journal
Journals Wilderness & Environmental Med...

Wilderness & Environmental Medicine

https://read.qxmd.com/read/38634125/epidemiology-and-severity-of-medical-events-for-mountain-bikers-and-hikers-transported-by-ambulance-in-western-australia-2015-to-2020
#1
JOURNAL ARTICLE
Paul J Braybrook, Hideo Tohira, Deon Brink, Judith Finn, Peter L Buzzacott
INTRODUCTION: Outdoor activities offer physical and mental health benefits. However, incidents can occur requiring ambulance transport to hospital. This study aimed to describe the epidemiology and severity of traumatic and medical incidents for mountain bikers and hikers transported by ambulance within Western Australia. METHODS: This was a retrospective cohort study of ambulance-transported mountain bikers and hikers within Western Australia from 2015 to 2020...
April 18, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38634117/clinico-epidemiological-profile-trends-and-health-related-outcomes-of-snakebite-victims-a-one-year-prospective-study-from-eastern-india
#2
JOURNAL ARTICLE
Shine Stephen, Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Alwin Issac, Jaison Jacob, Nadiya Krishnan, Vijay Vr, Satyabrata Guru, Ijas Muhammed Shaji, Achala Aggarwal
INTRODUCTION: Snakebite envenomation is a significant life-threatening public health problem in Southeast Asia (SEA). In this region, India reported the largest number of snakebite deaths from 2000 to 2019 (1.2 million), with an average of 58,000 deaths yearly. METHODS: This prospective observational study was carried out among snakebite victims at the emergency department (ED) of a tertiary care public sector hospital in eastern India. RESULTS: A total of 145 cases of venomous snakebite were investigated...
April 18, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38629489/in-reply-to-drs-rousson-hall-and-pasquier
#3
LETTER
Christopher Van Tilburg, Peter Paal, Giacomo Strapazzon, Colin K Grissom, Pascal Haegeli, Natalie Hölzl, Scott McIntosh, Martin Radwin, William Will R Smith, Stephanie Thomas, Bruce Tremper, David Weber, Albert R Wheeler, Ken Zafren, Hermann Brugger
No abstract text is available yet for this article.
April 17, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38620041/an-observational-study-of-patient-characteristics-and-environmental-risk-factors-of-stingray-envenomations-in-san-diego-california
#4
JOURNAL ARTICLE
Christa A Arefieva, Kelly DiLorenzo, Christanne H Coffey
INTRODUCTION: Current literature on stingray envenomations focuses on the incidence, presentation, and complications of these injuries, with some studies providing such data for specific geographic locations. This is the first study to evaluate the influence of environmental factors and human characteristics on stingray envenomation patterns in San Diego, California. METHODS: Incident reports of injuries documented by the San Diego Fire-Rescue Department/Lifeguard Division (SDFR-LG) during 2017 were analyzed...
April 15, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38613339/acute-gastroenteritis-outbreak-among-colorado-river-rafters-and-backpackers-in-the-grand-canyon-2022
#5
JOURNAL ARTICLE
Shanna Miko, Laura Calderwood, Ariella P Dale, Ronan F King, Matthew B Maurer, Maria A Said, Marette Gebhardt, Laurie P Dyer, Wendy Maurer, Mary E Wikswo, Sara A Mirza
INTRODUCTION: From April 1 to May 31, 2022, Grand Canyon National Park received increased acute gastroenteritis reports. Pooled portable toilet specimens identified norovirus genogroups I and II. We sought to determine outbreak transmission contributors and individual risk factors while rafting or backpacking in the park. METHODS: Grand Canyon rafters and backpackers were surveyed online from June 13-July 8, 2022, and a Cox proportional hazards model was used to identify predictors associated with illness and adjusted for potential confounding factors...
April 13, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38584421/8th-world-conference-on-mountain-wilderness-medicine-a-view-from-the-ridge
#6
EDITORIAL
George W Rodway
No abstract text is available yet for this article.
April 7, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38577729/wilderness-medical-society-clinical-practice-guidelines-for-the-prevention-and-treatment-of-frostbite-2024-update
#7
JOURNAL ARTICLE
Scott E McIntosh, Luanne Freer, Colin K Grissom, George W Rodway, Gordon G Giesbrecht, Marion McDevitt, Christopher H Imray, Eric L Johnson, Prativa Pandey, Jennifer Dow, Peter H Hackett
The Wilderness Medical Society convened an expert panel to develop a set of evidence-based guidelines for the prevention and treatment of frostbite. We present a review of pertinent pathophysiology. We then discuss primary and secondary prevention measures and therapeutic management. Recommendations are made regarding each treatment and its role in management. These recommendations are graded on the basis of the quality of supporting evidence and balance between the benefits and risks or burdens for each modality according to methodology stipulated by the American College of Chest Physicians...
April 5, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38549354/in-response-to-oropharyngeal-swelling-and-airway-obstruction-from-environmental-cold-exposure-a-case-report
#8
LETTER
Anju Gupta, Chitta Ranjan Mohanty, Amiya Kumar Barik, Rakesh Vadakkethil Radhakrishnan
No abstract text is available yet for this article.
March 28, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38549350/recommendation-on-the-use-of-the-hope-score-at-the-hospital-for-outcome-prediction-in-critically-buried-hypothermic-avalanche-victims-considered-for-ecls-rewarming
#9
LETTER
Valentin Rousson, Nicolas Hall, Mathieu Pasquier
No abstract text is available yet for this article.
