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Wilderness & Environmental Medicine

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https://www.readbyqxmd.com/read/29422373/international-commission-for-mountain-emergency-medicine-consensus-guidelines-for-on-site-management-and-transport-of-patients-in-canyoning-incidents
#1
REVIEW
Giacomo Strapazzon, Oliver Reisten, Fabien Argenone, Ken Zafren, Greg Zen-Ruffinen, Gordon L Larsen, Inigo Soteras
Canyoning is a recreational activity that has increased in popularity in the last decade in Europe and North America, resulting in up to 40% of the total search and rescue costs in some geographic locations. The International Commission for Mountain Emergency Medicine convened an expert panel to develop recommendations for on-site management and transport of patients in canyoning incidents. The goal of the current review is to provide guidance to healthcare providers and canyoning rescue professionals about best practices for rescue and medical treatment through the evaluation of the existing best evidence, focusing on the unique combination of remoteness, water exposure, limited on-site patient management options, and technically challenging terrain...
February 5, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29398188/hmox1-promoter-microsatellite-polymorphism-and-high-altitude-pulmonary-edema-in-han-chinese-men
#2
LETTER
Gaurav Sikri, Srinivasa Bhattachar
No abstract text is available yet for this article.
February 2, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29397300/effect-of-helmet-use-on-traumatic-brain-injuries-and-other-head-injuries-in-alpine-sport
#3
Nicolas Bailly, Jean-Dominique Laporte, Sanae Afquir, Catherine Masson, Thierry Donnadieu, Jean-Baptiste Delay, Pierre-Jean Arnoux
INTRODUCTION: Sport helmet effectiveness in preventing traumatic brain injury (TBI) has been repeatedly questioned. This study assesses the effect of helmet use on risk of TBI and other types of head injury (OTHI) in alpine sports. METHODS: From 2012 to 2014, data on the injured population were collected by physicians in on-mountain clinics in 30 French ski resorts, and interviews were conducted on the slope to sample a noninjured control population. Two sets of cases (1425 participants with TBI and 1386 with OTHI) were compared with 2 sets of controls (2145 participants without injury and 40,288 with an injury to a body part other than the head)...
January 31, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29395961/mount-meru
#4
Jon Conard
No abstract text is available yet for this article.
January 30, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29395962/potential-environmental-and-ecological-effects-of-global-climate-change-on-venomous-terrestrial-species-in-the-wilderness
#5
Robert K Needleman, Isabelle P Neylan, Timothy Erickson
INTRODUCTION: Climate change has been scientifically documented, and its effects on wildlife have been prognosticated. We sought to predict the overall impact of climate change on venomous terrestrial species. We hypothesize that given the close relationship between terrestrial venomous species and climate, a changing global environment may result in increased species migration, geographical redistribution, and longer seasons for envenomation, which would have repercussions on human health...
January 29, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29358062/2017-wilderness-environmental-medicine-peer-reviewers
#6
EDITORIAL
Alicia Byrne
No abstract text is available yet for this article.
January 18, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29358061/pott-s-disease-resulting-in-complete-cervical-vertebral-destruction
#7
Jeffrey H Walden, Jeremy Schmitz
Skeletal tuberculosis, otherwise known as Pott's disease, has been recognized for centuries. Although typically diagnosed in citizens from countries with endemic tuberculosis, long-term workers in these regions, such as military deployees, can also acquire the disease. We present a case report of a military veteran presenting with neck pain and initially diagnosed with cervical disc disease. The patient's pain progressed to the point of developing paresthesias in his bilateral upper extremities. Eventually, cervical spine radiographs were obtained that revealed complete cervical vertebral body destruction from spinal tuberculosis...
January 18, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29358060/journal-shopping-and-pruning-the-literature
#8
EDITORIAL
Neal W Pollock
No abstract text is available yet for this article.
January 18, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29373218/an-iconic-pit-viper-of-the-central-american-rainforests
#9
Pablo Deschepper, Raf Aerts
No abstract text is available yet for this article.
January 17, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29373216/an-update-on-fatalities-due-to-venomous-and-nonvenomous-animals-in-the-united-states-2008-2015
#10
Jared A Forrester, Thomas G Weiser, Joseph D Forrester
INTRODUCTION: To review recent (2008-2015) United States mortality data from deaths caused by nonvenomous and venomous animals and compare with historical data. METHODS: The Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database was queried to return all animal-related fatalities between 2008 and 2015. Mortality frequencies for animal-related fatalities were calculated using the estimated 2011 United States population...
