Navigation Menu


Article from August, 2016

by Michael J. Manyak, MD, MED ‘92 Every year spring brings with the thaw a spate of activities at higher altitudes and prompts questions about altitude illness. Serious mountaineers begin to peer skyward while seasons open at popular travel destinations such as Machu Picchu, Kilimanjaro, and Everest Base Camp. Altitude illness results from low oxygen...

Read More

Going Viral

Article from July, 2013

It has been said that good things come in small packages but the opposite can be true on travel and in remote areas.  The biggest killers in tropical areas are actually mosquitoes who spread tiny deadly organisms responsible for malaria, dengue, and yellow fever.  Even though these diseases affect millions, greater lurking dangers relate to pandemic...

Read More

Sticks and Stones and Broken Bones

Article from April, 2013

Traumatic events in the field are dramatic and emotional.  In cases where there are orthopedic injuries, proper assessment, stabilization and initial treatment of the victim are very important to limit the damage and salvage function of limbs.  Although some fractures and dislocations are obvious, the lack of imaging (x-rays, ultrasound) on site prevents...

Read More

Lightning Strikes Twice: Surviving a Violent Storm

Article from January, 2013

One of the most frightening circumstances in the field occurs when your expedition is confronted with a sudden or inescapable violent storm. Naturally we all attempt to avoid such situations but sometimes these arise without warning when we are expose One of the most powerful and spectacular natural phenomena is lightning which occurs when the electrical...

Read More

At The Ready: Mindful Expedition Preparation

Article from October, 2012

The objective of an expedition is to achieve the goal while maintaining the health and safety of the expedition members.  We try to do that while leaving a minimal footprint on the environment and being mindful of its flora and fauna.  Even more basic to that premise is the concept of personal mindfulness when it comes to health care in the field. ...

Read More

Head Games: Protecting Your Most Valuable Asset

Article from July, 2012

Many of us on departing on expeditions think about protecting our head and eyes from the elements and insects but besides allergies for those afflicted, little thought is directed to what else can cause problems in that area. Two potentially exquisite sources of pain and suffering, eyes and teeth, have been covered in previous columns. But other than colds...

Read More