temperature emergencies
  • Envenomation and bite assessment
  • Evacuation decision-making criteria

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