We have all been there….either from a relationship or some other heartbreak. Sometimes you just need to get away from real life, disappear into the world and forget your problems at home. So here are my suggestions on where to travel after a bad breakup.
Where to Travel When You Get Dumped
Beautiful beaches, men with British Accents and plenty of photo opportunities to make them regret the day they left you. The snorkeling there is phenomenal and so is the Scuba Diving. Being among so many fish will make you feel a little less lonely after you get dumped. Who knows you may even meet someone!
There are plenty of trails to explore on this Greek Island, that will help distract you from the heartbreak. The sunsets are phenomenal, and the whitewashed homes and blue topped homes give a perfect Zen-like feeling when you look out over the sweeping cliffs and ocean that stretches on for miles. Treat yourself to a luxury hotel and really make the folks at home jealous. Santorini is a definite MUST for those with a broken heart wanting the feel of a whimsical vacation.
Morocco is more for my ladies who get dumped. There is a feeling of ‘not being enough’ or ‘not being attractive enough’ when you get dumped. This happens to us all and is completely untrue. So when you go to Morocco, no matter where it is – the men are known for staring longingly into your eyes and catering to you- hand and foot to win your favor. Some women feel that it is harassment, but if you know how to handle yourself, well….after a breakup….the attention makes you feel like Aphrodite. Which in the moment might feel a bit consoling after a breakup.
I have one word for this place…..Tango. Going to Buenos Aires, feeling overwhelmed or broken hearted it doesn’t matter – you won’t feel that way after a night of Tango. They have Tango lessons, and men (surprisingly) outnumber women. My first night in Buenos Aires, I went to a Tango Club, La Virtua. The instructors (who taught at local universities), would not even let me sit down or catch my breath. I can’t tell you how nice it was to not feel like the last person picked for a dance. It is also very safe, where I was walking home at 1230 am, all alone, and felt completely safe.
Where to Travel When You Dump Them
If it is a toxic relationship, an exhausting relationship it doesn’t matter ……Scotland has the cure! Scotland is my number one choice of where to travel after a breakup. If you go in April, May, or October you won’t run into a mass of tourists that you might get in Italy. Head to the Scottish Highlands on a road trip, and experience just how wild and beautiful this world can be. The little lambs running about on the Isle of Skye, or the boat ride to Staffa Island to see the Puffins will help to heal the soul and help you heal from something that was never meant to last.
A place of love for all! I highly recommend going during a music festival. It is a time when the city really comes alive. There is so much art, quirky places to eat, and outdoor activities to do in Austin. If you can’t go during a music festival, there are still plenty of unique things to do in Austin you won’t get bored. The people there are incredibly friendly, as long as you are friendly to them as well. You can be yourself, and let you of the pretense you might have felt you had to keep with your ex. The slogan, after all, in Austin is ‘Keep Austin Weird’.
The number one question I get asked about my travels to Jordan, is it was safe for a female to travel there alone. It is safe for everyone! You have dangers in your own town that you just dismiss, but anywhere you go there are still the baseline dangers. The world is filled with humans, so this is inevitable. Jordan is a true adventurers paradise though, with Wadi Rum, Petra, and Roman Ruins to explore. You will be kept so busy exploring this country that has not yet truly hit the tourist market – it will truly feel as if you left the world behind and your problems with it. If you are still nervous about this, read Touring Jordan with tips from a local. I dated a man from Jordan, who is one of my dearest friends still – he will give a very real and honest view of the people in Jordan and mistakes many tourists make when traveling there.
Bright lights, big city, and lots of people – but there is a vibe to this city that makes you feel as if the world is your apple. If you are an American or a foreign visitor, the amount of activities available here will distract even those in the deepest heartache. The thing I love the most about this city, is the diversity of activities available. No matter your interests or tastes there is something for everyone. New York is such a melting pot of people, the influence each one has on the city is felt in the diversity that exists for the tourists that come.
Where to Travel After An Abusive Relationship
I know it has been mentioned before, but I had a personal experience with this. After suffering a traumatic event that has caused me to have PTSD for years afterward, I cannot recommend this place enough. I know how I felt when walking into a B&B in Inverness where an old couple made me eggs and soldiers (eggs and toast cut into strips). I know how I felt after climbing up to the Old Man of Stoor completely alone with the wind whipping at my face, looking out over the landscape. There are hard things that happen in all of our lives, and some of those things can break the soul. Scotland was what made me truly fall in love with travel after 12 years – this was the first Solo travel trip I took and still hold the memories I had there deep in my heart and mind.
In general, there are a lot of tourists here that can make someone who has been through a traumatic event a bit jumpy. Yet, the people in Amsterdam are very much business minded and keep to themselves. It is clean, organized, and there are plenty of outdoor adventures like Keukenhoff, Zaanse Schans, and Kinderdijk. There is also the inspiring story of Ann Frank, which will help you not feel so alone in your recovery.
This is one of the top destinations for solo travelers. The beaches are legendary, and with rain forests so close – it is an outdoor paradise to help you recover. Drink in the beauty of the ocean, sunsets, beaches, and then travel up to the rain forest for some bungee jumping off a bridge into the cloud forest or zip line through a rain forest.
This is a classic Eat, Love, Pray destination where the culture is so vastly different and so kind it will help restore your faith in humanity again. While there are parts that are extremely over-toured, it still holds its hidden gems and delicious foods. Nourish the body with bowls of fruit freshly picked from the tree and soak in a tub full of flowers in a luxury suite that are quite common on Bali.
Where to Travel When You Can’t Afford To Travel
Home Town Tourist
One of my favorite past-times is getting in the car, and just heading in a random direction. You can also look at the side streets or freeways that run parallel to the main highways. Take your tent and remote camping gear, and just plop yourself down in the middle of nowhere and enjoy the silence. Disconnect from technology, and just tell your closest friend where you are going. Leave your phone at home, so you aren’t tempted to text your ex – just breathe in the freedom and remind yourself how much this world still has to offer you. If you have never used TripAdvisor to give you suggestions on how to explore your home town – I highly encourage you to do so.
Road Trip with the Possee
If traveling solo isn’t the thing for you, well pack the girlfriends in the car with you! Take off on an adventure, and tell them it is going to be a weekend getaway. There is so much value in being spontaneous, especially for those prone to wanderlust – it helps you feel freedom from those feelings of loss.
