Abstract:
INTRODUCTION:North Carolina (NC) is home to more than 30 species of indigenous venomous and nonvenomous snakes. Snakebites can cause debilitating and potentially fatal injuries. However, there is a lack of current information available describing the incidence of snakebites in NC. Therefore, we performed this study of snakebites treated in NC emergency departments (EDs) using the statewide syndromic surveillance system, the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT). METHODS:This was a descriptive epidemiologic study characterizing NC ED visits collected by NC DETECT between October 1, 2013 and September 30, 2015 with an assigned International Classification of Diseases, 9th Revision, Clinical Modification code or keyword indicating a snakebite. RESULTS:Over the 2-year period, the absolute count of snakebite-related ED visits was 2080 visits with an incidence rate of 10.4 visits per 100 000 person-years (95% confidence interval: 10.0-10.9). The frequency of snakebite was highest during the summer months and evening hours. Men had higher incidence rates of snakebite-related ED visits than women, and residents of the Coastal Plain geographic region of NC had higher incidence rates than persons in other regions. CONCLUSIONS:The current study indicated that snakebites are common injuries treated at NC EDs, with a strong seasonal and geographic component. Additional research is needed to further characterize the circumstances associated with snakebites for the development of preventive measures and public health education.
journal_name
Wilderness Environ Medjournal_title
Wilderness & environmental medicineauthors
Harmon KJ,Haskell MG,Mann CH,Waller AEdoi
10.1016/j.wem.2018.01.004subject
Has Abstractpub_date
2018-06-01 00:00:00pages
176-184issue
2eissn
1080-6032issn
1545-1534pii
S1080-6032(18)30004-8journal_volume
29pub_type
杂志文章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
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journal_title:Wilderness & environmental medicine
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journal_title:Wilderness & environmental medicine
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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
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.wem.2014.11.006
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journal_title:Wilderness & environmental medicine
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doi:10.1580/07-WEME-BR-162.1
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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
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION:Depending on their theatre of operation, French soldiers may potentially be exposed to scorpion stings and snakebites. Following the recommendations of a French military health service (FMHS) technical committee for envenomation, the FMHS provides antivenoms appropriate to each deployment. This work aimed ...
journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2020.01.006
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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
pub_type: 杂志文章,随机对照试验
doi:10.1580/06-WEME-OR-032R.1
更新日期:2007-07-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章,评审
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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
更新日期:2016-03-01 00:00:00
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...
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pub_type: 杂志文章
doi:10.1016/j.wem.2019.09.003
更新日期:2020-03-01 00:00:00
abstract::Risk of injury in cold environments is related to a combination of athlete preparedness, preexisting medical conditions, and the body's physiologic response to environmental factors, including ambient temperature, windchill, and wetness. The goal of this section is to decrease the risk of hypothermia, frostbite, and n...
journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2015.09.006
更新日期:2015-12-01 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
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2013.11.001
更新日期:2014-03-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2019.09.006
更新日期:2020-03-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2015.11.013
更新日期:2016-03-01 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
pub_type: 杂志文章
doi:10.1580/pr08-04.1
更新日期:2005-07-01 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
pub_type: 杂志文章,评审
doi:10.1580/pr36-05.1
更新日期:2006-01-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wem.2018.11.006
更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wem.2014.05.003
更新日期:2014-12-01 00:00:00
abstract::The ability to control water-borne diseases is critical for soldiers, hikers, and others who may need to drink directly from an outdoor source. Water-borne protozoan parasites that are specifically of concern are Giardia and Cryptosporidium because of their resistance to halogen disinfection. The purpose of this study...
journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1580/1080-6032(1997)008[0096:eoiwpt]2.3.co;2
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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
更新日期:2017-06-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2017.11.007
更新日期:2018-06-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1580/1080-6032(2001)012[0244:atachi]2.0.co;2
更新日期:2001-01-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1580/1080-6032(2002)013[0036:acomrc]2.0.co;2
更新日期:2002-04-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1016/j.wem.2011.01.008
更新日期:2011-06-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1580/06-WEME-BR-084.1
更新日期:2008-01-01 00:00:00
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
更新日期:2015-06-01 00:00:00
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journal_title:Wilderness & environmental medicine
pub_type: 杂志文章
doi:10.1580/07-WEME-OR-092R1.1
更新日期:2007-01-01 00:00:00