{"id":10133,"date":"2023-03-14T10:38:17","date_gmt":"2023-03-14T15:38:17","guid":{"rendered":"https:\/\/blogs.und.edu\/for-your-health\/?p=10133"},"modified":"2023-03-23T10:34:10","modified_gmt":"2023-03-23T15:34:10","slug":"unstoppable-forces-and-immovable-objects","status":"publish","type":"post","link":"https:\/\/blogs.und.edu\/for-your-health\/2023\/03\/14\/unstoppable-forces-and-immovable-objects\/","title":{"rendered":"Unstoppable forces and immovable objects"},"content":{"rendered":"

UND\u2019s Emergency Medicine Interest Group takes students to the slopes to learn about emergency care for winter collision injuries.<\/p>\n

The idea does sound a bit odd for students attending medical school in an astoundingly flat eastern North Dakota city: emergency medical services (EMS) training for downhill skiers suffering injury.<\/p>\n

But there were second-year UND School of Medicine & Health Sciences medical students Mark Raymond and Regan Washist on the slopes in January 2023, practicing patient care in the snow.<\/p>\n

Truth be told, they were on less of a mountain than a very impressive hill, laughs Washist. In Minnesota no less. But it worked, she says.<\/p>\n

\u201cWe got to do a simulation where Mark acted like he\u2019d run into a tree and we had to get him out of there,\u201d says Washist, a Bismarck, N.D., native with an EMS background, of her outdoor training. \u201cI\u2019ve never been on the slopes doing this kind of care. I would definitely say being on the slopes is a lot harder than getting a person out of the ditch from a car accident. There\u2019s no solid ground, so trying to move people on the hill is a challenge.\u201d<\/p>\n

 <\/p>\n

\u2018Getting through winter\u2019<\/strong><\/p>\n

Washist and Raymond are the copresidents of the School\u2019s Emergency Medicine Interest Group (EMIG), one of many student-led groups at the School that give future providers more focused exposure to the medical specialties they might be considering after graduation.<\/p>\n

According to Raymond, this latest event\u2019s organizer, such extracurricular hands-on training is exactly the sort of thing many students \u2013 even those not considering emergency medicine \u2013 are looking for.<\/p>\n

\u201cI had the opportunity to work ski patrol for a couple years over in Montana,\u201d explains Raymond. \u201cA number of fellow students here asked me what ski patrol was like and how I got into it, so I thought this would be a cool opportunity to give students a glimpse of that \u2018day-in-the-life\u2019 of a ski patroller.\u201d<\/p>\n

After reaching out to Mark Lindquist, Director of Ski Patrol at Detroit Mountain Recreation Area<\/a> who gave an enthusiastic \u201cyes\u201d to the student group\u2019s field day proposal, Raymond connected with Dr. Brian Delage, co-director of the SMHS Department of Family & Community Medicine<\/a> clerkship for third-year medical students.<\/p>\n

\u201cI\u2019ve been [ski] patrolling for about four years at Detroit Mountain \u2013 it\u2019s how I get through the winter!\u201d Delage laughs, noting too the benefit students have seen from the School\u2019s relatively new Department of Emergency Medicine<\/a>, whose Bismarck-based chair Dr. Jon Solberg serves as EMIG faculty advisor. \u201cI\u2019m an [outdoor emergency care] instructor and am \u2018alpine\u2019 certified.\u201d<\/p>\n

 <\/p>\n

Outdoor injuries<\/strong><\/p>\n

A Bozeman, Mont., native, Raymond says that while not the same as the Big Sky resort in Montana, the more modest local slopes \u2013 Detroit Mountain is nestled a few miles east of Detroit Lakes, Minn. \u2013 are in some ways better for training less experienced patrollers.<\/p>\n

Because Big Sky is such a large mountain, that is, with a sizable guest population and a very large volunteer ski patrol program, it can be trickier to train medical students coming to the EMIG without a formal EMS background. Thus was Detroit Mountain an almost ideal way of introducing future physicians to the type of injuries they\u2019re likely to see on the slopes or in their ERs.<\/p>\n

\u201cMost of what you see as a ski patroller is musculoskeletal,\u201d Raymond explains. \u201cWe get a lot of long bone injuries, lots of head, neck, and back injuries due to skiers colliding with things at high speed. A lot of bread-and-butter injuries: minor trauma, maybe altitude sickness.\u201d<\/p>\n

