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Wilderness & Environmental Medicine

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https://www.readbyqxmd.com/read/28434757/unusual-kissing-lesions-lessons-from-rural-tanzania
#1
Samantha J Moore, Harriet J Blundell
No abstract text is available yet for this article.
April 20, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28433364/belts-evaluated-as-limb-tourniquets-belt-study-comparing-trouser-supporters-used-as-medical-devices-in-a-manikin-model-of-wound-bleeding
#2
Blake W Bequette, John F Kragh, James K Aden, Michael A Dubick
OBJECTIVE: The purpose of the present study is to compare several models of commercially designed belts as used as a tourniquet. METHODS: In the Belts Evaluated as Limb Tourniquets (BELT) study, an experiment was designed to test the effectiveness of pants belts as nonimprovised medical devices to control hemorrhage in a manikin. Models of belts included Tourni-belt, Tourniquet Belt, ParaBelt, and Battle Buddy. Data collected included effectiveness, time to stop bleeding, total time of application, pressure, blood loss, and composite results (score count of good results; composite outcome good if every component was good)...
April 19, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28431827/first-described-envenomation-by-centruroides-pococki-scorpion-in-the-french-caribbean-island-guadeloupe
#3
LETTER
Corinne Schmitt, Romain Torrents, Nicolas Simon, Luc de Haro
No abstract text is available yet for this article.
April 18, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28431826/the-dallol-volcano
#4
Raf Aerts, Eva J J November
No abstract text is available yet for this article.
April 18, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28392170/translating-tactical-combat-casualty-care-lessons-learned-to-the-high-threat-civilian-setting-tactical-emergency-casualty-care-and-the-hartford-consensus
#5
REVIEW
David W Callaway
Combat operations necessitate bold thought and afford the opportunity to rapidly evolve and improve trauma care. The development and maturation of Tactical Combat Casualty Care (TCCC) is an important example of a critical process improvement strategy that reduced mortality in high-threat combat-related trauma. The Committee for Tactical Emergency Casualty Care (C-TECC) adapted the lessons of TCCC to the civilian high-threat environment and provided important all-hazards response principles for austere, dynamic, and resource-limited environments...
April 6, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28385365/texas-bull-nettle-cnidoscolus-texanus-exposures-reported-to-texas-poison-centers
#6
Mathias B Forrester
OBJECTIVE: Texas bull nettle (Cnidoscolus texanus) is covered in bristly hairs similar to stinging nettle. Contact with the plant may result in intense dermal pain, burning, itching, cellulitis, and allergic reaction. This study characterizes C texanus exposures reported to a large state-wide poison center system. METHODS: Cases were C texanus exposures reported to Texas poison centers during 2000-2015. The distribution of cases was determined for patient demographics, exposure circumstances, and patient outcome...
April 3, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28385364/hypersensitivity-reaction-to-yellow-jacket-sting-in-a-previously-nonallergic-patient-taking-an-angiotensin-receptor-blocker
#7
James H Diaz
No abstract text is available yet for this article.
April 3, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28318991/bleeding-control-using-hemostatic-dressings-lessons-learned
#8
REVIEW
Brad L Bennett
Based on lessons learned, many military battlefield trauma advances ultimately transition to enhance civilian trauma care. However, even with major strides to enhance battlefield hemorrhage control, it is unclear how effectively these techniques and products are being translated to civilian trauma. The purpose of this brief review is to present the evidence of current hemostatic product effectiveness, determine the evidence for transitioning of this technology to prehospital civilian application, and provide recommendations about potential use in the wilderness/austere setting...
March 16, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28318990/junctional-hemorrhage-control-for-tactical-combat-casualty-care
#9
REVIEW
Russ S Kotwal, Frank K Butler
During historic, as well as more recent, conflicts, most combat casualties who die from their injuries do so in the prehospital setting. Although many of the injuries incurred by these casualties are nonsurvivable, a number of injuries are still potentially survivable. Of those injuries that are potentially survivable, the majority are truncal, junctional, and extremity hemorrhage. Novel and effective approaches directed toward prehospital hemorrhage control have emerged in recent years, some of which can prove useful in the management of junctional hemorrhage whether in a military or civilian setting...
March 16, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28318989/first-report-of-using-portable-unmanned-aircraft-systems-drones-for-search-and-rescue
#10
Christopher Van Tilburg
Unmanned aircraft systems (UAS), colloquially called drones, are used commonly for military, government, and civilian purposes, including both commercial and consumer applications. During a search and rescue mission in Oregon, a UAS was used to confirm a fatality in a slot canyon; this eliminated the need for a dangerous rappel at night by rescue personnel. A second search mission in Oregon used several UAS to clear terrain. This allowed search of areas that were not accessible or were difficult to clear by ground personnel...
