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Wilderness & Environmental Medicine

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https://www.readbyqxmd.com/read/28089338/lymphangitis-from-scolopendra-heros-envenomation-the-texas-redheaded-centipede
#1
Shannon E Essler, Maneesha Julakanti, Andrew L Juergens
Envenomation by Scolopendra heros, the Texas redheaded centipede, can present variably. Although transient pain and erythema are often treated conservatively, complications may include cellulitis, necrosis, myocardial infarction, and rhabdomyolysis. We present a case of an elderly man who came to the emergency department with lymphangitis and dermatitis secondary to a centipede sting that awoke him from sleep. It is important to recognize the potential of centipede envenomation to have severe local and systemic manifestations...
January 11, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28087324/on-rope-looking-up
#2
Joshua E Lane
No abstract text is available yet for this article.
January 10, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28087323/severe-hemorrhagic-syndrome-after-lonomia-caterpillar-envenomation-in-the-western-brazilian-amazon-how-many-more-cases-are-there
#3
João Hugo A Santos, Sâmella S Oliveira, Eliane C Alves, Iran Mendonça-da-Silva, Jacqueline A G Sachett, Antonio Tavares, Luiz Carlos Ferreira, Hui Wen Fan, Marcus V G Lacerda, Wuelton M Monteiro
Contact with Lonomia caterpillars can cause a hemorrhagic syndrome. In Brazil, Lonomia obliqua and Lonomia achelous are known to cause this venom-induced disease. In the Brazilian Amazon, descriptions of this kind of envenomation are scarce. Herein, we report a severe hemorrhagic syndrome caused by Lonomia envenomation in the Amazonas state, Western Brazilian Amazon. The patient showed signs of hemorrhage lasting 8 days and required Lonomia antivenom administration, which resulted in resolution of hemorrhagic syndrome...
January 10, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27989486/littered-cans-death-trap-of-snakes
#4
LETTER
Subhendu Mallik, Sudipta Ranjan Singh, Indramani Nath
No abstract text is available yet for this article.
December 15, 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27939594/in-response-to-risk-determinants-of-acute-mountain-sickness-by-lawrence-and-reid
#5
LETTER
Gaurav Sikri, Srinivasa Bhattachar, Bikalp Thapa
No abstract text is available yet for this article.
December 6, 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27876196/clinically-significant-envenomation-from-postmortem-copperhead-agkistrodon-contortrix
#6
Michael P Emswiler, F Phillip Griffith, Kirk L Cumpston
Over 14,000 copperhead (Agkistrodon contortrix) bites were reported to United States poison centers between 1983 and 2008, and 1809 cases were reported to poison centers in 2014. The copperhead is primarily found in the southeastern United States and belongs to the pit viper subfamily Crotalinae, which also includes the water moccasin (Agkistrodon piscivorus) and rattlesnakes (Crotalus and Sistrurus genera). Postmortem rattlesnakes have been reported to cause clinically significant envenomation; we report a case of a postmortem copperhead causing clinically significant envenomation after inadvertent puncture with the deceased copperhead fang...
November 18, 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27876195/inclined-wind-tunnel-for-the-study-of-human-and-large-animal-flight
#7
LETTER
Anton Westman, Peter Georén, Johan Strömberg
No abstract text is available yet for this article.
November 18, 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28029455/management-of-burn-injuries-in-the-wilderness-lessons-from-low-resource-settings
#8
REVIEW
Cindy C Bitter, Timothy B Erickson
Burns are a common source of injuries worldwide, with a high burden of disease in low- and middle-income countries. Burns also account for 2%-8% of wilderness injuries. Although many are minor, the potential for serious morbidity and mortality exists, and standard treatments used in high-resource settings are not readily available in the backcountry. A literature review was performed to find evidence from low-resource settings that supports alternative or improvised therapies that may be adapted to care of burns in the wilderness...
October 28, 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27912864/clinical-and-epidemiological-aspects-of-scorpionism-in-the-world-a-systematic-review
#9
REVIEW
Maria S V Santos, Cláudio G L Silva, Basílio Silva Neto, Cícero R P Grangeiro Júnior, Victor H G Lopes, Antônio G Teixeira Júnior, Deryk A Bezerra, João V C P Luna, Josué B Cordeiro, Jucier Gonçalves Júnior, Marcos A P Lima
OBJECTIVE: Scorpion stings are registered worldwide, but the incidence and the features of the envenomations vary depending on the region. The aim of this review was to summarize the epidemiological, clinical, diagnostic, and therapeutic data worldwide regarding humans stung by scorpions. METHODS: A systematic review of the literature was conducted through the online databases of the Virtual Health Library (VHL), which hosts Medline and the Latin American and Caribbean Center on Health Sciences Informational (LILACS) database...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27912863/circadian-rhythm-and-sleep-during-prolonged-antarctic-residence-at-chinese-zhongshan-station
#10
Nan Chen, Quan Wu, Yanlei Xiong, Guang Chen, Dandan Song, Chengli Xu
OBJECTIVE: Residence at Zhongshan Station (69°22'24″S, 76°22'40″E) for over 1 year exposes winter-over members to marked changes of light-dark cycle, ranging from the constant daylight of polar days to the constant darkness of polar nights, in addition to geographic and social isolation. This extreme photoperiodic environment may increase the risk of sleep disturbances and circadian desynchrony. The aim of this study was to investigate the circadian rhythm and sleep phase of Chinese winter-over expeditioners at Zhongshan Station...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27912862/ethics-and-oversight-in-publication
#11
EDITORIAL
Neal W Pollock
No abstract text is available yet for this article.
