http://rendezvous.nols.edu/content/view/2431/964/
為避免翻譯上的誤解，我採用中英文對照的方式。
內文如下:
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在野外醫療中，在WFR 或WFA 的認證中的醫藥管理上，有一些經常性的誤解。
A common misunderstanding in wilderness medicine at the Wilderness First Responder (WFR) and Wilderness First Aid (WFA) level revolves around the question of medication administration.
A common misunderstanding in wilderness medicine at the Wilderness First Responder (WFR) and Wilderness First Aid (WFA) level revolves around the question of medication administration.
在著名的野外醫療課程中，會遵從"WFR 及 WFA 實地操作規範"。
而規範中在用藥管理的部分，這兩堂課程 (WFR/WFA) 不會教導畢業生預先準備好處方藥，以備在傷患身上使用。
當然也不會教導下是否需要處方藥的決定。
Nor would the reputable wilderness medicine program be advising WFA and WFR course graduates to be making decisions on the need for prescription (Rx) medication use by a patient.
Nor would the reputable wilderness medicine program be advising WFA and WFR course graduates to be making decisions on the need for prescription (Rx) medication use by a patient.
這一部分已經遠超過WFA及WFR的實地操作規範
This would be beyond the intended Scope of Practice of the WFA or WFR.
WFA用藥的實作準則
"WFA 的畢業生可協助傷患，服用屬於他個人的在醫生指示下開立的處方藥。除非在顯而易見的情形下，否則WFA的畢業生，不應該對傷患使否使用個人處方藥下決定。"
The text in the WFA Scope of Practice is:
"A WFA graduate may care for a patient who is taking personal medications (e.g. nitro, aspirin or prescribed inhaler) under the direction of their physician. WFA graduates should not be making decisions on whether a patient should or should not take their personal prescription medications (unless it’s an obvious situation of abuse or harm) ."
WFR用藥的實作準則
WFR 的畢業生除非在顯而易見的情形下，否則WFR的畢業生，不應該對傷患使否使用各人處方藥下決定。可協助旅程參加者管理其個人處方藥，以及在傷患根據非處方藥的外標標籤內容確認後，在他個人決定下提供非處方藥。
The text in the WFR Scope of Practice is:
"A WFR should not be making decisions on whether a patient should or should not take their personal prescription medications (unless it’s an obvious situation of abuse or harm). A WFR may assist trip participants in the administration of prescription medications and may offer OTC medications for adults to make their own decision according to the package label."
對傷患使用及管理腎上腺素是個複雜的問題。
The possession and administration of epinephrine by laypeople is a complex issue.
對過敏性傷患提供腎上腺素包含許多法律問題，在不同的國家及考量上均不相同。
Support for laypeople using epinephrine for anaphylaxis amongst jurisdictions, including from country to country, varies considerably.
重要的是鼓勵學生去了解相關及考量法律規範。
It is important to encourage students to become familiar with any specific regulations in this regard and to know the implications.
一個組織強烈建議應該有一名法律及醫療顧問，以便在緊急狀況時可提供諮詢，包含使用腎上腺素的情形。
Organizations should be strongly encouraged to seek advice from a lawyer and/or guidance from a person acting as a medical advisor before deciding to initiate a policy that includes the emergency use of injectable epinephrine."
在早期的課程，對醫療管理的部分，是使用比較寬鬆的說法。
對過敏性傷患提供腎上腺素包含許多法律問題，在不同的國家及考量上均不相同。
Support for laypeople using epinephrine for anaphylaxis amongst jurisdictions, including from country to country, varies considerably.
重要的是鼓勵學生去了解相關及考量法律規範。
It is important to encourage students to become familiar with any specific regulations in this regard and to know the implications.
一個組織強烈建議應該有一名法律及醫療顧問，以便在緊急狀況時可提供諮詢，包含使用腎上腺素的情形。
Organizations should be strongly encouraged to seek advice from a lawyer and/or guidance from a person acting as a medical advisor before deciding to initiate a policy that includes the emergency use of injectable epinephrine."
在早期的課程，對醫療管理的部分，是使用比較寬鬆的說法。
In the early years of wilderness medicine education many programs were looser with their language about medication administration.
在過去的十年，我們已經改採較嚴謹的說法及觀點。
In the past decade we've been working to tighten this language and change this perception.
In the past decade we've been working to tighten this language and change this perception.
除了法律問題外，WFA或是WFR的認證者，並沒有下是否用藥決定的能力
The layperson with a WFA or WFR credential does not have the competence to make these decisions (besides the reality of the legal questions.)
------------------------------------------------------------------------------------------------------------The layperson with a WFA or WFR credential does not have the competence to make these decisions (besides the reality of the legal questions.)
以下是我的想法:
會翻譯這篇文章，主要因為在上WFA課程時，在說明關於過敏及高山症用藥的問題時。我們會教導學生，在高山症的部分，不建議先服用高山症藥物，而採取下山或是輕微症狀時停留觀察的方式。而在過敏的部分，會提到腎上腺素或是抗組織胺在美國的使用方式，也會強調在台灣進行此類侵入性治療是違法的。
這個部分，很多學生相當不認同，認為可以適度的給藥。但我們要強調的是，兩天或九天的急救課程並不等於七年的醫學院，各位不是醫師或是護理人員，我們能做的是盡量做到預防以及前期的處理，但關於用藥的部分，這還是屬於醫療專業的問題，還希望大家能注意，不要看了一些文章或資料，就認為可以正確用藥，這在法律或醫療上都是相當危險的!
Sam
