In a recent CNN article by Rebecca Cairns and London-based photographer Zed Nelson, the reader is invited to reflect on how we interact with nature, and how much of that “nature” is staged. Nelson’s project, The Anthropocene Illusion, takes viewers on a global journey to see the ways we simulate wild places and wildlife while…

In the backcountry, where hospitals are likely many miles away and help isn’t “just around the corner,” airway management becomes a high-stakes priority. After all, the statistics are against the patient. Without an open, clear airway, that patient has a zero percent chance of survival. Whether it’s a fall, an allergic reaction, choking, or a…

Recently I watched “Heritage,” a short documentary about one of the early professional skateboarders, Steve Caballero. At some point in the viewing, I realized more time was being spent on Steve’s mountain biking skills and passion for motorcross than on his skateboarding career, and I had to wonder why.  If you’ve been a whitewater paddler,…

Bleary eyed from a scarcity of shuteye, you shimmy out of your sleeping bag, stick your head out your tent flap, and observe your campsite. It’s not a pretty picture. In fact, it looks like you woke up in the middle of a yard sale. Or the tail end of a party turned bad. There’s…

Coming off a four-year stint as coordinator for a university outdoor recreation program, J.T. Schexnayder III is proving to be a masterful leader as our outdoor program coordinator. Raised in Myrtle Beach, S.C., this neighboring state native led his middle school peers on backpacking, climbing, caving and paddleboard expeditions to backcountry areas in his home…

When we venture into the backcountry, whether it’s a day hike in a nearby forest or a multi-day expedition into remote terrain, we knowingly trade comfort and convenience for solitude, challenge, and a deeper connection with nature.  This is a trade-off that comes with a conscious decision to expose ourselves to a higher-than-normal level of…

When wilderness medicine practitioners gather ’round a campfire, one favorite topic of discussion involves which animals are the most dangerous. Barring the obvious winner, we humans, leading candidates typically include the gorilla, shark, lion, tiger, and bear.  The unassuming mosquito and deadly microscopic organisms are often overlooked, but most likely lay absolute claim to the…

One of the best things about camping is eating, and you’re likely not the only one in the backcountry who appreciates fine camp cuisine. Any bear, racoon, coyote, skunk, possum, or other opportunistic scavenger close enough to pick up the scent might stop by for dinner or a late night snack.  And these moochers aren’t…

Throughout our lives, we develop knowledge and wisdom, in part, by learning from our mistakes and those of others. In the context of outdoor education and adventure programming, we learn from both catastrophic events and near misses — close calls. These are events in which nearly every factor necessary to cause serious injury or death…

“What matters most is how well you walk through the fire.” ~ Charles Bukowski When it comes to just about every worthwhile pursuit, the more you put into it, the more you get out. In the context of human-powered outdoor adventures, especially those that test your metal, that means pushing the limits and, for those…

When high school students return to classes after summer break, they’re often asked to write an essay on “What I Did on My Summer Vacation.” For many, there’s not much to  write about. Maybe a week spent with the grandparents or binge watching your favorite show on Netflix. Instead, imagine spending a 32-day summer semester…

You’ve no doubt seen the symbol below painted on the side of an ambulance, embroidered on the uniforms of emergency medical technicians (EMTs), or stuck to emergency medical equipment. Maybe you even wondered whether it had any meaning. What’s with the snake coiled around the staff? What’s the significance of the six-pointed star? The Origin…

For some readers, the headline of today’s blog might spark visions of Disney on Ice, complete with professional figure skaters dressed as emergency medical technicians, gliding, spinning, and soaring through the air as they provide emergency medical care in a winter wilderness setting.  As they successfully evacuate the injured party from the ice, one skater…

Bob Weir, a founding member of the Grateful Dead, died on Jan. 10, 2026, hopefully reuniting with fellow band members who passed before him — Ron “Pigpen” McKernan (died in 1973), Jerry Garcia (died in 1995), and Phil Lesh (died in 2024).  I say, “Fare thee well,” in reference to one of their songs and…

Most healthcare professionals, including some pediatricians, would rather treat adults than children. That should come as no surprise. If you’ve ever had to draw blood from a young child, you know how heartbreaking it can be for everyone in the room. Maybe in the building. Those screams can be dramatic! The emotional pain we feel…

By definition, an expedition is quite a big deal. Typically, it involves a crew of people, covers a lot of territory, and lasts for weeks, sometimes months. Several examples come to mind. There’s Columbus’ first voyage to discover a western passage to China in 1492, Lewis and Clark’s Corps of Discovery Expedition from 1804 to…

Backcountry travel and wilderness recreation means traveling light while having everything we need to survive. A small problem like a deep cut or a sudden change in weather can quickly become an emergency when civilization is miles away. That’s why wilderness medicine starts long before anything goes wrong. It starts with what you carry. Everyday…

Maps cover the floor like carpet. I’m perched on the edge of a couch in the back room of a surf shop, watching the Weather Channel. I jot down timing, Learn how to monitor weather for outdoor adventures using a proven framework to identify risks, build knowledge, and make safer go-or-no decisions every trip….

In the wilderness, balance is the foundation of survival. A misstep on uneven terrain, poor pacing on a long trek, or exposure to extreme weather can quickly tip the scales from stability to crisis. Nature itself operates in balance: day and night regulate temperature, along with alternating periods of activity and rest; ecosystems rely on…

Get up to speed on what Good Samaritan laws are, what they entail, and how you may be able to reduce your chances of becoming a target of lawsuits….