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27818116/health-supply-utilization-at-a-boy-scout-summer-camp-an-evaluation-for-improvement-and-preparedness
#12
Ross T Miller, Bradley E Barth
OBJECTIVE: To describe the health conditions treated by a health services center at a Boy Scout summer camp and make recommendations for appropriate resources and supplies. METHODS: We conducted a retrospective review of health center utilization at a Boy Scout camp in central Missouri during the summers of 2012 and 2013. Health logbook data were compiled and analyzed using descriptive and comparative statistics. RESULTS: During the study period 19,771 camp participants made 1586 visits to the health care center...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27816379/in-reply-to-drs-pasquier-gnaegi-and-hugli
#13
LETTER
Hermann Brugger, Katharina Grasegger, Inigo Soteras, Giacomo Strapazzon
No abstract text is available yet for this article.
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27816378/dull-brains-and-frozen-feet-a-historical-essay-on-cold
#14
Harvey V Lankford
This essay will review historical and medical aspects of cold exposure, hypothermia, and frostbite during the Napoleonic era. The 19th century writings of Dominique Jean Larrey, Pierre Jean Moricheau-Beaupré, and others are used to provide an evocative supporting narrative to illustrate some of the cold illnesses, physiology, and theory of both an earlier era and the present time. Medical care for over a century followed the how but not the why of treating frostbite and hypothermia slowly with snow or cold water rather than heat...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27793443/pressures-of-wilderness-improvised-wound-irrigation-techniques-how-do-they-compare
#15
John B Luck, Danielle Campagne, Roberto Falcón Banchs, Jason Montoya, Susanne J Spano
OBJECTIVE: Compare the pressures measured by improvised irrigation techniques to a commercial device and to prior reports. METHODS: Devices tested included a commercial 500-mL compressible plastic bottle with splash guard, a 10-mL syringe, a 10-mL syringe with a 14-ga angiocatheter (with needle removed), a 50-mL Sawyer syringe, a plastic bag punctured with a 14-ga needle, a plastic bottle with cap punctured by a 14-ga needle, a plastic bottle with sports top, and a bladder-style hydration system...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27793442/pulling-harder-than-the-hamate-tolerates-evaluation-of-hamate-injuries-in-rock-climbing-and-bouldering
#16
Christoph Lutter, Andreas Schweizer, Thomas Hochholzer, Thomas Bayer, Volker Schöffl
OBJECTIVE: Hamate hook fractures are rare injuries, comprising 2% to 4% of all carpal fractures. Climbing athletes seem to be affected more frequently than others, as they strain the passive and active anatomical structures of their hands and fingers to maximum capacity during training or competing. This stress is transmitted to the hook of the hamate by tightened flexor tendons, which creates high contact pressure to the ulnar margin of the carpal tunnel. Injuries of the hamate hook, caused by contact pressure of the anatomical structures, are rare and occur nearly exclusively during climbing...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27789165/medical-pathologies-and-hut-guardians-ability-to-provide-first-aid-in-mountain-huts-a-prospective-observational-study
#17
Marc Blancher, Jérôme Colonna d'Istria, Amandine Coste, Philippine Saint Guilhem, Antoine Pierre, Flora Clausier, Guillaume Debaty, Jean Luc Bosson, Raphaël Briot, Pierre Bouzat
OBJECTIVE: To describe the resources for medical condition management in mountain huts and the epidemiology of such events. METHODS: We conducted a 3-step study from April 2013 to August 2014 in French mountain huts. The first step consisted of collecting data regarding the first aid equipment available in mountain huts. The second step consisted of a qualitative evaluation of the mountain hut guardian's role in medical situations through semistructured interviews...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27769777/improvised-cricothyrotomy-on-a-mountain-using-hiking-gear
#18
Clare A Johnson, Diana S Goodwine, Ingrid Passier
We present a case of a 57-year-old man who fell while climbing a mountain in California and sustained severe facial trauma. Three firefighters and 2 emergency physicians witnessed the fall and resuscitated the patient. The patient ultimately required a surgical cricothyrotomy performed with a pocket knife and Platypus hydration pack. The physicians made a makeshift positive pressure airway device using the Platypus hydration pack. We believe this is the first case report describing an improvised cricothyrotomy performed in the wilderness using only hiking gear...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27743859/ruins-of-a-wwi-hospital-falzarego-the-dolomites-italy
#19
Tom Edward Mallinson
No abstract text is available yet for this article.
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27567456/report-of-a-new-human-death-caused-by-a-giant-anteater-in-brazil
#20
LETTER
Vidal Haddad Junior, Jenerson França Nunes
No abstract text is available yet for this article.
December 2016: Wilderness & Environmental Medicine
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