Medical Wilderness Adventure Race

A Medical Wilderness Adventure Race (MedWar) combines wilderness medical challenges with adventure racing and was developed to give medical students, residents, health care professionals, and wilderness enthusiasts a practical, interactive, and enjoyable curriculum for learning wilderness medicine.

This race, “Mountain Assault,” in Park City Utah, was sponsored by the University of Utah Division of Emergency Medicine, the Wilderness Medical Society and the Wilderness Medicine Institute. Matt Hamonko MD, the wilderness fellow at U of U, put the event together.

The WMI Team was Dave Weber, myself, and Mike Ditolla. WMI MedWar team09

We carried what we would honestly take on a winter mountain day trip – honestly. We left the Lifepack 12 and Gamow bag in the truck. Water, food, extra layers, navigation and survival items filled our packs. You’re allowed to carry a reference book. We considered Auerbach’s Wilderness Medicine 5th edition, but it weighs in at 10.6 lbs, and was an awkward fit in the pack, so we relied on our brains, which served us well.

I’ve been racing biathlons recently, and the title of mountain assault made me consider bringing my rifle, but this is a non-violent medical event focused on saving, not shooting, so I left it at home.

We skied and snow shoed around 8 miles, navigating at times by GPS and stopping at 7 medical stations. We evaluated frostbite, managed a diabetic skier, reduced a dislocated shoulder, set up a pulley system to simulate a crevasse extraction, used a transceiver to find a buried skier, treated patients with altitude illness and hypothermia and dragged a patient a half kilometer across the snow.Drag pt 3 medwar 09

It took us a few stations to realize that the other teams were focusing on the obvious problem while we were diligently performing a full patient assessment, as we train our students to do. This cost us a bit of time, as did a faulty ski binding. There are no rest or water stations on the route, and if equipment breaks, you have to deal with it as you would in the wilderness.

These races are held throughout the U.S. and Canada at many different times of the year. You can find more information at www.medwar.org.

Tod Schimelpfenig

February 09

Written By

Tod Schimelpfenig

As a NOLS Instructor since 1973 and a WEMT, volunteer EMT on ambulance and search and rescue squads since the 70s, Tod Schimelpfenig has extensive experience with wilderness risk management. He has used this valuable experience to conduct safety reviews as well as serve as the NOLS Risk Management Director for eight years, the NOLS Rocky Mountain Director for six years, and three years on the board of directors of the Wilderness Medical Society, where he received the WMS Warren Bowman Award for lifetime contribution to the field of wilderness medicine. Tod is the founder of the Wilderness Risk Manager’s Committee, has spoken at numerous conferences on pre-hospital and wilderness medicine, including the Australian National Conference on Risk Management in Outdoor Recreation, and has taught wilderness medicine around the world. He has written numerous articles on educational program, risk management and wilderness medicine topics, and currently reviews articles for the Journal of Wilderness and Environmental Medicine. Additionally, he is the author of NOLS Wilderness Medicine and co-author of Risk Management for Outdoor Leaders, as well as multiple articles regarding wilderness medicine. Tod is the retired curriculum director for NOLS Wilderness Medicine and is an active wilderness medicine instructor