Concussion Recognition and Treatment in the BackcountryWilderness Medicine Training
Concussion recognition and treatment has gotten a lot of attention over the last decade, mostly in the context of youth and professional sports such as tackle football and soccer. It’s even a topic for those who serve in our armed forces. However, confusion over its prevention, diagnosis, and treatment remains widespread.
In an interview with a reporter from the Chicago Sun Times, former National Football League quarterback Brett Favre, who was knocked out cold only once in his 20-year career, claimed that “probably 90 percent” of the tackles he endured left him with a concussion.
He’s most likely correct in that estimation. After all, the definition of “concussion” is broad: “A concussion is a brain injury, a disturbance in brain function induced by traumatic forces, either from a direct blow to the head or a transmitted force from a blow to the body.” It disrupts brain function at the cellular metabolic level but does not result in major structural damage. Conventional MRI or CT scanning will not show evidence of a concussion.
So, how do you know if you or someone else has suffered a concussion while in the backcountry? And, after having made that determination, what should be done? Having clear answers to these two questions is essential for successful recovery and to prevent long-term cognitive and psychological complications. This is true no matter where the concussion takes place, but especially in the backcountry where medical treatment from a full-time team is unavailable. (more…)
When it Comes to Wilderness, Is it an Adventure or Experience?Outdoor Education
Years ago, I was working in wilderness-based setting with a group of gang members who were attempting to break away from the often-violent lifestyle in which they found themselves. During a break our programming, I asked a loaded question.
“Anybody want to tell me about their tattoos and what they mean?”
The 30 or so gang members, hailing from a variety of organizations — MS-13, Bloods, Crips and Latin Kings — stared up at me. Hard. One participant in the back shouted, “Nobody gives a shit about our tattoos!”
When I burst out laughing, I was met with even harder stares, I realized an explanation was in order. I told the participants that everyone wants to know about their tattoos. They’re just too afraid to broach the subject.
I said that if we were to put a person covered in tattoos from head to toe on a scale, and then somehow remove all that ink on their skin and weighed them again, the weight change would probably be undeterminable.
If, however, that same tattooed gang member walked into a job interview, the weight of those tattoos — what they represented — would be a thousand pounds. So again, I asked them to tell me the stories and histories behind their tattoos. What followed was an enlightening experience. The curtain was pulled back and these folks opened up and shared the significance behind their body art.
My point is this: Words and images have weight.
Words and Images Have Weight
I tell you this because a leading outdoor industry retailer — REI (Recreational Equipment, Inc.) — recently announced an adjustment to their marketing, based on patterns they say are cropping up in our culture today. REI’s announcement that the company is rebranding its tour business from REI Adventures to REI Experiences caught many people I know off guard, myself included.
It’s an effort, they say, to increase their participant base to three million clients a year. The company’s officers and administrators fear the word “Adventure” is getting in the way of its effort to grow the business.
So, what is it we think when a brand that builds a $3.7-billion-a-year business around catering to adventurers decides to change the word to experiences instead? Is adventure too heavy of a word? Is the term adventure dangerous? Are we — both consumers and outdoor community members — becoming soft?
What comes next? Will the (more…)
There’s a Reason Why Outdoor Ed is Not Club MedOutdoor Education
Zac Adair, our co-founder and executive director, recently asked one of our course
participants why they signed up for a particular outdoor adventure. “It was a photo that
appeared on your website of a guy on top of a mountaintop with the blue skies above the
glaciers in the background.”
Picture yourself here. It’s a common tactic in all great marketing campaigns. If after
seeing an advertisement, you can picture yourself wearing a specific shirt, driving a
particular truck, or vacationing on a cruise ship that’s making its way to the Bahamas,
then the team of marketers responsible for those ads has done their job.
Here at The National Center for Outdoor & Adventure Education — where we’re focused
on designing and guiding outdoor and adventure education experiences that promote
personal growth, professional development, and stewardship in our community and the
natural environment — we employ the same tactics. Take one look at our website and
you’ll see photographs and videos featuring real NCOAE students participating in the
very courses and trainings that we offer around the globe.
