In Response to Flush Drowning as a Cause of Whitewater Deaths: Targeting Prevention with Uniform Definitions
Publication date: Available online 29 May 2020Source: Wilderness & Environmental MedicineAuthor(s): Justin R. Sempsrott, Seth C. Hawkins, Daniel A. Graham, Chris A. Davis, Benjamin N. Abo, Andrew C. Schmidt (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 30, 2020 Category: Environmental Health Source Type: research

Effect of Calcium-Channel Blockade on the Cold-Induced Vasodilation Response
Publication date: Available online 29 May 2020Source: Wilderness & Environmental MedicineAuthor(s): Brendan H.A. Milliner, Graham Brant-Zawadzki, Scott E. McIntosh (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 30, 2020 Category: Environmental Health Source Type: research

Induced Hypothermia to 4.2°C with Neurologically Intact Survival: A Forgotten Case Series
Publication date: Available online 29 May 2020Source: Wilderness & Environmental MedicineAuthor(s): Ken Zafren, Peter Paal, Hermann Brugger, Raimund Lechner (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 30, 2020 Category: Environmental Health Source Type: research

Bothrops atrox Snakebite: How a Bad Decision May Lead to a Chronic Disability: A Case Report
Publication date: Available online 24 May 2020Source: Wilderness & Environmental MedicineAuthor(s): Jacqueline A.G. Sachett, Fernando F. Val, João A. Alcântara, Nadia Cubas-Vega, Christielle S. Montenegro, Iran M. da Silva, Thiago G. de Souza, Monique F. Santana, Luiz C.L. Ferreira, Wuelton M. Monteiro (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 24, 2020 Category: Environmental Health Source Type: research

The Responsibility of Scientific Writing
Publication date: Available online 20 May 2020Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 20, 2020 Category: Environmental Health Source Type: research

Psychophysiological Stress Response of Novice Cavers in a Speleology Route
Publication date: Available online 13 May 2020Source: Wilderness & Environmental MedicineAuthor(s): José Francisco Tornero-Aguilera, Joaquín Sanchez-Molina, Valentín E. Fernández-Elías, Vicente Javier Clemente-Suárez (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 14, 2020 Category: Environmental Health Source Type: research

Total Energy Intake and Self-Selected Macronutrient Distribution During Wildland Fire Suppression
Publication date: Available online 29 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Alexander N. Marks, Joseph A. Sol, Joseph W. Domitrovich, Molly R. West, Brent C. Ruby (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 29, 2020 Category: Environmental Health Source Type: research

Venom-Induced Consumption Coagulopathy Following Hump-Nosed Pit Viper (Genus: Hypnale) Envenoming in Sri Lanka: Uncertain Efficacy of Fresh Frozen Plasma
Publication date: Available online 23 April 2020Source: Wilderness & Environmental MedicineAuthor(s): R.M.M.K. Namal Rathnayaka, P.E. Anusha Nishanthi Ranathunga, S.A.M. Kularatne (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 24, 2020 Category: Environmental Health Source Type: research

Clinical Features, Bacteriology, and Antibiotic Treatment Among Patients with Presumed Naja Bites in Vietnam
Publication date: Available online 22 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Ngoc Duc Ngo, Quy Xuan Le, Anh Quang Pham, Nguyen Trung Nguyen, Hung Tran Ha, Michael Minh Quoc Dinh, Thuan Quang Le (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

