Managing anaphylaxis in a jungle environment.

Abstract:

:Anaphylaxis is a medical emergency requiring prompt action to prevent death from cardio-respiratory collapse. It can be a biphasic, unpredictable, and challenging reaction to deal with even in a hospital environment. The wilderness environments afforded by expeditions, remote health posts, and military exercises pose additional challenges often involving casualty evacuation. This article identifies and addresses some of these points using a case report from the Costa Rican jungle.

journal_name

Wilderness Environ Med

authors

Stokes S,Hudson S

doi

10.1016/j.wem.2011.12.002

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

51-5

issue

1

eissn

1080-6032

issn

1545-1534

pii

S1080-6032(11)00345-0

journal_volume

23

pub_type

杂志文章
  • Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia: 2014 update.

    abstract::Exercise-associated hyponatremia (EAH) is defined by a serum or plasma sodium concentration below the normal reference range of 135 mmol/L that occurs during or up to 24 hours after prolonged physical activity. It is reported to occur in individual physical activities or during organized endurance events conducted in ...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.wem.2014.08.009

    authors: Bennett BL,Hew-Butler T,Hoffman MD,Rogers IR,Rosner MH,Wilderness Medical Society.

    更新日期:2014-12-01 00:00:00

  • Possible anaphylactic reaction due to pulmonary hydatid cyst rupture following blunt chest trauma: a case report and review of the literature.

    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

    pub_type: 杂志文章

    doi:10.1580/07-WEME-CR-1561.1

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

    更新日期:2008-07-01 00:00:00

  • Ventilatory responses to hypoxia and high altitude during sleep in Aconcagua climbers.

    abstract:BACKGROUND/OBJECTIVE:We examined the changes in ventilation during sleep at high altitude using the LifeShirt monitoring system on 2 climbers who were attempting to summit Mount Aconcagua (6956 m). METHODS:Prior to the summit attempt, we measured cardiovascular and pulmonary function at 401 m (Rochester, MN) and gathe...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/06-WEME-BR-041R.1

    authors: Snyder EM,Stepanek J,Bishop SL,Johnson BD

    更新日期:2007-07-01 00:00:00

  • Stress hormone responses to an ultraendurance race in the cold.

    abstract:OBJECTIVE:Physical stress (exercise and/or environmental) activates the sympathetic-adrenal-medullary (SAM) and hypothalamic-pituitary-adrenocortical (HPA) axes. The combination of ultraendurance exercise in the cold presents a unique summated stress to the body. The purpose of this study was to assess the stress hormo...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2009.12.020

    authors: Stuempfle KJ,Nindl BC,Kamimori GH

    更新日期:2010-03-01 00:00:00

  • Physiological responses to graded acute normobaric hypoxia using an intermittent walking protocol.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.1580/07-WEME-OR-143.1

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

    更新日期:2008-01-01 00:00:00

  • Observational Study of Grand Canyon Rim-to-Rim Day Hikers: Determining Behavior Patterns to Aid in Preventive Search and Rescue Efforts.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2018.08.001

    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

  • Tranexamic Acid Use in Prehospital Uncontrolled Hemorrhage.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.wem.2016.12.006

    authors: Huebner BR,Dorlac WC,Cribari C

    更新日期:2017-06-01 00:00:00

  • Crocodile attack in Australia: an analysis of its incidence and review of the pathology and management of crocodilian attacks in general.

    abstract::Crocodilians represent one of the oldest constant animal lineages on the planet, in no small part due to their formidable array of predatory adaptations. As both human and crocodilian populations expand, they increasingly encroach on each others' territories, bringing morbidity and mortality to both populations. In th...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审

    doi:10.1580/1080-6032(2005)16[143:CAIAAA]2.0.CO;2

    authors: Caldicott DG,Croser D,Manolis C,Webb G,Britton A

    更新日期:2005-10-01 00:00:00

  • Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning.

    abstract::The Wilderness Medical Society convened a panel to review available evidence supporting practices for the prevention and acute management of drowning in out-of-hospital and emergency medical care settings. Literature about definition and terminology, epidemiology, rescue, resuscitation, acute clinical management, disp...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.wem.2015.12.019

    authors: Schmidt AC,Sempsrott JR,Hawkins SC,Arastu AS,Cushing TA,Auerbach PS

    更新日期:2016-06-01 00:00:00

  • HEMS in Alpine Rescue for Pediatric Emergencies.

