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Wilderness & Environmental Medicine

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https://www.readbyqxmd.com/read/29731409/penetrating-anorectal-injury-caused-by-a-wild-boar-attack-a-case-report
#1
Ichiro Okano, Yuki Midorikawa, Nobumasa Kushima, Yui Watanabe, Takuya Sugiyama, Katsutaka Mitachi, Kazuaki Shinohara, Takatoshi Sawada, Katsunori Inagaki
Wild boar attacks have rarely been reported in the medical literature. This is the case of an 83-year-old male farmer who was assaulted from behind by an injured adult wild boar. He presented with hemorrhagic shock after sustaining injuries to the right profunda femoris artery and right sciatic nerve as well as significant soft-tissue injuries, bilateral iliac wing fractures, an open pneumothorax, and an anorectal injury. The anorectal injury was treated with fecal diversion but was complicated by soft-tissue infection in the surrounding dead space...
May 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29653783/in-reply-to-drs-sikri-and-bhattachar
#2
LETTER
Xue-Feng Cao, Ri-Li Ge
No abstract text is available yet for this article.
April 10, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29631766/ethics-authorization-for-research-reporting
#3
EDITORIAL
Neal W Pollock
No abstract text is available yet for this article.
April 6, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29628417/alaska-mountain-wilderness-ski-classic-alterations-in-caloric-expenditure-and-body-composition
#4
Michelle M Johannsen, Kenneth J Shin, Karolina Priebe, Robert H Coker
INTRODUCTION: The Alaska Mountain Wilderness Ski Classic is a self-supported ultramarathon cross-country skiing event that traverses one of the mountain ranges of Alaska each winter. Unique aspects of this event challenge athletes with a significant amount of physical and mental stress while in the chronically cold conditions of the Arctic. Assessment of energy requirements or body composition has never been performed during this event. The objective of the study was to evaluate the influence of the 2016 Alaska Mountain Wilderness Ski Classic on caloric expenditure and body composition...
April 5, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29627283/erratum-in-wilderness-environ-med-29-1
#5
(no author information available yet)
No abstract text is available yet for this article.
April 4, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29625901/megalopyge-opercularis-caterpillar-stings-reported-to-texas-poison-centers
#6
Mathias B Forrester
INTRODUCTION: The Megalopyge opercularis caterpillar is covered with spines that break off and release venom on contact, resulting in severe pain, erythema, rash, and other adverse effects. In Texas, these caterpillars are abundant and of potential health threat. This study describes M opercularis caterpillar stings reported to Texas poison centers. METHODS: Cases were M opercularis caterpillar stings reported to Texas poison centers during 2000-2016. The distribution of stings was determined related to exposure circumstances and management...
April 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29602608/hospital-treated-snow-sport-injury-in-victoria-australia-a-summary-of-2003-2012
#7
Emma J Siesmaa, Angela J Clapperton, Dara Twomey
INTRODUCTION: To determine the incidence rate and changes over time for ice and snow sports injury in Victoria, Australia, from 2003 to 2012 and describe the most common types and causes of these injuries. METHODS: Retrospective data from the Victorian Injury Surveillance Unit describing hospital admissions and emergency department presentations were extracted for the 10-year period of 2003 to 2012 for all ice- and snow-related injury. Descriptive injury data and participation-adjusted trend analyses using log-linear regression modelling of data (statistical significance, P<0...
March 27, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29599095/reported-resuscitation-of-a-hypothermic-avalanche-victim-with-assisted-ventilation-in-1939
#8
Ken Zafren, Dale Atkins, Hermann Brugger
We present a historical case of a 12-year-old boy who survived a reported avalanche burial in 1939 in the Upper Peninsula of Michigan. The boy was completely buried for at least 3 hours, head down, at a depth of about 1 m. He was extricated without signs of life and likely hypothermic by his father, who took him to his home. There, the father performed assisted ventilation for 3 hours using the Schäfer method, a historical method of artificial ventilation, without any specific rewarming efforts. The boy recovered neurologically intact...
