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Wilderness & Environmental Medicine

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https://www.readbyqxmd.com/read/28927548/pulmonary-injury-from-waterproofing-spray-during-a-hike
#1
Tomonori Harada, Yukio Hirabayashi, Yuriko Takayama-Isagawa, Hiroto Sakamoto, Makoto Kawaishi, Hiroyuki Hara, Shin Aizawa
A 48-year-old man developed general fatigue, dyspnea, and fever at an altitude of 1562 m from the morning of the first day of a 3-day hike. Despite pharyngeal discomfort and mild general fatigue, he felt that the symptoms were not sufficient to abandon his plan. He usually required 1.5 hours to reach Tokusawa (6.4 km from the starting point at an altitude of 1500 m), but this time he required 2.5 hours and slept briefly upon arrival at Tokusawa due to extreme fatigue and respiratory discomfort. His symptoms became aggravated, so he presented at a mountain clinic with oxygen saturation at 80% and body temperature of 37...
September 15, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28917388/improvised-hand-injury-treatment-using-traditional-veterinary-medicine-in-ethiopia
#2
Raf Aerts, Eva J J November, Maissa Rayyan
In remote wilderness environments, local people with traditional knowledge of medicinal plants are potentially important first-line health care providers. We present a case of a 31-year-old man who fell off a horse while trekking through a remote mountain landscape in Ethiopia and sustained blunt force trauma to the hand. A local mountain hut keeper examined the patient's hand and used heated leaves of the succulent plant Kalanchoe petitiana to treat a suspected metacarpal fracture. As first responder in a low-resource setting, the hut keeper relied on his traditional knowledge of ethnoveterinary medicine to improvise a treatment for a human injury in a remote mountain environment...
September 13, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28912038/proton-pump-inhibitor-use-is-associated-with-a-reduced-risk-of-infection-with-intestinal-protozoa
#3
Johnathan M Sheele
OBJECTIVE: Proton pump inhibitors (PPIs) can kill some human protozoan parasites in cell culture better than the drug metronidazole. Clinical data showing an antiprotozoal effect for PPIs are lacking. The objective of the study is to determine if PPI use is associated with a reduced risk of having intestinal parasites. METHODS: We obtained electronic medical record data for all persons who received a stool ova and parasite (O & P) examination at our tertiary care academic medical center in Cleveland, Ohio, between January 2000 and September 2014...
September 11, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28882617/trends-in-skin-and-soft-tissue-related-injuries-in-nols-wilderness-expeditions-from-1984-to-2012
#4
Kimberly A Stanford, Lara Phillips, Yuchiao Chang, Drew Leemon, Tod Schimelpfenig, N Stuart Harris
OBJECTIVE: Wilderness expeditions inevitably involve risk to participants. Understanding of expedition-related illnesses and injuries allows institutions and individuals to develop strategies to mitigate risk. We describe findings and trends in soft tissue injuries, the second-most common type of injury, among participants in the National Outdoor Leadership School expeditions from 1984 to 2012. METHODS: Injuries and illnesses sustained by students and staff have been recorded continuously since 1984 in the extensive National Outdoor Leadership School database...
September 4, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28870509/avalanche-accident-resulting-in-leg-amputation
#5
LETTER
Mathieu Pasquier, Christos Karatzios, Olivier Borens, Fabrice Coppex
No abstract text is available yet for this article.
September 1, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28870508/inappropriate-dexamethasone-use-by-a-trekker-in-nepal-a-case-report
#6
Nicholas R Haslam, Rachel Garth, Nicola Kelly
We present a case of inappropriate dexamethasone use in a trekker in the Everest region of Nepal. We aim to increase awareness among health professionals of the possible use of this medication by trekkers and promote knowledge of potential complications. In this case, a previously altitude-naive trekker was prescribed prophylactic dexamethasone by physicians in a Western travel clinic before high-altitude trekking in Nepal. There were no indications for prophylactic medication nor for the use of dexamethasone...
