An Article from Jim Upchurch, M.D. – Medical Director for the Forest Service, Northern Rockies Region (R-1) Incident Medical Specialist Program

January 4, 2010

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Have We Taken the ‘Advanced’ out of ACLS?
by Jim Upchurch

For the Article: CLICK HERE

Jim Upchurch MD, MA, NREMT practices in Montana and is board certified in Family Practice with added qualification in Geriatrics. He has a master’s degree in education and human development and is licensed as a paramedic. Dr. Upchurch is a ‘Legacy’ member of the American College of Emergency Physicians. Since 1985 his practice has focused on emergency medicine and EMS while providing the full spectrum of care required in a rural/frontier environment. He provides medical direction for BLS and ALS EMS systems, including critical care interfacility transport; and for the Incident Medical Specialist Program, USDA Forest Service, Northern Region. Dr. Upchurch has served as American Heart Association ACLS Regional and National faculty for Montana and currently represents Montana on the Council of State EMS Medical Directors of the National Association of State EMS Officials. Contact him via e-mail at jim.upchurch@ems1.com.

Other Articles by Dr. Upchurch: CLICK HERE

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Hmm… Contributors on another website seem convinced that the Forest Service lacks medical direction. I disagree. What the Forest Service lacks is visionary leadership who know about what the hell they are trying to make decisions and policies on. The folks in these articles are making a difference and communicating with the folks “in the know” such as Incident Commanders, Operations Section Folks, and the Medical Unit.

Somebody needs to correct many of the posters on that other website… or maybe not. I get a kick out of seeing them try to re-invent the wheel over and over again by doing the same thing. Unfortunately, while it is often entertaining to view the other website, their content often delays or stalls real-world progress being undertaken by real-world experts trying to lead in a real-world of wildland fire complexity… It’s not rocket science… it’s fire science.
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And another article:

11 Burning Questions: Find out everything you’ve always wanted to know about wildfire EMS but were afraid to ask.
By Gene Madden

For the Article: CLICK HERE

Gene Madden is the safety officer of the Atlanta-based National Incident Management Organization (NIMO) for the U.S. Forest Service. Prior to joining the Forest Service, Gene was with the Florida Division of Forestry, for 16+ years. While with the Division of Forestry he was responsible for a number of programs including wildfire safety, driving, EMS and worker compensation programs.

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Additional Reading:

Practice in Context: Emergency and wilderness medicine may differ greatly, but concepts can cross over.
By Tod Schimelpfenig

For the Article: CLICK HERE

Tod Schimelpfenig has been a National Outdoor Leadership School instructor since 1973, has more than 30 years of field experience as an EMT, is a fellow of the Academy of Wilderness Medicine, and is a two-time winner of the Wilderness Medical Society’s Warren Bowman award for contributions to the field of wilderness medicine by a non-physician. Schimelpfenig has served as the NOLS risk-management director and Rocky Mountain School director, and on the board of the Wilderness Medical Society. He is a founder of the Wilderness Risk Manager’s Committee, has taught wilderness medicine since the late 1970s and has written numerous articles on educational program, risk management and wilderness medicine topics. He is the author of NOLS Wilderness Medicine and co-author of Risk Management for Outdoor Leaders. Schimelpfenig is currently the curriculum director of the Wilderness Medicine Institute of NOLS.

Reference:
Wildland Fire Agencies: All Risk or Not?
Chief Donald Duck… Remind You of Anyone?
This Week’s Spotlight Award: The FWFSA
Randy Mantooth (Johnny Gage): Fictional Firefighter, but Still A Fire Family Member and Lifelong Contributor
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