On the more \u201cextreme\u201d side of winter recreation injury, Raymond says, are severe head and spine injuries \u2013 those requiring helicopter evacuation, which are more common than you might think: \u201cYou really can injure yourself severely if you hit rocks or trees or buildings going 60 miles per hour.\u201d<\/p>\n

\u201cWe\u2019ve had kids who get out of control while skiing and go straight into a building at Detroit Mountain,\u201d Delage adds with a wince. \u201cThey may break both wrists. Others have had serious facial injuries because they hit their face on a building. Oftentimes, it\u2019s trauma related to speed and hitting an object. Trees aren\u2019t very movable.\u201d<\/p>\n

 <\/p>\n

The future ER<\/strong><\/p>\n

Like most medical specialties, emergency medicine is facing a physician shortage \u2013 even as visits to emergency rooms across the nation increase. Fortunately, the number of new MDs choosing emergency medicine for their residency training too is increasing, including at UND. Even so, the current provider shortage means that emergency rooms look different today than they did even a decade ago.<\/p>\n

All of this is why health systems are not only encouraging patients (more of whom have insurance compared to a decade ago) to use primary care providers rather than the ER for routine care, but are also relying on advanced practice providers in the ER: nurse practitioners, physician assistants, and other specialists. Likewise, \u201curgent care\u201d facilities are helping ERs triage patients in an effort to reduce ER volumes.<\/p>\n

But the ER can still be intense, says Raymond, which is actually what attracts him to the profession.<\/p>\n

\u201cMy intro to medicine was as an emergency medical technician and working as a ski patroller,\u201d he reflects, admitting that growing up he didn\u2019t exactly love school \u2013 too much sitting. \u201cI think patrolling was the first time in my education where I really found something I was excited about learning. I remember just going through my EMT course and loving it. I gobbled it up and I loved working as a ski patroller, especially seeing all of these different injuries and people, and really being able to respond in the moment to these immediate needs and concerns.\u201d<\/p>\n

Raymond also admits that the clich\u00e9 of the adrenaline-junkie-ER-doc fits him.<\/p>\n

\u201cI guess I\u2019m a little bit of a stereotype in that I like to play outside: biking, running, rock climbing \u2013 things like that. And I know a lot of the ER docs who choose the profession because they do shift work\u201d \u2013 12 hours on, 48 off \u2013 \u201cso they\u2019re able to go and work hard and then play hard.\u201d<\/p>\n

Washist agrees, adding that for her the choice of emergency medicine is really no choice at all.<\/p>\n

\u201cThis is my plan, 99% sure,\u201d she says. \u201cI also have an EMS background, and a lot of EMS people who come into medical school tend to go into emergency medicine. I love the variety. I enjoy that my doors are always open to any single patient that would ever come in. And usually insurance isn\u2019t even an issue either because with [EMTALA; the federal Emergency Medical Treatment & Labor Act] I can just treat whoever walks up to me. Work life balance is awesome too. With that shift work and being able to go off on the weekend and do things like ski patrolling or just go hiking and enjoying our time is a draw. It\u2019s a natural transition for us in EMS, and you can\u2019t really do that in any other specialty.\u201d<\/p>\n

By Brian James Schill<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

UND\u2019s Emergency Medicine Interest Group takes students to the slopes to learn about emergency care for winter collision injuries. The idea does sound a bit odd for students attending medical school in an astoundingly flat eastern North Dakota city: emergency medical services (EMS) training for downhill skiers suffering injury. But there were second-year UND School […]<\/p>\n","protected":false},"author":36,"featured_media":10145,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7],"tags":[2030,2315,2310,2311,1810,2314,2312,204,435,2313],"class_list":["post-10133","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-delage","tag-detroit-mountain","tag-emergency-medicine","tag-er","tag-minnesota","tag-raymond","tag-ski-patrol","tag-skiing-2","tag-solberg","tag-washist"],"acf":[],"yoast_head":"\nUnstoppable forces and immovable objects - For Your Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.und.edu\/for-your-health\/2023\/03\/14\/unstoppable-forces-and-immovable-objects\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Unstoppable forces and immovable objects - For Your Health\" \/>\n<meta property=\"og:description\" content=\"UND\u2019s Emergency Medicine Interest Group takes students to the slopes to learn about emergency care for winter collision injuries. 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