What’s your first aid kit look like?

With the current COVID-19 crisis we are trying to be prepared as possible for the foresee-able future. One aspect of self-reliance that might be over looked is being able to deal with small medical emergencies at home. Any trip to a hospital will likely put further strain on an already stressed medical system. To that end now is a good time to take inventory of your home medical supplies.

My Medic is a first aid supply company that has an amazing variety of medical supplies. It can be a bit overwhelming trying to decide what first aid kit you should start with so they have a handy “kit finder” that will help you narrow the selection. Our home kit is the basic “MyFAK” model. Then we have one Solo kit in each of our cars.



While having a properly stocked first aid kit is important knowing how to use what is in it is even more important.

The SOLO School located in Conway, NH offers some of the best wilderness medicine training anywhere. While they are closed until at least May 1st once they are back running courses consider enrolling in one of their programs (classes are offered all over the country). There are also a half-dozen or more free online first aid classes. While stuck at home you could brush up on skills through websites like FirstAidForFree and the Red Cross.

Wilderness First Aid Medical Training
“The path to helping others”- photo by Peter Lewis, SOLO
Wilderness First Aid Medical Training
Hands on medical training- photo by Peter Lewis, SOLO

Accident prevention is high on our priority list right now and being able to deal with small injuries without visiting the hospital means we are more self-sufficient. I’d encourage every one to adjust their personal level of risk acceptance until we get through this crisis. Our family is limiting our exercise to short nature walks and bike riding around our neighborhood. Bike gloves and helmets are a must when riding. Make sure you are getting an hour of responsible outdoor time every day! We hope everyone stays safe and sane during these difficult days!

Northeast Alpine Start



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Angel Slides and a season ending injury

I started writing this post on March 9th, the day after my accident. Most people who know me know that I prefer to debrief and learn from mistakes soon after an incident before details can be forgotten or recalled inaccurately. For a couple reasons after only a few paragraphs I stopped writing until today, three weeks later.

The first reason, I think, was because I was actually injured. While being partially buried in an avalanche last April was a bit of a shake up the lack of injury made it easier for me to talk about it soon after it happened. This accident required a trip to the University of Vermont’s Medical Center’s Emergency Department. It’s been almost three weeks since the accident and I’ve recovered enough to go on short walks with the kids and dog. I can sleep on the injured side again. Riding a bike, skiing, or climbing are likely activities that are still a few weeks off.

The second reason I think I’ve delayed sharing this accident is from watching the severity of COVID-19 ramp up significantly in the weeks following my accident. My injury and situation pales in comparison to the stress many families are experiencing due to the current pandemic. While this injury ended my winter guiding season it is clear the season was unfortunately going to end pre-maturely as we try to flatten the curve. Despite these two reasons today I decided to sit down and finish this account and share it for whatever benefit can be found.

Events leading up

On March 5th I drove over to the Adirondacks to teach an AIARE avalanche course for the iconic Mountaineer in Keene, Valley NY as part of their annual Backcountry Ski Festival. It was an amazing event to be a part of and I can not say enough about all of the staff of The Mountaineer who made me feel right at home in their neck of the woods. I was co-instructing with Casey Henley, a fantastic outdoor educator and mountain guide. We had an amazing group of 10 positive and engaged students. The weather was beautiful every day and while the snowpack was on the thin side we were really making the most of our time together.

On the last day of the course, March 8th, the class planned a ski tour of Angel Slides off of Wright Peak.  We toured as two separate groups of 6. The first 2.5 miles are very gentle rolling terrain, then about a half mile up a drainage and a couple pitches of denser trees before reaching the base of the 1,500 foot slide path.

backcountry skiing avalanche courses Adirondacks
After reaching the dam and getting our first look at the objective, Angel slides
backcountry skiing avalanche courses Adirondacks
A student makes progress up the skin track before our high point
backcountry skiing avalanche courses Adirondacks
From our highpoint right before our descent- Theodolite App

We ascended the left hand slide to about 3,600 feet and after making some snowpack observations enjoyed some of first steeper turns of the course. Skier’s far right held some still cold powder and I was feeling pretty good as I reached the bottom.

The next leg was some pretty tight tree skiing just under 20 degrees (steep for tight tree skiing given the snow conditions). We took it very slow and methodically made our way back down into the drainage. It was work and I could see some fatigue settling in with a few students in each group. We still had a 2.5 mile rolling hiking trail to take us back to the trailhead.

Opinions were split on what the best way to cover that distance would be. Two in my group with local knowledge opted to re-skin for the exit. The rest of my group decided to ski it. CalTopo says the 2.2 miles from the Dam only loses 300 feet. My decision to ski it was influenced by how sticky my nylon climbing skins were getting in the quickly softening snow. Timing wise it seemed it was 6-in-one and a half-dozen in the other. With each small downhill the skiers would pull away from our two skinners, and with each herring bone or side-step up over the next small incline the skinners would quickly catch us.

backcountry skiing avalanche courses Adirondacks
A screen shot from my Avenza/CalTopo GPS track of our tour… .2 miles from the trailhead (blue dot)

Less than a quarter mile from the road our exit and tour was just about complete. A short little descent brought me to the bottom of the last significant pitch of the day. I was at the front of my group, and had just caught up to our other team and was making small talk with them after moving just slightly to the left side of the trail.

The accident

It was about 3:45pm. I was stopped on the left side of the trail a few feet from the bottom of the slope. I was facing to the left, skis parallel on the slope, just below a water-bar log feature that was partially buried into the trail. I didn’t hear or see my student coming. He was moving fast as he went over the back of my skis and caught my boot as he flew past. My legs were taken out from under me and I came down on my left side with some force landing on the protruding waterbed. The pain in my left chest and abdomen was instant and blinding. I rolled to my knees and took a breath. I knew I was hurt. I reached under my shirt and palpated my left ribs. My senses were returning. Someone had a hand on my shoulder and was asking if I was OK. It was one of my students, Veronica, an emergency room physician from PA.