January 17, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29361387/microangiopathic-hemolytic-anemia-following-three-different-species-of-hump-nosed-pit-viper-genus-hypnale-envenoming-in-sri-lanka
#11
Rathnayaka Mudiyanselage M K Namal Rathnayaka, Anusha Nishanthi Ranathunga, Senanayake A M Kularatne, Jayanthe Rajapakse, Shirani Ranasinghe, Radha Jayathunga
There are 3 species of hump-nosed pit vipers in Sri Lanka: Hypnale hypnale, Hypnale zara, and Hypnale nepa. The latter 2 are endemic to the country. Microangiopathic hemolytic anemia (MAHA) is a known complication of hump-nosed pit viper bites. It was previously documented as a complication of general viper bites and not species specific. We report a series of 3 patients who developed MAHA after being bitten by each species of hump-nosed pit viper. The first patient was bitten by H hypnale and developed a severe form of MAHA associated with acute kidney injury and thrombocytopenia falling into the category of thrombotic microangiopathy...
January 17, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29361386/wilderness-first-responder-are-skills-soon-forgotten
#12
Alexandra L Rhue, Beth VanDerveer
Wilderness first responders are trained to provide competent medical care in wilderness settings or until evacuation for more advanced treatment can be obtained. In light of the isolated environments in which they are called upon to respond to illnesses and injuries, their ability to effectively apply their training is crucial. Despite the responsibility assigned to them, there is an absence of research assessing the skill and knowledge retention of wilderness first responders, creating a gap in understanding whether a deficit in their ability to perform exists between certifications...
January 17, 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
#13
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...
January 16, 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
#14
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±0.1oC·min-1) followed by rewarming (+0.5±0.1oC·min-1) while breathing normoxic air (FIO2 0.21 at 761±3 mm Hg) or hypoxic gas (FIO2 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...
January 16, 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
#15
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...
January 16, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29338991/jellyfish-blooms-causing-mass-envenomations-in-aquatic-marathonists-report-of-cases-in-s-and-se-brazil-sw-atlantic-ocean
#16
LETTER
Vidal Haddad, André C Morandini, Lucia E Rodrigues
No abstract text is available yet for this article.
January 12, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29338990/frequency-of-polycythemia-and-other-abnormalities-in-a-tibetan-herdsmen-population-residing-in-the-kham-area-of-sichuan-province-china
#17
Jian-Bo Zhang, Lin Wang, Jie Chen, Zhi-Ying Wang, Mei Cao, Shang-Mian Yie, Hua Yang, Xiao-Qin Yao, Yi Zeng, Yong-Chang Yang, Chun-Bao Xie, Tai-Qiang Zhao
INTRODUCTION: The Kham Tibetans are one of several Tibetan ethnic subgroups living in the Kham area of China. Because studies on the high-altitude adaptation of the Kham people are scant, the main aim of this study is to investigate whether the response to hypoxia, especially polycythemia status, in the Kham Tibetans is different from other Tibetan ethnic subgroups. METHODS: The primary investigation was conducted on 346 native Kham Tibetan adults (268 men and 78 women) from 3 herdsmen villages located in Hongyuan County situated at an altitude of greater than 3600 m...
January 12, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29338989/relations-between-self-reported-and-linguistic-monitoring-assessments-of-affective-experience-in-an-extreme-environment
#18
Nathan Smith
INTRODUCTION: Approaches for monitoring psychosocial health in challenging environments are needed to maintain the performance and safety of personnel. The purpose of the present research was to examine the relationship between 2 candidate methods (self-reported and linguistics) for monitoring affective experience during extreme environment activities. METHODS: A single-subject repeated-measures design was used in the present work. The participant was a 46-year-old individual scheduled to complete a self-supported ski expedition across Arctic Greenland...
January 12, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29338988/acetazolamide-use-in-ultrarunners-at-altitude-issues-with-doping
#19
LETTER
Suvash Dawadi
No abstract text is available yet for this article.
January 12, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29338987/update-on-the-epidemiology-of-scorpion-envenomation-in-the-south-of-tunisia
#20
Olfa Chakroun-Walha, Rim Karray, Mouna Jerbi, Abdennour Nasri, Fadhila Issaoui, Ben Rebeh Amine, Mabrouk Bahloul, Mounir Bouaziz, Hichem Ksibi, Noureddine Rekik
INTRODUCTION: Scorpion envenomation is still a frequent occurance in tropical and subtropical regions. In Tunisia, multiple studies on scorpion envenoming have contributed to an improved understanding of cardiac dysfunction and factors predictive of poor prognosis. These previous studies have contributed to the current standardized management of envenomed patients. However, the epidemiology of scorpion envenoming in Tunisia has not been updated for more than 10 years. The aim of this study was to report an update of the epidemiological features of scorpion envenomation in the southern region of Tunisia...
January 12, 2018: Wilderness & Environmental Medicine
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