Planning for an annual episodic mass gathering: emergency department and clinic utilization in Yellowstone.

abstract：: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 Com...

journal_title：Wilderness & environmental medicine

authors： Callaway DW

更新日期：2017-06-01 00:00:00

abstract：:We describe a case report of a subject suffering high-altitude cerebral and pulmonary edema successfully treated with low flow rates of supplemental oxygen administered with a breathing system designed to conserve oxygen supplies at high altitude. ...

journal_title：Wilderness & environmental medicine

authors： Pattinson KT,Somogyi RB,Fisher JA,Bradwell AR,Society the Birmingham Medical Research Expeditionary.

更新日期：2005-07-01 00:00:00

abstract：: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 duri...

journal_title：Wilderness & environmental medicine

authors： Schrading WA,Battaglioli N,Drew J,McClure SF

更新日期：2018-03-01 00:00:00

abstract：INTRODUCTION:Grand Canyon National Park has seen an increase in visitors traversing the canyon from rim to rim (R2R) in a single day. R2R hikers travel over 33.8 km (21 mi) over 3300 m (11,000 ft) of elevation change and endure large temperature changes. Grand Canyon emergency medical service providers provide emergenc...

journal_title：Wilderness & environmental medicine

authors： Pearce EA,Jelínková L,Fullerton L,Malcolm CJ,Heinrich HL,Norwil EJ,Plate A,Hall M,Bossart CS,Schaller E,Harrell AJ,Femling JK

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:We aimed to ascertain risk factors for acute mountain sickness (AMS) in miners exposed to chronic intermittent high altitude conditions. METHODS:All new hires (2009-2012) for mine employment (4000 m above sea level) were followed up for 12 months after first ascent. Demographics, physiologic data, and cigare...

journal_title：Wilderness & environmental medicine

authors： Vinnikov D,Brimkulov N,Blanc PD

更新日期：2015-06-01 00:00:00

abstract：:There are many tales describing ferocious schools of piranha attacking humans, but there are few scientific data supporting such behavior. The very few documented instances of humans attacked and eaten by piranha schools include 3 that occurred after death by other causes (eg, heart failure and drowning). These predac...

journal_title：Wilderness & environmental medicine

authors： Haddad V Jr,Sazima I

更新日期：2003-01-01 00:00:00

abstract：OBJECTIVE:To describe the epidemiology of injuries sustained during the 2009 season at Whistler Mountain Bike Park. METHODS:A retrospective chart review was performed of injured bike park cyclists presenting to the Whistler Health Clinic between May 16 and October 12, 2009. RESULTS:Of 898 cases, 86% were male (median...

journal_title：Wilderness & environmental medicine

authors： Ashwell Z,McKay MP,Brubacher JR,Gareau A

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:Helicopters are commonly used in search and rescue operations, and accidents have occurred during helicopter search and rescue (HSAR) missions. The purposes of this study were to investigate whether the HSAR accident rate in the United States could be determined and whether any common contributing factors or ...

journal_title：Wilderness & environmental medicine

authors： Worley GH

更新日期：2015-12-01 00:00:00

abstract：:This article describes 3 incidents in which therapeutic or experimental warming of cold individuals caused first- to third-degree burns to the skin. Mechanisms for these injuries are considered. We conclude that active external rewarming of the trunk of a cold patient in the field can be administered safely and burn r...

journal_title：Wilderness & environmental medicine

authors： Giesbrecht GG,Walpoth BH

更新日期：2019-12-01 00:00:00

abstract：:Two children, ages 2 and 4 years, envenomed by the snake Cerastes vipera are presented. Both children suffered from local pain and swelling of the hand that spread up to the shoulder in the 2-year-old and up to the elbow in the 4-year-old. A hemorrhagic blister was noted on the bitten finger in the younger patient. Ur...

journal_title：Wilderness & environmental medicine

authors： Lifshitz M,Phillip M,Bernstein T,Sofer S

更新日期：1995-08-01 00:00:00

abstract：OBJECTIVE:To examine circulating hormonal responses in men competing in the Western States Endurance Run (WSER, June 23 to 24, 2012): a 161-km trail run that starts in Squaw Valley, CA, and concludes in Auburn, CA. METHODS:We examined 12 men who completed the WSER. Blood samples were obtained the morning before the ra...