I didn’t think anything was broken but I had a pretty significant about of abdominal pain. I decided to try to stand and was able to. Someone was carrying my skis to me from 15 feet downslope… I didn’t realize until later that the force of the hit took me out of both my skis while I basically just fell in place where I was stopped. The student had tried to avoid me and was uninjured from his crash. So close to the parking lot. I decided to walk out. I tried not to groan to much.

Back at the parking lot I was determined to finish the course properly and then figure out what steps to take regarding my injury. I instructed students to rally on the Visitor Center porch and start their debriefs. I went into the bathroom so I could look in the mirror. I lifted up my shirt and was surprised to not see any bruising yet. There was a noticeable “indent” for lack of a better term, about the size of a small apple, just under my lowest left rib. My abdomen was not asymmetrical. I could see some swelling on the outside.

I rejoined the class and we began our course close. I started to rush the process a little as standing and talking was quite uncomfortable. I asked Casey to run most the course close. He used the “one rose and one thorn” tactic to have each student reflect on the effect of the course. I love that style of debrief, but I was thinking I needed to speed this along, as it was now just past 5pm and my original plan was to make the 5 hour drive back to North Conway.

We finished the course close and I asked Veronica if she could step inside and do another assessment of my injury so I could make a decision. She was willing and as I lay on the visitor center couch performed a quick abdominal exam. Again, ribs and chest felt fully intact. Severe pain and tenderness in my ULQ and LLQ, areas that harbor my spleen, stomach, and a kidney. No left arm or left shoulder pain (good news for my spleen). There’s not much that can be diagnosed with soft tissue/organ injuries without an ultra-sound, something Veronica had been considering adding to her adventure kit for sometime (and she has subsequently added as she is pursing expeditionary medicine).

I discussed my plan to try to drive home and seek medical attention locally. I did not want to get stuck in Lake Placid if my injury would require overnight hospitalization or surgery. In hindsight I was being very stubborn and short-sighted, but whatever, I decided I would drive home and monitor my heart-rate and try to be hyper-aware of any change in mental status. If I felt the slightest bit dizzy or nauseous I would pull over, put my hazard lights on, and call 911. That was my plan. I called my wife and told her what happened and that I was going to drive home. I would call her every 30 minutes as long as I had service.

It took almost an hour on the road for my heart-rate to fall under 100. It dropped down to 80 and I hoped it would stay there as Veronica had said if it stayed above 100 after an hour I was likely dealing with some internal bleeding or organ damage. I left the radio off and just focused on the drive and what my body was feeling. While waiting for the Plattsburg Ferry I slowly walked into the empty waiting shack and changed out of my ski clothes. I couldn’t reach down to take my ski socks off. As they directed our cars onto the ferry I was selected for a random trunk search. Changing clothes and two trips to my trunk while moving slowly, I was must have raised some suspicion.

While crossing Lake Champlain as the sun set I felt the slightest bit better. The pain wasn’t as bad now that I wasn’t driving. I tried to breath calmly. We reached Vermont and the pain came back quickly with a bit more intensity. I had been on the road for almost two hours. I called a family friend back home, a doctor at my local hospital, for her opinion.

She didn’t like my symptoms. The fact that small bumps in the road caused noticeable increases in the pain, the location of the injury, the possibility of how bad it could be… I had planned to make it to my local hospital in North Conway so I would be closer to my family should I need to be admitted, but in talking with her it was pretty clear they would probably just put me in an ambulance and transport me to Portland, Maine Medical… adding another hour to seeing definitive care.

I was about to pass Burlington. I made a decision, put my signal on, and exited the highway with my Waze app guiding me to the Emergency Department of Vermont’s Medical Center. Ten minutes later I called my wife back and told her I was walking into the ER to get checked out.

After getting through initial COVID-19 screening the woman at the counter asked what I was here for. I said something like “Suffered some physical trauma to my lower left abdomen and now experiencing acute pain, some slight deformity, swelling, and well… I’m in a lot of pain.” The other woman asked how it happened. “Skiing injury” was my short reply.

“Ok, you’re all checked in, go have a seat and we will call you when its your time.”

I didn’t get three steps away from the counter before my name was called and I sat down with the triage nurse. He took my vitals. I looked at the heart-rate monitor… pulse 92, blood pressure 163/125. That’s not good I thought. They prepped a bay for me and I started to get hooked up. They took blood samples to run a full set of labs and I was asked to provide a urine sample. That would be tough as I was feeling very dehydrated since I finished my water at about 3pm when we started our descent and it was now 7pm and I was told I couldn’t drink anything, even water, just yet. I managed a urine sample, and there was no blood, so hopefully kidney is good.

In less than an hour the ER physician came in to give a full exam. An ultrasound was ordered. I waited. The bay next to me was taken up by an elderly man who had shortness of breath, felt weak all day, and had a mild fever and stuffed up nose. It dawned on me coming to the hospital next to an international airport was putting me at risk to the Coronavirus, but things weren’t quite as bad as they are today so I didn’t worry too much.

The physician could not find any blood in my stomach or other obvious bleeds in my organs from the ultrasound. He felt a CAT scan was appropriate. I cringed at how the increasing financial cost this accident was going to effect my family but I was done trying to just hope for the best and a CAT scan would be pretty definitive. The technician who wheeled me down the hall for the scan inquired about my injury and when I told her it was while teaching an avalanche course she confided she had just bought her first avalanche beacon. I encouraged her to follow that wise purchase up with a formal avalanche course soon.

After the cat scan the waiting began. Still not allowed to drink anything. The nurse let me know the doctor was going to get to me soon but they were dealing with a serious trauma  that just came in and it might be a little while. I waited. Around 11:15pm the doctor came in with the preliminary results. No internal bleeding or ruptured organs. Diagnosis… internal abdominal contusions. Basically bad bruising on the inside of my abdominal cavity. My ribs had done there job absorbing the impact and protecting my organs. Still hurt like hell. I could be given morphine for the pain but that meant I would have to be admitted overnight. I declined and asked to be discharged… and for a glass of water.

