Jungle Travel and Survival

Chapter 43 Jungle Travel and Survival




Tropical Environment




Tropical rain forests, located between the Tropic of Cancer (23 degrees 27 minutes N latitude) and the Tropic of Capricorn (23 degrees 27 minutes S latitude), are regions with at least 4 inches of precipitation per month and a mean annual monthly temperature exceeding 24° C (75.2° F) without any occurrence of frost. Contrasted with temperate regions, the hours of day and night are about equal throughout the year. Seasons are characterized as “wet” or “dry.” These seasonal designations refer to historical trends and should not be taken as gospel: in some years, the dry season extends for months beyond the usual range; in other years, the rains may persist for months as a daily drizzle, making it difficult to trek over the spongy terrain. In the Pacific coastal region of the Colombian Chocó and the Cayapas River basin of Ecuador, where annual rainfall can exceed 400 inches, the seasons are said to be “wet” and “wetter.”


As the most biologically diverse community of living things on Earth, the tropical rain forest is a realm of superlatives: a single acre of tropical forest may contain more than one-half as many species of trees as occur in all the land mass of temperate North America; 1 square mile of Amazonian forest may be home to double the variety of butterflies that exist in all of the United States and Canada; a single tree in Peru yields as many species of ants as in all of the British Isles. Facts and figures fail to capture the essence of tropical rain forests and their extraordinary biologic diversity. Seen from the air, the forest stretches from horizon to horizon in a vast green carpet. In season, the crowns of trees in full blossom dot the landscape with vivid splashes of red, orange, and yellow. Sizable streams may be hidden beneath the emerald canopy. Rivers, usually muddy yellow or black, snake through the forest; early-morning or late-afternoon sun transforms these braided rivers into glistening, mirror-like strands of liquid silver.


Observed from the forest floor, the jungle is entrancing. In virgin, deep forest, all is muted and shadowy, save for random shafts of light that spotlight labyrinths of oddly shaped branches and spectacularly colored flowers. Shrubs and herbaceous plants are scarce in forest away from the flood plain, so it is relatively easy to walk undisturbed. The dimness is occasionally disrupted by areas bathed in bright light from larger holes in the canopy caused by a recently fallen tree, sandy beach, or cutting and burning by humans. It is in these sunlit, light-gap areas that the traveler encounters the lush and nearly impenetrable wall of foliage portrayed in adventure films. The tidy textbook division of vegetation into distinct tiers is somewhat arbitrary and not easily confirmed, even by experts.36


Drier, nonflooding, upland forests, known throughout Amazonia as terra firme (“solid ground”), are generally nutrient poor and support a crop yield cycle of only 2 or 3 years by traditional slash-and-burn farming methods. Plots of rich, black soil are encountered throughout many drier forest regions of Amazonia. This soil, commonly referred to as terra preta (“dark Earth”), is thought by many soil scientists and archeologists to be the result of intentional soil enhancement and management techniques developed by ancient farmers in the pre-Colombian era. In contrast to terra firme, terra preta is capable of sustaining crop production over many years. Lowland forests, or várzeas, which remain submerged for several months each year, although making up only a small percentage of forested land, are more fertile than their nonflooding, unimproved, nutrient-poor counterparts.



Trip Preparation


Despite environmental differences within the jungle, the basics of travel remain the same.



Reading


Back issues of National Geographic magazine and the writings of Wilson provide an excellent introduction to people, places, and biodiversity issues.4,50,51 The Smithsonian Atlas of the Amazon,18 the definitive illustrated atlas (150 color maps and 289 photographs) of the region, is highly recommended, as is the Conservation Atlas of Tropical Forests series (Asia and the Pacific,9 Africa,38 the Americas22). The references for this chapter (available online at www.expertconsult.com) offer insights into the complex inner workings of the moist tropical forest.1,35,36 The books by Kritcher26 and Forsyth and colleagues17 are especially helpful.