    abstract:OBJECTIVE:The objective of this study was to describe the pediatric emergencies encountered by the Christophorus-1 helicopter emergency medical service (HEMS) during a period of 2 years. METHODS:Emergency treatment of pediatric casualties by HEMS was evaluated at a helicopter base. Children up to 14 years who were tre...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2016.03.001

    authors: Taubenböck S,Lederer W,Kaufmann M,Kroesen G

    更新日期:2016-09-01 00:00:00

  • Fatal fall into a volcanic fumarole.

    abstract::Fatalities secondary to inhalation of volcanic gases in the United States have rarely been reported. We report the deaths of 3 ski patrol members at a popular California ski resort. After a snowstorm, ski patrol members were fencing off a well-known volcanic fumarole when the snow around the vent collapsed. Two member...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/08-WEME-CR-199.1

    authors: Cantrell L,Young M

    更新日期:2009-04-01 00:00:00

  • Traumatic Pneumothorax Associated With Penetrating Neck Injury Caused by a Stingray: A Case Report.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2017.02.006

    authors: Suzuki T,Takada T,Fudoji J

    更新日期:2017-06-01 00:00:00

  • Rupture of the Short Head of the Biceps Brachii Muscle Belly Caused by a Rock-Climbing Accident.

    abstract::The case of a 42-y-old rock climber who sustained a complete, isolated rupture of the short head of the biceps brachii muscle after falling onto his upper arm while bouldering is presented. This is the first description of this rare injury after a climbing accident. Moreover, there is no definitive consensus on whethe...

    journal_title:Wilderness & environmental medicine

    pub_type:

    doi:10.1016/j.wem.2020.04.006

    authors: Simon M,Lutter C,Schöffl V

    更新日期:2020-09-01 00:00:00

  • Characteristics and Motivating Factors of Attendees of a Regional Student-Run Wilderness Medicine Conference.

    abstract::Despite recent growth, opportunities for preclinical medical students to engage with the field of wilderness medicine remain geographically, financially, and logistically limited. Attendees of the 2018 Mid-Atlantic Student Wilderness Medicine Conference were invited to complete a post hoc web-based survey after the ev...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2019.06.009

    authors: Stuart CM,Tindle KC,Phillips LL

    更新日期:2019-12-01 00:00:00

  • A comparison of mountain rescue casualty bags in a cold, windy environment.

    abstract:OBJECTIVE:To help the Mountain Rescue Association of Scotland find the best protective mountain rescue casualty bag in cold and windy conditions. The study investigated how 3 different casualty bags (labeled Bag 1, Bag 2, and Bag 3) performed in a cold (-10 degrees C, dry bulb), windy (wind speed 3.0 m x s(-1)) environ...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(2002)013[0036:acomrc]2.0.co;2

    authors: Grant SJ,Dowsett D,Hutchison C,Newell J,Connor T,Grant P,Watt M

    更新日期:2002-04-01 00:00:00

  • Efficacy of Topical Treatments for Chrysaora chinensis Species: A Human Model in Comparison with an In Vitro Model.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.wem.2015.10.008

    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

  • Pulmonary embolism presenting as high-altitude pulmonary edema.

    abstract::High-altitude pulmonary edema (HAPE) is a recognized risk of rapid ascent to high altitude. Since the recognition of this entity more than 30 years ago, most pulmonary deaths at high altitude have been attributed to HAPE. However, as the bodies can almost never be recovered for postmortem examination, rare diagnoses t...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(1995)006[0220:pepaha]2.3.co;2

    authors: Shlim DR,Papenfus K

    更新日期:1995-05-01 00:00:00

  • Flush Drowning as a Cause of Whitewater Deaths.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2019.09.006

    authors: Farstad DJ,Luttrell JM

    更新日期:2020-03-01 00:00:00

  • Smoking increases the risk of acute mountain sickness.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2014.10.006

    authors: Vinnikov D,Brimkulov N,Blanc PD

    更新日期:2015-06-01 00:00:00

  • Induced Hypothermia to 4.2°C with Neurologically Intact Survival: A Forgotten Case Series.

    abstract::The lowest recorded core temperature from which a person with accidental hypothermia has survived neurologically intact is 11.8°C in a 2-y-old boy. The lowest recorded temperature from which an adult has been resuscitated neurologically intact is 13.7°C in a 29-y-old woman. The lowest core temperature with survival fr...

    journal_title:Wilderness & environmental medicine

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.wem.2020.02.003

    authors: Zafren K,Paal P,Brugger H,Lechner R

    更新日期:2020-09-01 00:00:00

  • Prolonged Coagulopathy, Ecchymoses, and Microangiopathic Hemolytic Anemia Following Hump-Nosed Pit Viper (Hypnale hypnale) Bite in Sri Lanka.

