It is important to evaluate all factors of travel when preparing for a<unk>  excursion.  This includes weather patterns, terrain, planned activities, health of participants, trip duration, and options for rescue if needed.  The goal of pre-trip planning is to be able to take into account and prevent as many potential medical problems as possible. There is no universal planning guideline due to high variability of multiple factors of travel, but some basic steps for general<unk>  include:
Plan a trip itinerary to avoid unexpected situations.
Meet with participants well in advance of trip to outline potential risks.
Determine if participants' physical stamina is adequate for planned activities
Discuss immunization status of participants as it pertains to specific region of travel.
Review past weather patterns of travel destination and plan accordingly.
Discuss evacuation routes as part of itinerary.
When possible, get medical insurance that included evacuation coverage.
Provide copy of finalized itinerary to emergency contacts and necessary authorities (when possible).
Develop knowledge and practice skills related to communication and navigation tools available to participants.
Determine water procurement strategy with backup (e.g. filters, chemical tablets, solar disinfection), as well as mode of storage.
Ensure participants with preexisting conditions have identification cards/jewelry/medallions as well as contact information for emergencies.
Gather and review medical equipment and supplies (e.g. proper technique for use of equipment or expiration dates of medications).
Wilderness preparedness
ACEP clinical policies
Poison control
SCVMC:CUSTODY CARE
Ideal body weight estimation
Diagnosis of death
Pregnancy and lactation drug labeling
Baby feeding and nutrition