“Wilderness” is defined as any area that is over one hour from definitive medical care. Treating illnesses and injuries in wilderness settings can be complicated by limited resources and supplies, lack of access to phone or internet service to get real-time medical advice, environmental conditions and terrain, and the need to evacuate or transport an injured or ill person.
Heat stroke causes the same symptoms as heat exhaustion as well as confusion, altered mental status, and an elevated body temperature (over 104 degrees F). You may stop sweating with heat stroke. Heat stroke can rapidly progress to coma and death.
Deciding when to evacuate from a wilderness setting is complicated. There are risks to evacuation including worsening of an injury or illness during transport, and injuries to those that are carrying or assisting the patient. However, it may take hours or even days for EMS to arrive to remote areas, and in some settings, professional rescue may not be possible.
Your group should carefully consider the severity of the illness or injury, the terrain and weather conditions, the length of time it would take to get to medical care or for a rescue team to get to the patient, and the risk of worsening illness or injury to the patient and others during an evacuation.
Strongly consider a wilderness first aid course prior to travel which can help teach you proper carrying techniques, how to build a litter and splints, and backcountry first aid techniques for common wilderness injuries and illnesses.
If you are remote from medical care and someone in your group is suffering from an injury or illness that causes impaired level of consciousness, has symptoms that make them unable to walk safely, eat, or drink, or they are not improving after a day of supportive treatments, you should strongly consider evacuating or calling for rescue.
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How to approach Wilderness Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions. We do not sell prefabricated bags of pharmaceuticals. Each Duration Health Med Kit that contains prescription medications is custom assembled, tailored to each individual patient's needs.
Duration Health is not a pharmacy, is not a nonprescription retailer, and does not sell medications directly. To be able to deliver a customized kit of medications, Duration Health has partnered with a third-party mail order pharmacy. You may request that any prescriptions be sent to an alternate pharmacy. Duration Health charges an administrative convenience fee for its services, but Duration Health does not sell prescription or over-the-counter ("OTC") drugs, mark-up the cost of prescription or OTC drugs, or retain any portion of the fees our affiliated pharmacy charges to you. Nor does Duration Health provide medical advice about or prescribe OTC medications. In states where Duration Health’s physician consultation services are not offered, Duration Health only offers OTC products and does not provide clients with access to obtain a physician consultation. Clients are free to purchase OTC medications of their choice as an OTC-only kit.
You must complete the included online telehealth visit, including a complete medical history and ID verification, before any prescriptions are issued. You may not be eligible to receive items pictured or described on this site. Furthermore, renewal of your prescriptions is contingent upon continued medical appropriateness. Generics only. Brand names are listed on our site for your reference, but in most cases, only generic (non-brand) medications are included in our Med Kits. No controlled substances. Our formulary excludes controlled substances like opioids, benzodiazepines, and other potentially addictive medications. Treatment not guaranteed. No medication is guaranteed to work or guaranteed to treat a particular condition or disease. Use medications only as directed by a physician. Medication uses listed on this site are for educational purposes only and are not intended to represent indications for treatment. Email support only. Our providers are available via email to answer questions about your Med Kit. For non-emergency use only. In an emergency, call 911 or seek local emergency care. No routine care. Duration Health email support cannot be used for routine primary care. Medications prescribed by Duration Health cannot be used for routine purposes. This product is intended only for people who are unable to obtain regular medical care. You must anticipate living, working or traveling where care is unavailable. As a condition of purchase, you must consent to use of these medications only when regular access to medical care is unavailable. Your eligibility for Health Savings Account (HSA) or Flexible Spending Account (FSA) payment and reimbursement is not guaranteed; consult with your health plan, a qualified accountant, or a tax professional to determine your eligibility for reimbursement. Duration Health does not provide or claim to provide any medication or other item to prevent, treat or cure COVID-19.
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