    abstract::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). Feature...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2017.05.005

    authors: Namal Rathnayaka RMMK,Kularatne SAM,Ranathunga AN,Kumarasinghe M,Rajapakse J,Ranasinghe S

    更新日期:2017-09-01 00:00:00

  • Recurrent Ventricular Arrhythmia Caused by Ingestion of Aconitum (Monkshood) Flowers.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2018.05.001

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

    更新日期:2018-09-01 00:00:00

  • Clinical Features, Bacteriology, and Antibiotic Treatment Among Patients with Presumed Naja Bites in Vietnam.

    abstract:INTRODUCTION:Clinical and bacteriological features of cobra (Naja) bites are still relatively unknown in Vietnam. This study aimed to characterize the clinical and bacteriological characteristics of local wounds in patients with presumed Naja spp bite, as well as their antibiotic treatment. METHODS:A cross-sectional s...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2020.01.002

    authors: Ngo ND,Le QX,Pham AQ,Nguyen NT,Ha HT,Dinh MMQ,Le TQ

    更新日期:2020-06-01 00:00:00

  • Electromagnetic interference from electronic devices used in the management of type 1 diabetes can impair the performance of an avalanche transceiver in search mode.

    abstract:OBJECTIVE:Portable electronic devices play an important role in the management of type 1 diabetes mellitus. Electromagnetic interference from electronic devices has been shown to impair the function of an avalanche transceiver in search mode (but not in transmitting mode). This study investigates the influence of elect...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2014.12.016

    authors: Miller SC

    更新日期:2015-06-01 00:00:00

  • Stroke at high altitude diagnosed in the field using portable ultrasound.

    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

    pub_type: 杂志文章

    doi:10.1016/j.wem.2010.10.007

    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

  • The effects of 10 weeks of reforestation work on body composition.

    abstract:OBJECTIVE:To document changes in body composition and body mass in male and female tree planters. METHODS:Height, mass, skin-fold thickness, and limb girths were measured in 17 male and 5 female tree planters before and after 10 weeks of work. RESULTS:Significant decreases were found in body mass (80.6 +/- 10.7 kg vs...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/pr01-03.1

    authors: Hodges AN,Ellis JD,McKenzie DC

    更新日期:2005-04-01 00:00:00

  • Prolonged Brackish Water Exposure: A Case Report.

    abstract::Exposure to and consumption of brackish water are associated with an elevated risk of infection, hypernatremia, and hypothermia. Minimal data exist to support the diagnosis and treatment of patients with long-term brackish water exposure. We present a case of a patient who spent 5 to 10 d semisubmerged in the Elizabet...

    journal_title:Wilderness & environmental medicine

    pub_type:

    doi:10.1016/j.wem.2020.04.003

    authors: Hughey SB,McCoy KL,Mills AE

    更新日期:2020-09-01 00:00:00

  • Intestinal Evisceration in Children From the Bite of the Domestic Pig, Sus scrofa domesticus: A Report of Two Cases.

    abstract::Pig bite injuries are an infrequently described consequence of human-animal conflict. The domestic pig is thought to be a placid animal not given to unprovoked aggression. We report 2 separate cases of children managed at our institution who sustained abdominal injuries after attack by domestic pigs in rural Zimbabwe....

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2019.08.002

    authors: Mazingi DS,Mutambanengwe P,Zimunhu T,Gwatirisa T,Mbuwayesango BA,Munanzvi K,Muparadzi C,Moyo M,Mwanza Y

    更新日期:2019-12-01 00:00:00

  • Recreational surfing injuries in Cornwall, United Kingdom.

    abstract:OBJECTIVE:To analyze the nature of surfing injuries in Cornwall in order to identify trends and inform clinical management. METHODS:The details of patients presenting (with injuries sustained while surfboard/bodyboard riding) to the Emergency Department (ED) of the Royal Cornwall Hospital, Truro (UK), from September 2...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032-020.004.0335

    authors: Hay CS,Barton S,Sulkin T

    更新日期:2009-01-01 00:00:00

  • The Association of Finger Growth Plate Injury History and Speed Climbing in Youth Competition Climbers.

    abstract:INTRODUCTION:Finger growth plate injuries are the most common injury among youth climbers, and the association between these injuries and speed climbing, a mandatory discipline in the 2021 Olympics, has not been examined previously. Our primary purpose was to examine the demographic and training characteristics of adol...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2020.06.008

    authors: Meyers RN,Howell DR,Provance AJ

    更新日期:2020-12-01 00:00:00