Hawk Ventures

#lectureeffect @CWEMSE #3ash #flashflood #essequamvideri #yourcarisnotaboat @HawkVenture

“Dry drowning” is a myth. No evidence supports deterioration in asymptomatic kids hours after swimming. If vitals and lungs are normal, discharge is safe. 🌊 @hawkvox @EmergencyDocs @CircAHA ow.ly/5hzy50WHC0w

We are recruiting our two 2025 Carolina Wilderness EMS Externs! Apps accepted now through Apr 1 & available here: hawkventures.com/externship/app… This 4 week rotation is often cited as the best month of #medschool / #residency. Share with anyone who would make a strong Extern! #wildmed

**HELENE DONATION UPDATE** Many people have been asking where I recommend sending donations. My advice is to go very big or very small. Without further unpacking I will acknowledge there are strengths and weaknesses to both. Very big would be orgs like Red Cross, state government, or United Way. Very small would be county-level or smaller. For very small destination, I've been sharing Burke Rescue as a site, my own rescue squad. While I still wholly endorse donations there, I think Burke is pulling out of this. I have lots of colleagues in Mitchell County, which has been harder hit than us (think Spruce Pine, which has been very much in the news). They recommend the AMY Foundation as a good county-level recipient of disaster funds, so I'm switching my "local" rec to them. The benefit is that AMY (Avery-Mitchell-Yancey) also includes Burnsville (Yancey), another heavily hit rural site very much in the news. When you hear about rural places in NC that are still compromised, it's places like this. You can donate to the AMY Foundation here (click on "donate" tab): amywellnessfoundation.org #HurricaneHelene #RebuildNC #thisispublichealth

It’s about one week to the hour since my son Noah and I chainsawed our way through massive poison ivy vines and trees out of the Lost Corners neighborhood of Morganton NC. At that time rain was pouring sideways and leaves were flying upwards. This leaf is about 8 meters above the deck, out our second story window, still suspended by two gossamer spider threads. I think it’s a powerful metaphor for the ongoing tenuousness of our situation and communities still in suspended and compromised circumstances, held together by gossamer threads of community and faith. But it’s also worth pointing out that spiderwebs, which appear fine and fragile, are stronger than steel when compared by weight. Overall, this still-suspended leaf one week out is an awe-inspiring testament, one week out, to the power of nature over us still… as readers of _Wilderness EMS 1e_ know, the anthropologically-driven definition of wilderness medicine and wilderness EMS. #thisisanthropology #thisispublichealth #HurricaneHelene #resilience #leavesinthewind #WEMSText @WEMSText

-: CWEMSE Day 28 :- [9/21/2024, posted late on 9/22/2024] Today’s Travel: 1352 km Total Travel*: 15,003 km* Knot of the Day: stopper knot BARKLEY MARATHONS FALL CLASSIC Our final day of the Externship was spent in collaboration with the Appalachian Mountain Rescue Team, providing medical support to The Barkley Marathons Fall Classic. This remarkable 50 km ultramarathon is one of the most famous & challenging in the world. The route, which changes every year, must be navigated by racers without GPS, and which they only receive access to the morning before, includes about 3600 m of elevation change on each loop. More info on the marathon series: youtu.be/NDZdsqbcGTU?si… This really was a perfect capstone experience to the Extern’s month & gave them real-world experiential education around event medicine and austere/wilderness medical care. And for sure the grueling characteristics of the Barkley provided plenty of experience! We were positioned at the top of a truly gnarly series of switchbacks up Bird Mountain, & just before the Pillars of Doim. With a name like that what could go wrong? A particular treat for us was meeting & getting to walk for a while with Laz, the famous course designer and founder of the Barkly! Following this, and a late night debrief, the Externship ended as it so often does: hugs and farewells in a remote forest/park parking lot, with Externs and Seth reminding each other that this is not the end… it’s only the beginning of a beautiful collaboration together. Until next time — esse quam videri! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV), litter travel, ascending and descending rope #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #WakeForestWildMed #barkleymarathons #appalachianmountainrescueteam #frozenheadstatepark @HawkVenture @WakeWildMed @CWEMSE

