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.

Contact

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Based in Bend, OR, USA.