Citation

Young JM, Campbell AD, Raastad KK. Wilderness Environ. Med. 2015; 26(4 Suppl): 92-97.

Affiliation

University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii (Ms Raastad).

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.wem.2015.09.015

PMID

26617383

Abstract

Wilderness sports and adventures continue to increase in popularity. Counseling is an essential element of the preparticipation evaluation (PPE) for athletes in traditional sports. This approach can be applied to and augmented for the wilderness athlete and adventurer. The authors reviewed the literature on counseling during PPEs and gathered expert opinion from medical professionals who perform such PPEs for wilderness sports enthusiasts. The objective was to present findings of this review and make recommendations on the counseling component of a wilderness sports/adventure PPE. The counseling component of a PPE for wilderness sports/adventures should take place after a basic medical evaluation, and include a discussion on sport or activity-specific injury prevention, personal health, travel recommendations, and emergency event planning. Counseling should be individualized and thorough, and involve shared decision making. This should take place early enough to allow ample time for the athlete or adventurer to further prepare as needed based on the recommendations. Resources may be recommended for individuals desiring more information on selected topics.

Language: en