Go on an Epic Hike
While I may be biased, I think nature is the closest you can get to heaven on earth. So going for a hike is a great way to escape the daily grind of life, and forget the woes of past relationships. Take an early hike near a lake, climb up to a peak and greet the sunrise.
The reason I specifically suggest this is because when people are sad, or depressed – they tend to isolate themselves. So getting out into nature, even when you don’t feel like it – is really going to help you remember how much world there is to explore and the people that didn’t make into into your future should be left in your past.
Challenge yourself, and get out and go camping – camping in a place you have never been before. Usually, BLM (Basic Land Management – here in the States) is free and you just have to pack in your food/water. Always keep the standards of safety when hiking or camping, and tell someone where you are going. Invite some good friends with you, eat s’mores….because everything is better with chocolate 😉
Know That Things Will Get Better
I’m 35 and have not dated in several years, I went through bad breakups…I thought my life would be very different. I thought that by now I would be married with 7 kids (not kidding) – but life doesn’t always turn out the way we think. It took a lot of time, crying, bad choices and good choices to finally come to terms that there is a possibility that I will never be a mother. At least in the traditional sense, where I may not be able to have my own children. It is hard to wrap my mind around the fact that my friends who have the opportunity to have children, don’t want them.
So I wrapped up my love for all the children I may never have, and buried it because there is no use being sad and isolated during the best years of my life. Everyone has a choice, and just because it is not one that you would make – doesn’t mean it is wrong.
This is the same idea with relationships…everyone has a choice. Everyone has a choice to stay or to leave. If they aren’t ready mentally, don’t want to commit, aren’t headed in the same direction as you are – it is better to let it go. It wasn’t until I let go of the idea of having children or needing a man in my life to complete me that I found my true joy and strength. The things is, desperation never looked good on anyone – so don’t try to make it look natural….it isn’t.
Start believing that you are worthwhile and keep your dreams your dreams no matter who you decide to date/marry. Dreams and goals will always shift in our lives, but we often hold ourselves back in trivial pursuits that impede you from reaching your full potential. The real question is…..are you ready to reach your full potential or will you let your brain succumb to mediocrity because that is what you think is best.
Search For That Peace When Your Alone
I once dated a man from San Paulo Brazil, who taught me so much about how to reach my full potential. It was a toxic relationship on the whole, and there were a lot of lies. Yet after each relationship, I try to ask myself, ‘What can I learn from this?’
I will never forget what he told me, “I don’t have to constantly fill my life with things, doing things, being things because I’m at peace in the silence”. So that is my challenge to you, to find peace in the silence. The journey will be scary, you may not have the courage right now – but keep searching and I promise you will find it. It may involve sleepless nights when you don’t feel your partner next to you, or when things get hard having no one to cry to or be comforted by – but you have the capacity to evolve. Push yourself to do new things you have always wanted to do, and now have the time to. Enjoy that big bed space and sleep sideways on the bed, or just trash the one that has so many memories and buy a new one.
You have the capacity to be ok being alone, but sometimes broken hearts need a crutch just like a broken leg. So pick your flavor of vacation and don’t over think it….plan it, and ask Nike says ‘Just do it’.
Sending love and light your way, know that you aren’t the first person to feel this way. Time does blunt the pain of the wounds that might be left, but in order to heal from those wounds you have to keep moving.
No one likes to stand out or feel awkward in sports, especially me. If there were awards for awkwardness, I’m sure I would have a few by now. Maybe it is the elementary physical education classes where I farted while trying to do a sit up in front of the entire 6th grade that still haunts me, I dunno – it just isn’t fun to feel awkward. So when I took up the new, posh, sport of Scuba Diving I dreaded getting in the water and looking like a fool. So after a few dive trips under my belt, here are my Tips for First Time Scuba Divers, and how to avoid aquatic awkwardness.
My Number One Tip for First Time Divers: Go To The Bathroom!
Going to the bathroom beforehand is the most important part of this entire tip. Do NOT get creative in your eating right before your first scuba trip. Yes some of the boats have the confined toilets, but if your bowels decide to become water instead….well, the whole boat will get to smell your innards the whole trip. The other part is, when you are under pressure, at depth and have a….shall we say intestinal civil war – you are going to be in a wetsuit and there is no escape from the dreaded explosion.
There is a natural physiological phenomenon that happens when a warm body is placed in cool water. It will make you want to urinate, so just let it go – most divers end up doing this. You are swimming in a marine life toilet anyway, so just consider it contributing to the minerals in the ocean.
Ladies, very important, do not plan on going diving with sharks if it is your time of the month unless you are in a cage – then it is fine.
Keep it Clean
Make sure to keep your stuff neat and tidy. While there are different ways for everyone to organize, just make sure you are conscious of the common space on the boat. There are limited areas for you to put your belongings. There is a dry area (typically under the front of the boat on a ledge) where you can keep a small bag. Anything wet, that can get wet should be tucked under the assigned spot where your tanks are.
Keep your fins out of the walking area, as this is a tripping hazard and can land someone in the water with a ‘man overboard’. Which you don’t want to be on the receiving end of that when the individual gets back in the boat.
There are a lot of things I remembered to bring on my first dive trip, and a few I didn’t. No matter where you are in the world, a boat does not have an ATM card to give tips, nor do they have a cash register. So if you plan on giving a tip then be sure to bring that with you.
My Scuba Instructor Rachelle, from Scuba Utah, gave some good advice on this as she has been diving for the last 35 years, “It is pretty typical when on a dive trip to tip them 10-15% for the day (total, not per individual). Make sure to tip them on a daily basis, as the crew will or can change daily”.
Bring a Photo Stick
I’m not talking about a selfie stick, I’m talking about a blunt 12″ rod that you can clip to your BCD. When you are first starting out, and going from fresh water to salt water; or if you have lost a lot of weight or gained weight it can be hard to find your buoyancy. This small blunt instrument will allow you to gently push off surrounding rock and not crash into the delicate coral reefs.
I recently lost 25 lbs and wasn’t quite sure on my weight I should have in salt water. Utah has all fresh water diving, and when you dive in Salt Water, your weight requirements are going to increase. So keep that in mind, and get the photo stick so that you are protecting the environment until your able to get a little more experience.