March 26, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29576403/a-survey-of-wilderness-medicine-analgesia-practice-patterns
#9
Steven G Schauer, Jason F Naylor, Derek J Brown, Robert V Gibbons, Ian Syndergaard, Tracy Cushing
INTRODUCTION: In 2014, the Wilderness Medical Society (WMS) published guidelines for the treatment of acute pain in remote settings. We surveyed wilderness medicine providers on self-reported analgesia prescribing practices. METHODS: We conducted a prospective, anonymous survey. Respondents were recruited from the WMS annual symposium in 2016. All willing attendees were included. RESULTS: During the symposium, we collected a total of 124 surveys (68% response rate)...
March 22, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29572088/predictive-factors-for-death-after-snake-envenomation-in-myanmar
#10
Kyi-Phyu Aye, Vipa Thanachartwet, Chit Soe, Varunee Desakorn, Supat Chamnanchanunt, Duangjai Sahassananda, Thanom Supaporn, Visith Sitprija
INTRODUCTION: Factors predictive for death from snake envenomation vary between studies, possibly due to variation in host genetic factors and venom composition. This study aimed to evaluate predictive factors for death from snake envenomation in Myanmar. METHODS: A prospective study was performed among adult patients with snakebite admitted to tertiary hospitals in Yangon, Myanmar, from May 2015 to August 2016. Data including clinical variables and laboratory parameters, management, and outcomes were evaluated...
March 20, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29551528/challenges-of-military-health-service-support-in-mountain-warfare
#11
REVIEW
Raimund Lechner, Thomas Küpper, Markus Tannheimer
INTRODUCTION: History is full of examples of the influence of the mountain environment on warfare. The aim of this article is to identify the main environmental hazards and summarize countermeasures to mitigate the impact of this unique environment. METHODS: A selective PubMed and Internet search was conducted. Additionally, we searched bibliographies for useful supplemental literature and included the recommendations of the leading mountain medicine and wilderness medicine societies...
March 16, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29551529/is-the-water-rescue-service-in-poland-heading-in-the-right-direction-preparing-lifeguards-to-the-standards-of-first-aid-in-europe
#12
LETTER
Iwona Tabaczek-Bejster, Jerzy Kiszka, Dorota Ozga
No abstract text is available yet for this article.
March 15, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29548770/comparison-of-sports-drink-versus-oral-rehydration-solution-during-exercise-in-the-heat
#13
Michael W Schleh, Charles L Dumke
INTRODUCTION: This study compared 2 commercially available beverages, an oral rehydration solution (ORS; 60.9 mM Na+ ; 3.4% carbohydrate) and a sports drink (SDS; 18.4 mM Na+; 5.9% carbohydrate), on hydration and metabolism during submaximal exercise in the heat. METHODS: Ten male subjects completed two 90-min exercise trials (39ºC, 30%) of walking at 50% VO2max followed by a 30-min rest period in the heat while wearing wildland firefighter personal protective clothing...
March 14, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29530472/medical-services-at-an-international-summer-camp-event-under-hot-and-humid-conditions-experiences-from-the-23rd-world-scout-jamboree-japan
#14
Takemasa Watanabe, Keiji Mizutani, Toshiyasu Iwai, Hiroshi Nakashima
INTRODUCTION: The 23rd World Scout Jamboree (WSJ) was a 10-day summer camp held in Japan in 2015 under hot and humid conditions. The attendees comprised 33,628 people from 155 countries and territories. The aim of this study was to examine the provision of medical services under such conditions and to identify preventive factors for major diseases among long-term campers. METHODS: Data were obtained from WSJ medical center records and examined to clarify the effects of age, sex, and period on visit frequencies and rates...
