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https://www.readbyqxmd.com/read/29907602/improvised-first-aid-techniques-for-terrorist-attacks
#1
EDITORIAL
Andrew Loftus, Harvey Pynn, Paul Parker
Terrorist acts occur every day around the world. Healthcare professionals are often present as bystander survivors in these situations, with none of the equipment or infrastructure they rely on in their day-to-day practice. Within several countries there has been a move to disseminate the actions to take in the event of such attacks: in the UK, Run, Hide, Tell , and in the USA, Fight Back This paper outlines how a very basic medical knowledge combined with everyday high-street items can render highly effective first aid and save lives...
June 15, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29893609/racial-disparities-in-the-treatment-of-acute-overdose-in-the-emergency-department
#2
Marcee E Wilder, Lynne D Richardson, Robert S Hoffman, Gary Winkel, Alex F Manini
OBJECTIVES: Racial and ethnic disparities in the United States continue to exist in many disciplines of medicine, extending to care in the Emergency Department (ED). We sought to examine the relationship between patient race/ethnicity and use of either antidotal therapy or gastrointestinal decontamination for individuals presenting to the ED for acute drug overdose. METHODS: We completed a secondary analysis of a prospective cohort of patients with suspected acute overdose presenting to two urban tertiary care hospitals between 2009 and 2014...
June 12, 2018: Clinical Toxicology
https://www.readbyqxmd.com/read/29784570/research-gaps-in-wilderness-medicine
#3
Daniel Tritz, Kody Dormire, Travis Brachtenbach, Joshua Gordon, Donald Sanders, David Gearheart, Julia Crawford, Matt Vassar
INTRODUCTION: Wilderness medicine involves the treatment of individuals in remote, austere environments. Given the high potential for injuries as well as the unique treatment modalities required in wilderness medicine, evidence-based clinical practice guidelines are necessary to provide optimal care. In this study, we identify evidence gaps from low-quality recommendations in wilderness medicine clinical practice guidelines and identify new/ongoing research addressing them. METHODS: We included relevant clinical practice guidelines from the Wilderness Medical Society and obtained all 1C or 2C level recommendations...
May 18, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29581383/high-altitude-arterialised-capillary-earlobe-blood-gas-measurement-using-the-abbott-i-stat
#4
Christopher T Lewis, W L Malein, I Chesner, S Clarke
INTRODUCTION: Measurement of physiological parameters in extreme environments is essential to advancing knowledge, prophylaxis and treatment of altitude sickness. Point-of-care testing facilitates investigation in non-specialist and remote settings, as well as becoming increasingly popular at the bedside for real-time results in the clinical environment. Arterialised capillary earlobe blood gases are recommended as a valid alternative to arterial sampling in research. This study aimed to test the feasibility of obtaining and analysing daily earlobe samples at high altitude...
March 25, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29576403/a-survey-of-wilderness-medicine-analgesia-practice-patterns
#5
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)...
June 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29551528/challenges-of-military-health-service-support-in-mountain-warfare
#6
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/29385172/not-in-wilderness-african-vulture-strongholds-remain-in-areas-with-high-human-density
#7
Mohamed Henriques, José Pedro Granadeiro, Hamilton Monteiro, Ana Nuno, Miguel Lecoq, Paulo Cardoso, Aissa Regalla, Paulo Catry
Vultures constitute an important functional group in many ecosystems, providing crucial ecosystem services both in natural and humanized environments. These scavengers are facing massive declines worldwide, but in several African countries virtually nothing is known on populations' status and threats, hampering the development of adequate conservation strategies. In Guinea-Bissau, globally important populations of Hooded Necrosyrtes monachus and African white-backed vultures Gyps africanus were recently reported...
2018: PloS One
https://www.readbyqxmd.com/read/29373220/core-content-for-wilderness-medicine-training-development-of-a-wilderness-medicine-track-within-an-emergency-medicine-residency
#8
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/29358062/2017-wilderness-environmental-medicine-peer-reviewers
#9
EDITORIAL
Alicia Byrne
No abstract text is available yet for this article.
January 18, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29119445/guidelines-for-bacteriophage-product-certification
#10
Alan Fauconnier
Following decades in the wilderness, bacteriophage therapy is now appearing as a credible antimicrobial strategy. However, this reemerging therapy does not rekindle without raising sensitive regulatory concerns. Indeed, whereas the European regulatory framework has been basically implemented to tackle ready-to-use pharmaceuticals produced on a large scale, bacteriophage therapy relies on a dynamic approach requiring a regulation on personalized medicine, nonexistent at present. Because of this, no guideline are currently available for addressing the scientific and regulatory issues specifically related to phage therapy medicinal products (PTMP)...
