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Wilderness Grace

Health and Medical Considerations


High adventure activities, by their very nature, demand more from participants than regular camping situations. Activity is at a stronger pace for a longer period of time. Physical and mental conditioning is “a must” for all participants. They will be portaging unimproved and non-maintained wilderness trails between lakes and around rapids. Paddling for several hours each morning and afternoon is the norm, not the exception. While we can scale back the difficulty of a trip for younger / smaller youth, or older / out of shape adults, we cannot eliminate it.

CONDITIONING
A regular exercise program should be implemented for all participants several months prior to arriving in Ely. Activity that is fun will prevent boredom, and participants are more likely to do it more often and for a longer time. Exercising with a friend not only makes the activity more fun, but forces both partners to “stick with it” and not skip a session. Jogging, wind sprints, or climbing long flights of stairs are excellent activities for increasing stamina. This should be done for a dedicated 30 - 60 minutes, every other day. We have found sit-ups to be best for strengthening the stomach muscles; an important aspect of paddling long distances. If a participant puts off their conditioning program until the week prior to departing on the trip, they probably shouldn’t bother at all. It may do more harm than good. As always, it is highly recommended that participants check with a doctor before starting any exercise program.

MEDICAL EXAMINATION
For all high adventure activities, the Boy Scouts of America require a physical examination by a doctor, using the Class 3 Personal Health and Medical Record Form, Number 34412. North Country Canoe Outfitters strongly concurs with this requirement, and though we are not affiliated in any way with the Boy Scouts of America, we hope that you will comply with their wishes. A copy of the BSA form is located in the back of this booklet. It is a good idea to include family medical insurance information on the health form for quick reference while away from home.

IMMUNIZATIONS
Check to make sure that all participants are current on their immunizations. MMR (measles, mumps, rubella) should have been received by the 12th birthday. All four doses of oral polio vaccine should have been received. Probably the most important for a high adventure trips is tetanus and diphtheria. These should have been received within the past 10 years. Checking with the family physician about a new booster might be a good idea!


CHRONIC ILLNESSES

Recurring health problems should not automatically eliminate an individual from participating in a wilderness canoe trip. Often these situations are under control with proper medications and monitoring by a physician. In all cases, however, these situations should be evaluated for their effects and possible limitations on the individual as well as on the entire travel group. While not a comprehensive list, the following should be considered:


Heart Disease:
The higher physical and mental stress situations of a high adventure trip may cause a heart attach in a persons who are at risk. We recommend if any of the following situations have occurred should speak to their doctor and consider having a stress test: Chest pains, previous heart attach, any treatment for coronary disease, prior stroke, pain while exercising, or a family history of heart disease.

High Blood Pressure:
Normal blood pressure is less than 135/85. If this is slightly exceeded, medical treatment may be all that is necessary to bring pressures back into a safe range and the individual may attend the canoe trip. If pressures exceed 150/90, we recommend the individual not participate.


Asthma:
Persons who can maintain normal breathing functions with medications probably will do alright on a canoe trip. Tree pollen is an ever-present situation, and should be considered if this triggers an attach. Carry an extra inhaler in a separate pack in a separate canoe. If exercise brings on attacks, the individual should not participate.


Diabetes:
An insulin dependent diabetic, that has had the condition for a long period of time, should be able to monitor blood glucose levels, know how to adjust insulin doses, and be able give a self-injection. Insulin can most often be kept cool in a small thermos bottle (stainless steel, NOT glass), with water gotten from deeper lakes. As with asthmatics, extra insulin should be carried by another individual in a separate canoe.


Bed Wetting:
This situation can be physical or psychological. Often, if it is a physical condition, medicines can control the illness. If, however, bed wetting is brought on by physical or mental stress, strange surroundings, or some other psychological situation, the problem will only be intensified under high adventure conditions. Having an “accident” in a sleeping bag that must be used repeatedly, within the close confines of a tent, is an unsanitary situation that cannot be resolved on the canoe trails. In addition, the embarrassment that can be felt in front of peers can be emotionally traumatic. We would urge individuals with this condition to not participate in this extended camping situation.

 

Excessive Body Weight:

 

We strongly recommend that each youth and adult participant on a wilderness canoe trip meet standard height-to-weight guidelines as suggested by your family physician. Party members exceeding normal weight guidelines can put themselves in far greater risk of injury or serious health problems.

The table on the right is based on the Dietary Guidelines for Adult Americans from the US Department of Agriculture, and the US Department of Health and Human Services. It is also included in our Leader's Guide To High Adventure Canoe Trips.

For safety considerations while canoeing, North Country Canoe Outfitters strongly requests that no one exceeding 300 pounds participate in this activity.                                                     

 

 

 
HEIGHT 19-34 YEARS 35+ YEARS MAXIMUM
5-0 97-128 108-138 166
5-1 101-132 111-143 172
5-2 104-137 115-148 178
5-3 107-141 119-152 183
5-4 111-146 122-157 189
5-5 114-150 126-162 195
5-6 118-155 130-167 201
5-7 121-160 134-172 207
5-8 125-164 138-178 214
5-9 129-169 142-183 220
5-10 132-179 151-194 233
5-11 136-179 151-194 233
6-0 140-184 155-199 239
6-1 144-189 159-205 246
6-2 148-195 164-210 252
6-3 152-200 168-216 260
6-4 156-205 173-222 267
6-5 160-211 177-228 274
6-6 164-216 182-234 281

 

North Country Canoe Outfitters
 is not associated in any way with the National Council, Boy Scouts of America
nor have we received any endorsement from them.



North Country Canoe Outfitters


474   Kawishiwi  Trail
Ely,  Minnesota   55731
This web page is current as of:
E-Mail  Our  Office:

GENERAL OFFICE:  218-365-5581

RESERVATIONS:  800-552-5581

 FAX:   218-365-5681

 
Our normal office hours are
8 AM  -  6 PM,
Central Standard time, daily.
All off hour urgent calls are forwarded to the owner's home.


Copyright (C) 1996-2008      North Country Canoe Outfitters       and     John C & Mary K Schiefelbein