
Big Mountain Medicine combines the expertise of an emergency and wilderness medicine trained physician with experience in professional ski patrol, avalanche science, and wilderness education.
Medical Direction and Oversight
- Medical director services for ski patrol, SAR teams, guide companies, outfitters.
- Protocol development tailored to remote settings.
- Case review and QA/QI system design.
- Credentialing and skills maintenance pathways for non-hospital providers.
Expert Witness and Medicolegal
Expert witness / medicolegal consulting related to
- Ski area accidents
- Avalanche incidents
- Search & rescue medical decision-making
- Wilderness injury/illness management
Education and Curriculum Development
- Scenario-based training for ski patrol/SAR teams (night ops, steep terrain, adverse conditions).
- In-person or remote educational lectures.
- Tailored educational scenarios.
- Educational podcast production and asynchronous learning.
Operational Support and Program Development
- Emergency medical response plans for mountain resorts, alpine camps, races/events, expeditions.
- Medical risk assessment and mitigation planning for commercial/industrial activities.
- Medical kit design and guidance (lightweight/personal, ski patrol, SAR, expedition, pro/guide kits).
- Controlled substance program creation and compliance oversight (DEA + state EMS rules).
Expedition and Travel Medicine
- Pre-expedition medical clearance + screening.
- Altitude risk mitigation plans (including staged acclimatization itineraries).
- Travel medication protocols and custom medical kit assembly.
- Telemedicine support for expeditions.
Research and Knowledge Translation
- Research collaboration on avalanche safety devices, avalanche burial, snow immersion suffocation (SIS), wilderness medicine and risk management.
- Podcast and media appearance for research translation.


Based in Bend, OR, USA.