Trips into the rain forest should be scheduled for the dry season because trails are more serviceable for trekking at that time. Information on weather patterns can be obtained from agencies of national governments, anthropologists, and missionaries. Weather Underground (http://www.wunderground.com) provides current, as well as seasonal, weather averages for many cities and towns in tropical regions.



Attitude


In selecting participants, experienced expedition leaders look for a sense of humor. The ability to see the bright side in difficult times may be an asset more valuable than physical conditioning. Houston24 and others have discussed the role of humor as a predictor of success. Erb13,14 noted that successful or failed participation in wilderness ventures also is a significant predictor.




Conditioning


Indigenous peoples in jungle regions are almost always slender. After trekking with large numbers of nonindigenous men and women in equatorial regions, I have observed that overweight or powerfully built individuals, particularly men, seem to fare the worst, especially with heat-related illness. Achieving an ideal body weight and becoming aerobically fit by walking or jogging for extended periods of time are beneficial before jungle trekking.


Although being in good shape is sensible, a person need not be an elite athlete to trek through the jungle and enjoy the experience. Good leg strength, acquired by training 20 to 30 minutes on alternate days with stair-climbing exercise machines, offers appropriate preparation.


To keep up with native porters and guides, the prospective expedition member should practice hiking at a fast pace. Once in the jungle, travelers should imitate the energy-saving, fluid rhythm of local inhabitants.


Because trekkers frequently encounter single-log bridges, a well-developed sense of balance is desirable (Figure 43-1). Walking on the rails of untrafficked train tracks or on roadway curbs may help in preparation. To adapt to specific situations, trekkers should go to the woodlands and practice walking on logs. Head stability is important. Equilibrium can be enhanced by avoiding brisk head movements and by employing the “gaze-anchoring” technique of tightrope walkers. The person fixes the gaze on a spot near the end of the log and does not stare down at the spot just ahead of the feet.3,8 Special cleats (Covell Ice Walker Quick Clip cleats) (Figure 43-2) should be considered for crossing log bridges that are high off the ground, long, and slippery. The cleats can be snapped on quickly before crossing a log bridge and promptly snapped off at the other end. Stability on logs also may be enhanced by turning the feet approximately 20 to 25 degrees to the right or left (whichever seems more natural), rather than walking with the feet in a straight line on the log.






Medical Kit


The Wilderness Medical Society points out that it is inappropriate to pack medications and equipment when no team member has the knowledge or experience to use them safely.25 The following items for a basic medical kit (Box 43-1) are adequate for personal use in the rain forest setting:



















Common sense dictates supplementary items. Women on long trips might add miconazole vaginal suppositories or fluconazole (Diflucan, 150 mg as a single oral dose) to treat yeast infections; older men might take a 16-Fr catheter and sterile lubricating jelly for dealing with urinary retention from prostatic hypertrophy. The fingers may swell rapidly during vigorous activity in the rain forest. To eliminate the possible need for emergency removal, all rings (including toe rings) should be removed before jungle trekking. Body piercings should be removed to eliminate the risk for infection.



Gear


The goal is to travel as “light” as possible. The more gear that is packed, the greater is the likelihood of breakdowns, complications, and misery. The items mentioned in Box 43-2 have withstood the test of time over years of long-distance tropical trekking. Gear must hold up under difficult jungle travel conditions that include heat, wetness, and mud. No line of advertised gear is ideally suited for the traveler in the tropics.




Footwear


Because feet absorb more punishment than any other part of the body, suitable footwear is the most important item of gear. This is one area in which a person absolutely must not carry inferior equipment. If the feet cannot go, nothing can go.


Military “Vietnam-style” jungle boots with leather uppers, steel insole plates, and speed lacing are unsuitable for serious, long-distance trekking. After an hour of hard walking through streams and muddy trails, blisters can form on every surface of the foot, and the skin will peel off in sheets, bringing a jungle trip to a premature end. Furthermore, safely crossing log bridges and mossy, slime-covered river rocks is almost impossible in these boots.


Two pairs of shoes are needed: one suitable for the wet, slippery conditions imposed by the trail and another that meets the need for dryness and comfort in camp.














