Wilderness Medicine, Beyond First Aid, 5th Edition

The book was a bit too basic for my taste. I understand that the layperson doesn't have access to many things that a doctor does. But to me, the book was more about band-aids than it is about stitches. I think it could have been a little meatier.
Due to the limited availability of many medicines to the average Joe (or Jane), I suppose the writer couldn't put in a lot of information on how to treat as a doctor would. But I was actually hoping for more of that kind of information.

First off, this is a great book. If anyone thinks this is just a glorified first-aid book, think again. Dr. Forgey's is quick to point out that some medical emergencies are best treated at a hospital by professionals, having said that he plays a "what if" game where evac is not possible and then provides detailed treatment strategies based on your level of skills and supplies on hand. It's a clever approach where plan A is better than plan B which is better than plan C which is better than plan D. Although, he'll point out that plan D is better than doing nothing. His sense of humor is not lost in this book which makes for a compelling read. It's a must have for laymen or practicing pro new to wilderness medicine. I couldn't recommend this book enough. My only complaint, if it qualifies as a complaint is that there isn't a 6th Edition with the latest in medical technology represented. Having said that, if a technique worked in 1999 it should still work in 2009 or 2019!

Favorite excerp from the book: "Red-hot branding irons and pouring gun powder into a wound and lighting it, while effective in killing germs and among Rambo's favorite techniques, also destroy good tissue." (Chapter 3 p.93 paragraph 2)

This one is a keeper, and at the current price, you should buy one for anyone that travels a lot...anywhere!


J.D.

It's no surprise that every reviewer has given this excellent and comprehensive book five stars.

Written by William Forgey, MD, former president of the Wilderness Medicine Society it goes beyond first aid, dealing with situations where you cannot merely administer initial care and then count on a rapid evacuation. Forgey writes with a light hand; he avoids jargon and has a dry sense of humor. For example (p. 157): "How do you calm a person who's just been bitten by a snake? Not surprisingly, just telling him to remain calm won't work."

There are seven chapters, beginning with assessment and stabilization, and going through body system disease symptoms, injuries, bites and stings, infectious diseases, and environmental injuries. There is an excellent appendix for putting together wilderness first aid/medical kits, both with prescription, and non-prescription meds, and with a bandaging module.

You don't have to be physician, nurse, or EMT to benefit from the book. All the information, is practical and hands-on; of value to the layperson who is interested in first aid and emergency medical situations. After an initial reading, Wilderness Medicine is a fine reference work.


A related website is: [...].

Living out in the wild, in the wilderness, is a contest with Nature. Most of the time, man wins the contest, but sometimes ... stuff happens.

Chapter One is about Assessment and starts with that key question: scene safe? Then Dr Forgey takes his reader through the ABCD's, vital signs, levels of consciousness, head to toe examination, shock, respiration rates, heart rates, and CPR. (The numbers for chest compressions and breaths has been changed by the AHA since Dr Forgey updated this book, but that is a minor issue.)

Chapter Two is about body system management. The focus of this chapter is on the systems in the head but the abdomen and reproductive system are given sections as well. There is also a very good, short section on poisoning from food poisoning to shellfish poisoning.

Chapter Three covers soft tissue wounds and treatments ... and suturing and stapling.

Chapter Four covers orthopedic injuries from head to foot.

Chapter Five covers bites and stings and anaphylactic shock. Interest-ingly Dr Forgey finds that rubber suction cups are as worthless as mouth suction. His lone endorsement is the Sawyer Extractor (which is available from Amazon.com).

Chapter Six is on infectious disease. Dr Forgey lists the most signif-icant *wilderness* diseases for North America and the world should one be contesting Nature abroad.

Chapter Seven's environmental injuries include hypothermia, heat stress, high altitude related illnesses, and ... being struck by lightning. Step current is caused when lightning hass struck and the current spreads out like a wave across the ground and the victim's feet are different distances from the strike point. Since the body has less resistance than the ground, a circuit is completed.

There are two useful appendices at the end of the book.

I am EMS certified and as a BLS instructor. I had a few quibbles with Dr Forgey such as his choice of prescription medications to list in one of the appendices. However I had no major disagreements and found the book to be more easily readable than any EMS book I have read. Lots of nuts and bolts and no fluff.

Also as I write this review, I am preparing a first aid segment for a TCLEOSE course on mantracking. Dr Forgey's book provided me with a lot of detail and anecdotes to include. However just as the title says this book is about wilderness medicine *beyond* first aid.

I found this book to be of outstanding usefulness. The book is designed for a person with advanced medical skill. It is not a first aid book. It is what the title says "Beyond First Aid". The writer displays his knowledge of care from his own experience as an outdoors man and lays out and describes in detail what is needed under various adverese circumstances.
Mingmei Jiang [BVocEd&Train(C.Sturt)]