journal_title：Wilderness & environmental medicine

authors： Kupchak BR,Kraemer WJ,Hoffman MD,Phinney SD,Volek JS

更新日期：2014-09-01 00:00:00

abstract：:The purpose of this case study is to examine the physiological/behavioral factors leading up to heat exhaustion in a male wildland firefighter during wildland fire suppression. The participant (24 years old, 173 cm, 70 kg, and 3 years firefighting experience) experienced heat exhaustion following 7 hours of high ambie...

journal_title：Wilderness & environmental medicine

authors： Cuddy JS,Ruby BC

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:The study aimed to examine the physiological responses to acute normobaric hypoxia during an intermittent walking protocol. METHODS:Twelve active healthy male participants completed a 125-minute test that involved rest and walking (50% VO(2max)) during normoxic (20.93%O(2)) and 2 hypoxic conditions (14%O(2) ...

journal_title：Wilderness & environmental medicine

authors： Richardson A,Twomey R,Watt P,Maxwell N

更新日期：2008-01-01 00:00:00

abstract：:The use of tranexamic acid (TXA) in the treatment of trauma patients was relatively unexplored until the landmark Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage-2 (CRASH-2) trial in 2010 demonstrated a reduction in mortality with the use of TXA. Although this trial was a randomized, double-bl...

journal_title：Wilderness & environmental medicine

authors： Huebner BR,Dorlac WC,Cribari C

更新日期：2017-06-01 00:00:00

abstract：INTRODUCTION:Most recreational whitewater fatalities are caused by fixed underwater entrapment or by "flush drowning," an obscure term frequently associated with high-volume rivers, continuous rapids, cold water, and a lack of prolonged underwater entrapment. Although entrapment drowning is typically associated with su...

journal_title：Wilderness & environmental medicine

authors： Farstad DJ,Luttrell JM

更新日期：2020-03-01 00:00:00

abstract：:As part of an emergency medical system protocol, national park service rangers certified at the level of an emergency medical technician-basic (EMT-B) are taught to recognize and treat high-altitude pulmonary edema and high-altitude cerebral edema. In Sequoia and Kings Canyon National Parks, this is done with the assi...

journal_title：Wilderness & environmental medicine

authors： Freeman K,Shalit M,Stroh G

更新日期：2004-10-01 00:00:00

abstract：OBJECTIVE:Thermal sensation and the physiological responses of women (follicular phase) exposed to 17 degrees C immersion for 120 minutes were investigated. METHODS:The subjects were divided into 2 groups by percent body fat (low fat [LF] = 21% +/- 2% [mean +/- SD] vs high fat [HF] = 30% +/- 3%). A 2-way analysis of v...

journal_title：Wilderness & environmental medicine

authors： Prisby RD,Glickman-Weiss EL,Caine N

更新日期：2000-10-01 00:00:00

abstract：:Although catfish are found worldwide and commonly consumed in the southern United States, fatal infections from catfish are rare. Edwardsiella tarda is a bacterium known to cause gastrointestinal distress most commonly, but extraintestinal infections are a rarely considered danger for those acquiring, preparing, and c...

journal_title：Wilderness & environmental medicine

authors： LeBlond L

更新日期：2019-09-01 00:00:00

abstract：:A hydatid cyst is a parasitic disease caused by the tapeworm Echinococcus granulosus. It is endemic in many areas, including New Zealand, Australia, and the Mediterranean region. Pulmonary hydatid disease can be diagnosed incidentally in asymptomatic patients or may cause symptoms such as cough, chest pain, dyspnea, f...

journal_title：Wilderness & environmental medicine

authors： Topuzlar M,Eken C,Ozkurt B,Khan F

更新日期：2008-07-01 00:00:00

abstract：:We report the case of a patient who presented with respiratory failure, recurrent ventricular fibrillation, ventricular arrhythmias, and hypotension after an intentional ingestion of aconite flowers. Significant ingestion of this plant can produce life-threatening cardio- and neurotoxicity that may require evacuation ...

journal_title：Wilderness & environmental medicine

authors： Adami F,Paganussi P,Perone G,Bera P,Braga G,Concoreggi C

更新日期：2018-09-01 00:00:00

abstract：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...

