当前位置： SCI文献检索 > WILDERNESS & ENVIRONMENTAL MEDICINE期刊下所有文献 > Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia: 2014 update.

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 austere environments in which medical care is limited and often not available, and patient evacuation to definitive care is often greatly delayed. Rapid recognition and appropriate treatment are essential in the severe form to ensure a positive outcome. Failure in this regard is a recognized cause of event-related fatality. In an effort to produce best practice guidelines for EAH in the austere environment, the Wilderness Medical Society convened an expert panel. The panel was charged with the development of evidence-based guidelines for management of EAH. Recommendations are made regarding the situations when sodium concentration can be assessed in the field and when these values are not known. These recommendations are graded on the basis of the quality of supporting evidence and balance between the benefits and risks/burdens for each parameter according to the methodology stipulated by the American College of Chest Physicians. This is an updated version of the original WMS Practice Guidelines for Treatment of Exercise-Associated Hyponatremia published in Wilderness & Environmental Medicine 2013;24(3):228-240.

journal_name

Wilderness Environ Med

journal_title

Wilderness & environmental medicine

authors

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

doi

10.1016/j.wem.2014.08.009

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

S30-42

issue

4 Suppl

eissn

1080-6032

issn

1545-1534

pii

S1080-6032(14)00271-3

journal_volume

25

pub_type

杂志文章,实务指引

相关文献

WILDERNESS & ENVIRONMENTAL MEDICINE文献大全
  • 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

  • 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

  • Use of the Gamow Bag by EMT-basic park rangers for treatment of high-altitude pulmonary edema and high-altitude cerebral edema.

    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

    pub_type： 杂志文章

    doi：10.1580/1080-6032(2004)15[198:uotgbb]2.0.co;2

    authors： Freeman K,Shalit M,Stroh G

    更新日期：2004-10-01 00:00:00

  • Frequency of Polycythemia and Other Abnormalities in a Tibetan Herdsmen Population Residing in the Kham Area of Sichuan Province, China.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2017.09.010

    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

  • 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

  • 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

  • Skiing, snowboarding, and sledding injuries in a northwestern state.

    abstract：OBJECTIVE:Winter sports continue to be a popular form of recreation, but few studies have focused on serious injuries. The objectives of this study were to evaluate the major morbidity associated with downhill skiing, snowboarding, and sledding and to determine the incidence of serious injuries sustained while downhill...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1580/1080-6032(2002)013[0245:ssasii]2.0.co;2

    authors： Federiuk CS,Schlueter JL,Adams AL

    更新日期：2002-01-01 00:00:00

  • Work performance after dehydration: effects of physical conditioning and heat acclimatization. 1958.

    abstract：:Three groups of five men each were dehydrated overnight in the heat (115 degrees F) on two occasions (D1 and D2) to approximately 5.5% of their starting body weight. During the 3-week period between D1 and D2, one group (AC) was acclimatized to heat and physically conditioned, the second group (C) was physically condi...

    journal_title：Wilderness & environmental medicine

    pub_type： 传,古典文章,历史文章,杂志文章

    doi：10.1580/1080-6032(2000)011[0204:wpadeo]2.3.co;2

    authors： Buskirk ER,Iampietro PF,Bass DE

    更新日期：2000-10-01 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

  • Snake bite by Cerastes vipera in children: report of two cases.

    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

    pub_type： 杂志文章

    doi：10.1580/1080-6032(1995)006[0269:sbbcvi]2.3.co;2

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

    更新日期：1995-08-01 00:00:00

  • Emerging Tickborne Viral Infections: What Wilderness Medicine Providers Need to Know.

    abstract：:Ticks are versatile vectors of infectious diseases and transmit a broad range of pathogens, including bacteria, viruses, and parasites. Ticks harbor pathogens without infection and share pathogens with other ticks while feeding together on a host. The primary objective of this review is to identify tickborne viral pat...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章,评审

    doi：10.1016/j.wem.2020.06.011

    authors： Diaz JH

    更新日期：2020-12-01 00:00:00

  • Penetrating Thoracic Injury and Fatal Aortic Transection From the Barb of a Stingray.

    abstract：:Stingrays are found in open waters and are also kept in exhibits in many aquariums throughout the world. They are generally nonaggressive creatures by nature, but they can inflict injuries with their spines if provoked. We present a case of a 62-y-old diver who was pierced in the chest by the barb of a stingray while ...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1016/j.wem.2019.09.004

    authors： Lau HK,Chua ISY,Ponampalam R

    更新日期：2020-03-01 00:00:00

  • Civilian Helicopter Search and Rescue Accidents in the United States: 1980 Through 2013.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2015.08.001

    authors： Worley GH

    更新日期：2015-12-01 00:00:00

  • Acute mountain sickness is not repeatable across two 12-hour normobaric hypoxia exposures.