Driving home was now out of the question as I was three hours from home along mostly dark less travelled roads and had been up since 6am and was feeling the fatigue from a full ski tour, dehydration, and injury. I checked into a local hotel in Williston, VT, just east of Burlington, and spent most the night trying to find a position I could fall asleep in, something that would become a nightly ritual for the next couple weeks. In the morning I had a small breakfast in the hotel lobby while the morning news confirmed that Williston, VT schools were closed following a faculty member with COVID-19 symptoms. I got on the road and headed for home.

Reflection… what happened?

On the drive home I had plenty of time to rethink the whole day and what led up to the accident. I told my students during our debrief that my “thorn” was that I pride myself in careful risk management and rarely will cop to “bad luck” being the culprit when an accident occurs. Even the word “accident” bothers me. I got hurt. That means I made a mistake. What was that mistake and how could I have avoided it?

I called the student who had crashed into me on my drive home for a few reasons. First of all I wanted to see how he was doing. He had expressed concern and regret over losing control and taking me out. I tried to, probably unsuccessfully, alleviate some of that guilt. I was in charge of managing the risk during our tour and it was on me for stopping in a spot that still had some risk from skiers behind me.

After my conversation with him and a few weeks of contemplation here’s my list of contributing factors;

Fatigue: He admitted he was quite tired at the end of the tour having negotiated terrain that was at his upper level. He mentioned he was frustrated with the rolling terrain exit and felt he wasn’t letting himself pick up enough speed to surmount the inevitable next uphill section which would result in tiring side-stepping to get back to a slide-able grade. He went into this last descent picturing a big uphill on the other side and thus came into view of me and some of the other students on the narrow trail with way too much speed.

Inexperience: This was basically his 2nd time back-country skiing. He had taken a one day mountaineering skills course and a one day back-country skiing skills course where he had skied in Huntington Ravine (likely lower Fan and out the Sherburne Ski Trail). His resort skiing resume was long but tree skiing was a first for him, and he knew that taxed his energy.

Back-to-the-Barn Syndrome: We were so close to the trailhead after a fairly long tour. I was really happy with how the three day course had gone and was excited to get on the road and get back home. We had covered so much more serious terrain and we were in the final stretch. This may have caused me to relax my normal “what could go wrong here?” type attitude.

While I’ve rethought this day almost every day since the only thing I feel I could have done differently is just moved a little more off to the side where I stopped. It wasn’t a blind corner or just over a convexity and in debriefing with Casey he didn’t think I could have done much different.

Recovery- Week One

The first week was pretty bad. I don’t like taking pain medication so I probably put myself through some un-necessary discomfort. Dressing was painful. Walking was painful. Driving was manageable but getting in and out of the car was awkward and painful. I let Corey, my boss, know I couldn’t do any outdoor field work in the weekend’s upcoming avalanche course. I was optimistic I could handle teaching the classroom portion. Just 5 days after the accident I welcomed a new group of avalanche students into our classroom space. I split the classroom sessions with my co-instructor Grant like we normally did. I was feeling ok despite the increased physical activity.

Around 2pm I went home while Grant took the class into the field for some physical rescue practice. No sooner did I walk in the door did I get hit by some uncontrollable muscle cramps in my abdomen. It was as bad, and even somehow worse, then how it felt the day after the accident. I was brought to the floor while the spasms made me wonder if I had somehow ruptured something. I called my wife at work and put her on speaker while I tried to get my body under control. Deep breathes. I made it to the freezer and got the large gel ice pack and wrapped it around my left side. The spasms slowed. My heart rate came back to normal. I was ok, but I wasn’t ready to go back to work yet, even in a diminished capacity.

Recovery- Week Two

Slowly the daily pain level reduced. I could sleep on my uninjured side. The first week I could only sleep slightly reclined on my back… either side did not work. Not fun for a side sleeper. I could go on short walks now, which was quite timely as schools were closing and social distancing was coming at us quick. I was able to help convert our downstairs into a more suitable learning environment for the distance learning that was about to be how almost every child was going to start attending school. I made a few trips to the stores to stock up on the things everyone has been stocking up on. Every day I didn’t come down with a fever or cough made me more confident my ER visit hadn’t had me contract the Coronavirus.

Recovery- Week Three

This current week is almost pain free. I was able to manage the snowblower to clear the 8 inches of snow we got this past Tuesday. I could not shovel the snow from our front porch though. That motion is 100% off-limits, somewhat ironic as anyone who has watched me teach proper shoveling avalanche rescue knows I would place well if the Olympics had a shoveling sport.

Looking ahead…

I’m anxious to be able to physically do the things that keep me emotionally healthy. Social distancing is a mixed blessing while I’m recovering. I’m hoping there might be a little snow left by the time I feel I could go for a very light easy ski, but the reality is if those few dozen cold powder turns on Angel Slide were my last of the season I’m ok with that. There’s more important things happening right now. It should be clear to anyone who recreates outside now is not the time to take risks. I’ve avoided following up with my PCP following this injury because I don’t want to burden an already stretched thin resource nor do I want to spend more time in a hospital just yet.

It’s hard to stay positive when the evening news paints a darker and darker future but I’m trying to focus on the good things that are coming out of this. Cooking more for the family. Daily family walks with the pup. Attacking house projects I’ve managed to put off for years. We are going to come out the other side of this a stronger family and I hope a stronger society that realizes what’s most important in life.

Finally I want to ask everyone reading this to really look out for each other during the next few months. Be a responsible citizen and respect social distancing, stay at home directives, and most importantly limit and minimize your amount of risk-taking. We all need to enjoy some time in nature but do it in your backyard in a low-risk manner. Even if I was 100% recovered I would limit myself to easy walks and hikes below tree-line and on very low angle slopes. I would not go mountain biking, rock climbing, back-country skiing, or any activity that is more prone to accidents. Our first responders and medical system are begging us to avoid injury right now. Please do your part.

