Case Study
Non-Freezing Cold Injury on a Canoe Trip
The Setting You are leading an early-season canoe trip in the Boundary Waters Canoe Area Wilderness. It’s mid-May, and while the days are mild, the water is still very cold. Travel involves frequent portaging and wading in and out of the canoe to load and unload gear. Despite good effort, everyone’s feet have been wet…
Case Study: Motion Sickness on a Surf and Dive Trip in Oahu, Hawaii
The Setting You’re leading a small group on a combined surf and introductory scuba trip on Oahu. The group is staying on the North Shore and driving early in the morning to a south shore harbor to meet the dive boat. The coastal road is narrow, hilly, and full of tight curves. Several group members…
Case Study: An Unexpected Illness on a Ski Trip
The Setting You’re on day 2 of a 4-day hut to hut ski trip in the 100 Mile Wilderness in Maine. The weather has been cold and crisp, and the snow has been steadily falling, creating near perfect conditions. You are working as a cross-country ski guide and have five participants on your trip. You…
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