{"id":20837,"date":"2003-10-07T00:00:00","date_gmt":"2003-10-07T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2003\/10\/07\/rural-wilderness-medicine-similar\/"},"modified":"2003-10-07T00:00:00","modified_gmt":"2003-10-07T05:00:00","slug":"rural-wilderness-medicine-similar","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2003\/10\/07\/rural-wilderness-medicine-similar\/","title":{"rendered":"Rural, wilderness medicine similar"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p><img decoding=\"async\" src=\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/BrownKeith1.jpg\" border=\"2\" align=\"right\" alt=\"picture disc.\">The medical world of Keith Brown, D.O., is similar, whether he&#8217;s blazing a trail through the rainforests of Belize or traveling a remote stretch of road in the Nebraska Panhandle.<\/p>\n<p> &#8220;People are surprised at how much wilderness medicine skills and thought processes are applicable to rural Nebraska,&#8221; said Dr. Brown, a family medicine physician who recently moved from Gordon to Norfolk, Neb. &#8220;Most of what I do in Belize I did in Gordon.&#8221;<\/p>\n<p>Dr. Brown travels to Belize four times a year, where he serves as medical director for the Belize Institute for Tropical and Wilderness Medicine and the Belize Cave &amp; Wilderness Rescue Team. Through a series of slides, he recently promoted the wilderness and tropical medicine electives he coordinates in Belize to students in UNMC&#8217;s Wilderness Medicine Interest Group and Student Alliance for Global Health.<\/p>\n<p>Dr. Brown is offering students an advanced course in wilderness and tropical medicine in January 2004, and a basic course in June 2004.<\/p>\n<p>&#8220;Belize is a very easy place to take students because it is English-speaking, close to the United States, and the rain forest is exquisitely beautiful,&#8221; he said. &#8220;Many of the students have no experience in wilderness and tropical medicine so watching them grow and expand their horizons is most rewarding.&#8221;<\/p>\n<p>At the same time, it is a difficult place to travel, Dr. Brown said. Only three of its major highways are fully paved and prices are high for the tiny, Central American country on the Caribbean Sea. &#8220;Still, people are people everywhere,&#8221; he said. &#8220;Individuals in Belize deal with diabetes, arthritis and hypertension, just as we do.&#8221;<\/p>\n<p>An assistant professor at UNMC, Dr. Brown led the medical response in Belize for Hurricane Iris; is the author of the Belize Health Care Special Report, an inspection report of the entire Belize medical system; and has more than 25 years experience in wilderness medicine, search and rescue, EMS, law enforcement, firefighting and military special operations. He is in charge of developing the EMS\/village health worker curriculum for Belize, which is bordered by Mexico and Guatemala.<\/p>\n<p>The Kansas native, who spent six years in Gordon before moving to Norfolk this summer, has participated in medical missions since the mid-1980s. &#8220;Rural medicine and wilderness medicine have a great deal to do with each other,&#8221; he said. &#8220;The skill sets, tools and attitude of how you apply rural medicine are similar to what you do in wilderness medicine.&#8221;<\/p>\n<p>To varying degrees, both face challenges of isolation, including physical distance, limited resources and communication and long transport times. &#8220;You deal with what you have, which may be a very small first aid kit or nothing at all,&#8221; he said. <\/p>\n<p>As a result, improvising is critical, he said. The Belize trip teaches students &#8220;unique techniques not taught in medical school,&#8221; he said, such as diagnosing fractures without an X-ray machine by using brains, hands and a tuning fork (or, if a tuning fork isn&#8217;t available, two quarters).<\/p>\n<p>&#8220;Our goal is to save lives, save limbs and control pain,&#8221; he said, while getting patients to definitive care. Carrying patients through rugged terrain can be daunting, he said, and can require rescue teams to change handlers every 100 yards.<\/p>\n<p>His slides also showed health-care professionals working by kerosene lamp or flashlight, practicing water and cave rescues and visiting Mayan ruins. One slide featured a Spanish cedar, whose trunk was wider than four adults with their hands outstretched.<\/p>\n<p>&#8220;Students (who travel to Belize) discover things about themselves that they would not discover otherwise,&#8221; he said. &#8220;It&#8217;s a wonderful opportunity to face challenges and learn what you&#8217;re capable of doing.&#8221;<\/p>\n<p>To learn more about the Belize courses, visit <a href=\"http:\/\/www.unmc.edu\/isp\" target=\"_blanK\" rel=\"noopener\">http:\/\/www.unmc.edu\/isp<\/a> (click on the link for Wilderness &amp; Tropical Medicine).<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>The medical world of Keith Brown, D.O., is similar, whether he&#8217;s blazing a trail through the rainforests of Belize or traveling a remote stretch of road in the Nebraska Panhandle.<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-20837","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-unmc-today-todays-headlines"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rural, wilderness medicine similar<\/title>\n<meta name=\"description\" content=\"The medical 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