See you in the mountains (hopefully locally and on a mellow walk),

Northeast Alpine Start



Tech Tip- Listen to Avalanche Podcasts

I find it hard to believe the avalanche course season is almost over! I’ve had a great time teaching courses for Northeast Mountaineering with an amazing group of co-instructors and despite a relatively inconsistent Mother Nature field conditions have been quite prime for our course objectives.

One of the seasonal components of the AIARE Framework is “Continue Your Education”. AIARE 1 students often realize quite early in the course that becoming safer back-country travelers is a lifelong process. There is no finish line when it comes to avalanche education. To that end I share with my students one of the ways I’ve continued to learn about a subject I’ve been studying and teaching for over 10 years is by subscribing to multiple podcasts related to avalanche education. Multiple students have asked for a list of what podcasts I listen to which was the motivation of this post. So without further delay here’s my current playlist with a quick recap of what to expect from each. If you like to play in the snow you should give a few of these a listen on the commute into work or your drive up to the mountains!

The Utah Avalanche Center Podcast by Drew Hardesty

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“The podcast that helps keep you on top of the snow instead of buried beneath it.” This one is at the top of my list and if you only pick one podcast to listen to this is the one I’d recommend most. So many great episodes I hesitate to call out just one but I will… The April 5th, 2019 episode “Low Danger” is a must listen.


Right behind my first suggestion is the The Avalanche Hour Podcast by Caleb Merrill.

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“Creating a stronger community through sharing stories, knowledge, and news amongst people who have a curious fascination with avalanches.” What can I say this podcast is fantastic! The range of guests is great and I haven’t found a single interview to not be engaging and enlightening… add it to your library!


Third on the list is Slide: The Avalanche Podcast by Doug Krause.

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Sadly it seems Doug hasn’t been able to keep this project going but the first two seasons are here for us to learn from. Doug focuses mostly on the human element and some of the episodes that have stayed with my had to do with effective communication in the backcountry and how we see ourselves in our stories (impaired objectivity). Definitely worth listening to the 1.5 seasons that are there and hopefully Doug can return to this project soon!

Honorable mention goes to the American Alpine Club’s Sharp End Podcast by Ashley Saupe. While not 100% about avalanches I’ve been a long time reader of the AAC’s Accidents in North American Climbing, a fantastic education resource in its own right and worth the annual cost of membership in my opinion! In each episode Ashley interviews those involved in climbing (and sometimes avalanche) accidents in an effort to learn what we can from these stories.

Well that’s the list. Within these 4 podcasts there are hundreds of hours of quality content that is sure to make you a more informed and safer backcountry traveler. If you found this post helpful please leave a comment below and if I missed one of your favorite podcasts please let me know! It doesn’t have to be avalanche related but outdoor recreation and risk management should be a consideration!

Happy listening and see you in the mountains!

Northeast Alpine Start



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Tech Tip: Optimizing your First Aid Kit

Adventure Medical Kits Wilderness First Aid


We all carry a first aid kit with us on our adventures right? For today’s Tech Tip I want to share what first aid kit I use and how I customize it with a few extra items. While you can go to a pharmacy and piece together your own kit I prefer to start with the Adventure Medical Kits Ultralight/Watertight .7 Medical Kit as it’s a solid foundation to build upon. Here’s the details on the kit:

  • Designed for life in the bottom of the pack, zippered rip-stop silicon nylon outer bag has 2 inner DryFlex™ watertight pouches to ensure contents are kept clean and dry
  • Wound care items: 3 butterfly closure strips, 2 triple antibiotic ointments, 3 antiseptic wipes and 1 pair of nitrile gloves
  • Bandages: 8 sterile dressings, 2 non-adherent sterile dressings, 2 conforming gauze bandages, 5 adhesive bandages and 3 knuckle bandages
  • 10 yards adhesive tape, 1 elastic bandage, 11 pre-cut and shaped moleskin pieces and 3 alcohol swabs
  • Medications: 6 ibuprofen, 2 aspirin, 2 antihistamine and 2 AfterBite® sting-relief wipes
  • Other equipment: splinter picker forceps, 3 safety pins and a 26 x 2 in. roll of duct tape
Adventure Medical Kits Wilderness First Aid
Manufacturer Image

Technical specs

Best Use
Hiking, Backpacking
Material(s)
Silicone nylon pouch
Dimensions
8.5 x 6.5 x 2 inches
Weight
8 ounces

This is a great start for only 8 ounces! AMK markets this as ideal for 1-2 people for 1-4 day trips. While I do find the suggestion a bit arbitrary I feel this is a great size for a group leader or guide to start from. There is a .5 version that weighs less than 4 ounces that would be good for trail running, casual hiking, or just to keep in the glove box. A very minimalist .3 version is better than carrying nothing.

Now let’s get into what I add to this kit to make it a bit more capable of handling any situation. The first thing I add is a Petzl Zipka Headlamp. This 2.5 ounce headlamp has great light output and the retractable cord keeps it from getting tangled with other things in the kit. I consider this a bit of a “back-up” headlamp. If I know I’ll be out after dark I bring my Petzl Actik Core Headlamp and have the Zipka available to loan to someone who forgets their headlamp.

Adventure Medical Kits Wilderness First Aid
Adventure Medical Kits .7 First Aid Kit and every else I squeeze in there!

I then add a simple small knife that can be used for cutting bandages, duct tape, and clothing to make slings & swathes if need be. Occasionally it might even have to cut some summer sausage and hard cheese.

Then I add a fire starter, usually just a small Bic lighter but you can go for a fancy windproof one if you want!

Next I drop in a little bottle of Potable Aqua Iodine Tablets. I use these to treat water in an emergency.

Then I have a small travel size Advil bottle that I carry extra Antihistamines (Benadryl) and pain/fever reducers (Advil). I prefer to use this bottle and refill it from home when needed and save the prepackaged medications for when I forget to refill this container. Don’t forget to check the expiration dates on the prepackaged medications!