September 1, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28867140/channel-7-7-pmr-a-radio-communication-initiative-in-mountain-related-emergencies-in-spain
#7
LETTER
Sendoa Ballesteros-Peña
No abstract text is available yet for this article.
August 31, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28867139/bite-wounds-caused-by-a-wild-boar-a-case-report
#8
Hiroki Nagasawa, Kazuhiko Omori, Hiroyuki Maeda, Ikuto Takeuchi, Suguru Kato, Takashi Iso, Kei Jitsuiki, Toshihiko Yoshizawa, Kouhei Ishikawa, Hiromichi Ohsaka, Youichi Yanagawa
A 74-year-old man was attacked by a wild boar while on his way home from his farm in the daytime in winter 2017 on the rural Izu peninsula. He did not provoke the boar; however, hunters were hunting animals in the mountains near the farm around the same time. The boar bit his left leg, and the man fell to the ground. The boar continued biting the man's left leg, and the man delivered a few kicks to the boar's face with his right leg. The boar then bit his right foot and ran away. The man was taken to a hospital, and a physical examination revealed 3 bite wounds on his left leg and right foot...
August 31, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28869128/in-response-to-avalanche-fatalities-in-the-united-states-by-jekich-et-al
#9
LETTER
Karl W Birkeland, Ethan M Greene, Spencer Logan
No abstract text is available yet for this article.
August 28, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28781179/injuries-and-illnesses-occurring-on-a-recreational-bicycle-tour-the-great-ohio-bicycle-adventure
#10
Thomas L Pommering, Diane C Manos, Bhavna Singichetti, Chelsea R Brown, Jingzhen Yang
OBJECTIVE: Recreational multiday cycling events have grown popular in the United States; however, little has been published regarding the injuries and illnesses that occur during these events. The objective of this study was to describe injuries and illnesses that occur in the Great Ohio Bicycle Adventure (GOBA) and to examine associated risk factors. METHODS: Injury and illness data collected from an on-site medical clinic during the 2013 and 2014 GOBA tours were merged with rider registration data for analysis...
August 3, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28781178/exercise-associated-hyponatremia-hypernatremia-and-hydration-status-in-multistage-ultramarathons
#11
Brian J Krabak, Grant S Lipman, Brandee L Waite, Sean D Rundell
OBJECTIVE: Dysnatremia and altered hydration status are potentially serious conditions that have not been well studied in multistage ultramarathons. The purpose of this study was to assess the incidence and prevalence of exercise-associated hyponatremia (EAH) (Na(+) <135 mmol·L(-1)) and hypernatremia (Na(+) >145 mmol·L(-1)) and hydration status during a multistage ultramarathon. METHODS: This study involved a prospective observational cohort study of runners competing in a 250-km (155-mile) multistage ultramarathon (in the Jordan, Atacama, or Gobi Desert)...
August 3, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28781177/impact-of-a-newly-constructed-motor-vehicle-road-on-altitude-illness-in-the-nepal-himalayas
#12
Jonathan Reisman, Dinesh Deonarain, Buddha Basnyat
OBJECTIVE: This study investigated the impact that motor vehicle travel along a newly constructed road has on altitude illness (including acute mountain sickness, high-altitude cerebral edema, and high-altitude pulmonary edema). The new road from Besisahar (760 m) to Manang (3540 m) in Nepal was completed in December 2014. METHODS: We enrolled all patients diagnosed with altitude illness at the Himalayan Rescue Association Manang clinic in fall 2016. Phi coefficients were calculated to test for an association between Nepali ethnicity and rapid ascent by motor vehicle...
August 3, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28755820/prolonged-coagulopathy-ecchymoses-and-microangiopathic-hemolytic-anemia-following-hump-nosed-pit-viper-hypnale-hypnale-bite-in-sri-lanka
#13
Rathnayaka Mudiyanselage M K Namal Rathnayaka, Senanayake A M Kularatne, Anusha Nishanthi Ranathunga, Mahinda Kumarasinghe, Jayantha Rajapakse, Shirani Ranasinghe
A 74-year-old previously healthy woman was bitten by a hump-nosed pit viper (Hypnale hypnale) at dusk causing incoagulable blood lasting for 6 days. Further, she developed ecchymoses over her forearms, upper arms, hands, and lower back on day 4 after the snakebite, and microangiopathic hemolytic anemia (MAHA). Features of this nature are rare after hump-nosed pit viper bite.
