Myocarditis and Early Markers of Cardiac Response Associated with Scorpion Stings in Children.

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：: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：: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

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：: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：: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：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：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：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：: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

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

更新日期：1995-08-01 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：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

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

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to test the hypothesis that polymorphisms in the endothelial PAS domain protein 1 (EPAS1) gene are associated with the susceptibility to high altitude pulmonary edema (HAPE) in Han Chinese. METHODS:This study enrolled 153 HAPE patients (HAPE-p), matched with Han Chinese resistan...

journal_title：Wilderness & environmental medicine

authors： Yang YZ,Wang YP,Qi YJ,Du Y,Ma L,Ga Q,Ge RL

更新日期：2013-12-01 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：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 ...

journal_title：Wilderness & environmental medicine

authors： Harmon KJ,Haskell MG,Mann CH,Waller AE

更新日期：2018-06-01 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：: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

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

abstract：OBJECTIVE:To investigate the demographics, incidence, and symptoms and signs of hydrocarbon poisoning in admitted children from the Negev Desert area of Israel. METHODS:The medical records of all children admitted for hydrocarbon poisoning from 1995 to 1999 were reviewed retrospectively. RESULTS:Of the 274 admitted c...

journal_title：Wilderness & environmental medicine

authors： Lifshitz M,Sofer S,Gorodischer R

更新日期：2003-07-01 00:00:00

abstract：OBJECTIVE:Antarctic expeditioners face extremes of environmental conditions along with isolation which affect normal human activity at a polar station. Diets of polar expeditioners consist of products that have been kept in storage for more than a year. Processing and preservation adversely affect the nutritive value o...

journal_title：Wilderness & environmental medicine

authors： Vats P,Singh SN,Singh VK,Shyam R,Upadhyay TN,Singh SB,Banerjee PK

更新日期：2007-01-01 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：:Bites by the European adder (Vipera berus) are a rare medical emergency in the UK with 20 to 50% of an estimated 50 to 200 cases per year necessitating treatment with antivenom. We present a case demonstrating both severe systemic and local effects necessitating out of hospital resuscitation, vasopressor support, and ...

journal_title：Wilderness & environmental medicine

authors： Hamilton J,Kause J,Lamb T

更新日期：2019-03-01 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：: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：:Flying snakes (Genus Chrysopelea) are a group of ophisthoglyphous colubrids in South and South East Asia known for gliding in the air. Of the five species of flying snakes, Sri Lankan flying snake, Chrysopelea taprobanica, is endemic to Sri Lanka. Authenticated bites and the venom characteristics of this uncommon snak...

journal_title：Wilderness & environmental medicine

authors： Silva A,Weerawansa P,Pilapitiya S,Maduwage T,Siribaddana S

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:Cricothyroidotomy is an advanced and life-saving technique, but it is also a rare and a difficult procedure. The purpose of the present study was to produce a low-cost simulation model with realistic anatomic features to investigate its effectiveness in developing cricothyroidotomy skills. METHODS:This st...

journal_title：Wilderness & environmental medicine

authors： Ozkaya Senuren C,Yaylaci S,Kayayurt K,Aldinc H,Gun C,Şimşek P,Tatli O,Turkmen S

更新日期：2020-09-01 00:00:00

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

authors： Meyers RN,Howell DR,Provance AJ

更新日期：2020-12-01 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：: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：:Recent studies in normal participants have shown that right to left shunt blood vessels in the lung open up during exercise. We describe the first field study to investigate this phenomenon at altitude. This study aimed to assess the effect of altitude and partial acclimatization on inducible right to left shunting at...

journal_title：Wilderness & environmental medicine

authors： Imray CH,Pattinson KT,Myers S,Chan CW,Hoar H,Brearey S,Collins P,Wright AD,Birmingham Medical Research Expeditionary Society.

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:Wilderness medicine involves the treatment of individuals in remote, austere environments. Given the high potential for injuries as well as the unique treatment modalities required in wilderness medicine, evidence-based clinical practice guidelines are necessary to provide optimal care. In this study, we i...

journal_title：Wilderness & environmental medicine

authors： Tritz D,Dormire K,Brachtenbach T,Gordon J,Sanders D,Gearheart D,Crawford J,Vassar M

更新日期：2018-09-01 00:00:00