Advanced Wilderness Life Support (AWLS)

In this episode, Dr. Kathy Vidlock shares a compelling real-world wilderness medicine experience involving two runners found on a remote trail, each suffering from different medical emergencies. Through the lens of AWLS (Advanced Wilderness Life Support) protocols, Dr. Vidlock explains how returning to the fundamentals of patient assessment, observation, history-taking, and clinical reasoning allowed her to quickly recognize the underlying problems and begin effective treatment in the field. ...

Shock can develop quickly in the backcountry, and recognizing it early can save a life. In this episode, we focus on how to identify shock with limited tools and how to tell the difference between its major types in remote settings. We break down cardiogenic, vasogenic, and hypovolemic shock using real-world backcountry scenarios, emphasizing observable signs, mental status changes, skin findings, and simple assessments you can perform in the field. The discussion highlights how understanding...

In this episode, Dr. Richard Ingebretsen explores women’s health challenges in the backcountry, focusing on common conditions that can arise far from definitive medical care. We discuss menstrual-related conditions—including dysmenorrhea (painful menstruation), mittelschmerz (ovulation pain), urinary track infections and premenstrual syndrome (PMS)—with an emphasis on recognition, prevention, and field-appropriate management. This podcast is designed for those who are not as familiar with the...

High altitude changes the rules of the game for the human body. As oxygen levels drop, systems we usually take for granted—our heart, lungs, metabolism, and immune response—are suddenly asked to work harder. For some people, that challenge is barely noticeable. For others, especially those living with chronic medical conditions, altitude can quietly turn a manageable illness into a serious problem. In this episode, Dr. Kathy Vidlock explores how high altitude can exacerbate a wide range of me...

In this insightful podcast, Matthew Guthrie explores a transformative way to understand and manage pain—by shifting our mindset from seeing pain as a threat to viewing it as a challenge. Listeners will learn how threat-based thinking amplifies discomfort, fear, and suffering, while a challenge-based mindset promotes resilience, confidence, and improved function. Matthew guides listeners toward a healthier relationship with both physical and emotional pain. Whether you’re an athlete, recoverin...

Welcome to today’s episode, hosted by wilderness medicine expert Dr. Kathy Vidlock. In this episode, Dr. Vidlock walks us through a real case from the backcountry—a hiker who developed supraventricular tachycardia, or SVT, away from definitive medical care. Dr. Vidlock explains what SVT is, why it can strike suddenly even in otherwise healthy individuals, and how the stressors of the wilderness—dehydration, exhaustion, heat, stimulants, and altitude—can increase the risk. She breaks down the ...

This podcast dives deep into the rise of exoskeletons in the backcountry—wearable robotic systems designed to help hikers, rescue teams, and explorers move farther, faster, and safer in rugged terrain. Exoskeletons can transform wilderness travel by reducing fatigue, protecting joints, and opening the outdoors to those once limited by injury, age, or physical strain. But with innovation comes controversy. Does using exoskeletons in nature challenge the spirit of self-reliance that defin...