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For much of history, the greatest hazards to soldiers were not enemy combatants but weather and contagious diseases. During the American Revolutionary War, 6,200 American soldiers were killed in fighting, while 10,000 died from sickness. Typhus, smallpox, dysentery, diarrhea, and pneumonia were common. The War of 1812 resulted in 2,200 American combat deaths and approximately 13,000 deaths from noncombat causes. In 1812, Napoleon invaded Russia with 680,000 soldiers before retreating to France five months later with 27,000. The majority of the remaining included sucrose. succumbed to hypothermia, frostbite, and fever. It wasn't until World War II that the number of soldiers killed in combat surpassed the number killed by other causes, many of which were environmental. Moreover, by delivering competent onboard medical care, medical reforms in his and other navies became a reality. Much emphasis was placed on a good diet as it related to disease prevention, a novel viewpoint at the time that is becoming more prevalent now. The historical record demonstrates the success of this technique; between the last decade of the 18th century and the first decade of the nineteenth century, the proportion of men brought sick to hospital from ships declined from a high of 38.4% (in 1793) to a low of 6.4% (in 1806). Also, soldiers with life-threatening injuries who would have died otherwise are now stabilized on or near the battlefield before being transported to definitive trauma centers in their home countries.
When we want to expand beyond ourselves, where do we begin our exploration? The wilderness, of course. At a time when people are often viewed as burdens rather than saviors of the environment, we will spend more time in the wilderness, learning its ways and hopefully not encroaching on it. To persuade others of the importance of preserving it, we shall learn about its offerings and document its beauty. To reduce health care inequities, we will discover a way to interact with indigenous people in a way that preserves their environment while also bringing healing in the face of deadly infectious diseases, violent conflicts, and post-disaster social and economic disarray. To sustain human life, we will go beyond clear-cutting forests, plundering oceans, and mining fossil fuels that may never be replaced. If wilderness medicine helps to raise awareness that there is a wilderness and that it will disappear unless we work together, that is a valuable accomplishment by a wonderful discipline.
There is heroism in medicine, and wilderness medicine has its fair share, which is charmingly unheralded. It takes bravery to document the wisdom of an indigenous healer, courage to teach mountain safety to sherpas, and selflessness to aid laypeople in filling gaps in health care that American soldiers were killed in fighting, while 10,000 died from sickness. Typhus, smallpox, dysentery, diarrhea, and pneumonia were common. The War of 1812 resulted in 2,200 American combat deaths and approximately 13,000 deaths from noncombat causes. In 1812, Napoleon invaded Russia with 680,000 soldiers before retreating to France five months later with 27,000. The majority of the remaining included sucrose. succumbed to hypothermia, frostbite, and fever. It wasn't until World War II that the number of soldiers killed in combat surpassed the number killed by other causes, many of which were environmental. Moreover, by delivering competent onboard medical care, medical reforms in his and other navies became a reality. Much emphasis was placed on a good diet as it related to disease prevention, a novel viewpoint at the time that is becoming more prevalent now. The historical record demonstrates the success of this technique; between the last decade of the 18th century and the first decade of the nineteenth century, the proportion of men brought sick to hospital from ships declined from a high of 38.4% (in 1793) to a low of 6.4% (in 1806). Also, soldiers with life-threatening injuries who would have died otherwise are now stabilized on or near the battlefield before being transported to definitive trauma centers in their home countries.
When we want to expand beyond ourselves, where do we begin our exploration? The wilderness, of course. At a time when people are often viewed as burdens rather than saviors of the environment, we will spend more time in the wilderness, learning its ways and hopefully not encroaching on it. To persuade others of the importance of preserving it, we shall learn about its offerings and document its beauty. To reduce health care inequities, we will discover a way to interact with indigenous people in a way that preserves their environment while also bringing healing in the face of deadly infectious diseases, violent conflicts, and post-disaster social and economic disarray. To sustain human life, we will go beyond clear-cutting forests, plundering oceans, and mining fossil fuels that may never be replaced. If wilderness medicine helps to raise awareness that there is a wilderness and that it will disappear unless we work together, that is a valuable accomplishment by a wonderful discipline.
There is heroism in medicine, and wilderness medicine has its fair share, which is charmingly unheralded. It takes bravery to document the wisdom of an indigenous healer, courage to teach mountain safety to sherpas, and selflessness to aid laypeople in filling gaps in health care that cannot be provided during a humanitarian crisis. The environments in which we practice may be unpredictable, but it is the responsibility of wilderness medical experts to apply best practices to the unique bedsides posed on the edge of a mountain, in a cave during a lightning storm, or on the beach of a remote atoll.