Get Reef Safe Defogger and Sunscreen
While on the subject of protecting the coral systems and reefs of the world I would highly suggest getting reef safe defogger and sunscreen. Here are a few I recommend: SurfDurt not only is it organic, it is also in a non-plastic container, so win win!
There are a couple of different options for the ladies (or guys) with long hair and to keep it from becoming a rats nest when you get out of the ocean. One way is to use a swim cap. You want to make sure that it does not go underneath your mask, as this can let the water seep in. It keeps everything tame, and also adds a little extra layer to your head to keep in the heat without having to wear a hood.
Another option, which I learned recently, is to put leave in conditioner in your hair the night before (I’m talking quite a bit). I prefer the spray in kind, like Sun Bum Revitalizing 3 in 1 Leave-In Conditioner Spray (which is vegan and environmentally friendly). When you wake up, put your hair in two braids as tightly as you can get them. This works well for those with long hair especially. It looks great in underwater photos too! When I got back to my hotel, I couldn’t believe how much easier it was to unravel my hair.
Watch That Air
I was guilty of this the last dive trip I went on. Again, being from Utah, pretty coral reefs, sea turtles, and sharks are in short supply here for divers. So when you see these animals in person, it is easy to get enamored with them and taking video of it that you lose track of your air. Luckily I had a dive buddy who I had warned her about this prior to diving and she caught me at 800 on my tank pressure. We started to head for our safety stop, and the more shallow we became the harder it was to stay down despite the extra weight that I added. I have never swam so hard to stay at 15 feet in my life as BCD and tank were trying to skyrocket me to the surface. I burned through 300 PSI in 1:30 min and surfaced before my 3 minutes were up with 400 PSI.
This could have gotten me in big trouble, and her in big trouble. So now I’m fully aware that each time I see marine life that is interesting to me, I need to check my air. Luckily I wasn’t diving deep enough on that dive to put me into decompression sickness, but I don’t ever want to take that chance again.
For the Asthmatics or Those With COPD
When you have Asthma, or COPD you can still go Scuba diving, but have to be aware of a few things. You have a form of air obstruction, which means air gets trapped in your lungs more easily than the average joe (or jane). This can significantly affect your bouyancy when you get fatigued.
When a person with Asthma or COPD is fatigued, air can get trapped. This will require you to add more weight to counter this. Think of trying to get an inflated balloon to descend on a dive. It is nearly impossible, unless you have a tow rope to pull you down with the balloon. This is the same idea when you go diving. So if you are out of shape or fatigued, I would suggest adding an additional 2-4 lbs of weight to your BCD so that you can stay down during the safety stop as you start to surface. (A lesson I have had to learn the hard way).
Rachelle taught me in my Scuba Class, that noise underwater will be amplified. Being very sensitive to sound above land, I was a shocked at how much sound carries underwater.
Once I realized what was going on, it was easier to isolate and tune out the buzzing of the engines above me. It is quite distracting though when your descending for the firs time, so stay close to your diving buddy and the instructor.
Motion sickness can happen in many different places, and is different for everyone. For example, I do not get sick on boats big or small, but get me in the back of a tour bus and I will be green as a tree within the first ten minutes. There are many options for Motion Sickness so be sure to read my recent article on different ways of treating this and avoiding it in the first place.
Allow 18-24 hours Before Flying
Even some of the most experienced divers, forget about this rule. It can affect the incidence of Decompression sickness due to the altitude, and Nitrogen needing to fully ‘off-gas’ or dissolve before flying.
I typically give myself 24 hours, just to make sure I won’t get sick. While this is more important for live aboard diving where you are doing multiple dives per day over several days. It is good to get into the habit, so you don’t forget in the long term like many divers end up doing.
Know How To Self Calm
The Scuba Magazine reported that 20% of diving accidents are caused by people panicking. So knowing how to calm yourself while underwater is key to beginner divers.
On my last dive, I was so nervous before getting into the water for some reason. I quietly asked my friend Jen, from Coleman Concierge, ‘Do you get nervous before dives still?’ She said, ‘After all the dives I have been on, all the years I have done this. This year has been the first year where I haven’t felt nervous before a dive’.
I have PTSD, and anxiety at baseline – I also almost drowned as a child after getting stuck under a bridge during a river tubing trip. So I had to learn very quickly underwater, that simply maintaining bouyancy, making a specific handsignal where both hands are up in a stop gesture – signals to my diving buddy that I just need a second to calm my nerves.
After getting an ok from my dive buddy that they understand and come closer. I hang onto their BCD, close my eyes, and concentrate on breathing slowly until the wave of anxiety passes.
If the wave of panic or anxiety is bad enough, or you can’t self soothe. Just gesture to your diving buddy that you need to end the dive. Be kind to yourself, and like Rachelle always says – ‘It is normal and ok to be nervous. Never be afraid to end a dive if you feel uncomfortable’.
Tips for First Time Scuba Divers From A Professional
I asked my instructor, Rachelle, for some of her input on things that she would strongly recommend to new students. Having 35 years of experience and teaching hundreds of students, and Veterans with PTSD, Here is what she suggested:
Dive within your limits – don’t try to appear cool, or think you are the weak link by voicing something you are uncomfortable with.
Do not try to dive outside your training or your equipment requirements. You will put yourself at risk, which you have that right to do if you wish – but more importantly, you are putting your dive buddy, and dive master at risk which is absolutely NOT ok to do.
Respect the boat and the crew no matter how much you think you know. They know the area better than anyone, and they know what works best for the conditions in that moment. So even if it seems ridiculous, offensive or childish – just do what they ask with a smile and complain when your done with the dive.
Be aware of your surroundings. Our brains aren’t trained to protect us underwater, so just keep in mind to keep an eye above, and below you. You could stuck between a person who can’t keep their buoyancy and a Moray Eel. You might be confidant in your abilities, but there are other people you can affect by not being aware.
Leave only bubbles, take only picture. While it might be tempting to pick up that starfish, or take that giant seashell home as a souvenir. Just leave it alone, and let the next diver appreciate it as you did.
Don’t touch, tease or harass aquatic animals. There are so many marine animals that may look harmless enough, but can be quite deadly.
Keep your mask OFF your forehead! This is a universal sign of distress that Master Divers are trained to recognize. So when you do this, it can cause all sorts of chaos that is not needed. Keep the mask on your face until you are back in the boat and even then don’t make it a habit.