A Pack of Sun Dogs in Greenland
Publication date: Available online 22 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Jon Solberg (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Successful Defibrillation at a Core Temperature of 18.2 Degrees Celsius
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Sylweriusz Kosiński, Anna Drzewiecka, Mathieu Pasquier, Krzysztof S. Gołba, Paweł Podsiadło, Rafał Drwiła, Tomasz Darocha (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Skiing and Snowboarding Injuries in Snow Parks: A Study Based on Self-Reported Practitioners’ Statements
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Véronique M. Reynier, Bastien J. Soulé, Johanne M. Pabion-Mouriès (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Review of Scorpion Stings and Snakebites Treated by the French Military Health Service During Overseas Operations Between 2015 and 2017
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Aurore Bomba, Pascal Favaro, Rachel Haus, Luc Aigle, François-Xavier Jean, Isabelle Dauphin, Pierre Guigon, Bruno Fontaine, Marc Puidupin, Jean-Paul Demoncheaux, Sébastien Larréché (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Trends in Snakebites Related to Texas Tropical Storms and Hurricanes, 2000–2017
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Joann Schulte, Ashley Haynes, Eric Anthony Smith, John Fleming, Kurt Kleinschmidt, Brett Roth (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Aviation Sports Crashes in the Austrian Mountains: A 10-Year Retrospective Study
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Mathias Ströhle, Simon Woyke, Bernd Wallner, Monika Brodmann Maeder, Hermann Brugger, Peter Paal (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2020 Category: Environmental Health Source Type: research

Fiddlehead Fern Poisoning: A Case Report
Publication date: Available online 21 April 2020Source: Wilderness & Environmental MedicineAuthor(s): S. Bryn Dhir (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 21, 2020 Category: Environmental Health Source Type: research

High Tensile Strength Increases Multifunctional Use of Survival Blankets in Wilderness Emergencies
Publication date: Available online 17 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Markus Isser, Hannah Kranebitter, Hansjörg Fink, Franz J. Wiedermann, Wolfgang Lederer (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 18, 2020 Category: Environmental Health Source Type: research

Nonfreezing Cold Injuries Among Long-Distance Polar Rowers
Publication date: Available online 16 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Daniel P. Longman, Emily L. Brown, Christopher H.E. Imray (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 17, 2020 Category: Environmental Health Source Type: research

My Feet Are Killing Me: A Hiker’s Journey
Publication date: Available online 15 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Neil McCormack, Cindy Carol Bitter (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 17, 2020 Category: Environmental Health Source Type: research

Climbing gyms as possible high-risk transmission locations in microbial outbreaks
Publication date: Available online 10 April 2020Source: Wilderness & Environmental MedicineAuthor(s): Luke Debenham, Jacob Reynolds (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 11, 2020 Category: Environmental Health Source Type: research

The Physical and Psychological Experience of Rowing the North Atlantic Solo and Unassisted
Publication date: Available online 27 March 2020Source: Wilderness & Environmental MedicineAuthor(s): Kevin N. Alschuler, Daniel Whibley, Nicole M. Alberts, Makena Kaylor, Anna L. Kratz (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 29, 2020 Category: Environmental Health Source Type: research

Hypertension and Acute Mountain Sickness in Himalayan Trekkers in Nepal: An Observational Cohort Study
Publication date: Available online 21 March 2020Source: Wilderness & Environmental MedicineAuthor(s): Charles B. Duke, T. Douglas Sallade, Jennifer Starling, Sushil Pant, Alison Sheets, Matthew K. McElwee, David S. Young, Richard Andrew Taylor, Linda E. Keyes (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 21, 2020 Category: Environmental Health Source Type: research

Wilderness Medicine Simulation-Based Teaching Program for Medical Students in the UK
Publication date: Available online 12 March 2020Source: Wilderness & Environmental MedicineAuthor(s): Benjaman To, Bhavesh V. Tailor, Jodie Beverley, George Moore, Yuhan Peng (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 13, 2020 Category: Environmental Health Source Type: research

Crotalus oreganus concolor: Envenomation Case with Venom Analysis and a Diagnostic Conundrum of Myoneurologic Symptoms
Publication date: Available online 12 March 2020Source: Wilderness & Environmental MedicineAuthor(s): Daniel E. Keyler, Vinay Saini, Mark O’Shea, Jeff Gee, Cara F. Smith, Stephen P. Mackessy (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 13, 2020 Category: Environmental Health Source Type: research

Canadian Armed Forces Brigade Medical Station
Publication date: Available online 12 March 2020Source: Wilderness & Environmental MedicineAuthor(s): David Jerome (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 13, 2020 Category: Environmental Health Source Type: research

