Wilderness Medical Education Conference: Carstensz CME

TRIP DETAILS

• LOCATION: Papua New Guinea, Indonesia.
• 2017 DATES: Sept 3rd to Sept 23rd
• PRICE: $17,000 Including (17 hours AMA/PRA Category 1 CME credits)
• Additional Non-Physician Wilderness Medical Education Cost: $500.00 (Wilderness
Education Diploma from The Everest ER and AMG)
• DIFICULTY: Technical technical ascent. Fixed ropes and tyroleans, rock climbing up to 5.4
• DURATION: 19 days
• CLIENT/GUIDE RATIO: 3:1
  • Certified Mountain Guides
  • All domestic flights from Denpasar (Bali) to Papua and return
  • All internal flights
  • Hotel accommodations as stated in the itinerary (based on double occupancy*)
  • All meals as stated in the itinerary
  • Up to three nights accommodation and meals in Timika (in case of delays)
  • All group camping & climbing equipment
  • Papuan leadership and guide staff
  • Satellite phone service where possible (minutes not included)
  • Porter support for up to 15 kgs of personal equipment from Sugapa to Base Camp and return
  • Camp staff and cooking staff
  • Private ground transportation throughout the trip
  • 24/7 assistance in the US before and during the program
  • Real time online dispatches if possible

Not included

  • International round-trip airfare and travel expenses to/from Bali. (Bali is served by daily connections to many international transit centers, including Tokyo, Singapore, Taipei, Bangkok, etc.)
  • Accommodations and meals not included in itinerary
  • Personal clothing and equipment
  • Indonesian tourist visas
  • Airport arrival and departure taxes
  • Indonesian customs duties
  • Excess baggage charges
  • Personal expenses, room charges and laundry
  • Personal drinks and beverages
  • Customary guide gratuities
  • Personal equipment
  • Personal Insurance (Global Rescue or Travel Ex) $500,000 (required)
  • Personal expenses
  • Rescue costs and extra expenses caused by abandoning the expedition
  • Costs incurred as a result of delays or events beyond our control
  • Medical, hospitalization and evacuation costs
  • The cost of delays due to weather, road or trail conditions, flight delays, government intervention, illness, medical issues, hospitalization, evacuation costs (by helicopter or any other means), or any other contingency which we or our agents cannot control are not included.

ITINERARY

DAY 1

Depart home country. Flight to Denpasar, Bali (DPS). Most flights from the United States require a stop in a major city such as Tokyo, Singapore, Taipei, or Bangkok en route to Denpasar.

Arrive Denpasar. Arrive Denpasar, Bali: We transfer to our hotel and get some rest before our evening reception and welcome dinner. Overnight in Denpasar. (D)

DAY 2

Timika onward to Sugapa . (B,D)

ALTITUDE ILLNESS (4pm – 5pm):
High Altitude Pulmonary Edema(HAPE) and High Altitude Cerebral Edema (HACE):
ADVANCES IN DIAGNOSIS AND TREATMENT
Pathophysiology, diagnosis, and treatment of HAPE and HACE

BACKCOUNTRY MEDICAL KITS (5pm – 6pm):
Detailed discussion of medical supplies needed in remote environments

BACKCOUNTRY WATER DISINFECTION (6pm – 7pm):
How to effectively purify and disinfect surface water. Participants may have the opportunity to test different water purifiers and learn about chemical and natural water purification techniques.

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DAY 3

Food Prep and Final Gear Check. FROSTBITE AND OTHER COLD INJURIES (5pm – 6pm):
Pathophysiology, diagnosis and treatment of cold injury

LIGHTNING INJURIES (6pm – 7pm):
Pathophysiology, diagnosis and treatment. Safety and avoidance.

DAY 4

Trek to Carstensz. (B,D)

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DAY 5

Trek to Carstensz. MANAGEMENT OF FRACTURES & DISLOCATIONS (10:30am – 12pm):
Diagnosis and treatment of orthopedic injuries in the backcountry.

WILDERNESS WOUND MANAGEMENT (12pm – 12:30 pm):
Diagnosis and treatment of soft tissue injuries in the backcountry

BITES AND STINGS (5pm-6pm):
Pathophysiology, diagnosis and treatment of common envenomations by insects and snakes.

WILD ANIMAL ATTACKS (6pm- 7pm):
Treatment and avoidance wild animal wounds / attacks

DAY 6

Trek Carstensz. (B,D)

DAY 7

Trek to Carstensz. (B,D) TRAVELER’S DIARRHEA, GIARDIASIS & OTHER WATERBORNE WILDERNESS INFECTIONS (9am-10am):
Pathophysiology, diagnosis, treatment, and prevention of waterborne infections

CASE STUDIES IN EXPEDITION MEDICINE (5pm-6pm):
An interactive case discussion of common expedition problems and their treatment and evacuation strategies.

WILDERNESS OPTHALMOLOGY (6pm-7pm):
Pathophysiology, diagnosis and treatment of eye problems that occur in wildereness settings.

DAY 8

Arrive Carstensz Base Camp.(B,D) CASE STUDIES IN EVEREST BASE CAMP (5:00 – 7:00 pm):
Special considerations in diagnosing and treating medical problems that develop in a mountaineering population.

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DAY 9

Rest Day and Climbing prep.The day is spent at Base Camp preparing and reviewing climbing techniques and resting for the climb. (B,D) AVALANCHE SAFETY AND RESCUE (10am – 11am):
Andes Mountain Guides expedition staff will conduct a brief review of avalanche safety.

SIMULATED MOUNTAIN RESCUE (11am-12pm):
Andes Mountain Guides will demonstrate “packaging” a patient on the mountain, rigging for raising and lowering nonambulatory patients.

DAY 10

Summit Day. Following an alpine start, we initially climb a series of rock gullies before traversing along the narrow summit ridge and over a series of small notches, to the summit. The climbing involves mostly scrambling, with a few short sections of mid-fifth-class climbing. We also use both fixed lines and Tyrolean traverses to bypass difficulties. (B,D)

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DAY 11 and 12

Extra Summit Days. Only used in the event of poor weather or other delays. (B,D)

DAY 13 to 15

Trek Out. (B,D)

DAY 16

Arrive Sugapa. We trek the final stretch though the jungle, returning to the village of Sugapa. (B,D)

DAY 17

Flight to Timika. A morning flight takes us out of the mountains and back to Timika, where we enjoy a hot shower and some time by the pool. Overnight at the Rimba Papua. (B)

DAY 18

Flight to Denpasar. We return to Bali to celebrate the end of our adventures. Overnight in Denpasar, Bali. (B)

DAY 19

Flight back Home. Transfer to the airport. End of the program.

DESIGNATION STATEMENT

Faculty member has disclosed no real or apparent conflict of interest related to the content of this presentation. Faculty has no financial conflicts of interest related to this presentation.

ACCME Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Wilderness Medical Society and Andes Mountain Guides. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

The Wilderness Medical Society designates this educational activity for a maximum of 16 AMA PRA Category 1 Credits TM. Each physician should only claim credit commensurate with the extent of their participation in the activity.