Create Your Bucket List!
The Diving community is a tight knit community, that generally is quite supportive. Reach out to those in your community, take a dive class, and then create your bucket list of Diving. I asked my fellow divers for their Top Dives From Around The World, and now have my own Diving Bucket list I’m working through.
If you have any Tips for First Time Scuba Divers, be sure to drop them below and connect with the Culture Trekking Community on Facebook or Instagram; arrange a few dive trips with other members of the community.
In the wilderness you will have limited resources, and limited capabilities for major medical intervention. So it is important to have a basic understanding of wilderness medicine and first aid, as it could save a life. So with my medical background in trauma surgery, and the emergency room – here is an introduction to Wilderness Medicine.
Disclaimer: Please keep in mind this is a guide and you should receive additional training in order to feel confidant and comfortable in each scenario.
The best thing to do is approach the patient using the Acronym: ABCDE, which stands for Airway, Breathing, Circulation, Disability, Exposure. The initial question before all else, is “Am I putting myself at risk by trying to save this person?”. Make sure there won’t be two injured people on the ground before you commit to completing the ABCDE steps. Please make sure that the scene is safe for you approach – don’t approach a bleeding person with a Grizzly Bear standing over them.
Make sure to wear gloves, put on your sunglasses because you may not know them- and don’t know your friends as well as you do.
For those with minimal medical knowledge, here are some questions you should ask after taking a big breath, and introducing yourself in a calm way to the injured person or suspected injured person.
Airway in Wilderness Medicine
Remove dirt or objects that you can see. Do not do blind sweeps with your fingers as this can lodge things further down the throat. They can have dirt, teeth, severed tounge etc… it might be bloody so be prepared (thus the gloves and sunglasses).
Jaw thrust – go to the head of the patient, grab their jaw (right at the angled portion) and lift it slightly forward. Do not move the neck, or tilt the head back significantly when you are doing this because they may have a major neck injury.
In the Emergency Room they often use an nasopharyngeal tube to keep an airway open in an emergency. You can use a camel back to cut this down measuring from ear to mouth.
If you don’t have a nasopharyngeal tube, then you can take your knife – cut the tube on a camel back and insert that into the nose down to the airway. Be sure to measure it properly. Using the ear to jaw measurement method.
If the camel back doesn’t work, you can also use TWO safety pins pinned on either side of the tongue with a shoelace threaded through them tied to the belt loop, their finger etc… I like to have four safety pins so that the paracord/string/shoelace remains in place.
If this wakes the patient up, then you have solved the issue of their airway, because an awake patient, can control their tongue muscles. Also, keep in mind it will feel weird grabbing a limp tounge, it might be weird and gross but it is better than that person being dead because you couldn’t leave their airway while trying to treat the bleeding broken leg that may also kill them.
Chin lift – you only want to do this if you are absolutely SURE that the patient has had NO head trauma.
Have they choked on something? Is there something blocking the airway?
Cricothyrotomy (The Emergency Airway): You can slit the skin right below the Adams apple and stick the knife in. You will pop (it will literally be a pop) through a couple of layers and will hear a rush of air. If you don’t feel a rush of air, then you aren’t in the right space. Don’t dig around, in a normal weight and build individual, it should only be about a 1/2 inch below the layer of skin/fat. In larger individuals you may have to go a little deeper. You can measure a stick a straw, a camel back tube or ball point pens to the side of the neck and it will give you a good idea of how deep the tube needs to go in order to get into the airway.
I like to keep a 14G IV Catheter with me so that I can use that to puncture into the airway. It will be large enough to help air escape, and guide you for making a larger incision in the event that you need to ventilate.
Keep in mind that once you put an incision in this position, medical personell will not be able to insert a viable airway tube through the mouth. So only resort to this option if the upper airway is completely blocked and the patient is deteriorating.
Do you lay them on their back or on their side? Are you sure they are breathing? What do the breaths sound like and feel like? Breathing is really important obviously, it is generally associated with death if someone isn’t breathing and/or isn’t breathing well. There are entire campaigns in the States to help the public become more aware about how to save a life through CPR and First Aid classes. I highly recommend going if you have the chance.
So when assessing breathing, I would review the list below before each activity or vacation. Have someone be in charge and a backup person to support them. Having someone assigned to each task, and someone assigned to be the team leader in the event of an accident will help prevent confusion.
Look for the breathing, is their chest moving?
Is the chest moving equally? Is one rising above the other?
Are they using nose, neck or other muscles to help them breathe?
Listen for their breath by putting your ear right next to their chest.
Feel the breaths by placing your hands lightly on the chest. Does it feel like broken bones grinding together or does it feel like rice krispies under their skin?
The feeling of Rice Krispies on the chest can indicate a tension pneumothorax. This is something that cannot wait and the patient will be dead by the time someone arrives.
Keeping a 14G IV catheter for this situation. You go very high on the chest, right below the collar bone, pick a rib high up, and stick the needle on the TOP part of the rib. (Hold onto it because the trapped air will push the needle out- if there is no rush of air, try the other side. If the rush of air is not on the other side, then take it out).
Most of the time, people don’t put the needle deep enough.
Open Pneumothorax – this is when someone has something penetrating through their skin into their lung. This destroys the physics of the lung and how we breathe. So if there is a hole in the chest, with abnormal breathing – take a plastic baggie, take your duct tape and tape ONLY THREE Sides flat onto the chest (so that air can get OUT of one side).
Do not EVER remove an impaled object into the chest area, or into the leg area.
Basic Life Support would suggest giving breath’s (use a glove as a barrier for rescue breathing- tear off the middle finger and put your mouth in the opening to give breaths) to the patient and doing chest compressions. Contact your local hospital to get education on how to do this. In the USA the Red Cross does BLS courses in the community.
Circulation in Wilderness Medicine
First things first, if they aren’t already laying down – ask them to lie down. If you know how to take a pulse (near the thumb, or on the neck on either side of the neck right near their windpipe) see what their heart rate is. A normal adult should have a heart beat from 70-80 beats per minute.
Check their skin color, are they pale, cool, moist? If you answered yes, they may have an issue with their circulation or are in shock.
If you press down on their fingernails does the blood come back into the fingernail within <2 seconds? If it doesn’t, they may be losing a lot of blood, or being going into severe shock. This method is called checking capillary refill time.