-: CWEMSE Day 27 :- [9/20/2024, posted late on 9/22/2024] Today’s Travel: 1696 km Total Travel*: 13,651 km* Knot of the Day: interlocking bowline BRATT DAY 5 Today we put it all together in an all-day patient care SAR simulation. We challenged ourselves to the limits of our new knowledge and the Externs truly excelled in their roles. BRATT class got rave reviews from them!. Kudos to course faculty MD-53 Chris Davis (EX13), MD-68 Abbie Wehner (EX20), MD-1 Seth Collings Hawkins, and Chris Peluso (and especially Peluso for cooking all the meals!) Immediately upon wrapping up the course at 1500, after bidding adieu to Poplar Creek Flower Farm and Pilot Mountain, we launched for our final destination: Frozen Head State Park (TN) and medical support of The Barkley Marathons Fall Classic Ultramarathon there. Stopping on the way for food supplies at Ingles, the Externs got a little nutritional primer from Chris “Food is Fuel and Medicine” Peluso. Naanep reported “I haven’t been pimped** so hard all month!” Hahahaha… our interim destination tonight was Morganton, where we hit up perennial Externship favorite Mountain Burrito. Then we hit the sack at 2100 for a planned 0200 launch to TN. **when medical students get interrogated with questions to test their knowledge *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV), litter travel, ascending and descending rope #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #BRATT #BRATT2024 #WakeForest #technicalrescue #pilotmountainstatepark #poplarcreekfarm #poplarcreekflowerfarm #WakeForestWildMed #anchorbuilding #ropeskills #ropeskillsrigging #Ingles #foodismedicine #foodisfuel #barkleymarathons #frozenheadstatepark #medtwitter @HawkVenture @CWEMSE @MountainBurrito

-: CWEMSE Day 26 :- [9/19/2024, posted late on 9/22/2024] Today’s Travel: 373 km Total Travel*: 11,955 km* Knot of the Day: VT prusik Max over 1 GRADUATION!! We have a tradition of holding our graduation ceremony a few days before actual graduation, since the final weekend is so jam-full of operations and adventures. So tonight, on Day 26 in the Poplar Creek Farm meadow, we celebrated the amazing accomplishments of our two Externs this year, MD-75 Laura Westneat (The University of North Carolina at Chapel Hill) and MD-76 Bret Naanep (University of Illinois Chicago). On hand to celebrate were the entire BRATT class as well as Extern Graduates MD-53 Chris Davis (EX13), MD-62 Wooten Jones via FaceTime (EX18), MD-68 Abigail Wehner (EX20), and MD-71 Kara Hatlevoll (EX22). Cake was delivered by Den Mother & Number 1 Volunteer Kelly Collings Hawkins. During the ceremony the Externs not only receive their plaques but also get to present the Golden Carabiner Award to the person who was most significant to their learning for the month. They presented it this month to Wooten Jones, our Associate Director for Coastal Operationsm who is responsible for the amazing experience that is the #CoastalModule. Congratulations to Wooten, who was also read an awesome original haiku written by the Externs for him: The Arch Wooten Jones Hunter of deer and disease We love your bald head Even more, congratulations to Laura and Bret—you have both excelled in this challenging rotation! Welcome to the ranks of Extern Graduates!! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV), litter travel, ascending and descending rope #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #BRATT #BRATT2024 #WakeForest #technicalrescue #pilotmountainstatepark #poplarcreekfarm #poplarcreekflowerfarm #WakeForestWildMed #anchorbuilding #ropeskills #ropeskillsrigging #CWEMSEGraduation @HawkVenture @CWEMSE @UNC @EastCarolina

-: CWEMSE Day 26 :- [9/19/2024, posted late on 9/22/2024] Today’s Travel: 373 km Total Travel*: 11,955 km* Knot of the Day: VT prusik Max over 1 BRATT DAY 4 After sleeping out under the stars every night in the Poplar Creek Flower Farm meadow, we return each morning to Pilot Mountain State Park to continue developing our technical rescue skills. Today we discussed major roles in a technical rescue incidents, learned how they move patients through high angle terrrain, worked on communication hacks, and worked on raising and lowering an attended patient, getting chased off the mountain just at the end by an incoming thunderstorm. We repositioned to the Farm for a didactic session on mountain rescue injury research from the Wilderness Medical Society scientific journal. And tonight… our graduation ceremony (pragmatically a few days early), covered in a separate post! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV), litter travel, ascending and descending rope #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #BRATT #BRATT2024 #WakeForest #technicalrescue #pilotmountainstatepark #poplarcreekfarm #poplarcreekflowerfarm #WakeForestWildMed #anchorbuilding #ropeskills #ropeskillsrigging @NCparks @HawkVenture @CWEMSE @UNCEM @EmsWake @WakeWildMed

