journal
Journals Wilderness & Environmental Med...

Wilderness & Environmental Medicine

https://read.qxmd.com/read/38465630/in-response-to-analgesia-in-mass-casualty-incidents-by-de-valence-and-suppan
#41
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
#42
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
#43
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/38425266/provider-engagement-and-wilderness-medicine
#44
EDITORIAL
William D Binder
No abstract text is available yet for this article.
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38425265/2023-wilderness-environmental-medicine-peer-reviewers
#45
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38425237/the-next-chapter-of-the-wms-clinical-practice-guidelines
#46
EDITORIAL
Michael Caudell, Tracy Cushing, Hillary R Irons
No abstract text is available yet for this article.
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38425236/wilderness-medical-society-clinical-practice-guidelines-for-treatment-of-eye-injuries-and-illnesses-in-the-wilderness-2024-update
#47
JOURNAL ARTICLE
Ryan Paterson, Brandy Drake, Geoffrey Tabin, Tracy Cushing
A panel convened to develop an evidence-based set of guidelines for the recognition and treatment of eye injuries and illnesses that may occur in the wilderness. These guidelines are meant to serve as a tool to help wilderness providers accurately identify and subsequently treat or evacuate for a variety of ophthalmologic complaints. Recommendations are graded based on the quality of their supporting evidence and the balance between risks and benefits according to criteria developed by the American College of Chest Physicians...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38425235/wilderness-medical-society-clinical-practice-guidelines-for-the-prevention-and-treatment-of-heat-illness-2024-update
#48
JOURNAL ARTICLE
Kurt P Eifling, Flavio G Gaudio, Charles Dumke, Grant S Lipman, Edward M Otten, August D Martin, Colin K Grissom
The Wilderness Medical Society (WMS) convened an expert panel in 2011 to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. The current panel retained 5 original members and welcomed 2 new members, all of whom collaborated remotely to provide an updated review of the classifications, pathophysiology, evidence-based guidelines for planning and preventive measures, and recommendations for field- and hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks or burdens for each modality...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379496/wilderness-medical-society-clinical-practice-guidelines-for-spinal-cord-protection-2024-update
#49
JOURNAL ARTICLE
Seth C Hawkins, Jason Williams, Brad L Bennett, Arthur Islas, Robert Quinn
The Wilderness Medical Society reconvened an expert panel to update best practice guidelines for spinal cord protection during trauma management. This panel, with membership updated in 2023, was charged with the development of evidence-based guidelines for management of the injured or potentially injured spine in wilderness environments. Recommendations are made regarding several parameters related to spinal cord protection. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks/burdens for each parameter according to American College of Chest Physicians methodology...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379485/marine-envenomation-in-okinawa-overview-and-treatment-concept
#50
REVIEW
Scott B Hughey, Joshua A Kotler, Yuriko Ozaki, Yuki Itani, Fumitoshi Fukuzawa, Tatsuma Yanagimoto, Ko Takamatsu, Shu Koito, Hiroki Suzuki, Yoshimasa Nishihira, Anna C Hughey, Takashi Nagata
Okinawa prefecture is a popular tourist destination due to its beaches and reefs. The reefs host a large variety of animals, including a number of venomous species. Because of the popularity of the reefs and marine activities, people are frequently in close contact with dangerous venomous species and, thus, are exposed to potential envenomation. Commonly encountered venomous animals throughout Okinawa include the invertebrate cone snail, sea urchin, crown-of-thorns starfish, blue-ringed octopus, box jellyfish, and fire coral...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379480/continuous-positive-airway-pressure-in-the-treatment-of-pediatric-high-altitude-pulmonary-edema-a-case-study
#51
JOURNAL ARTICLE
Ryan Hodnick, Michael L Cohen, Joseph B Loehner, Jennifer Mazzanti
Treatment of high altitude pulmonary edema (HAPE) can be challenging and is further complicated in the pediatric patient in the prehospital environment. The following case presents a decompensating pediatric patient with HAPE in the prehospital aeromedical environment. It illustrates the potential benefit of continuous positive airway pressure (CPAP) as a treatment modality in the treatment of HAPE.
