Retained Stingray Barb and the Importance of Imaging.

abstract：:Treating skin disorders in wilderness settings is often challenging. In this report we describe common skin conditions affecting the feet of river runners on the Colorado River in Grand Canyon National Park. These conditions are frequently referred to by river runners with a catchall term, "tolio." Several skin disord...

journal_title：Wilderness & environmental medicine

authors： Myers TM,Bigler CJ,Maurer MB,Gaither ME,Taylor WM

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Skiing and snowboarding are popular activities that involve high kinetic energies, often at altitude, and injuries are common. As a portable imaging modality, ultrasound may be a useful adjunct for mountainside clinics. This review briefly discusses skier and snowboarder injury profiles and focuses on the ro...

journal_title：Wilderness & environmental medicine

authors： Evans CS,Harris NS

更新日期：2012-09-01 00:00:00

abstract：OBJECTIVES:To determine the incidence of femur fractures in mountain rescue in England and Wales. To investigate the attitudes of rescuers toward the use of femoral traction splints. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral tractio...

journal_title：Wilderness & environmental medicine

authors： Runcie H,Greene M

更新日期：2015-09-01 00:00:00

abstract：:High-altitude pulmonary edema (HAPE) is a well-recognized disease entity in trekkers to the Nepal Himalayas. We present the case of a patient who had clinical features consistent with HAPE but did not descend the mountain on time, which contributed to his death. The important factors of the diagnosis, the descent, and...

journal_title：Wilderness & environmental medicine

authors： Goodman T,Basnyat B

更新日期：2000-07-01 00:00:00

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

authors： Hay CS,Barton S,Sulkin T

更新日期：2009-01-01 00:00:00

abstract：:Teaching emergency procedural skills in a wilderness setting can be logistically challenging. To teach these skills as part of a wilderness medicine elective for medical students, we designed an outdoor simulation session with low-fidelity models. The session involved 6 stations in which procedural skills were taught ...

journal_title：Wilderness & environmental medicine

authors： Saxon KD,Kapadia AP,Juneja NS,Bassin BS

更新日期：2014-03-01 00:00:00

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

authors： Diaz JH

更新日期：2020-12-01 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：: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：: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:Heat-related illness is a common disease with significant morbidity and mortality. Despite no proven efficacy, application of chemical cold packs (CCP) to the skin overlying the large vessels of the neck, groin, and axillae is a traditional recommended cooling modality. The study objective was to compare the ...

journal_title：Wilderness & environmental medicine

authors： Lissoway JB,Lipman GS,Grahn DA,Cao VH,Shaheen M,Phan S,Weiss EA,Heller HC

更新日期：2015-06-01 00:00:00

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

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

更新日期：2016-09-01 00:00:00

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

authors： Stuempfle KJ,Nindl BC,Kamimori GH

更新日期：2010-03-01 00:00:00

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

authors： Lau HK,Chua ISY,Ponampalam R

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVES:To identify the clinical and histopathological characteristics of patients who develop acute interstitial nephritis (AIN) following snake envenomation. METHODS:A retrospective analysis of patients diagnosed with snake envenomation-induced AIN from October 2013 to November 2014. RESULTS:After snake envenoma...

journal_title：Wilderness & environmental medicine

authors： Priyamvada PS,Shankar V,Srinivas BH,Rajesh NG,Parameswaran S

更新日期：2016-06-01 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：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

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

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：: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：OBJECTIVE:Planning and providing emergency and primary care for a large transient population of visitors and employees in a national park can be problematic. Furthermore, planning for emergency and primary health care needs of visitors and itinerant workers in a wilderness area national park has not been well documente...

journal_title：Wilderness & environmental medicine

authors： Chang EC,Koval E,Freer L,Kraus S

更新日期：2000-01-01 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：:A 67-year-old woman presented to a community emergency department in Orange County, CA, after she was stung by a scorpion identified as Centruroides limbatus from Central America. She developed local pain and systemic symptoms, including parasthesias, flushing, hypertension, and wheezing. Envenomation by this genus of...

journal_title：Wilderness & environmental medicine

authors： Bush SP

更新日期：1999-10-01 00:00:00

abstract：INTRODUCTION:To compare the effectiveness of a molded fleece jacket with that of a standard cervical collar at limiting movement of the cervical spine in 3 different directions. METHODS:This is a prospective study using 24 healthy volunteers to measure cervical flexion/extension, rotation, and lateral flexion with bot...

journal_title：Wilderness & environmental medicine

authors： Porter A,Difrancesca M,Slack S,Hudecek L,McIntosh SE

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:High altitude pulmonary edema (HAPE) is a potentially deadly disease associated with exposure to altitudes greater than 3000 m. Individuals who have previously experienced HAPE are at a significantly higher risk of recurrence, suggesting an underlying genetic component to HAPE pathogenesis. In a previous nuc...

journal_title：Wilderness & environmental medicine

authors： Luo Y,Chen Y,Zhang Y,Zhou Q,Gao Y

更新日期：2012-09-01 00:00:00

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

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

更新日期：2017-09-01 00:00:00

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

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

更新日期：2007-07-01 00:00:00

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

authors： Stuart CM,Tindle KC,Phillips LL

更新日期：2019-12-01 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：OBJECTIVE:To measure afterdrop and rewarming in subjects placed in a hypothermia wrap immediately after extrication from 60 minutes of snow burial. METHODS:We measured esophageal core body temperature (Tes) in 6 subjects buried in compacted snow (mean density 39%) for up to 60 minutes at an altitude of 2450 m while br...

journal_title：Wilderness & environmental medicine

authors： Grissom CK,Harmston CH,McAlpine JC,Radwin MI,Ellington B,Hirshberg EL,Crouch A

更新日期：2010-09-01 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