If it looks like they have a lot of the symptoms described above, or you can’t feel the pulse on the wrist – you may not be able to see the bleeding that the patient is experiencing. Some of this bleeding can be internal, so raising the legs (only raise the legs that are uninjured) it can be a way to increase the blood pressure and keep blood pressure up to the brain.
If there are any areas on the surface of the body make sure to hold direct pressure for 10-15 minutes. Don’t let the pressure go and check to see if it is still bleeding until that 10-15 minutes is up. If you have quick clot, pour that on and hold pressure.
For Wounds/lacerations you can use crazy glue, duct tape, staples (even the small stationary staples), or the hair closure technique.
Hair Closure technique: If the hair is more than 1-2 inches long, you can take small pieces on either side of the wound, and twist them around each other tightly. Lay them down flat against the scalp, and put crazy glue on the knot on the top of the head.
If there is a lot of debri in the wound, you can use the sterile saline rinse kits they have over the counter that people use for sinus irrigation, or they also come in small disposable packs. You can also use water (with chlorine tablets dropped in) inside a bag with small holes poked in it to irrigate it out. You can use garbage bags, condoms, sandwich bags etc.. to bring enough water to clean out the wound.
In the Operating Room we had a saying, “The Solution to Pollution is Dilution” – and oh how true that is.
Just keep in mind, you don’t want to close a wound unless it is life threatening. Just clean the wound as well as you can, and then put pressure on it. If you close it completely then they have to keep the wound open for irrigation and it closes on its own leaving a massive scar. If it is a life threatening opening that won’t stop bleeding even with pressure, then there isn’t a choice but to close the wound.
If the bleeding is coming from the legs or arms, putting a tourniquet on the limb using a stick slid just underneath the knot (turning it slowly until the bleeding stops). Make some kind of mark on the patient to make sure that someone knows a tourniquet has been placed.
If a tourniquet is left on for more than 6 hours they are at risk of losing their limb. You are ok to release the tourniquet after 6 hours, as long as the bleeding from the limb is not life threatening. Leave it off for at least 20 minutes to 1 hour (as bleeding allows) then replace it.
If you don’t have quick clot, you can use duct tape, crazy glue (but not for lots of bleeding as it won’t stick), hair ties, staples. If someone has an epi pen for allergies- you can use that injected into the body. There are certain places they say NOT to use any kind of Epi (Fingers, Toes, Penis, Nose) – but again, if it is life threatening….then just do it).
Many medical personell don’t know how to use Epi pens if you ask them, they will likely go into their office or look up how on their phones. So it is really simple…take off the caps and THE ORANGE PART GOES INTO THE PATIENT. Don’t stick it in quickly and pull it out once you push the button on the top, as it takes 10 FULL seconds to get the epi (the medicine) into the patient.
Are they talking normally, confused (name, date, location, what they were doing), responding with a loud voice, do they respond to pain (pinch them on the wrists and behind the ear)? Are their pupils equal? Do the pupils respond to light (use your phone light)? Are they able to move both arms and both legs?
The reason you want to do this as the initial portion for ‘D’ is to see what type of transportation you need for this person. If their pupils aren’t reacting like they should, if they do not respond to pain stimuli, or they are confused – then there is likely something going on with their brain and they need immediate attention via a helicopter transport that would get them the medical attention necessary to save as much of their brain as possible.
Always assume they have a neck injury if they have had a head injury, major injuries or broken bones, they are intoxicated, or were hit by a moving vehicle or boat. Do not believe them when they say their neck is fine, there are plenty of times in the moment of the Adrenalin rush that they won’t feel the trauma that is there.
In this case you want to imagine the patient as a log. everything should remain in line, and no turning, pulling pushing on the spine or neck.
Improvising to protect their neck – you want to prevent them from flexing their neck and turning it side to side:
Preventing Forward Neck Flexion
Aluminum Splints area a great way to splint not just a fracture, but you can thread these behind the neck, and then cut it down so it encircles it once.
A really bulky sweater wrapped around the neck and duct taped on also works
Prevent them from looking side to side with Side Rolls
Improvise with: Water bottles duct taped to the side of the neck to keep it in place. paddles on both sides crossed over the chest, taping sticks together and wrapping a shirt around the ends to prevent punctures, putting their shoes on either side of their neck, stuff sacks or a back pack (filled with sand, clothes) put on both sides and duct tape it together.
What are the weather conditions like? Do you, or can you move them to a better location without causing pain or further damage?
For cold environments you want to try and keep them warm. Use something to block the wind.
You can also use a garbage bag wrapped around and underneath them (as a improvised shirt or pants) with DRY leaves or other clothing stuffed inside of it to keep the heat in.
Make sure whatever you stuff into the bag is DRY, no exceptions.
Using a sleeping bag is also a great idea (only if not wet).
The ground is very cold, even the dirt – so don’t forget to wrap their entire body.
It can be 85 degrees outside, and someone in shock will still be shivering relentlessly.
Were they impaled with any objects?
If there is an object that impaled the patient and is stuck in them — DO NOT REMOVE THIS AS IT CAN CAUSE FURTHER DAMAGE!
A good example of this, is when Steve Irwin was stung by stingray rebarbs, he quickly removed them and one was in his heart. When he removed it, it created an outlet for bleeding to happen around and from his heart causing his death.
You can wrap something around the impaled object to stabilize it until the patient can get to the operating room to have it taken out. Even doctors in the Emergency Room don’t typically mess with these things until you know for CERTAIN that an object has not severed an artery.
Invest in a Good First Aid Kit (not just ones with bandaids)
There are thousands of First Aid Kits out there, but how do you know which one if the best? Think of your situation, how much you are willing to put in the suitcase?
This First Aid Kit has so many good things in it! I’m sincerely impressed with everything in here. It is so compact too, it is smaller than my makeup bag (and I don’t wear a lot) yet has everything I would want in an emergency other than an AED and a back board. They have built the outside of the bag so you won’t lose any space on your backpack with loops to hang carabiners off of.
On the back there are two button straps you could also use to hang onto your bag. You can unclip the strap that goes around the bag and use that as a neck brace with the rolled clothing or water bottles and cinch it down.
