Efficient breathing circuit for use at altitude.

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:This study was designed to evaluate the effectiveness of a new protocol implemented to standardize snakebite management in Iran. METHODS:In this study, 27 patients treated according to the new protocol in 2012 (P+) were compared with 22 patients treated according to the previous modality in the year before i...

journal_title：Wilderness & environmental medicine

authors： Monzavi SM,Salarian AA,Khoshdel AR,Dadpour B,Afshari R

更新日期：2015-06-01 00:00:00

abstract：OBJECTIVES:In low-income countries, snakebites are frequently managed in rural areas in health centers with severely constrained resources. Many healthcare providers in these settings have limited access to the numerous and relatively expensive laboratory studies used to diagnose envenomation. The relatively simple and...

journal_title：Wilderness & environmental medicine

authors： Gaus DP,Herrera DF,Troya CJ,Guevara AH

更新日期：2013-12-01 00:00:00

abstract：:A captive breeding program for venomous Thai snakes was established at the Queen Saovabha Memorial Institute at Bangkok, Thailand. This was necessary to secure a stable, healthy, and species-confirmed source of snake venom for antivenom production. In 1994, wild-caught specimens were collected, sexed, quarantined, and...

journal_title：Wilderness & environmental medicine

authors： Chanhome L,Jintakune P,Wilde H,Cox MJ

更新日期：2001-04-01 00:00:00

abstract：:We present 3 cases of severe hyponatremia occurring on a commercially guided river rafting trip on the Colorado River in Grand Canyon National Park. All 3 women appeared to have been overhydrating because of concern about dehydration and required evacuation within 24 hours of each other after the staggered onset of sy...

journal_title：Wilderness & environmental medicine

authors： Pearce EA,Myers TM,Hoffman MD

更新日期：2015-06-01 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：OBJECTIVE:The purpose of this study was to examine the retention of wilderness first aid (WFA) knowledge, self-efficacy beliefs, and skills over time in a sample of WFA course participants. METHODS:Seventy-two open enrollment (volunteer) WFA course participants were assessed at 4 months, 8 months, or 12 months after t...

journal_title：Wilderness & environmental medicine

authors： Schumann SA,Schimelpfenig T,Sibthorp J,Collins RH

更新日期：2012-09-01 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：: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：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：:Avalanches are one of the major threats to life in high-mountain terrain and account every year for approximately 150 accidents causing injury or death in the United States alone. Every year avalanches cause significant property damages and a death toll of approximately 15 people in the United States. The specific cha...

journal_title：Wilderness & environmental medicine

authors： Stepanek J,Claypool DW

更新日期：1997-05-01 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：:Remote extended expeditions often support scientific research and commercial resource exploration or extraction in hostile environments. Medical support for these expeditions is inherently complex and requires in-depth planning. To be successful, this planning must include substantial input from clinicians with experi...

journal_title：Wilderness & environmental medicine

authors： Iserson KV

更新日期：2013-12-01 00:00:00

abstract：OBJECTIVE:Our objective was to determine the incidence of acute mountain sickness (AMS) and the cardiorespiratory responses, in children and their parents, after rapid ascent to 3500 m. The sample population was composed of children and their parents who ascended within 24 hours from Arica (sea level) to Putre (3500 m)...

journal_title：Wilderness & environmental medicine

authors： Moraga FA,Pedreros CP,Rodríguez CE

更新日期：2008-01-01 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：: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：:We describe a patient with missed traumatic pneumothorax due to penetrating neck injury that was presumably caused by a stingray while diving. The barb can result in significant injuries to deep structures and organs despite a deceptively small entrance wound. This case underscores the importance of performing a thoro...

journal_title：Wilderness & environmental medicine

authors： Suzuki T,Takada T,Fudoji J

更新日期：2017-06-01 00:00:00

abstract：INTRODUCTION:The utility of digital intubation, especially in an austere environment with limited equipment, has been previously described. However, evidence supporting best practices for its technique is limited. We seek to quantify the time to intubation and the rate of successful placement of the tube for digital in...

journal_title：Wilderness & environmental medicine

authors： Juergens AL 2nd,Odom BW,Ren CE,Meyers KE

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:Our intent was to observe the effect of simulated altitude exposure on the intracranial pressure (ICP) of New Zealand white rabbits. It is theorized that the hypoxia of high altitude causes a rise in ICP, which may play a role in the pathogenesis of acute mountain sickness (AMS). Dexamethasone is a medication...