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379474/wilderness-medical-society-clinical-practice-guidelines-on-water-treatment-for-wilderness-international-travel-and-austere-situations-2024-update
#52
JOURNAL ARTICLE
Howard D Backer, Robert W Derlet, Vincent R Hill
To provide guidance to medical providers, wilderness users, and travelers, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for treating water in situations where the potability of available water is not assured, including wilderness and international travel, areas impacted by disaster, and other areas without adequate sanitation. The guidelines present the available methods for reducing or eliminating microbiological contamination of water for individuals, groups, or households; evaluation of their effectiveness; and practical considerations...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379467/surviving-20-hours-of-critical-avalanche-burial-and-a-core-temperature-of-22-5%C3%A2-%C3%A2-c
#53
JOURNAL ARTICLE
Bernd Wallner, Hannes Lienhart, Evelien Cools, Peter Paal
A 24-year-old male snowboarder was buried in an avalanche for 20 h and rescued on the next day at a depth of 2.3 m below the snow surface. A large air pocket was noted in front of his mouth and nose. He was responsive but moved restlessly and uncoordinatedly. The epitympanic temperature was 22.5 °C. He was bradycardic (35/min), and a right bundle branch block with Osborn waves was noted. Rewarming (1 °C/h) was initiated with continuous hemodialysis; core temperature raised to 29...
March 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38414434/in-reply-to-drs-yilmaz-tatliparmak-and-ak
#54
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
#55
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
#56
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
#57
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
https://read.qxmd.com/read/38379495/a-bite-by-shaw-s-short-sea-snake-hydrophis-curtus-a-case-of-mild-myotoxicity-or-a-dry-bite
#58
JOURNAL ARTICLE
Manoj Chathuranga, Shanjeeban Ponnudurai, Pariyatha Christopher, Isuru Sanuj, Anjana Silva
Although sea snakes (Elapidae) are commonly encountered by fishermen, accurately authenticated envenomings by them are uncommon in clinical literature. We report an authenticated case of Shaw's short, or spine-bellied, sea snake ( Hydrophis curtus ) bite in a young fisherman from northern Sri Lanka. The patient had clinical and biochemical evidence of mild transient myotoxicity but no evidence of neuromuscular paralysis or significant renal injury. Consideration of the clinical manifestations suggests either a mild envenoming or a dry bite...
February 11, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379494/characteristics-of-fatal-accidents-due-to-exogenous-causes-at-ski-resorts-in-japan-over-the-past-13-years-a-retrospective-descriptive-study
#59
JOURNAL ARTICLE
Shota Tanaka, Ryo Sagisaka, Koshi Nakagawa, Hideharu Tanaka
INTRODUCTION: -The characteristics of ski- and snowboard-related fatalities at Japanese ski resorts remain unknown. We aimed to analyze the characteristics of this in the current study. METHODS: -Using the Ski Resort Injury Report data for the 13-y period between the 2011-12 and 2022-23 seasons, we described the characteristics of fatal accidents due to exogenous causes. RESULTS: -Eighty-four subjects (48 skiers and 36 snowboarders) were analyzed...
February 11, 2024: Wilderness & Environmental Medicine
https://read.qxmd.com/read/38379493/pilot-training-program-on-hands-only-cpr-and-choking-first-aid-for-frontline-police-responders-in-rural-nepal
#60
JOURNAL ARTICLE
Ghan B Thapa, Roshan Sapkota, Anjana Thapa, Rajesh Sharma, Derek Lubetkin, Camille Lubetkin, Samuel Nesemann, Ramu Kharel
INTRODUCTION: Basic life support (BLS) is an emergency skill that includes performing appropriate cardiopulmonary resuscitation (CPR). Out-of-hospital cardiac arrest (OHCA) is a leading cause of mortality worldwide and is rising in Nepal. After an OHCA event, a bystander starting CPR quickly has been shown to increase the survival rate. While the Nepali police are generally the first responders to emergencies in rural parts, they are not trained in BLS. This program assesses a pilot training of hands-only CPR and choking first aid to the Nepal Police and Nepal Army participants in rural Nepal...
February 11, 2024: Wilderness & Environmental Medicine
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