Inside it is very well organized with straps holding everything in place, just like you would find in a paramedic bag. There is benedryl, tylenol, advil, sunscreen, electrolytes, 2 pairs of gloves. Sterile bandage, triangle bandage, emergency blanket, suture kit, scissors, tweezers, sterile saline, ace wrap, tourniquet (the fancy kind), paracord, QuikClot, snap light, whistle, medical tape, bandaids, Nasopharyngeal tube, hydrogel (used for severe burns – to help slow damage to lower levels), CPR shield (so you don’t have to use a glove).
This is just to name a few of the things tightly compacted into this bag. The bag also is easy to close once you are done exploring it.
Another thing I do when I go camping, hiking, climbing, or any other adventuring – I always make sure everyone knows where the first aid kit is. You put it in the same spot every time you go out adventuring. If it is on your backpack, or in your backpack, you make sure that people know how to access it. If it is in your car, make sure they know where the keys are to open the car.
If I were to add a few more things to this MyMedic Pack, I would add an Epi Pen, 14G IV Catheter, strap my swiss army knife to the outside. I would also put 4 safety pins, chlorine tablets, and crazy glue.
Just like Duct Tape, Safety Pins have so many uses, so I would highly recommend always keeping a few handy:
Tongue Extension, making eyeglasses, removing foreign bodies from skin, cornea, abscess drainage, removing a fishhook, T-shirt arm splint, sewing needle, wound closure, unclogging camping stove jet, tick removal, fix zippers/bindings, and last but not least for all my ladies out there – they work great for separating eyelashes after putting mascara on 😉
When Do You Evacuate Someone?
If the patient is having any of the following, you will likely need to ask for a helicopter or rescue team evacuation:
Neck or Torso Pain
Unable to Walk
Visible Bone or Clear Dislocation
Unsure of Severity of Injury
Animal Bites and Stings in Wilderness Medicine
Know the area, animals that frequently attack – an easy way to know this is to ask a local. If you ask the concierge, the taxi driver, the ticket counter, or even your guide should know.
When I was hiking in Jamaica through the Jungle, we emerged and I felt a pinch on the skin of my foot. In the States, ticks are known to hold Lyme Disease- but my guide was able to dislodge the tick, and said that Jamaica didn’t have Lyme Disease like the States did. She was from New York, and one of the toughest ladies I have ever met. So even common pests like this, may not be dangerous in the places that you visit – they may be…just pests.
This is why it is important to just ask questions about dangers when hiking in certain areas, or animals. The animal world is always changing, and animals can be quite territorial, or hide in places you may not think of.
For example, where I live, we have to keep our dogs out of the weeds in certain places we go hiking as Rattlesnakes are quite common here. You likely wouldn’t find Rattlesnakes while hiking in Zermatt Switzerland. So get educated and be prepared.
Snake Bites: Move away from the snake, take off any tight clothing, do not use a tourniquet. Take a photo of the snake if possible. Call 911 to minimize having to move and increase the circulation of the poison.
Hypothermia in Wilderness Medicine
The first time I personally experienced Hypothermia was when I went camping and hiking on Mount Whitney in November. You don’t really know that you are getting cold until things start to turn blue (especially if you are exercising). Make sure to read about my whole experience there.
If you encounter someone who has Hypothermia, or if you yourself start to experience it – there are some things you can take with you. Hand warmers (the 12 hour ones are best) I would bring at least 6 for each person, or more if you are car camping. An emergency blanket, if I am backpacking or camping I will typically bring a compact Mylar blanket, and then a cloth emergency blanket over that that you can find at REI and are easy to put on your backpack.
Hyperthermia in Wilderness Medicine
The first time I experienced Heat exhaustion was hiking in Zion National Park in the sun when it was 112 F (44C). Ever since that time I have been easily prone to heat exhaustion (another reason I sweat like a whore in church in any kind of humidity).
It starts with a dry mouth, then you get hot and start sweating so much you can hardly keep it off your body. Then it feels like your heart is going to beat out of your chest. It feels like it takes monumental effort to take even a few steps or keep your eyes open. Then your stomach starts to cramp, and you can get nauseated. When I got to the nausea and dizzy stage, that is when I knew I had heat exhaustion for sure. Be sure to read that first hand account, and keep yourself safe in warmer climates.
Getting Travel Insurance
Sometimes the first aid kit isn’t enough, it can save a life in order to get to medical care though. When you are traveling abroad, you won’t know what hospital is a good one, or what the cost will be. This is why I highly encourage Travel Insurance.
Not only do they help with repatriation (arrange for your body to be transported back home), they also can help with delayed or canceled flights, long term hospitalizations abroad etc..
I recommend World Nomad Insurance, because it is highly customizable. Even for coverage for my diving trip in Cabo San Lucas, for my age it was only around $69 for repatriation coverage, hospitalization, cancelled flights, delayed flights and more. For everything that they cover, I was stunned….especially since I work in the medical field and know how much headache it is to cover sports like these.
Stay Aware, and Stay Safe
There is only so much that you can prepare for on a trip. There will always be the unexpected in this life, so just prepare as much as you can – get familiar with some of these Wilderness Medicine Hacks. Some people never get hurt while they are traveling, some people are so accident prone they can regail you with stories for hours. You personally may not feel you need any of this information, but you may just possibly save someone else’s life should you prepare yourself with the right information and your own first aid kit. Be safe, don’t be sorry you didn’t prepare. The worst thing in the world to live with is the ‘What If I Would Have?’
Exploring Doune Castle, a popular filming location in Scotland was a little surreal when your standing right in front of it. If you have ever seen Monty Python, or Outlander – then you might recognize Doune Castle.
The History of Doune Castle
A 13th century castle beautifully restored in the 14th century, with open rooms to explore and let your imagination run wild.
This was my second time visiting Doune Castle. The first time I took a day trip from Edinburgh to this beautiful location- I hadn’t given myself quite enough time to really learn the history. What I hadn’t realized was that this castle is mostly all the original stonework from the 14th century with minor repairs. The Wood flooring and roof, however, is mainly from the 1800’s.
Not only is Doune Castle a popular filming location, it was also favored by Royal Monarchs as a hunting retreat, including Mary Queen of Scots at one point.
It was also occupied by Bonnie Prince Charlie during the Jacobite rising of 1745. When he was attempting to take English throne on the basis that he felt he was the rightful heir.
It is now maintained by the Historic environment of Scotland who have kept it in beautiful shape!
