Journals Wilderness & Environmental Med...

Wilderness & Environmental Medicine
Katherine S Christison, Joseph A Sol, Shae C Gurney, Charles L Dumke
INTRODUCTION: Wildland firefighters (WLFFs) must undergo a 2-wk critical training (CT) period prior to deployment to the field. This stress may result in clinical risks, including severe muscle damage and rhabdomyolysis. We aimed to document the effects of WLFFs' CT on physiologic markers of muscle damage and soreness. METHODS: Two interagency hotshot crews (n=25) were followed during spring 2022 for 80 h of training. Activity counts as well as records of upper-body (US) and lower-body (LS) muscle soreness were collected daily...
May 29, 2023: Wilderness & Environmental Medicine
Michael E Mullins, David B Liss, Evan S Schwarz
No abstract text is available yet for this article.
May 23, 2023: Wilderness & Environmental Medicine
Lindsey L Fell, Olivia S Linney, Thomas G DeLoughery, Emily E Johnston
INTRODUCTION: Ski patrols are tasked with substantial challenges: distance from definitive care, complex extrications, and winter environments. Rules for US ski patrols stipulate that ≥1 persons be trained in basic first aid, but no further regulations regarding the specifics of provided medical care exist. This project investigated patroller training, patient care, and medical direction of US ski patrols through a survey of ski patrol directors and medical directors. METHODS: Participants were contacted via email, phone, and personal contacts...
May 20, 2023: Wilderness & Environmental Medicine
Mo Se Chun, Mun Ki Min, Ji Ho Ryu, Dae Sub Lee, Min Jee Lee, Taegyu Hyun, Seung Woo Shon
Mushroom poisoning is increasing worldwide, as well as the incidence of fatal mushroom poisoning. Several new syndromes associated with mushroom poisoning have been described in the literature. Notably, 1 of the newly identified mushroom poisonings is Russula subnigricans poisoning. R subnigricans can be classified as causing a delayed-onset rhabdomyolytic syndrome as patients with this severe poisoning present with severe rhabdomyolysis, acute kidney injury, and cardiomyopathy. However, there are only a few reports on the toxicity of R subnigricans...
May 18, 2023: Wilderness & Environmental Medicine
Arjun Kachhwaha, Akhilesh Kumar, Pawan Garg, Ankur Sharma, Mahendra K Garg, Maya Gopalakrishnan
Snakebite envenoming is a neglected tropical disease disproportionately affecting the rural and marginalized population in low-middle-income countries. The saw-scaled viper (Echis carinatus) is a clinically important snake that causes serious morbidity and mortality in the Indian subcontinent. Even though it is within the so-called big-four snakes against which polyvalent antivenom is available throughout India, reports of antivenom ineffectiveness are emerging in saw-scaled viper envenoming, especially around Jodhpur, Rajasthan, India...
May 11, 2023: Wilderness & Environmental Medicine
Scott L Rupp, Ryan C Overberger
INTRODUCTION: The quality of cardiopulmonary resuscitation (CPR) is critical in increasing the probability of survival with a good neurologic outcome after out-of-hospital cardiac arrest. In an austere environment with a potentially salvageable patient, bystanders or first responders may need to provide chest compressions for a prolonged duration or during physically challenging transportation scenarios. Consequently, they may be at risk of fatigue or injury, and chest compression quality may deteriorate...
May 9, 2023: Wilderness & Environmental Medicine
Thomas D Wagner, Megan E Paul, Laura R Youngson, Dana R Levin
High-altitude expeditions expose teams to particular medical, environmental, and social challenges that can have unintended and severe consequences for crew members. In June 2017, the 9-d Equal Playing Field (EPF) expedition to Mount Kilimanjaro to set a world record for the highest-altitude soccer match ever played demonstrated the variety of challenges that may arise during these types of trips. This trip included a full-length soccer match at 5714 m (18,746 ft), leading to additional challenges for expedition members participating in the athletic event...
May 3, 2023: Wilderness & Environmental Medicine
James H Diaz
No abstract text is available yet for this article.
May 2, 2023: Wilderness & Environmental Medicine
Jeffrey Schlaudecker, Kevin J Milligan, Erin Glankler, Angel Pagan, Andrew M Weller, William Cohn
INTRODUCTION: Residential and wilderness excursion summer camps are safe, but outdoor activities can lead to injuries. The frequency of various illnesses and injuries at summer camps has been incompletely described. The treatments provided and the need for escalation to higher levels of care are variable. METHODS: A retrospective cohort analysis was conducted for all visits to a camp infirmary over 3 seasons at a residential summer camp in Minnesota. Seventeen descriptive categories of chief complaints and 13 categories of treatment disposition were created for all 695 eligible infirmary visits...
April 29, 2023: Wilderness & Environmental Medicine
William D Binder
No abstract text is available yet for this article.
