TWO TRUTHS AND A LIE - Separating Fact from Fiction in the Field

Paramedic, firefighter, and award-winning author Kevin Grange brings a fresh and engaging take on common myths in expedition and wilderness medicine. Based in Wyoming and no stranger to working in remote, high-stakes environments, Kevin combines storytelling, lived experience, and clinical insight to challenge what we think we know about medical care in extreme settings.

Structured as a spin on the classic icebreaker game Two Truths and a Lie, this World Extreme Medicine Conference session walks through common misconceptions and half-truths—putting them to the test against evidence-based guidance and real-world lessons.

With clarity and humour, Kevin explores:

Common myths around cold injuries, trauma care, and evacuation
What actually works—and what doesn’t—in pre-hospital and expedition settings
Stories from Yellowstone, Grand Teton, and beyond
Why understanding nuance matters in clinical risk and decision-making

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Intended Learning Outcomes

By the end of this session, attendees will be able to:

Identify common misconceptions in expedition and wilderness medicine.
Distinguish between field-proven approaches and outdated or ineffective practices.
Understand how environmental context shapes what is “best practice.”
Reflect on case-based examples to improve clinical decision-making in the field.
Apply critical thinking and a healthy dose of scepticism when evaluating medical advice in austere environments.