    abstract：OBJECTIVE:The purposes of this experiment were to determine the repeatability of acute mountain sickness (AMS), AMS symptoms, and physiological responses across 2 identical hypoxic exposures. METHODS:Subjects (n = 25) spent 3 nights at simulated altitude in a normobaric hypoxia chamber: twice at a partial pressure of ...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1016/j.wem.2013.11.007

    authors： MacInnis MJ,Koch S,MacLeod KE,Carter EA,Jain R,Koehle MS,Rupert JL

    更新日期：2014-06-01 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

  • Venomous snake husbandry in Thailand.

    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

    pub_type： 杂志文章

    doi：10.1580/1080-6032(2001)012[0017:vshit]2.0.co;2

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

    更新日期：2001-04-01 00:00:00

  • Improvised Hydration Bladder Air Splint: A Wilderness Case Report.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2018.10.008

    authors： Hurt HF,Reilly AJ

    更新日期：2019-03-01 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

  • Health care provider beliefs concerning the adverse health effects of environmental and ecosystem degradation.

    abstract：OBJECTIVE:Little is known about health care provider interest, knowledge, and beliefs regarding the health effects of human-induced environmental degradation (HIED). A survey was created and distributed to better characterize health provider beliefs about the adverse health effects of HIED. METHODS:An invitation to pa...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1580/08-WEME-OR-222R1.1

    authors： Truckner RT

    更新日期：2009-10-01 00:00:00

  • The effects of high- and low-dose aspirin on thermoregulation during and after acute cold exposure.

    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

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.wem.2011.06.007

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

    更新日期：2011-12-01 00:00:00

  • Translating Tactical Combat Casualty Care Lessons Learned to the High-Threat Civilian Setting: Tactical Emergency Casualty Care and the Hartford Consensus.

    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

    pub_type： 杂志文章,评审

    doi：10.1016/j.wem.2016.11.008

    authors： Callaway DW

    更新日期：2017-06-01 00:00:00

  • Proteolytic, hemorrhagic, and neurotoxic activities caused by Leptodeira annulata ashmeadii (Serpentes: Colubridae) Duvernoy's gland secretion.

    abstract：OBJECTIVE:The main goal was to explore the different toxin properties (proteolytic, hemorrhagic, and neurotoxic) of Leptodeira annulata ashmeadii Duvernoy's gland secretion (DGS). METHODS:To separate and characterize the different proteins present in L. annulata ashmeadii DGS, 20% sodium dodecyl sulfate-polyacrylamide...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1580/1080-6032(2004)015[0082:phanac]2.0.co;2

    authors： Lemoine K,Girón ME,Aguilar I,Navarrete LF,Rodríguez-Acosta A

    更新日期：2004-07-01 00:00:00

  • The impact of an ultramarathon on hormonal and biochemical parameters in men.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2014.03.013

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

    更新日期：2014-09-01 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

  • Thermal sensation and substrate utilization differs among low- and high-fat women exposed to 17 degrees C water.

    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

    pub_type： 杂志文章

    doi：10.1580/1080-6032(2000)011[0157:tsasud]2.3.co;2

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

    更新日期：2000-10-01 00:00:00

  • Catfish Bite Case Report.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2019.04.004

    authors： LeBlond L

    更新日期：2019-09-01 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

  • Cause of death in avalanche fatalities.

    abstract：OBJECTIVE:Avalanches pose a life-threatening risk to participants of outdoor winter activities. Determining the causes of death in avalanche fatalities can aid rescue and resuscitation strategies and hopefully improve survival. METHODS:The study population included all avalanche fatalities in Utah from the 1989-90 to ...

    journal_title：Wilderness & environmental medicine

    pub_type： 杂志文章

    doi：10.1580/07-WEME-OR-092R1.1

    authors： McIntosh SE,Grissom CK,Olivares CR,Kim HS,Tremper B

    更新日期：2007-01-01 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

  • Effectiveness of a clinical protocol implemented to standardize snakebite management in Iran: initial evaluation.

    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

    pub_type： 杂志文章

    doi：10.1016/j.wem.2014.09.011

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

    更新日期：2015-06-01 00:00:00