I also squeeze in a small notebook with a pencil. This is important for writing SOAP notes or sending detailed information with someone. On longer trips I carry a Rite in the Rain Notebook separate from my first aid kit.

With still room to spare I now add my two EpiPens. While I haven’t been tested for a bee allergy I feel it is a good idea for me to carry Epi after getting swarmed and stung by over a dozen yellow jackets last year. There’s also the fact that some one in my care may have a unexpected severe reaction when we are over an hour away from definitive care and having Epi in the party could be a life-saver. I also add a super light disposable CPR Face Shield.

Finally I add about 3 extra pairs of Nitrile gloves in addition to the one pair that comes with the kit. It has been my experience on multiple rescues that one pair of gloves is never enough in the mountains as they will definitely tear while dealing with a patient, and bystanders who might be able to help often don’t have their own gloves.

These additions bring my first aid kit up to one pound 5 ounces. Considering that if I grab my first aid kit I have 5 of the “Ten Essentials” I’m more than ok with that weight! I also carry either my SOL Escape Bivy (summer) or my more durable Ortovox Single Bivy (winter or while on rescues).

Adventure Medical Kits First Aid Kits
Bigger more rugged bivy in the winter or when out on rescues… smaller lighter bivy for summer/day use…

I’ve also taken to sliding a Saywer SAM Splint down into the back panel of my pack. While I can improvise splints from my wilderness medicine training a real SAM splint is really nice to have for quick ankle/wrist fractures or as an effective neck collar.

I feel the above set-up is quite adequate for the amount of time I spend in the mountains both guiding and recreating. For expedition leaders or large outing club type groups I’d suggest looking at the Adventure Medical Kit Ultralight/Watertight PRO Medical Kit. It’s quite all inclusive with a SAM Splint, EMT Shears, precision forceps, and more.

Summary

Undoubtedly carrying a first aid kit in the mountains is a very good idea. Accidents will happen. The longer your recreate in the mountains the more likely you, someone in your party, or someone you come across, will need a touch of first aid. Hopefully it’s something minor like a blister or small scrape. Unfortunately we can’t remove all risk from our outdoor hobbies and will are going to break some bones, or worse. There’s two things YOU can do to make these situations better.

#1 Carry the right gear

#2 Get some training

Wilderness First Aid
Image from soloschools.com
Wilderness First Aid
Image from soloschools.com

Wilderness First Aid courses are offered all over the country! Stonehearth Open Learning Opportunities (SOLO) teaches Wildness First Aid (16 hours), Wilderness First Responder (72+ hours), and Wilderness EMT (170+ hours). If you have zero medical training, and wish to play in the mountains for decades to come, do yourself a huge solid and sign up for one of these courses! You’ll be more prepared to handle what comes your way!

I hope you found this helpful. If you did please let me know in the comments below. If you carry something different or I missed a key item please let me know! Just so you are aware the links above (except for SOLO) are affiliate links. That means if you click on them, and make a purchase, a small commission is earned. That really helps keep this blog going, so if you do make a purchase thanks! If not maybe just share this article with someone you think could benefit from it!

See you in the mountains,

Northeast Alpine Start



Gear Review: Hoka One One Sky Arkali Hiking Shoe (and GIVEAWAY!)

Hoka One One Sky Arkali ReviewHoka One One (pronounced Hoka oh-nay oh-nay) released their new multi-use hiking shoe, the Sky Arkali, back in March of 2019. Over the last few months I’ve hiked a few dozen miles in the White Mountains with them and I’m ready to share the results!


Buy on Backcountry (Men’s and Women’s)

Buy on REI (Just Men’s)

Buy on Moosejaw (Just Men’s)


First here is the manufacturer’s description of the shoe:

The Arkali continues to challenge what’s possible in a hiking shoe. There’s off-road, offtrail and then there’s off the map. HOKA ONE ONE® has just gone vertical with the Arkali. A combination of running shoe innovation (light and comfortable), climbing shoe technology (exceptional grip and traction) and hiking boot engineering (rugged and protective), the Arkali looks ready for anything. And with a MATRYX® upper, high-abrasion toe cap and adjustable heel and ankle straps, it is. It features a PROFLY™ midsole, which has a softer heel and more responsive toe-off, plus 5mm multidirectional Vibram® Megagrip rubber lugs. The Arkali is waiting to take you to the top of the world.

FEATURES

  • MATRYX® upper featuring high-tensile synthetic fiber strands across the midfoot for unparalleled strength and durability at minimal weight
  • High-abrasion rubber toe cap extends to the midfoot for increased protection
  • Ankle and heel straps offer structural and proprioceptive support on uneventerrain
  • PROFLY™ midsole for a cushioned landing and propulsive toe-off
  • EVA top midsole for running shoe cushion at an incredibly light weight
  • Rangi™ bottom foam offers durable cushioning and a responsive feel
  • Vibram® Megagrip hi-traction outsole with 5mm lugs
  • Multidirectional lugs for supreme grip
  • 100% Vegan
  • RN 88276

Hoka One One Sky Arkali Review

Now let’s get into how they performed!

Out of the box the first thing I noticed was these are much more of a shoe then the ultra-light approach type shoes I typically review. I had heard a lot about the comfort of Hoka One One shoes and was looking forward to seeing what all the hype was about. The most obvious characteristic of the brand is the noticeable amount of “cushion” these shoes employ. From out-sole to insole I measure a full 1.75 inches of cushion. This is easily double the amount of cushioning in all other brands of hiking and approach shoes I have reviewed and a brand trait that has made Hoka One One quite popular in the running world.

