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General Consideration in the History, Physical Examination, and Safety Determination

Buchanan, Jonathan MBA, MD*; Dexter, William MD; Powell, Amy MD; Wright, Justin MD§

Clinical Journal of Sport Medicine: September 2015 - Volume 25 - Issue 5 - p 392–395
doi: 10.1097/JSM.0000000000000230
Care of the Wilderness Athlete

Abstract: A thorough medical history is perhaps the most important aspect when evaluating an athlete before wilderness adventure. A physical examination should follow focusing on conditions that may be affected by changes in atmospheric pressure, extremes of temperature, or altitude. This information can then be used to make safety recommendations ensuring that adventurers are able to safely enjoy participation in the wilderness pursuit of their choice.

*Legacy Medical Group, Sports Medicine, Beaverton, Oregon;

Maine Medical Center, Portland, Maine;

University of Utah, Salt Lake City, Utah; and

§Texas Tech University, Lubbock, Texas.

Corresponding Author: Jonathan Buchanan, MBA, MD, Legacy Medical Group, Beaverton, OR 97006 (

The authors report no conflicts of interest.

This article appears in a “Care of the Wilderness and Adventure Athlete” special issue, jointly published by Clinical Journal of Sport Medicine and Wilderness & Environmental Medicine.

Received March 02, 2015

Accepted June 13, 2015

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.