Carolina WEMS Extern

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

#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

-: 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 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 Rescue & Technical Training (BRATT) course. This training, roughly based on the nationalparkservice Basic Technical Rescue Training-East (BTRT-E), brings students through a full introduction to technical rescue and rigging in a vertical environment, with an emphasis on #medicallydirectedrescue. We were joined in this class by our friends from the Virginia Tech-Carilion Wilderness Medicine Fellowship as well as by our own Wake Forest EMS and Wilderness Medicine Fellows. The whole week will be spent training on Pilot Mountain State Park and camping at the Farm. A great start to a great course, developed and run by MD-53 Chris Davis (EX13) and WFU faculty Chris Peluso! *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 #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #thisisanthropology #thisispublichealth #trainlikeyoufight #BRATT #BRATT2024 #WakeForest #technicalrescue #pilotmountainstatepark #poplarcreekfarm #poplarcreekflowerfarm #WakeForestWildMed #medtwitter @HawkVenture @CWEMSE @VTMed @UNCEM

-: 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

The Externs reppin’ the #CoastalModule during Day 4 of the #BRATT class on Pilot Mountain. #oceantomountains #CWEMSE2024 #NCoceantomountain #PIMO #PilotMountain #DareEMS #DareCountyEMS #WootenJonesMD #MD75 #MD76 #ChrisDavisMD #1718brewing #1718ocracoke #experientialeducation #essequamvideri #MD53 #MD62 @DareCountyEM

-: 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

-: 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 had a transition day today. MD-75 Laura Westneat spent the morning interviewing for Wilderness Medicine Fellowship (good luck Laura!) while MD-76 Bret Naanep, quite remarkably, ran the Linville Gorge Loop in the morning. This is 22 grueling mountainous miles, folks, and Bret whipped it off like it was nothing, and showed up to lunch with his characteristic shrug and humble grin. This guy is remarkable. We spent the afternoon watching “Contagion” as part of our zoonoses training (and with a nod to Dr. Lydia Light’s UNC Charlotte Zoonoses class), and then got Zoom-based training on fumaroles and Oregon mountain rescue from MD-60 Jenna Wiley (EX16) and Pearce Beissinger. We raced off from there to our Burke County Rescue Squad SAR meeting, after which we got to catch 90 minutes of amazing envenomation lecturing from MD-5 Ben Abo (EX11). Phew—that was a big 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 #contagion #linvillegorge #thebigditch #fumarolerescue #fumarole #portlandmountainrescue #envenomation #burkerescuesquad #WMFellowship @burkerescue @Pearcebeis @benabo @CWEMSE @HawkVenture

-: 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

-: CWEMSE Day 14 :- [9/7/2024] Today’s Travel: 542 km Total Travel*: 8,155 km* Knot of the Day: overhand on a bight (WSS leash knot) PART 1 Externs #MD75 Laura Westneat and #MD76 Bret Naanep spent the day today back on the water at Lake James State Park getting Wilderness Swim Safety™ certification from Landmark Learning. WSS, formerly Wilderness Lifeguard, prepares rescuers to manage risk and perform (non-surf/swiftwater) water rescues in wilderness environments rather than pools or front country environments. Under the tutelage of Graham Neville and #MD1 Seth Collings Hawkins, the two passed the course with distinction. A great day of training! *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, dune ambulance/response vehicle #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #ncparks #thisispublichealth #wildernessswimsafety #WSS #lakejamesstatepark #landmarklearning #waterrescue #medtwitter @HawkVenture @CWEMSE

-: CWEMSE Day 13 :- [9/6/2024] Today’s Travel: 1,131 km Total Travel*: 7,613 km* Knot of the Day: overhand Externs #MD75 Laura Westneat and #MD76 Bret Naanep and Wake Forest Wilderness Medicine Fellow #MD68 Abbie Wehner (EX20) awoke against this morning at Jockey’s Ridge State Park at the conclusion of the #CoastalModule. They headed back west to Durham and a didactic session at Divers Alert Network. There they learned about the international work DAN does to prevent and manage diving injury and illness, toured the facility, and got to work with DAN international medical director Jim Chimiak. The remainder of the day was spent on stops in the Piedmont (including the Eno River!), completing precourse materials for the upcoming Landmark Learning Wilderness Swim Safety class tomorrow, and checking out the Morganton Historic Festival! Also there may have been another visit to Fonta Flora Brewery and Ono Poke Bowl, rapidly becoming the 2024 Externship hangout… *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, dune ambulance/response vehicle #CWEMSE2024 #cwemse #expeditionary #wildernessmedicine #wildernessEMS #essequamvideri #crewnotpassengers #medicalschool #emergencymedicine #hawkventures #yesthisismedschool #ncparks #outerbanks #jockeysridgestatepark #dan #diversalertnetwork #divemedicine #SCUBA #scubadiving #enoriverstatepark #HistoricMorgantonFestival #onopokebowl #fontaflorabrewery @FontaFloraBrew @CWEMSE @HawkVenture