journal_title：Wilderness & environmental medicine

authors： Zhang JB,Wang L,Chen J,Wang ZY,Cao M,Yie SM,Yang H,Yao XQ,Zeng Y,Yang YC,Xie CB,Zhao TQ

更新日期：2018-03-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to review the patient characteristics and management of 56 cases of high altitude pulmonary edema at the Pheriche Himalayan Rescue Association Medical Aid Post, and to measure the use of medications in addition to descent and oxygen. METHODS:In a retrospective case series, we re...

journal_title：Wilderness & environmental medicine

authors： Jones BE,Stokes S,McKenzie S,Nilles E,Stoddard GJ

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVE:To compare altitude responses of 2 ultraendurance athletes and 2 nonathletes during a 2-week expedition on Denali (Mount McKinley). METHODS:The severity of acute mountain sickness (AMS) symptoms (Lake Louise AMS guidelines) and pulmonary function parameters (forced vital capacity, forced expiratory volume in...

journal_title：Wilderness & environmental medicine

authors： Seedhouse EL,Blaber AP

更新日期：2005-01-01 00:00:00

abstract：:Flying snakes (Genus Chrysopelea) are a group of ophisthoglyphous colubrids in South and South East Asia known for gliding in the air. Of the five species of flying snakes, Sri Lankan flying snake, Chrysopelea taprobanica, is endemic to Sri Lanka. Authenticated bites and the venom characteristics of this uncommon snak...

journal_title：Wilderness & environmental medicine

authors： Silva A,Weerawansa P,Pilapitiya S,Maduwage T,Siribaddana S

更新日期：2013-09-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to describe the relative frequency, patterns, and mechanisms of sailing-related injuries in dinghies and keelboats. Data were also collected on risky and risk-averse behaviors of sailors, as well as on sailing-related illnesses. METHODS:A web-based, logic-driven, multiple-choice...

journal_title：Wilderness & environmental medicine

authors： Nathanson AT,Baird J,Mello M

更新日期：2010-12-01 00:00:00

abstract：:Hematotoxic snake bite is a leading cause of mortality in South India. However, it is rare for the emergency physician to encounter a patient with trauma associated with snakebite. Management of such a patient differs substantially from the routine management of either a trauma patient or a snakebite victim. A 59-y-ol...

journal_title：Wilderness & environmental medicine

authors： Abraham SV,Hakkeem B,Mathew D,Rafi AM,Poomali A,Thomas J,Kassyap CK

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVE:To investigate the demographics, incidence, and symptoms and signs of hydrocarbon poisoning in admitted children from the Negev Desert area of Israel. METHODS:The medical records of all children admitted for hydrocarbon poisoning from 1995 to 1999 were reviewed retrospectively. RESULTS:Of the 274 admitted c...

journal_title：Wilderness & environmental medicine

authors： Lifshitz M,Sofer S,Gorodischer R

更新日期：2003-07-01 00:00:00

abstract：OBJECTIVE:The presence of coliform bacteria indicates a watershed risk for harboring microbes capable of causing human disease. We hypothesized that water from watersheds that have different human- or animal-use patterns would have differing risks for the presence of coliform bacteria. METHODS; Water was collected in w...

journal_title：Wilderness & environmental medicine

authors： Derlet RW,Carlson JR

更新日期：2006-04-01 00:00:00

abstract：:Despite the presence of a number of anecdotal reports in the mountaineering literature, mucociliary dysfunction at high altitude has received little scientific attention. However, the dry, cold, thin air at high altitude has the potential to undermine normal mucociliary function. This seems increasingly likely in moun...

journal_title：Wilderness & environmental medicine

authors： Rodway GW,Windsor JS

更新日期：2006-01-01 00:00:00

abstract：:A tool that can differentiate ischemic stroke from other neurological conditions (eg, hemorrhagic stroke, high-altitude cerebral edema) in the field could enable more rapid thrombolysis when appropriate. The resources (eg, an MRI or CT scanner) to investigate stroke at high altitude may be limited, and hence a portabl...

journal_title：Wilderness & environmental medicine

authors： Wilson MH,Levett DZ,Dhillon S,Mitchell K,Morgan J,Grocott MP,Imray C

更新日期：2011-03-01 00:00:00