2018: Methods in Molecular Biology
https://www.readbyqxmd.com/read/29030099/a-comprehensive-review-of-hirudiniasis-from-historic-uses-of-leeches-to-modern-treatments-of-their-bites
#11
REVIEW
Jeremy Joslin, Amy Biondich, Kara Walker, Nicole Zanghi
Exposure to leeches in the wilderness setting is common. Leeches may attach themselves to exposed skin or pass through one of the body's orifices and attach internally. The condition of leech attachment is known as hirudiniasis, which can result in serious morbidity and, rarely, mortality. A comprehensive review of the literature was performed to detail the prevention of leech attachment, as well as both anecdotal and studied methods of removal. Complications from leech attachments include ongoing bleeding, wound infection, and poor wound healing...
December 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28917388/improvised-hand-injury-treatment-using-traditional-veterinary-medicine-in-ethiopia
#12
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...
December 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28661889/voices-in-the-wilderness-co-location-meeting-the-needs-of-children-in-protective-care
#13
Graham Swanson, Michael Mills, Amie Davis, Anne Kittler, Vivian R Ramsden
OBJECTIVE: To explore how access to a family medicine clinic co-locating with the Children's Aid Society (CAS) of Hamilton in Ontario helped meet the unique needs of children in care. DESIGN: Qualitative research using semistructured face-to-face and telephone interviews. SETTING: The CAS of Hamilton. PARTICIPANTS: Nineteen foster parents. METHODS: Stakeholders were invited to participate with flyers posted in the clinic, notices that were mailed to foster parents, personal invitations that were distributed during clinic visits, and an internal memo that was distributed to the CAS staff...
November 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28601211/the-symbiotic-relationship-between-operational-military-medicine-tactical-medicine-and-wilderness-medicine-a-view-through-a-personal-lens
#14
REVIEW
Craig H Llewellyn
There are direct and indirect linkages and a form of symbiosis between operational military medicine from World War II and present wilderness medicine, from the beginnings to contemporary practice, and the more recently evolved field of tactical emergency medical support. Each of these relationships will be explored from the historical perspective of the Department of Military & Emergency Medicine, Uniformed Services University of the Health Sciences from 1982 to the present.
June 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28601208/bleeding-control-with-limb-tourniquet-use-in-the-wilderness-setting-review-of-science
#15
REVIEW
John F Kragh, Michael A Dubick
The purpose of this review is to summarize tourniquet science for possible translation to wilderness settings. Much combat casualty data has been studied since 2005, and use of tourniquets in the military has changed from a last resort to first aid. The US Government has made use of tourniquets a health policy aimed to improve public access to bleeding control items. International authorities believe that education in first aid should be universal, as all can and should learn first aid. The safety record of tourniquet use is mixed, but users are reliably safe if trained well...
June 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28601206/prolonged-field-care-beyond-the-golden-hour
#16
REVIEW
Sean Keenan, Jamie C Riesberg
Prolonged field care (PFC) has emerged as a recent area of focus for US military Special Operations Forces (SOF) medical experts. Focused on the current reality of providing medical care to military forces often deployed in remote and austere locations far from medical support or a robust casualty evacuation chain, PFC encompasses evolving operational situations not unlike many wilderness medicine practice environments. SOF currently operates in all areas of the world and on a variety of different missions, which finds these small teams far from the accustomed practice environment of robust deployed medical infrastructure commonly seen during the last 15 years of military conflicts...
June 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28549924/applications-of-single-molecule-methods-to-membrane-protein-folding-studies
#17
REVIEW
Robert E Jefferson, Duyoung Min, Karolina Corin, Jing Yang Wang, James U Bowie
Protein folding is a fundamental life process with many implications throughout biology and medicine. Consequently, there have been enormous efforts to understand how proteins fold. Almost all of this effort has focused on water-soluble proteins, however, leaving membrane proteins largely wandering in the wilderness. The neglect has occurred not because membrane proteins are unimportant but rather because they present many theoretical and technical complications. Indeed, quantitative membrane protein folding studies are generally restricted to a handful of well-behaved proteins...
February 16, 2018: Journal of Molecular Biology
https://www.readbyqxmd.com/read/28426118/closing-the-gap-in-travel-medicine
#18
Annelies Wilder-Smith
No abstract text is available yet for this article.
July 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28426112/travel-medicine-perspectives-of-select-travel-medicine-experts-practicing-in-the-asia-pacific-region
#19
Karin Leder, Sarah Borwein, Pornthep Chanthavanich, Santanu Chatterjee, Kaythi Htun, Aung Swi Prue Marma, Issaku Nakatani, Jin-Ju Ok, Levina Pakasi, Prativa Pandey, Watcharapong Piyaphanee, Priscilla Rupali, Eli Schwartz, Tadashi Shinozuka, Phi Truong Hoang Phu, Hiroshi Watanabe, Jenny Visser, Annelies Wilder-Smith, Min Zhang, Sarah L McGuinness
No abstract text is available yet for this article.
July 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28411941/wilderness-and-environmental-medicine
#20
EDITORIAL
Eric A Weiss, Douglas G Sward
No abstract text is available yet for this article.
May 2017: Emergency Medicine Clinics of North America
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