July 26, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28755819/descriptive-epidemiology-medical-evaluation-and-outcomes-of-rock-climbing-injuries
#14
James W McDonald, A Michael Henrie, Masaru Teramoto, Edward Medina, Stuart E Willick
OBJECTIVE: To gather epidemiologic data on injury type, treatment, and recovery from rock climbing injuries. METHODS: Design: retrospective cross-sectional study. SETTING: web-based survey. PARTICIPANTS: rock climbers who sustained a climbing-related injury during the prior 24 months. Criteria for inclusion: aged ≥18 years; participation in rock climbing at least 4 times per year in the United States. INTERVENTIONS: none...
July 26, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28754295/blister-mystery
#15
Buddhika T B Wijerathne
No abstract text is available yet for this article.
July 26, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28754294/prehospital-emergency-medicine-at-the-beach-what-is-the-effect-of-fins-and-rescue-tubes-in-lifesaving-and-cardiopulmonary-resuscitation-after-rescue
#16
Cristian Abelairas-Gómez, Roberto Barcala-Furelos, Marcos Mecías-Calvo, Ezequiel Rey-Eiras, Sergio López-García, Javier Costas-Veiga, Antonio Bores-Cerezal, Jose Palacios-Aguilar
OBJECTIVE: To analyze the influence of fins and rescue tube use in a water rescue, assessed by time and distance to salvage position, physiological parameters, and cardiopulmonary resuscitation (CPR). METHODS: Twenty professional lifeguards (10 men, 10 women) conducted 3 tests: a baseline test of 5 minutes of CPR and 2 water rescues, 1 without rescue equipment (NRE), and the other with fins and rescue tube (FRT). They also had to perform 5 minutes of CPR after each rescue...
July 25, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28754293/suicide-attempt-by-ingestion-of-rotenone-containing-plant-extracts-in-french-polynesia-a-case-report
#17
LETTER
R Torrents, B Domangé, C Schmitt, A Boulamery, L De Haro, N Simon
No abstract text is available yet for this article.
July 25, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28754292/freshwater-catfish-envenoming-in-a-tropical-country
#18
Sujeewa P B Thalgaspitiya, Buddhika T B Wijerathne, Nuwan P Siriwardhana
OBJECTIVE: Freshwater catfish are known to cause painful stings in humans. Stings usually cause mild envenomation and, in some instances, can lead to severe secondary bacterial infections. Sri Lanka is a tropical country where catfish stings are not rare. However, presenting signs and symptoms, complications, and management options are scarce in the literature. METHODS: A retrospective, descriptive, cross-sectional study was conducted by reviewing patient records in the university surgical units and surgical clinic in the teaching hospital in Anuradhapura, Sri Lanka, during 2015...
July 25, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28739377/blood-hemostatic-changes-during-an-ultraendurance-road-cycling-event-in-a-hot-environment
#19
Brian R Kupchak, Josh B Kazman, Jakob L Vingren, Danielle E Levitt, Elaine C Lee, Keith H Williamson, Lawrence E Armstrong, Patricia A Deuster
OBJECTIVE: This study aims to examine blood hemostatic responses to completing a 164-km road cycling event in a hot environment. METHODS: Thirty-seven subjects (28 men and 9 women; 51.8±9.5 [mean±SD] y) completed the ride in 6.6±1.1 hours. Anthropometrics (height, body mass [taken also during morning of the ride], percent body fat [%]) were collected the day before the ride. Blood samples were collected on the morning of the ride (PRE) and immediately after (IP) the subject completed the ride...
July 21, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28735656/around-manaslu-ultramarathon-diarrhea-is-still-the-king
#20
LETTER
Yogesh Subedi
No abstract text is available yet for this article.
July 21, 2017: Wilderness & Environmental Medicine
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