Castle Leoch from Outlander
Outlander Tours often come to this location, as it was used as the set for Castle Leoch. This series depicts what it was like during the Scottish Rebellion that led up to the Battle at Culloden.
The series used cranes to hoist the set into the main courtyard of the castle. Then piles of mud, hay and other items to truly recreate a scene akin to that of 18th century Scottish Clan life.
The series follows a woman, Claire Randall back in time, during the Scottish Rebellion – where she meets heart throb James Frasier. Their harrowing adventures, her constant efforts to get back to her own time period – sets an incredibly accurate depiction of life in the Highlands. So if you get a chance to watch Outlander, I highly suggest it – especially if you have Scottish ancestors like me.
The first, and a personal favorite, was when King Arthur rode up to the castle with his imaginary horse and coconut clapper. The French poked their head over the top and an exchange of ridiculous insults ensued – at the end of which there was a cow launched over the walls.
The second scene, was when the knights of the round table met and broke into boisterous song. Using the different outlets in the Great Hall as platforms for song and dance after the wedding.
While there are several other scenes filmed here during this movie, these are the most famous.
Game of Thrones Winterfell Castle
Here is a bit of film history some may not know, that Game of Thrones used this castle as a basis for Winterfell. Winterfell is the home of many of the main characters and heroes of this international hit TV series.
Taking the Tour
I would highly recommend getting the audio tour when you explore Doune Castle. There is a small shop right inside the courtyard area where you can pick up your headset.
The headset plays songs sung here during Monty Python, has Jamie Frasier (Sam Heughan) giving you a large part of the tour through the castle. Let me tell you ladies and gents, his voice is like chocolate to the ears. He is also Scottish, and I find it very fitting that his voice is used to give you a large part of the tour.
If you get to the castle early (or early-ish), then it isn’t too crowded, and you can wander about and let the headset help you recreate the fond memories of the movies in your mind. It is hard to not have a smile on your face when you wander through this incredibly well preserved castle.
It isn’t all about the filming locations though, they also give you a good bit of history about the castle – and guide to to very specific locations within the castle.
The Kitchen is always a favorite place for me, especially at home . To see how they produced food in this place – made me grateful for my modern conveniences.
What surprised me the most was the MASSIVE fireplace that is 18 feet (5.5m) long. There would be several fires all going at once in this area. A kitchen boy would have to sit in this area – with only a window cracked to help air to the fire, make sure they didn’t die, and turn the spits when ordered to. In the winters I can imagine how this might be a coveted spot, but to think about how much smoke he would have to inhale…..induced some coughing.
The Great Tower
This is the main building that you see when you first round the corner from the parking lot. A massive 59 feet x 49 foot (17m x 15m) tall tower is quite impressive height for a 13-14th century building of that time.
The rooms of the Clan leader, or high ranking guest rooms were kept over the kitchen. A clever way for the most important people to stay warm during the cold winter months.
The tower is accessed by a stairwell in the main courtyard. The rooms are empty, but you will notice, this particular tower was quite lavish – as it has a double fireplace.
Exploring Doune Castle – A Scotland Favorite
Exploring Doune Castle is something I could do again and again, and still enjoy the time there because of how well preserved it is. It is also incredibly easy to imagine men in kilts, ladies dresses swishing around the great hall and Christmas feasts in the well heated rooms of the great tower. I spent two and a half hours in this place, and could have stayed for a long picnic if I would have had the time.
While Dunrobin Castle, and Cawdor Castle are some of the more modern versions of these ancient castles. There is something quite special about seeing an empty well preserved castle like this. It makes me think of how I would decorate it, or where I would put the horses and refrigerator. So that being said, Doune Castle is one of my favorite ancient castles in Scotland for the history, the film locations, and gorgeous surrounding countryside.
Belize is a country unlike most in the Caribbean, it is quickly being considered as the next Venice of the South. Luxury hotels, incredible food, and hospitable people make this a truly spectacular place to vacation to. Yet the two things I enjoyed most while visiting Belize were the Lamanai Mayan Ruins and Rio Secreto. I was able to take a cruise to the Western Carribean, and visit this ancient city – learning all about what life was like in ancient Mayan times.
How to Get To Lamanai Ruins
Getting to the Lamanai Ruins is half the adventure! I would suggest picking a tour group as the journey can be quite extensive – but easily done within the time allotted for a shore excursion. The drive from the port to the boat launch is around an hour, from there you take a boat along the New River.
The boat ride is up a very tropical river, albeit hot so be sure to bring an umbrella or a wide-brimmed sun hat. You will likely see Spider monkeys, howler monkeys, a variety of tropical birds, plants, and maybe even a drifting crocodile or two that the guides are great about pointing out to those on the boat.
I would suggest getting a spot on the front to middle of the boat for a nice breeze, excellent view, and a bit of spray from the river as many of the boats do not have shade on them.
You can also drive, but the drive out is long and really bumpy (think four-wheeling in a small van). You can choose either option from the Orange Walk area.
The History of the Lamanai Ruins
Entering the ancient Lamanai city, the guide pointed out mounds of dirt we had to walk over. The two mounds were about 8-9 feet in height, with a trench in between – suggesting that these were strategically dug in order to be used as a defensive protection for the city.
These ruins date back as far as 1500 BC, and have been excavating the ruins here since 1974 so it is still fairly new to the archaeology world. The three temples they have uncovered so far are the Jaguar Temple, The Mask Temple, and the High temple. These are the main highlights in the Lamanai ruins, and unlike Chizen Itza, you are able to climb up the High Temple for a great view over the canopy.
Something I learned about Mayans was that they put their faith in animals, and believe they represent different parts of a person. These animals are called Nuals or spirit animals that help shape our personalities as humans. They are also believed that in worshiping them, it provided a way for the specific power they would hold to enter them.
Temple of the Jaguar
This was my favorite Temple here apart from the high temple because you have to use your imagination to see the Jaguar. It was used up until the 15th century when the Lamanai people were converted to Christianity by the Spanish. The Jaguar is a cleverly structured so that the extensive time to carve the face from stone was avoided. Instead there are slots placed for the eyes, mouth, and nose. The slots placed here were used to leave offerings to the Jaguar God.
The Jaguar was considered the God of the Underworld, but takes the image of the nighttime sun God. He is often connected to fire rituals, which are very sacred to the Mayan Shamans. He is also considered to bring trade, riches, and is connected to the powers of sorcery.
