This document consists of the six 1991 issues of a specialized newsletter directed at outdoor activities participants and containing articles on a wide variety of topics related to health maintenance and emergency medical treatment in the wilderness. Articles discuss: (1) fever and appropriate treatments; (2) symptoms, prevention, and treatment of hypothermia; (3) symptoms and treatment of autonomic dysreflexia due to spinal cord injury; (4) transmission, diagnosis, and treatment of leptospirosis; (5) allergy to insect stings in children and immunotherapy; (6) management of fractures and dislocations in the wilderness environment; (7) safety and physical conditioning for whitewater rafting; (8) preventing the spread of hepatitis B, AIDS, and other communicable diseases to emergency care providers; (9) sweat, dehydration, and fatigue; (10) first aid for dogs; (11) leeches; (12) fractures of the face; (13) procedures for search and rescue teams; (14) patellofemoral pain syndrome; (15) classical conditioning therapy to reduce episodes of Raynaud's syndrome; (16) estimating and understanding blood pressure; (17) research on emergency medical services incidents in national parks; (18) hand injuries in rock climbers; and (19) arthritis. Also included are book reviews, short notes on first aid tips and new treatments, announcements of conferences and seminars, letters to the editor, and information on the Wilderness Medicine Institute and its curriculum. (SV)