Despite the bulk of the shoe I was impressed to see that Hoka was able to keep the weight down to just shy of a pound per shoe. I will mention that Hoka does not specify on their website that they are not listing the “per pair” weight, but actually listing “per shoe” weight. That’s a little odd in my opinion as almost all shoe manufacturers list weight “per pair”. Regardless, the shoe is noticeably lighter than many hiking boots on the market especially when considering the amount of comfort and support I will get into in more detail below. But first let’s go over fit and sizing…


Fit and Sizing

Hoka One One Sky Arkali Review

I wear between a US men’s size 8.5 and size 9 depending on the brand and for these I went with the 8.5. I have a medium width foot with a slight Morton’s tow and average arch. These fit my feet quite well with plenty of width if my foot was a little on the wider side. The approach shoe style lacing made it easy to snug them up for a semi-technical descent and I had plenty of wiggle room on the spacious toe box. The lacing and Velcro system easily held my feet in place while descending so I had no issue with “toe bang” while moving fast downhill. To help with sizing Hoka has collected this feedback from purchaser’s:

Hoka One One Sky Arkali Review


Comfort

Hoka One One Sky Arkali Review

While the fit was great the true test came on a rugged and heavily rooted trail on Mount Chocorua. After each mile I became aware of how well the extra padding in these shoes was keeping the bottom of my feet for getting the least bit tender. When I test thinner approach style shoes I often search for smoother surfaces while hiking to avoid late day foot soreness but these hiking shoes are so protective under foot that I stopped looking for the ideal foot placements and just cruised along.

Hoka One One Sky Arkali Review

They are not waterproof, which doesn’t bother me at all as I prefer breath-ability over waterproof for all my non-winter adventuring. That said they did feel a little on the warm side, which was perfect for the crisp Fall hikes I’ve been using them on but they did feel like they might be a little warm for hot weather trips.


Traction

Hoka One One Sky Arkali Review

The Hoka One One Sky Arkali boosts one of the most aggressive soles I’ve tested in this category. 5mm Vibram® Megagrip rubber lugs tore up and down multiple wooded trails and performed well on low angle wet and dry slab. I would not push these into low 5th class terrain like some truly dedicated approach shoes as the amount of space between your foot and the footholds, along with the style of out-sole, do not inspire confidence in technical terrain. For 95% off the White Mountain trail system these have more than enough traction!


Summary

My first test run of a Hoka One One shoe went quite well. I can see how adding a bit more cushioning might remove some of the sensitivity of the shoe but it goes a long way at keeping your feet happy after pounding down a dozen miles of rough trail. So who are these for? They are a bit bulky for rock climbers to use as an approach shoe. I think these are a great choice for day hiking, fast hiking, and trail running if your prefer more padding over saving a few ounces. Long distance ultra-light backpackers will find this a solid choice as well. Ultimately anyone who has ever had sore feet after a long hike might benefit from trying the Hoka One One brand, and the Sky Arkali is a great place to start!

Buy on Backcountry (Men’s and Women’s)

Buy on REI (Just Men’s)

Buy on Moosejaw (Just Men’s)


Friendly Foot Giveaway!

Hoka One One Sky Arkali Review

Thanks to my friends at Friendly Foot every footwear review I do this year will include a chance to win a two bottles of the best damn foot deodorizer on the planet! I seriously use this stuff daily and my wife reminds me if I forget (my feet used to stink really bad). There are multiple ways to earn entries so just click the Rafflecopter link below and good luck!

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See you in the mountains,

Northeast Alpine Start



A media sample was provided for purpose of review. Affiliate links above help support the content created here.

Tentrr Review- The “AirBnB of Camping”- and chance to win $100 Tentrr Gift Card!

Tentrr Review
The Famous Colorado Wall Tent

My family and I just returned from a 4 day camping trip to beautiful Camden, ME. We camped there last year and decided to repeat the trip this season, albeit in a slightly different style. A few months ago I heard about this somewhat new company “Tentrr“. If you have ever used AirBnB then the concept really isn’t that new. Tentrr partners with local land owners and some state parks to offer a convenient way for people to get out and enjoy nature in a semi-“glamping” style.



This really is a clever idea and the growth of the company shows it is catching on! Launched in 2016 two years ago the company only had a couple dozen sites all located in New York (the company was born in NYC). In less then three years there are now 735 Tentrr sites located in 38 states! Over 15,000 campers have used the service.

How it Works

Campers can search by zip code or town on either the Tentrr website or app and see what sites are in the area they wish to visit. Most of the sites sit on private land and are maintained by the land owners called “CampKeepers”. Like AirBnB hosts you’re likely to find a spectrum of personalities but most of the sites I browsed on the website sat on working family farms near rivers, beaches, or on hills with nice mountain vistas.

Tentrr Review
A quick search on the App shows nearby Tentrr sites

Basically there are four different types of Tentrr sites.

Backcountry– These are rustic campsites ranging from $25-$100 a night, but most are in the $40 range. This is a great option if you own your own tent and camping gear.

Signature– These are the backbone of the Tentrr concept and come quite equipped for a comfortable camping experience and range from $65-$200 a night with most sites listing in the $80-$120 range.

State Park– These are pretty much the same as a Signature Tentrr site except that it sits within a state park instead of on private land. This is the style we went with to take advantage of the state park facilities and playground for our kiddos. These currently are only located in Maine and cost $100 a night.

Curated– Tentrr also has a list of partner sites ranging from $45-$300. Many are luxury style yurts and larger tent style accommodations.



The easiest way to search the entire database of sites is from here.

We used the online booking service to locate one of two State Park sites in Camden Maine and it was easy to select the dates we wished to stay and check out. Confirmation emails include links with directions to the site along with helpful lists on what to bring camping with you if you are a bit new to the sport. A few days before our trip reminder emails are sent with the same info.

So what is included in a Tentrr Signature/State Park site? Let’s start with the obvious, the classic made-in-the-USA Colorado Wall Tent. This iconic tent is made in Denver, CO and the deluxe model used retails for $1,699! Some important features:

  • It has a 10 x 12 floor plan with a minimum 6 foot height reaching an apex of about 8 feet.
  • Screened windows on three sides and a large screened front door allow for plenty of ventilation.
  • In cooler temps they can be closed up to trap heat or keep out sideways rain.
  • A small wood stove made us want to come back for some cooler Fall camping trips.
  • Two queen sized inflatable mattresses set on a bunk bed offered plenty of room for our family of four. A foot pump stored under the beds quickly brought the mattresses up to our preferred firmness.
  • Two wooden storage crates worked well for us as nightstands, along with the stove providing a small table.

