Showing posts with label wilderness medicine. Show all posts
Showing posts with label wilderness medicine. Show all posts

Monday, December 28, 2009

Most readers of this blog have probably already seen the Bodios' dog disaster that happened yesterday. It really was a freak accident. I hadn't even left the car, was still messing with a camera lens, when I heard Irbis yelping. It was the most gruesome injury I've ever seen, and I've seen quantities of blood and broken long bones before. I'm extremely glad that we were there to help, and that it happened so close to the car; it would have been even more of an epic if we'd had to carry him a mile.

How would you splint a dog's rear leg, anyway? Human limbs have the advantage of being able to go straight; I'd never thought about it before, but that's really convenient for us wilderness medicine types. My best thought for the dog was that if necessary we could sort of sling-and-swath the back leg up against the torso, basically wrap his whole rear half in padding. But he crawled with much yelping from the far back of our 4-Runner into the back seat. Libby got in with him, and he seemed relatively comfortable wedged between her and a box that happened to be there. Since he was fairly calm, it seemed best to let him be and get driving, rather than agitate, hurt and terrify him with temporary first aid.

Anyway, the outpouring of generosity in response to Steve's bleg has been really wonderful and touching. They have more or less enough now to collect him after the surgery tomorrow. No one has taken up my print offer from the comments, as everyone has proved too altruistic (or I was damn slow with this post); but some people will certainly be getting gifts.

My silver lining from this weekend is this shot from near Magdalena Saturday evening. Coming right at the end, it's one of my favorites of the year. Enlarge!

Thursday, January 08, 2009

Mountaineers measure lowest human blood oxygen levels on record.
The expedition found the average arterial oxygen level to be 3.28 kilopascals or kPa (with the lowest value being 2.55 kPa); the normal value in humans is 12-14 kPa and patients with a level below 8 kPa are considered critically ill.
Cool!

Also, a landslide the size of the U.S., though it disappointingly happens to be on Mars.

Hat tips for both to The Adventure Blog.

Friday, May 09, 2008

Things you don't see every day

Since I took the trouble to rant the other day about the spectacular absence of water from New Mexico, of course I immediately go out and find counter examples. Here's a waterfall I visited yesterday, not huge but plenty festive, near El Rito. As good as the waterfall, but much harder to photograph, was the enormous quartzite outcrop that formed the gorge.


But this was decidedly small potatoes compared to the next drainage over. The Rio Ojo Caliente flows southward out of the Tusas range. A southern outrigger of Colorado's San Juan mountains, the Tusas are consistently the snowiest part of New Mexico, and their snowpack this year was off the charts. The gracery store and a church in Chama actually caved in this winter. But warm weather is here, and the Ojo Caliente, normally a modest creek, is going big.

The river is charging like this for miles. These falls were the beginning of a fantastic gorge, full of continuous Class III-IV whitewater, pushy and very fast.

A big rapid. Those two V-waves are much bigger than they look in the photo.

Spring wildflowers on a river bench.

This is not an everyday sight in New Mexico. I have heard native New Mexican children exclaim in great excitement, "Look! The water's almost four inches deep!" This has been a very good year for the north.
Incidentally, the headwaters of this river host a truly classic New Mexican village. As I drove in, six cows were crossing Main Street (about eight feet wide) to ransack a garden. I was chased by dogs all the way through town. Splendid place!

The river canyon had no trail and as I was crossing one of many talus slopes a boulder rolled under my feet. After scrabbling a second trying to regain balance, I keeled over onto my right hand, which emitted a very audible snap, like a popsicle stick breaking. I lifted up my hand to see my ring finger pointing a good sixty degrees right of normal, clearly dislocated at the proximal joint. Thankfully, the pain was much less than I would have expected. But the "Holy Shit" factor was high, seeing a body part so far from its wonted environs, and the fight-or-flight response was very strong. I wanted to move, now, to be somewhere else right away. Also, since I wasn't thinking too clearly, I was not quite sure whether the thing was just dislocated or actually snapped through. An initial attempt to pull some traction and put it back in line was not satisfactory. Can I hike out like this? Bad idea. Fortunately, the cerebrum engaged: "You've got to deal with this now, before the adrenaline wears off." All right, brain. I staggered to stabler ground.

It's just dislocated, or it would hurt a lot more, right? Right. I hooked the finger through a loop on my camera bag to achieve a solider purchase, and pulled. Traction in line, then move it smoothly back into position, just like the WFR instructors say. Second time worked like a charm. Next step: extract first aid kit, swallow ten ibuprofen, splint it to the neighboring digit. It's nice to see wilderness medicine theory work in practice, gives you some confidence that they don't just make it all up so your rescuers have something to do while you die, like CPR in the field.

My one regret, a serious regret, is that I didn't stop to take a gruesome picture. At the time I was worried that it would be frivolous and irresponsible; now I feel differently, with posterity to consider. But it looked very much like this, except on the ring finger:


For more New Mexico whitewater, check out the first raft descent of Rio Embudo, just a couple weeks ago. Who says New Mexico has no decent boating?