Bedding







Backpacks


A sturdy, well-designed backpack should be used to carry gear. Reflective material should be sewn onto the back of each backpack. Iron Horse Safety Specialties (800-323-5889, http://www.fabric.ironhorsesafety.com) sells red-orange reflective material for daytime visibility and reflective silver material for nighttime reflectivity. On serious jungle treks, porters are often present. This frees expedition members to carry much lighter loads.




Personal Pack


A daypack with a capacity of 19.7 to 32.8 L (1200 to 2000 inches3) is useful for carrying a camera, snack food, and other gear that must be kept handy. A waterproof liner will keep perspiration from wicking into the bag and wetting everything inside. The pack should have two outside pockets for quick access to liter-sized water bottles.




Other Useful Items


















Insect Repellent


Insect repellent containing 15% to 30% N,N-diethyl-3-methyl-benzamide (DEET) repels mosquitoes, flies, ticks, chiggers, fleas, and gnats, but not no-see-ums. Formulations (often called “jungle juice”) should not contain higher than 30% DEET, because they may pose health hazards (see Chapter 47). Relatively new to the American market, picaridin in the 20% formulation repels mosquitoes, flies, ticks, chiggers, fleas, and offers some protection against annoying no-see-ums. (I have found the 7% formulation of picaridin ineffective in the rain forest setting; it should be avoided.) Picaridin does not damage plastics or synthetic materials, does not have the “wet/sticky” feel of products containing DEET, and can purchased in an odorless formulation.


Technique is critical when applying insect repellent. Before dressing, the person should spray the ankles, lower legs, and waist. If clothing has not been pretreated with permethrin (see later), then after the socks are put on, a band of repellent should be sprayed around the top; a band should also be sprayed around both pant legs to midcalf. A light spray to the shirt, front and back, may also help. The hands should be sprayed, rubbed vigorously, and run through the hair. Some repellent should be dabbed on the face, neck, and ears, carefully avoiding the eyes; contact lens wearers should be especially vigilant when applying insect repellent.


No-see-ums, which are tiny gnats that abound throughout the tropics of the Americas, are the most common source of insect annoyance in many regions. They are active at sunset and attack humans emerging from jungle streams. No-see-ums cannot bite through even the thinnest cloth and are usually inhibited by Skin So Soft (SSS), which appears to have a slight chemical repellent effect, but more likely works by drowning the tiny gnats in oil. SSS is not effective against ticks, fleas, flies, and chiggers and offers little protection against mosquitoes. SSS should be applied liberally and often to the wrists, knuckles, bare ankles, face, ears, and scalp. Men with full beards seem to be especially troubled by tiny gnats and may benefit by applying small amounts of SSS to the beard area. Picaridin (see above) in the 20% formulation offers some protection against no-see-ums.


Permethrin kills or stuns insects that land on clothing that has been impregnated with this product. Permethrin is safe, is highly effective, and persists even after extensive washing of garments (see Chapter 84). It is effective against insects when used on mosquito netting, even when the netting has sizable holes and tears.




Machete


A Collins-style machete (Figure 43-6) is the single essential tool for jungle survival and for the many tasks in camp and on the trail that require steel with a sharp edge. Do not purchase a model with a hand guard. A hand guard serves only for protection against an opponent’s blade when used as a weapon in combat; it does not offer added protection when the machete is used as a cutting implement.23 A newly purchased machete may have a pointed, sharp tip and a cutting edge that extends all the way from tip to handle. To reduce the likelihood of accidental injury, use a metal file to dull the tip of the machete and also to flatten the cutting edge from the handle to approximately 2 inches. It is hazardous to use a machete in the rain or when cutting wet grass, because the weapon may fly out of the hand. Also, when cutting brush, the person often encounters saw grass (see Figure 43-4). The resulting skin lacerations, which are not noticed at first because saw grass is razor sharp, may take a week or two to heal. Because of the risks involved, an experienced individual should be in charge of transporting and using the machete. For added safety, a machete should be carried in a sheath.





Pen


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Sep 7, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on Jungle Travel and Survival

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