Tentrr Review
Inside left- Tentrr uses custom made Colorado Wall Tents
Tentrr Review
Inside right- Tentrr uses custom made Colorado Wall Tents
Tentrr Review
The wood stove was unused as the site is fairly new and the weather has been warm, but we would like to come back for a cooler late Fall trip!

Outside there is a size-able raised porch with two comfy Adirondack style chairs. Down a few steps off the deck brings us to the table/kitchen set up with a pantry and raised cooking area. A 37 gallon steel trash can is provided with a full box of trash bags in the pantry and a pair of grilling tongs. A well made fire pit nearby had a brand new cooking grate over it.

Tentrr Review
Comfortable outdoor seating for story time!
Tentrr Review
37 gallon steel trash can with bags provided
Tentrr Review
Kitchen and dining area with fire pit and steel cooking grate
Tentrr Review
Never camp with out my AeroPress and some Good To Go food! Also snuck in some yummy Patagonia Provisions Salmon!

So how did the family like this experience? What were the ups & downs? We were happy to not have to pack the tent this trip and have this deluxe one ready to go which meant we could kick back and relax quite quickly after arriving. A quick sweep with the provided broom and we were ready to move it!

Tentrr Review
Getting set up

The mattresses needed a quick top-off with the provided foot pump but are the higher end inflatable style that get and stay firm. We did not need to add any more air over the three nights we camped. One note on the mattresses though… they are extremely “squeaky”. The rubber rubs loudly when anyone moves on the bed. We tried to mitigate it by getting some blanket material in-between the bed and frame with limited success. We still slept really well once everyone stopped adjusting!

Tentrr Review
Just before lights out

Another note to be aware of is the fact this is not a fully sealed tent. We had a pretty healthy colony of daddy long legs squatting on the property and had to constantly remind the kids that they are not spiders (though we did have to evict a few of those from time to time).

While not 100% bug proof we did find the tent to be quite weather tight as we experienced heavy rains twice during our stay, luckily both in the middle of the night. Everything stayed completely dry and we were happy we weren’t in our large family tent that would likely have seen a breakdown in it’s liquid defense program.

We definitely enjoyed the cooking and dining area set up having two dinners and breakfasts at camp during our stay. I used some p-cord to tie off “the pantry” but it would be nice if it could have an animal resistant latch added to it. Despite having a late night raccoon visit nothing got into our pantry or trash can.

Tentrr Review
Yummy grilling at camp

Summary

All in all this was an awesome experience! I’ve seen comments online trying to compare the value to a local AirBnB and that’s not a really a fair comparison. This is a service for people who want to be a bit closer to nature than staying in someone’s well kept in-law apartment. This is an option for folks who want to go camping occasionally but don’t want to invest or store camping gear. This was a great option for us even though we own tons of expensive camping gear because we could just show up and skip set-up and go right into chill mode. We are already thinking of finding a new Tentrr spot to explore later this Fall so we can make use of the internal wood stove and enjoy some classic New England foliage!



Finally I’ve reached out to a few friends who own land where a Tentrr site might be a good fit. If you own land with potential camping sites consider becoming a Tentrr Campkeeper and make $$$ sharing your land!

$100 Tentrr Gift Certificate Giveaway!

Here’s your chance to win a $100 Gift Certificate to Tentrr! You could use it for a couple nights at a beautiful rustic campsite or a free night at one of the fully equipped Signature or State Park sites located in 38 states! Just click on the Rafflecopter link below to see how to get entries in the giveaway which ends at 9 PM EST on 9/9/2019!

 a Rafflecopter giveaway

Affiliate links support the content created here

Review- Gnarly Nutrition (and Giveaway)

I’ve never really been into nutritional supplements that much. In fact I’ve probably actively avoided them to some extent due to over ambitious creatine supporters during my military years (so long ago!). I am however a big fan of hydration supplements and when I heard of a pro-deal opportunity from Gnarly Nutrition through my membership in the AMGA for some powdered sports drink mix I decided to place an order. I was so impressed with the drink mix I decided to reach out to the company to see if I could sample some of their other products. A few days later my sample kit had arrived!

Gnarly Nutrition Review

I’ve now been using these products for over 3 months and feel I can share my impressions of them. We will start with the first one I was introduced to…


Gnarly Hydrate – Everyday Hydration

Gnarly Nutrition Review
Gnarly Hydrate

Gnarly’s Hydrate sports drink mix is much more than another version of powdered Gatorade. Developed to replace what you lose in sweat I was attracted to the low sugar amount used in the mix, only 4 grams per serving. This low amount of sugar helps transport water across the gut, where-as higher sugar amounts can lead to gut distress. Packed with a full spectrum of B-vitamins (100% B6, 167% B12) and healthy amounts of Magnesium (23%), Niacin (34%), and Riboflavin (100%).

What’s not in the mix can be as important as what is in it. In this case Gnarly uses NO artificial colors (yay no red dye #40!), no artificial flavors or sweeteners (sugar is organic cane sugar), no GMO‘s, no gluten (got some friends who are happy about that!), no soy, and 100% vegan.

But how does it taste?

I’ve only tried the Ruby Red Grapefruit flavor but I find it to be quite balanced on the sweet vs tart scale. I typically use just under two scoops for my 32 ounce Nalgene. The flavor is good whether I drop some ice in there on hotter days or finish the last swig after the bottle has been sitting in the sun getting warm at the end of the climbing day. Finally the mixture has excellent solubility and the mix dissolves completely without much agitation.

But how much does it cost?

