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