Wilderness & Emergency Medicine Consulting (WEMC), LLC

06/15/2026

Hemorrhage remains the leading cause of death from potentially survivable injuries in both military and civilian trauma. Whole blood (WB) has repeatedly proven to be the most physiologically coherent resuscitation strategy for life-threatening hemorrhage, yet modern transfusion systems have historic...

06/15/2026

06/15/2026

Tourniquets were used successfully on thousands of U.S. casualties in Iraq and Afghanistan, saving a great many lives without causing significant complications.
However, not every extremity wound requires a tourniquet for bleeding control.
The conflict in Ukraine has demonstrated what can happen when evacuations to surgical care are delayed and tourniquets are left in place for many hours. Complications, including limb amputation, acidosis, hyperkalemia, kidney failure and death have been noted.
These complications are especially tragic when tourniquets are applied for bleeding that is minor and is not life-threatening. Multiple studies have shown that up to 75% of prehospital tourniquets applied in Ukraine were not actually needed.
In this new TCCC Quick-Look presentation, Dr. Frank Butler, Dr. John Holcomb, and Dr. Warren Dorlac address this issue. They provide a description and a series of photos and illustrations to show what kind of bleeding is truly life-threatening and requires a tourniquet for initial control of the hemorrhage.
Understanding the difference matters. Limbs should not be lost to tourniquets applied for minor bleeding.
This presentaion will be followed by a second TCCC Quick-Look presentation on Tourniquet Reassessment.

Read the full 27 page presentation in the JSOM 6/15 newsletter.
https://conta.cc/4dR2NYC

06/13/2026

06/12/2026

06/11/2026

06/11/2026

🚑‼️Jackson Hole Fire/EMS has responded to 3 incidents involving injuries with e-bikes in the past 2 days. Please remember these important safety reminders:
• Always wear a properly fitted helmet.
• Follow the rules of the road.
• Be cautious when entering intersections.
• Speed controlled for conditions and rider abilities.

06/09/2026

Summer season is here - which means somewhere, right now, somebody is trying to explain to dispatch that the patient is "about three miles past the waterfall and halfway up the ridge."

For most providers, that's where the logistics get incredibly complicated. For a Wilderness Paramedic, that’s just a regular Tuesday.

The IBSC WP-C specialty board certification was built specifically for professionals who thrive in these austere environments. It challenges and confirms your expertise in prolonged field care, navigation, high-angle rescue medicine, and decision-making when help is hours - or days - away. It's a badge of honor for those who look at a sheer rock face and see a workplace.

Whether you are looking to validate your years of experience in search and rescue or aiming to join an elite team, you can find the exam blueprint and study resources at ibscertifications.org.

🏔️ ibscertifications.org/roles/wilderness-paramedic

Photo Credit: NPC/Keith Lober