-: CWEMSE Day 24 :- [9/17/2024, posted late on 9/22/2024] Today’s Travel: 403 km Total Travel*: 11,222 km* Knot of the Day: Kleimheist/autoblock BRATT DAY 2 After learning the basics of safety on and around rocks and vertical spaces, we began today to work on helping others in these same spaces. We gained skills and confidence in ascending ropes, worked on concepts of #prolongedfieldcare, developed anchor-building techniques using the SERENE model, and integrated rappelling and ascending into patient access scenarios. Working in a hurricane-downgraded-to-tropical-storm only heightened our experiential education! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV), litter travel, ascending and descending rope #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #BRATT #BRATT2024 #WakeForest #technicalrescue #pilotmountainstatepark #poplarcreekfarm #poplarcreekflowerfarm #WakeForestWildMed #anchorbuilding #ropeskills #ropeskillsrigging @HawkVenture @CWEMSE

-: CWEMSE Day 23 :- [9/16/2024, posted late on 9/22/2024] Today’s Travel: 466 km Total Travel*: 10,819 km* Knot of the Day: Tensionless hitch anchor BRATT DAY 1 We repositioned today to Poplar Creek Flower Farm under towering Pilot Mountain for the first day of our unique Basic

-: CWEMSE Day 22 :- [9/15/2024, posted late on 9/22/2024] Today’s Travel: 134 km Total Travel*: 10,353 km* Knot of the Day: Yosemite finish to bowline CAROLINA WILDERNESS EMS SUMMIT DAY 2 hawkventures.com/summit We wrapped up the Carolina Wilderness EMS Summit today at Upper Creek Falls. It was an epic day of training culminating in a full-on SAR mission, run from call-out to conclusion of patient patient and delivery to front-country EMS. The whole day was fantastic, and could not have succeeded without the huge support of our instructors and partners, including the U.S. Forest Service, wpcc_pioneers, raggededgesolutions, cultivateclimbing, and course co-directors Justin Doroshenko and Seth Collings Hawkins. *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #cwemssummit #cwemssummit2024 #usfs #pisgahnationalforest #uppercreekfalls #WEMS #SAR #raggededgesolutions #cultivateclimbing #wpcc #pisgahnationalforest @CWEMSE @HawkVenture @WPCC_Pioneers @UNC #medtwitter #trainlikeyoufight

-: CWEMSE Day 21 :- [9/14/2024, posted late on 9/22/2024] Today’s Travel: 160 km Total Travel*: 10,219 km* Knot of the Day: basket anchor CAROLINA WILDERNESS EMS SUMMIT DAY 1 hawkventures.com/summit We all headed up to Wiseman’s View for the first day of the Carolina Wilderness EMS Summit. This was an intensive day of training with two dozen students on all elements of delivery of medical care in an austere, remote, or wilderness environment. We were particularly privileged to be joined by the national medical director and EMS director of the U.S. Forest Service, who joined us for this event held in Pisgah National Forest! After this 100% hands-on training, we all returned to Steel Creek Park and Campground for Boulevard Barbeque, drinks, catching up with old friends, making new friends, and mentoring and grey/parallel/hidden curriculum work deep into the night! Kudos to co-course directors Justin Doroshenko and Seth Collings Hawkins, and course sponsor Western Piedmont Community College for a great day! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #cwemssummit #cwemssummit2024 #usfs #pisgahnationalforest #boulevardbarbecue #steelcreek #WEMS #SAR @wpcc_pioneers @HawkVenture @USFSRegion8 @forestservice @CWEMSE

-: CWEMSE Day 20 :- [9/13/2024] Today’s Travel: 120 km Total Travel*: 10,059 km* Knot of the Day: double loop 8 CAROLINA WEMS SEMINAR hawkventures.com/seminar It’s Seminar day!! Led by world-class instructors and WEMS authorities like Chris Davis, Justin Doroshenko, Michelle Curry, Ben Abo, and Jim Chimiak, we explored a wide range of medical topics in this wilderness EMS continuing medical education experience credentialed by the Wilderness Medical Society. The Seminar this year was attended by every EMS Fellow and Wilderness Medicine Fellow in the state of NC, who are the primary target audience. But we were also delighted to include paramedics, nurses, medical students, and resident physicians this year. After the training we repositioned to Hillman Beer - Morganton for more opportunities to connect and explore wilderness EMS topics in a more relaxed setting. Another great CWEMS Seminar is in the history books! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #cwemsseminar #cwemsseminar2024 @WildMedSociety @AlamoCityEM @DiversAlert @USFSRegion8 @forestservice @HawkVenture @CWEMSE