The Mask Temple
This temple was built during 200 BC, and has two massive limestone heads carved carved into either side of the temple. Many historians believe this face represents one of the early leaders of the Mayans.
Beneath the temple, archeologists found a burial chamber with a male and a female buried here with several jade statues. These can be representative of a possible trade route between Copan or Quirigua and the Jade mines of a Guatemala.
The High Temple
The Lamanai Mayan Ruins in Belize are unique in that it has the tallest Mayan Temple, the High Temple. Rising 108 feet (33m) into the sky, this temple provides an incredible view of the canopy surrounding the area. This would have been the tallest building in Mesoamerica and was a bit of a billboard for those on the new river.
The long part of the temple (now deteriorated) once extended the entire length of the open area in front of the temple. This former part of the temple was used for sacrifices, and other offerings to the Gods. The guide told us when they were excavating they found parts of animal bones, and human bones.
The High Temple would have brought them closer to heaven, and allowed them to plot the stars and check the position of the sun. You can still climb to the summit today, but it is quite steep and so make sure you have good knees and are not afraid of heights. Take is slow and steady and you will be awarded with an amazing view.
It is interesting to think about how much science has taught us vs what ancient civilizations would craft in their minds to explain simple processes. It makes me grateful to live in a time and age, where I’m able to know the ‘why’ for most things. Why the stars rotate, how animals function, how to heal the human body – and especially like that human sacrifices for the purpose of religion has become a thing of the past.
The Sunken Crocodile
Lamanai is the Mayan word for Sunken Crocodile, first recorded by Franciscan Monasteries visiting the area in the 15th century. My inquring mind wondered, ‘Why would you name a city after such an ugly creature?’. Crocodiles, in Mayan theology were typically associated with fertility. Crocodiles were associated with the fertility of the soil, and the timeliness of the rains. Later on, the crocodiles were associated with the nobility. The God Itzam Na was commonly associated with the God of nobility.
There are a few things that crocodiles do well, and that is search for life, search for water both which are crucial elements of the earth. The Mayan’s believed that like a terrestrial being they can find water and absorb the energy from it. They also obtain it through a Celestial element by commanding the rainfall. So they believed that the crocodile is both terrestrial, celestial and from the underworld as well – rising from the depths to contact humans and give inspiration.
Water is, and was revered as a sacred element of life – despite all the rain, jungle and resources – the people in Belize have often known drought as much of the surrounding water is undrinkable. So to have animals like Crocodiles search out water sources, I could definitely see the connection of importance to the Mayans and these ferocious creatures.
This Stele was one of the first items found when uncovering this building. I didn’t understand the meaning of this Stela until after I came home and was researching it.
It has a long Heiroglyphic text on it that provided quite a bit of insight into the Mayan culture and religion. Many ‘writings’ with the Mayan Culture were done in images, that were then interpreted.
Stela 9 shows a image of a king dressed in symbolic attire. The symbolism of the attire reflects that of cosmic events (interpreted as acts by the Mayan Gods) that would happen in this area.
This King is wearing a serpent-monster headdress (likely a crocodile) symbolizing his celestial/divine birth/descent to being King of this region of the land. There is a dragon-like serpent head that protrudes from the top of the sceptre he is holding, and has a god appearing from its mouth, which is said to be the patron deity of Lamanai. The God from the sceptre wears goggles and has a curling serpent seeping from the corner of its mouth, both of these images are often associated with the rain-gods, such as Cicoyo/Chac/Cauac/Tlaloc.
While it is hard to see this in the photo, this is an important piece in the Lamanai Mayan Ruins in Belize as it provides further evidence of Mayan culture, their beliefs and images associated with certain Gods they worshiped in this region.
Entertainment without TV in Lamanai Mayan Ruins in Belize
It might be wrong to call it entertainment, the Mayans used it as a way to hold rituals and even ritualistic sacrifices. There are several basketball courts in Lamanai, shaped in an I shape with two slopes on either side. There was a long narrow playing field and two end zones. There was a 20 foot (6m) ring which competing teams would try to score through.
These rings are twice the height of a NBA net. The rules are not well understood as they weren’t documented well. There were, however, end results for the winners….some being not so enticing.
Many Mayans played this game, and often were mere betting on the teams that would happen. Other times it was done as a significant spiritual and ritualistic meaning. The significantly ritualistic events turned spectacle in rigged games where prisoners of war played and were sacrificed in the end.
Mayans believed that the Gods needed needed human blood to keep the sun and moon orbiting for their harvests. Thus it was also seen as a game between life and death, good and evil, with the possibility of the winners becoming demi-gods themselves.
There are over 1300 of these basketball courts throughout mesoamerica. There are over 500 of them in Guatemala alone, where they believe this game started.
While no one knows the exact rules of the ball game, Spaniards who saw the Aztec games in the 1500s reported that two teams of two to five players had to keep the ball in the air without using their hands or feet. They hit the ball with their upper arms, thighs or hips.
The rubber balls they used were of varying weight and size, from the size of a softball to a soccer ball. Solid rubber balls were heavy—up to eight or nine pounds—and could cause serious injury or even death. Games were won mostly by points. Around A.D. 1200, stone circles with a hole in the middle were attached high up on the walls of the ball court, up to six meters high. While getting a ball through the hole was rare, if a player got the ball through the hole, it was an instant win.
I knew there was a reason I have never been a big basketball fan. Now every time you watch a game, think about the opposing team being sacrificed in a blood ritual, lol.
Trade in Lamanai
Lamanai was a great trade route, being so close to the river. There have been remnants of trade materials within Lamanai, namely trade metals like copper dating back to 1150 AD. There was also Jade, bells, clothing ornaments, pins, chisels, axes, needles and fish hooks found.
Learning Mayan Culture
The Lamanai Mayan Ruins in Belize have yet to all be unearthed as funding for it is quite scant, yet I highly encourage a visit to see this ancient city. The Mayan culture was a unique and highly developed civilization for that time period.
It is always fascinating to learn about these ancient cultures, how they made sense of their daily lives, deities they worshiped and how they handled territorial disputes in the Jungle.
A visit to this Mayan city is highly encouraged for all those who have a sense of adventure, and want to learn how these people lived, worshiped, and died.