Retail price for the 400 grams (14.10 ounces) bag is $25.95. That’s enough for about 40 12-16 ounce servings. That comes out to $.64/serving. That’s $.06/serving cheaper than the Nuun tablets I was using before. I will be joining the monthly subscription plan which brings the price down to $20.76, or $.52/serving. This makes Gnarly’s Hydrate one of the best values in the category market-wide!

Gnarly Nutrition Review
Gnarly Hydrate Nutrition Facts


Gnarly BCAAs – Reduced soreness and recovery time

Gnarly Nutrition Review
Gnarly BCAAs Branched Chain Amino Acids

Now we get into the world of “Branch Chain Amino Acids” or BCAA’s for short. I admit I didn’t have a clue as to what these were but don’t worry, it’s not too complicated. The following is an explanation from http://www.healthline.com:

The branched-chain amino acids (BCAAs) are a group of three essential amino acids: leucine, isoleucine and valine. They are essential, meaning they can’t be produced by your body and must be obtained from food. BCAA supplements have been shown to build muscle, decrease muscle fatigue and alleviate muscle soreness. They have also successfully been used in a hospital setting to prevent or slow muscle loss and to improve symptoms of liver disease.

But how does it taste?

I’ve been using the caffeinated version of “Strawberry Lemonade” and like the Gnarly Pre-Workout option I found the flavor a bit on the tart side. This one however does not have the beta-alanine so it seemed to have 100% solubility. If you have an issue with any “texture” in your sport drink you might prefer this one over the Gnarly Pre-Workout.

But does it work?

Like the Gnarly Pre-Workout I definitely noticed an energy boost on days I used this vs days I went pure water/food. I marked noticeable reduced soreness after quite a few 7+ hour back-country ski days. After one particularly high mileage/elevation week towards the end of the winter I was almost surprised on my next day off when I felt like I could easily crush another day without taking a rest day.

But how much does it cost?

Retail price for the 368 grams (12.98 ounces) drum is $39.95. That’s enough for about 30 12-16 ounce servings. That comes out to $1.33/serving. The monthly subscription plan brings the price down to $30.36, or $1.07/serving.

Gnarly Nutrition
Gnarly BCAAs Supplement Facts

Gnarly Pre-Workout – Get primed for performance

Gnarly Nutrition Review
Gnarly Pre-Workout

The Gnarly Pre-Workout has the recovery benefits of BCAAs plus beta-alanine to help with muscular endurance (by buffering acid), citrulline malate to increase blood flow to and from working muscles AND caffeine/ginseng for that extra energy boost. If you want to read up more on how these things work take a look at this article. With only 6 ingredients the advantage of Gnarly’s BCAA mix you know everything going into your body. Some competitors have “proprietary” blends so they don’t disclose the full ingredient list.

But how does it taste?

This one only comes in a “Strawberry Lemonade” caffeinated or decaffeinated version. I’ve been testing the caffeinated version. I found the flavor a bit on the tart side. Not crazy pucker your face tart but tart. It is a “lemonade” flavor after all so that can be expected. One thing I noticed is the mix is not 100% soluble. The beta-alanine is “extended release” which means you will still have some texture in the drink and some settling will occur. Best practice is to do a little swirl when you’re getting to the bottom so you don’t miss out on any of those non-essential amino acids!

But does it work?

I definitely noticed an energy boost on days I used this vs days I went pure water/food. That shouldn’t be a surprise as it has caffeine, ginger-root, and all the BCAA’s previously mentioned! Gnarly has won over a skeptic in the supplement arena!

But how much does it cost?

Retail price for the 420 grams (14.82 ounces) drum is $37.95. That’s enough for about 30 12-16 ounce servings. That comes out to $1.265/serving. The monthly subscription plan brings the price down to $30.36, or $1.01/serving.

Gnarly Nutrition Review
Gnarly Pre-Workout Supplement Facts

 


Gnarly Whey – Protein Supplement

Gnarly Nutrition Review
Gnarly Whey– Protein Supplement

Last but not least is Gnarly’s flagship protein supplement, Whey. Not all Whey proteins are created equal. Gnarly makes its whey from the milk of grass fed New Zealand cows, free of GMOs and hormones. Packed with digestive enzymes and probiotics that help break down protein and increases assimilation this mix definitely has helped my digestive system. Lactase is used which helps break down lactose, and while I’ve never felt lactose intolerant I can see this being helpful for most consumers.

But how does it taste?

I recalled trying a Whey shake many years ago and finding the texture to be close to water-logged cardboard. This stuff is so different from that memory. With almost 100% solubility I’ve been making smooth morning chocolate banana shakes a couple times a week and they are so yum! Both my 7 year old son and 3 year old daughter find the flavor to be excellent!

But does it work?

There is no doubt here, that’s a hard yes! Whey is one of the most researched and published supplements out there. I’ve definitely been feeling the benefits over the last few months and have become a believer. If you want to do some reading on how it works and link to many medical and factual studies check out this article from Healthline.com

But how much does it cost?

Retail price for the 900 grams (32 ounces) drum is $59.95. That’s enough for about 20 8-12 ounce servings. That comes out to $2.99/serving. The monthly subscription plan brings the price down to $47.96, or $2.40/serving.

Gnarly Nutrition Review
Gnarly Whey

Summary

I’m really happy I put my skepticism aside and went all in to test these nutritional supplements. While at the end of the day a healthy diet and regular exercise keep me relatively healthy I can feel that these products are making a difference in both my energy level, and, to a greater extent, my recovery time after long days in the mountains. If you’re a supplement person already you’re probably not surprised. Maybe you’ve been with one brand for awhile and would like to try something new? If you’re new to using supplements here is an awesome place to start! Gnarly has put together an excellent article to help you decide which supplement is right for you! Check it out here!


Giveaway!

Gnarly Nutrition Review

Here’s your chance to try almost all the Gnarly products for free! Just click the RaffleCopter link below to enter!

 a Rafflecopter giveaway

See you in the mountains!

Northeast Alpine Start

 

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