March 28, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38533541/broadening-perspectives-on-analgesia-in-mass-casualty-incidents-a-response-to-reader-feedback
#10
LETTER
William D Binder, Susanne J Spano
No abstract text is available yet for this article.
March 27, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38509815/implementing-tourniquet-conversion-guidelines-for-civilian-ems-and-prehospital-organizations-a-case-report-and-review
#11
REVIEW
Colin H Standifird, Sean Kaisler, Hunter Triplett, Michael J Lauria, Andrew D Fisher, Andrew J Harrell, Chelsea C White
Since the first documented use of a tourniquet in 1674, the popularity of tourniquets has waxed and waned. During recent wars and more recently in Emergency Medical Services systems, the tourniquet has been proven to be a valuable tool in the treatment of life-threatening hemorrhage. However, tourniquet use is not without risk, and several studies have demonstrated adverse events and morbidity associated with tourniquet use in the prehospital setting, particularly when left in place for more than 2 h. Consequently, the US military's Committee on Tactical Combat Casualty Care has recommended guidelines for prehospital tourniquet conversion to reduce the risk of adverse events associated with tourniquets once the initial hemorrhage has been controlled...
March 21, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38497165/in-reply-to-dr-jerome
#12
LETTER
Timothee de Valence, Laurent Suppan
No abstract text is available yet for this article.
March 18, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38465643/delaying-suspension-syndrome-onset-in-aerially-suspended-victims-through-leg-raising
#13
JOURNAL ARTICLE
Sophie B Willihnganz, Zubair Ahmed, Justine J Lee
INTRODUCTION: Suspension syndrome (SS) develops when venous blood pools in extremities of passively suspended individuals, resulting in presyncopal symptoms and potential unconsciousness or death independent of additional injuries. We investigated use of leg raising to delay onset of SS, as it can decrease venous pooling and increase cardiac return and systemic perfusion. METHODS: Participants were suspended in rock climbing harnesses at an indoor climbing wall in a legs-dangling control position or a legs-raised interventional position to compare physiological outcomes between groups...
March 11, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38465630/in-response-to-analgesia-in-mass-casualty-incidents-by-de-valence-and-suppan
#14
LETTER
David Jerome
No abstract text is available yet for this article.
March 11, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38454758/crossbow-injuries-predictors-of-mortality
#15
JOURNAL ARTICLE
Joshua W Julian, Maxwell L Todd, Benjamin J Marcheschi, Paula M Buchanan, Angela J Spencer, Cindy C Bitter
INTRODUCTION: Crossbow injuries are rare but carry significant morbidity and mortality, and there is limited evidence in the medical literature to guide care. This paper reviews the case reports and case series of crossbow injuries and looks for trends regarding morbidity and mortality based on the type of arrow, anatomic location of injury, and intent of injury. METHODS: Multiple databases were searched for cases of crossbow injuries and data were abstracted into a spreadsheet...
March 7, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38454756/musculoskeletal-injuries-during-trail-sports-sex-and-age-specific-analyses-over-20-years-from-a-national-injury-database
#16
JOURNAL ARTICLE
Madeline M Owen, Connor D Workman, Hunter S Angileri, Michael A Terry, Vehniah K Tjong
INTRODUCTION: Musculoskeletal (MSK) injuries in US trail sports are understudied as trail sport popularity grows. This study describes MSK injury patterns among hikers, trail runners, and mountain bikers from 2002 through 2021 and investigates MSK injury trends acquired during mountain sports. METHODS: The National Electronic Injury Surveillance System (NEISS) was used to identify US emergency department (ED) patients from 2002-2021 (inclusive) who endured MSK injuries during hiking, trail running, or mountain biking...
March 7, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38414434/in-reply-to-drs-yilmaz-tatliparmak-and-ak
#17
LETTER
Timothee de Valence, Laurent Suppan
No abstract text is available yet for this article.
February 28, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38387882/a-predatory-attempt-by-a-green-anaconda-eunectes-murinus-on-a-child-in-midwest-brazil
#18
LETTER
Vidal Haddad, Marcelo Ribeiro Duarte
No abstract text is available yet for this article.
February 22, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38384121/a-field-study-of-carbon-monoxide-levels-in-snow-caves-during-short-term-stove-use
#19
JOURNAL ARTICLE
Simon Uhl Nielsen, Anders Karlsen
INTRODUCTION: While the use of camping stoves in poorly ventilated areas is discouraged, the need to address dehydration challenges in harsh arctic conditions has led to their unconventional use inside snow caves for snow melting, subjecting occupants to unknown carbon monoxide (CO) levels. This study, located at sea level in northeastern Greenland, aimed to assess CO levels and dynamics during short cooking sessions in newly constructed emergency snow caves. METHODS: In 5 snow caves, constructed according to the same design principles by 4 different individuals, a single MSR Whisperlite multifuel burner, primed with ethanol and burning white gas, was used to melt snow...
February 21, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38380990/regional-anesthesia-in-the-austere-environment-lessons-learned-from-current-out-of-hospital-practice
#20
REVIEW
Nathan D Anderson, Julie L Shaner, Stefan Braunecker, Lydia G Potter
INTRODUCTION: Pain management for trauma in the extreme environment is vital for both casualty comfort and aiding safe extrication. However, adequate pain management in a resource-limited environment can be challenging and is often limited. We conducted a scoping review of the use of regional anesthesia in the prehospital environment, evaluating which regional anesthetic procedure was performed for various indications, their efficacy, and the type of healthcare provider delivering the anesthetic...
February 21, 2024: Wilderness & Environmental Medicine
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