journal_title：Wilderness & environmental medicine

authors： Pendon JD,King JA

更新日期：2003-10-01 00:00:00

abstract：OBJECTIVE:Closed-circuit oxygen rebreathers may provide high concentrations of oxygen at extremely low flow rates appropriate for field use with limited oxygen supplies. The performance of the preproduction, second-generation remote emergency medical oxygen (REMO(2)) system developed for Divers Alert Network was evalua...

journal_title：Wilderness & environmental medicine

authors： Pollock NW,Natoli MJ

更新日期：2007-07-01 00:00:00

abstract：OBJECTIVE:To describe search and rescue activity performed by the National Park Service (NPS) on Denali, the highest point in North America. METHODS:A retrospective review was performed of all search and rescue (SAR) operations by the NPS from 1990 to 2008. Descriptive analysis was used to describe these cases as well...

journal_title：Wilderness & environmental medicine

authors： McIntosh SE,Brillhart A,Dow J,Grissom CK

更新日期：2010-06-01 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：:We experienced a case involving prolonged cardiopulmonary resuscitation (CPR) during cardiac arrest on Mt. Fuji (3776 m), demanding lengthy exertion by the rescuers performing CPR. Considering the effects of exertion on the rescuers, we examined their percutaneous arterial oxygen saturation during simulated CPR and co...

journal_title：Wilderness & environmental medicine

authors： Suto T,Saito S,Tobe M,Kanamoto M,Matsui Y

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Minimal data exist regarding the activity, membership, training, and medical oversight of search and rescue (SAR) teams. OBJECTIVE:Our objective was to describe these characteristics in the Intermountain West SAR organizations. METHODS:A contact list was generated and electronic surveys were sent to SAR of...

journal_title：Wilderness & environmental medicine

authors： Russell KW,Weber DC,Scheele BM,Ernst RP,Kanaan NC,Smith WR,McIntosh SE,Wheeler AR 3rd

更新日期：2013-12-01 00:00:00

abstract：OBJECTIVE:To explore the effect of aspirin on the thermoregulatory responses of men during exposure to 12°C air (acute cold exposure) for a period of 120 minutes and recovery in 25°C air (rewarming) for 120 minutes. METHODS:Seven male subjects (26.1 ± 2.4 yr) underwent pre-experimental testing to determine peak VO(2) ...

journal_title：Wilderness & environmental medicine

authors： Murray LK,Otterstetter R,Muller MD,Glickman EL

更新日期：2011-12-01 00:00:00

abstract：:This case report describes the use of a hydration bladder as an improvised air splint for a left forearm fracture in an austere environment. The literature regarding the use of air splints in the prehospital and wilderness environments is scarce, and it does not appear that this technique has been previously described...

journal_title：Wilderness & environmental medicine

authors： Hurt HF,Reilly AJ

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVES:This study sought to create a model for testing topical treatment of jellyfish stings. It sought to determine which treatments 1) stimulate/inhibit nematocyst discharge; 2) decrease pain; and 3) decrease skin inflammation; it also sought to discover whether there is a clinical correlation between stimulated ...

journal_title：Wilderness & environmental medicine

authors： DeClerck MP,Bailey Y,Craig D,Lin M,Auerbach LJ,Linney O,Morrison DE,Patry W,Auerbach PS

更新日期：2016-03-01 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：:Injuries caused by wild boar attacks are rare. A 34-year-old male shepherd sustained injuries caused by a wild boar attack, and was brought to our emergency department. The patient had 2 skin and deep tissue lacerations on the posterior aspect of his thigh. Herein, we discuss the clinical management of a wild boar bit...

journal_title：Wilderness & environmental medicine

authors： Kose O,Guler F,Baz AB,Akalin S,Turan A

更新日期：2011-09-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to evaluate the effects of gender and menstrual cycle on the percent of carbohydrate (CHO) utilized during cold water immersion (20 degrees C). Previous research has suggested that males and females utilize CHO differently during submaximal exercise. This study examined whether t...

journal_title：Wilderness & environmental medicine

authors： Glickman-Weiss E,Caine N,Cheatham CC,Blegen M,Scharschmidt T,Marcinkiewicz J

更新日期：2000-04-01 00:00:00