-: CWEMSE Day 19 :- [9/12/2024 posted late on 9/13/2024] Today’s Travel: 188 km Total Travel*: 9,939 km* Knot of the Day: directional bowline EXTERN GRADUATE MENTOR DAY We spent much of the day today in 1 hour intensive Zoom sessions with Extern Graduates and instructors. Sessions included Psychological First Aid with MD-64 Hannah Loewenberg (EX18), Hunting & Agricultural Injuries with MD-62 Wooten Jones (EX17), Pediatric Wilderness EMS with Chris Peluso, Drowning with MD-53 Chris Davis (EX13), and Wildland Fire Management with MD-59 Sarah Frances McClure (EX16). They then spent the evening at the Burke County Rescue meeting getting credentialed in traffic incident management (part of the NC Tech Rescuer cert and acknowledgement that a disproportionate number of injuries and fatalities on SARS and WEMS involve vehicles). Then… onward to the CWEMS Seminar tomorrow! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #wildlandfire #wildlandfiremedical #PFA #psychologicalfirstaid #huntinginjuries #huntinginjury #drowning #stopdrowning #pediatricEMS #pediatrics #WEMS #BurkeRescue #neighborshelpingneighbors #BurkeSAR @burkerescue

RT @hawkvox: -: CWEMSE Day 18 :- [9/11/2024] Today’s Travel: 121 km Total Travel*: 9,751 km* Knot of the Day: Doubly-slipped reef knot We…

-: CWEMSE Day 17 :- [9/10/2024] Today’s Travel: 182 km Total Travel*: 9,630 km* Knot of the Day: Highwayman’s knot SWIFTWATER RESCUE DAY MD-75 and MD-76 spent the day in and around the Catawba River, training in swiftwater rescue skills. Under the tutelage of professional swiftwater rescue instructors Graham Neville and Ryan Smith, they learned both theory and practice around technical skills in rescuing patients from swiftwater environments. We then regrouped at Reptile Cantina for debrief and plans for the Externship endgame over the final week and a half to come! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #swiftwaterrescue #swiftwaterrescuetraining #waterrescue #waterrescuetraining #reptilecantina #medtwitter

-: CWEMSE Day 16 :- [9/9/2024 posted late on 9/10/2024] Today’s Travel: 620 km Total Travel*: 9,448 km* Knot of the Day: square knot BURKE RESCUE/SOUTH MOUNTAINS DAY The Externs spent the morning with Burke County Rescue and SAR. Learning how massive an operation this is, sustained entirely by volunteer time and skills, was an incredible learning experience. This is the sort of thing that doesn’t land in a PowerPoint presentation, but is best understood and appreciated experientially. From there the Externs repositioned to South Mountains State Parks to train and respond in the largest state park in North Carolina. They patrolled the park by ATV and foot. We are indebted to Ranger Ian Magill for spending the afternoon teaching us about SAR and wilderness EMS in remote areas of NC. The Externs then returned to Morganton and the cultural experience that is Little Guatemala for dinner and debriefing. Another great day! *total course travel distance to date for #MD1, #MD75, & #MD76, including by truck, motorboat, ambulance, firetruck, foot, helicopter, swimming, canoe, ferry, ocean rescue beach response truck, UTV & ATV, dune ambulance/response vehicle, electric vehicle (EV) #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #ncparks #thisisanthropology #thisispublichealth #southmountains #southmountainsstatepark #littleguatemala #littleguatemalamorganton #burkerescue #burkerescuesquad #burkesar #neighborshelpingneighbors #medtwitter @NCparks @burkerescue #SOMO @CWEMSE @HawkVenture

RT @hawkvox: -: CWEMSE Day 15 :- [9/8/2024 posted late on 9/9/2024] Today’s Travel: 673 km Total Travel*: 8,828 km* Knot of the Day: clove…

Great press from Friends of Lake James State Park! Huge kudos to our supporters at CBS Sports, Wake Forest Medical School Student Affairs, Lake James State Park, Jeffrey Howard, & our awesome students & instructors! lakejamesstatepark.org/news/2024/9/wa… @NCparks @WakeForest @wakeforestmed