March 16, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28284484/tactical-combat-casualty-care-transitioning-battlefield-lessons-learned-to-other-austere-environments
#11
EDITORIAL
Brad Bennett, Ian Wedmore, Frank Butler
No abstract text is available yet for this article.
March 8, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28284483/tactical-combat-casualty-care-beginnings
#12
REVIEW
Frank K Butler
Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity hemorrhage, a leading cause of preventable death on the battlefield, was not being treated with a readily available and highly effective intervention: the tourniquet. This insight prompted a systematic reevaluation of all aspects of battlefield trauma care that was conducted from 1993 to 1996 as a joint effort by special operations medical personnel and the Uniformed Services University of the Health Sciences...
March 8, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28279652/the-transition-to-the-committee-on-tactical-combat-casualty-care
#13
REVIEW
Stephen D Giebner
The original Tactical Combat Casualty Care (TCCC) guidelines were published in a special supplement to Military Medicine in 1996 as the terminal deliverable of a 2-year development project funded by the United States Special Operations Command (USSOCOM). Two years later, the USSOCOM Biomedical Initiatives Steering Committee (BISC) promulgated its Task Statement 5-98, in which it called for the formation of a panel of subject matter experts to update the TCCC guidelines. This article discusses the formation of the Committee on Tactical Combat Casualty Care (CoTCCC) and the changes to the original guidelines that constituted the first update...
March 6, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28162912/turning-submissions-into-a-journal
#14
EDITORIAL
Neal W Pollock
No abstract text is available yet for this article.
February 2, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28161320/in-reply-to-drs-sikri-bhattachar-and-thapa
#15
LETTER
James S Lawrence, Stephen A Reid
No abstract text is available yet for this article.
February 1, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28257715/an-assessment-of-diarrhea-among-long-distance-backpackers-in-the-sierra-nevada
#16
Derek J Meyer, Amber Costantino, Susanne Spano
INTRODUCTION: Diarrhea is a common problem among long-distance backpackers, ranging in overall incidence from 11-56% as reported by previous studies on the Appalachian Trail and Long Trail. Differences in age, sex, and regularity of standard backcountry hygiene recommendations and practices have been shown to significantly affect the incidence of diarrhea. No study to date has investigated these trends among long-distance backpackers on the John Muir Trail (JMT) in the Sierra Nevada mountain range of California...
March 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28257714/wilderness-medical-society-practice-guidelines-for-prevention-and-management-of-avalanche-and-nonavalanche-snow-burial-accidents
#17
Christopher Van Tilburg, Colin K Grissom, Ken Zafren, Scott McIntosh, Martin I Radwin, Peter Paal, Pascal Haegeli, William Will R Smith, Albert R Wheeler, David Weber, Bruce Tremper, Hermann Brugger
To provide guidance to clinicians and avalanche professionals about best practices, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for the prevention, rescue, and medical management of avalanche and nonavalanche snow burial victims. Recommendations are graded on the basis of quality of supporting evidence according to the classification scheme of the American College of Chest Physicians.
March 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28257713/hmox1-promoter-microsatellite-polymorphism-is-not-associated-with-high-altitude-pulmonary-edema-in-han-chinese
#18
Xue-Feng Cao, Lan Ma, Shang Ma, Jin Xu, Ri-Li Ge
OBJECTIVE: To investigate the relationship between microsatellite polymorphism in the Heme oxygenase-1 (HMOX1) gene promoter and high-altitude pulmonary edema (HAPE) in Han Chinese. METHODS: Eighty-three construction workers who developed HAPE 2 to 7 days after arrival at Yushu (3800 m) in Qinghai, China, and 145 matched healthy subjects were included in this study. The amplification and labeling of the polymerase chain reaction products for capillary electrophoresis were performed to identify HMOX1 genotype frequency...
March 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28257712/the-effects-of-a-36-hour-mixed-task-ultraendurance-race-on-mucosal-immunity-markers-and-pulmonary-function
#19
David Bellar, Kellie A Murphy, Ritvik Aithal, Greggory R Davis, Tim Piper
OBJECTIVE: The present study was conducted to assess the changes in mucosal immunity and pulmonary function among participants in a 36-hour mixed task ultraendurance race. METHODS: Thirteen of the 20 race participants volunteered for the investigation (age 34±5 y). The event consisted of a mixture of aerobic, strong man, and military-style exercise. Participants had a pulmonary function test and gave a finger stick capillary blood sample and unstimulated saliva samples both before the event and upon dropout or completion...
March 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28153379/2016-wilderness-environmental-medicine-peer-reviewers
#20
EDITORIAL
Alicia Byrne
No abstract text is available yet for this article.
January 30, 2017: Wilderness & Environmental Medicine
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