April 27, 2023: Wilderness & Environmental Medicine
Edward J Mel Otten
No abstract text is available yet for this article.
April 27, 2023: Wilderness & Environmental Medicine
Kenneth A Argo, Rebecca C Massey, Sadaf K Luth, James M Herrington, Aaron Q Lane, Kelly A Murray
Toxicodendron dermatitis is an underappreciated disease seen in the emergency department. Although self-limiting, symptoms can be distressing and can last for weeks if untreated, particularly with re-exposure. Continuing research has improved our understanding of specific inflammatory markers that are associated with exposure to urushiol-the compound responsible for Toxicodendron dermatitis-although consensus for treatment remains varied and poorly supported. Owing to the lack of recent primary literature on the topic, many providers rely on historical precedent, expert opinion, and personal experience when treating this disease...
April 27, 2023: Wilderness & Environmental Medicine
Curtis Leclerc, Gordon G Giesbrecht
John Hayward, PhD (1937-2012), was an early and significant contributor to the understanding of cold water immersion physiology and survival. This article summarizes his work on the 50th anniversary of his first publication in this area. He described areas of high heat loss and emphasized the importance of protecting these areas during cold exposure using the Heat Escape Lessening Posture (HELP) and the potential for heat donation to these areas during rewarming. He described several factors that affect the rate of core cooling, including body composition, behavior (swimming increases cooling whereas the HELP position decreases cooling), wet and wind, and thermal protective garments (dry suits offered much more protection than wet suits)...
April 26, 2023: Wilderness & Environmental Medicine
Nima Ongchuk Sherpa
No abstract text is available yet for this article.
April 26, 2023: Wilderness & Environmental Medicine
Carolyn M Landsberg, Shawn E Hunt
INTRODUCTION: Olympic class sailing injuries are a minimally researched topic. Our study includes 15 y of data from medical coverage of the Miami venue during the Sailing World Cup. The objective was to examine the nature of Olympic class sailing injuries and illnesses during competition. METHODS: The records of the medical clinic encounters of a World Cup Sailing regatta were reviewed. Summary statistics and nominal categorized data regarding demographics, onset, mechanism, nature of condition, and referral were collected...
April 25, 2023: Wilderness & Environmental Medicine
Martha Tissot van Patot
No abstract text is available yet for this article.
April 25, 2023: Wilderness & Environmental Medicine
Amanda R Mortimer, Roger B Mortimer
When exposed to actual or threatened death or serious injury in austere settings, expedition members are at risk of acute stress reactions, as are search and rescue members involved with extricating the patient. Acute stress reactions are a normal response to significant trauma and commonly resolve on their own. If they do not, they can lead to post-traumatic stress disorder (PTSD), a set of persistent symptoms that cause significant effects on the person's life. Medication has a limited preventive role in the field for treatment of stress partly because so few are trained to administer it...
April 25, 2023: Wilderness & Environmental Medicine
Hannah Salchner, Markus Isser, Lukas Banyai, Thomas Schachner, Franz J Wiedermann, Wolfgang Lederer
INTRODUCTION: Control of severe extremity hemorrhage by tourniquet can save lives. In remote areas or in mass casualty incidents with multiple severely bleeding victims, lack of conventional tourniquets may make it necessary to improvise tourniquets. METHODS: Occlusion of the radial artery and delayed onset of capillary refill time resulting from windlass-type tourniquets were experimentally investigated by comparing a commercial tourniquet and a space blanket‒improvised tourniquet with a carabiner as a rod...
April 24, 2023: Wilderness & Environmental Medicine
David Oliver Hayes, Andrew T Nathanson, Élisa Dubuc, Marc-André Blanchette
INTRODUCTION: Most of the literature on sailing injuries is centered on competitive sailing, often involving a single regatta. The aims of this study were to provide a description of the types of injuries and illnesses sustained during amateur offshore cruising events, estimate their incidence, and investigate potential risk factors for injuries. METHODS: We conducted a cross-sectional survey of self-reported sailing-related injuries and health issues during 4 different events organized by the World Cruising Club between 2014 and 2015...
April 18, 2023: Wilderness & Environmental Medicine
Naresh Kumar Sivanasworn, Geetha Anantham, Shamsuriani Md Jamal, Munawar Mohamed Hatta, Ahmad Khaldun Ismail
Jellyfish stings are the most common cause of marine envenomation in humans. Various species of box jellyfish have been identified around Penang Island, Malaysia, and these include multitentacled and four-tentacled box jellyfish (class Cubozoa). The typical syndrome following envenomation from these jellyfish has been poorly documented, posing a greater challenge when managing an unidentified jellyfish sting from Penang Island. We report a case of a 32-y-old man from Penang Island who was stung by an unidentified jellyfish while walking into the sea...
March 17, 2023: Wilderness & Environmental Medicine
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.