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：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：: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

authors： Abraham SV,Hakkeem B,Mathew D,Rafi AM,Poomali A,Thomas J,Kassyap CK

更新日期：2020-12-01 00:00:00

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

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

更新日期：2020-09-01 00:00:00

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

authors： Simon M,Lutter C,Schöffl V

更新日期：2020-09-01 00:00:00

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

authors： Hughey SB,McCoy KL,Mills AE

更新日期：2020-09-01 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: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

authors： Bomba A,Favaro P,Haus R,Aigle L,Jean FX,Dauphin I,Guigon P,Fontaine B,Puidupin M,Demoncheaux JP,Larréché S

更新日期：2020-06-01 00:00:00

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

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

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：: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：:We experienced a case involving prolonged cardiopulmonary resuscitation (CPR) during cardiac arrest on Mt. Fuji (3776 m), demanding lengthy exertion by the rescuers performing CPR. Considering the effects of exertion on the rescuers, we examined their percutaneous arterial oxygen saturation during simulated CPR and co...

journal_title：Wilderness & environmental medicine

authors： Suto T,Saito S,Tobe M,Kanamoto M,Matsui Y

更新日期：2020-03-01 00:00:00

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

authors： Farstad DJ,Luttrell JM

更新日期：2020-03-01 00:00:00

abstract：:This article describes 3 incidents in which therapeutic or experimental warming of cold individuals caused first- to third-degree burns to the skin. Mechanisms for these injuries are considered. We conclude that active external rewarming of the trunk of a cold patient in the field can be administered safely and burn r...

journal_title：Wilderness & environmental medicine

authors： Giesbrecht GG,Walpoth BH

更新日期：2019-12-01 00:00:00

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

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

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：: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：: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

authors： LeBlond L

更新日期：2019-09-01 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：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

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

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

authors： Hurt HF,Reilly AJ

更新日期：2019-03-01 00:00:00

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：INTRODUCTION:A clinical course ranging from mild local findings to life-threatening systemic findings may occur after scorpion stings. The purpose of this study was to identify priority markers indicating scorpion sting-related cardiac involvement. METHODS:Our study was performed between July 2014, and September 2015 ...

journal_title：Wilderness & environmental medicine

authors： Gökay SS,Kendir ÖT,Güllü UU,Nalbant T,Ekinci F,Matyar S,Ünal İ,Erdem S,Yildizdaş RD,Yilmaz HL

更新日期：2018-12-01 00:00:00

abstract：INTRODUCTION:There are 3 pit viper species in Canada. Limited Canadian literature exists on the epidemiology of venomous snakebites and the treatment patterns with antivenom. This study described the epidemiology, the utilization of antivenom, and estimated expenditures due to forfeited antivenom for pit viper envenoma...

journal_title：Wilderness & environmental medicine

authors： Curran-Sills G,Kroeker J

更新日期：2018-12-01 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

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

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

更新日期：2018-09-01 00:00:00

abstract：INTRODUCTION:Sport helmet effectiveness in preventing traumatic brain injury (TBI) has been repeatedly questioned. This study assesses the effect of helmet use on risk of TBI and other types of head injury (OTHI) in alpine sports. METHODS:From 2012 to 2014, data on the injured population were collected by physicians i...

journal_title：Wilderness & environmental medicine

authors： Bailly N,Laporte JD,Afquir S,Masson C,Donnadieu T,Delay JB,Arnoux PJ

更新日期：2018-06-01 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：INTRODUCTION:This study compared 2 commercially available beverages, an oral rehydration solution (ORS; 60.9 mM Na+; 3.4% carbohydrate) and a sports drink (SDS; 18.4 mM Na+; 5.9% carbohydrate), on hydration and metabolism during submaximal exercise in the heat. METHODS:Ten male subjects completed two 90-min exercise t...

journal_title：Wilderness & environmental medicine

authors： Schleh MW,Dumke CL

更新日期：2018-06-01 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：: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:Scorpionism is an endemic public health problem in Jordan encountered by health providers in all parts of the country. This study updates epidemiological data on scorpion sting encounters in Jordan. METHODS:Data on scorpion sting encounters were obtained from government and military hospitals around the coun...

journal_title：Wilderness & environmental medicine

authors： Amr ZS,Al Zou'bi R,Abdo N,Bani Hani R

更新日期：2017-09-01 00:00:00

abstract：INTRODUCTION:Seasonal migration of people in search of Yarsagumba fungus creates a population of collectors that faces hardship and health risks in austere high-altitude settings. METHODS:In 2016, our 4-person team performed a 2-day health-needs survey of people collecting Yarsagumba fungus near the village of Yak Kha...

journal_title：Wilderness & environmental medicine

authors： Koirala P,Pandit B,Phuyal P,Zafren K

更新日期：2017-09-01 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：:During historic, as well as more recent, conflicts, most combat casualties who die from their injuries do so in the prehospital setting. Although many of the injuries incurred by these casualties are nonsurvivable, a number of injuries are still potentially survivable. Of those injuries that are potentially survivable...

journal_title：Wilderness & environmental medicine

authors： Kotwal RS,Butler FK Jr

更新日期：2017-06-01 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：: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：: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：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：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