March 9, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29530471/whiptail-stingray-injury
#15
Simon Laurent, Olivier Martinet, Helene Cuq, Alain Rind, Philippe Durasnel, Claire Lenne, Renaud Blondé
Stingray injuries to the chest are rare but potentially life-threatening. They may occur in remote areas where advanced emergency healthcare services are unavailable. We describe the case of a 24-year-old man with tension pneumothorax due to a Himantura fai stingray injury to the left chest. The chest wound was unremarkable, with no external bleeding or evidence of a foreign body. Decompression was performed at the scene with an improvised knife procedure and a hollow writing pen, which served as a chest tube...
March 9, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29530470/snakebites-treated-in-north-carolina-emergency-departments-october-2013-september-2015
#16
Katherine J Harmon, Marilyn Goss Haskell, Courtney H Mann, Anna E Waller
INTRODUCTION: North Carolina (NC) is home to more than 30 species of indigenous venomous and nonvenomous snakes. Snakebites can cause debilitating and potentially fatal injuries. However, there is a lack of current information available describing the incidence of snakebites in NC. Therefore, we performed this study of snakebites treated in NC emergency departments (EDs) using the statewide syndromic surveillance system, the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT)...
March 9, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29530469/close-encounter-with-a-prickly-soccer-ball-an-injury-from-an-indian-crested-porcupine
#17
Sujeewa P B Thalgaspitiya, Buddhika T B Wijerathne, Buddhika D B Thennakoon
The Indian crested porcupine, Hystrix indica, is a large rodent with the unique feature of long quills. These quills are an integral part of its defense mechanism against predators. Injuries resulting from human contact with quills may cause pain, bleeding, and swelling. Quill-related injuries are common among animals such as dogs, cats, and some wild animals. The mechanism of injury, consequences, and management of injuries to humans from H indica quills are rarely described. In this report, we describe the injuries and management of a man who sustained injury from H indica quills...
March 9, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29373220/core-content-for-wilderness-medicine-training-development-of-a-wilderness-medicine-track-within-an-emergency-medicine-residency
#18
Walter A Schrading, Nicole Battaglioli, Jonathan Drew, Sarah Frances McClure
Wilderness medicine training has become increasingly popular among medical professionals with numerous educational opportunities nationwide. Curricula for fellowship programs and for medical student education have previously been developed and published, but a specific curriculum for wilderness medicine education during emergency medicine (EM) residency has not. The objective of this study is to create a longitudinal wilderness medicine curriculum that can be incorporated into an EM residency program. Interest-specific tracks are becoming increasingly common in EM training...
March 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29373219/cutaneous-vascular-responses-of-the-hands-and-feet-to-cooling-rewarming-and-hypoxia-in-humans
#19
Heather C Massey, James R House, Michael J Tipton
INTRODUCTION: This study investigated skin vasomotor responses in the fingers and toes during cooling and rewarming with and without normobaric hypoxia. METHODS: Fourteen volunteers (8 males and 6 females) were exposed to gradual air cooling (mean±SD: -0.4±0.1o C·min-1 ) followed by rewarming (+0.5±0.1o C·min-1 ) while breathing normoxic air (FI O2 0.21 at 761±3 mm Hg) or hypoxic gas (FI O2 0.12, at 761±3 mm Hg, equivalent to ~5000 m above sea level). Throughout the gradual cooling and rewarming phases, rectal temperature was measured, and skin temperatures and laser Doppler skin blood flow were measured on the thumb, little finger, and great and little toe pads...
March 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29373217/an-effective-treatment-in-the-austere-environment-a-critical-appraisal-into-the-use-of-intra-articular-local-anesthetic-to-facilitate-reduction-in-acute-shoulder-dislocation
#20
REVIEW
Fraser John Gould
Acute shoulder dislocation is a common injury in the outdoor environment. The objective of this systematic review of the literature was to determine if intra-articular local anesthetic (IAL) is an effective treatment that could have prehospital application. A methodical search of MEDLINE, PubMed, and EMBASE databases targeted publications from January 1, 1990 until January 1, 2017. Eligible articles compared IAL with other analgesic techniques in patients 16 years or older experiencing acute glenohumeral dislocation...
March 2018: Wilderness & Environmental Medicine
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