So, it’s little wonder that these videos and photos prompt our website visitors to picture
themselves on one of our backcountry adventures. But here’s the thing that may escape
such a casual or initial thought. That picture of a (more…)
Cape Fear Academy Students Immerse Themselves in Ecuador’s CultureInternational Expeditions
Late last year, the staff at Cape Fear Academy in Wilmington, North Carolina, asked for our help in creating a unique and meaningful 10-day, outdoor and adventure-based out-of-country expedition for a handful of its high school students.
In particular, Cape Fear’s educational leaders were looking for a diverse destination that would enable their students to immerse themselves deeply in a new culture — an adventure that would extend far beyond selfies, social media, suntan oil, and sand — and which would reinforce the school’s own values and curriculum. Known for designing and leading custom outdoor education programs for private and independent schools, we were happy to help!
The original Cape Fear Academy was established in 1868 as an independent school for boys. After closing in 1916, the school was reestablished 52 years later in 1968 with the commitment of “forging capable young adults with skills, confidence and resilience to take risks, solve problems and overcome challenges.”
So, it was with that focus in mind that the school asked us here at The National Center for Outdoor and Adventure Education (NCOAE) to custom design an expedition for nine of the school’s students, along with a chaperone from the school and three NCOAE field instructors. Their destination? Ecuador.
Our staff prepared an itinerary that incorporated the school’s objectives of instilling confidence, facing challenges, taking on informed risks, and solving problems. After all, those missives mirror the (more…)
NCOAE’s EMT Training Opens the Doors to Jobs Across the U.S.EMT Training
Applicants to our nationally renowned EMT training courses often ask us if they can take
their new EMT credentials to the state where they live, and the answer is mostly yes.
The National Center for Outdoor and Adventure Education’s (NCOAE) campus is
located in North Carolina, where we offer 21-day “Intensive” EMT-Basic and 23-day
“Intensive” Advanced EMT training courses among others. Successful completion of
these courses authorize our graduates to take the National Registry of Emergency
Medical Technicians (NREMT) exam.
National Registry Certification examinations evaluate the competence of EMS
practitioners at a variety of levels, including Emergency Medical Responder (EMR),
Emergency Medical Technician (EMT), Advanced Emergency Medical Technician
(AEMT), and Paramedic.
NREMT credentials are either required for an initial license or accepted for legal
recognition or reciprocity in all 50 states and Puerto Rico. That makes it easier to
NCOAE and The BlogosphereBlog
Welcome to The National Center for Outdoor & Adventure Education (NCOAE) Blog. There’s an unspoken rule in the blogosphere that says we’re obligated to post a “welcome to our blog” entry, so we’ll play along (we wouldn’t want to upset the balance of the interweb by not playing by such geeky rules).
Those of us who conceived of NCOAE and are responsible for its daily operation have been reading blogs for quite a while now. And quite frankly, we’ve been struck by the lack of information on the blogosphere focused on outdoor and adventure-based experiential education. As an organization led by experts in experiential education, backcountry and wilderness guiding, and the successful facilitation of a core curriculum that emphasis teamwork, environmental stewardship and the acquisition of technical skills, we felt it was time for us to add our voice to the ongoing dialogues that shape our industry.
As most people know by now, a blog affords us the opportunity to reach out into the community more often, thereby making our thoughts and ourselves available to more of you. Over the weeks, months and years to follow, our staff will use this blog to share:
- The latest NCOAE news and developments
- Special offers on upcoming NCOAE Courses and Trainings
- Interviews with successful students and course participants
- Info on opportunities for non-NCOAE professional development
- Staff interviews/spotlights
- Curated content of interest to our many stakeholders
- Insights into the NCOAE curriculum
- Our latest job openings
- Details about items that are on promotion or sale in our online store
- And much, much more!
Blogging is a two-way street. Each NCOAE blog post will include an opportunity for you – our stakeholders – to leave a comment, ask a question, tell us why you disagree with something we’ve written, or sound off on a topic that’s really important to you. Simply click the Comment link at the end of any entry to get started.
TALK TO US
Have any further questions about our courses, what you’ll learn, or what else to expect? Contact us, we’re here to help!