Wilderness and Rescue Medicine 7th Edition Jeffrey Isaac, PA-C and David E. Johnson, MD

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Notes for the 7th Edition Amajor functional change with this edition is that WMAI has returned to self-publishing to allow for greater control and easier updates moving forward. We are grateful to Jones and Bartlett for their interest and support in producing the 6th Edition, and thank them for their willingness to relinquish control back to us. You will recognize the format of the 7 th Edition as similar to the 5th with updated photographs and slides. Also, there are two new chapters, Behavioral Issues and Training for Performance , the latter written by guest author and lead WMAI instructor, Deb Ajango. It is our intention to supplement this pub- lication with a dynamic bibliography and periodic updates posted online, along with new chapters, photographs, and case studies ahead of the next edition. Our biggest challenge will be staying in touch with our audience and keeping the content cur- rent, practical and accessible. The demographic of WMAI learners has evolved considerably since WARM 6 was published in 2013. Now, nearly 20% of our graduates are taking courses outside of North America, taught by local instructors, in their own language using translated materials. We envision this trend to continue. To meet the chal- lenge, we need to be ever mindful of keeping our message clear and, as much as possible, univer- sally applicable. We envision future supplements, like Toxins, that will be region specific. The process of selecting newmaterial and updat- ing the old is not a simple one. We are confronted by a mind-numbing deluge of newmedical litera- ture being published daily. The simple solution would be to just copy published guidelines and make them our own. The problem of course is that their patients, settings, and conclusion do not always address the challenges that our gradu- ates encounter. Nevertheless, we will continue to apply whatever useful evidence is available, including guidelines and practical experience, to the evolution of our curriculum. As in the past, we will endeavor to do so without fear of taking controversial positions while being mindful of the important and relevant contributions of experts

in science, medicine and rescue who may or may not see things as we do. As always, this book would not be possible with- out the incredible generosity, energy, intelligence and good will of the many people who have sup- ported us in our professional and personal lives. Thank you all. We hope you enjoy WARM 7 and find it valuable and worth your time. David E. Johnson MD, President Jeffrey Isaac PA-C, Curriculum Director Wilderness Medical Associates International