The Disease Ecology, Epidemiology, Clinical Manifestations, and Management of Trichinellosis Linked to Consumption of Wild Animal Meat
Publication date: Available online 10 March 2020Source: Wilderness & Environmental MedicineAuthor(s): James H. Diaz, Rebecca J. Warren, Marissa J. Oster (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 11, 2020 Category: Environmental Health Source Type: research

In Response to Cardiac Events in Mountain Rescues in Aragón by Martínez-Caballero et al
Publication date: March 2020Source: Wilderness & Environmental Medicine, Volume 31, Issue 1Author(s): Iñigo Soteras, Peter Paal, Marc Ayala, Francesc Carmona, Enric Subirats, Giacomo Strapazzon (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 10, 2020 Category: Environmental Health Source Type: research

2019 Wilderness & Environmental Medicine Peer Reviewers
Publication date: Available online 12 February 2020Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 14, 2020 Category: Environmental Health Source Type: research

Flush Drowning as a Cause of Whitewater Deaths
ConclusionsFlush drownings appear to occur more frequently in older persons. Although hypothetical, the relative increase in flush drowning in the Rocky Mountains might partly be the result of colder water temperatures. If the cause of flush drowning is better understood, safety in whitewater recreation may be improved. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 13, 2020 Category: Environmental Health Source Type: research

Prospective Double-Blinded Randomized Field-Based Clinical Trial of Metoclopramide and Ibuprofen for the Treatment of High Altitude Headache and Acute Mountain Sickness
ConclusionsMetoclopramide and ibuprofen may be effective alternative treatment options in HAH and AMS, especially for those patients who additionally report nausea. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 13, 2020 Category: Environmental Health Source Type: research

Cardiovascular Disease and Triathlon-Related Deaths in the United Kingdom
ConclusionsCardiovascular disease was found to be the most common cause of TRD. Further research is needed to determine the underlying cardiac pathology that triggers TRDs. With this information it may be possible to develop screening tools that can prevent similar fatalities from occurring in the future. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 11, 2020 Category: Environmental Health Source Type: research

Managing Bias in Research
Publication date: Available online 7 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Implementing Wilderness Medicine Training for Undergraduate Medical Students in the UK
Publication date: Available online 7 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Jonathan Schulz, Jake Warrington, Conal Maguire, Thomas Georgi, Russell HearnThe UK General Medical Councils’ approved curricula share only 3 topics with the Fellowship in the Academy of Wilderness Medicine core curriculum, suggesting an underrepresentation of wilderness medicine (WM) in medical education. We developed a 5-mo course to address the gaps between these curricula to run in parallel with the conventional curriculum. Our 71-h course is composed of lectures and practical exercises. We set out to evalu...
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Critical Separation Versus Effective Sweep Width: Bridging the Old and New Search-and-Rescue Worlds
ConclusionsCritical separation is a simple, quick way to array searchers in the field. The current study suggests that the value of critical separation in producing the 50% target POD will depend on the whether the search object used for the critical separation determination has a similar detectability/W to the actual target of the search effort. Still, the results from a critical separation determination may offer more predictability and reliability than the common practice of POD estimation by team leaders. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Reduction of Arterial Oxygen Saturation Among Rescuers During Cardiopulmonary Resuscitation in a Hypobaric Hypoxic Environment
Publication date: Available online 7 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Takashi Suto, Shigeru Saito, Masaru Tobe, Masafumi Kanamoto, Yusuke MatsuiWe 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 compared the effects of compression-only and conventional CPR at 3700 m above sea level. The effects of CPR on the physical conditi...
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Medicine in Extreme Environments: A New Medical Student Elective Class for Wilderness, Aerospace, Hyperbaric, Exercise, and Combat Medicine
Publication date: Available online 7 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Gautam Babu, Bradley D. Upchurch, William H. Young, Benjamin D. LevineWe developed an elective course titled Medicine in Extreme Environments (MEE) at the University of Texas Southwestern Medical Center for first- and second-year medical students. This course covered physiology, research, clinical practice, and career guidance regarding the fields of wilderness, space, hyperbaric, combat, and exercise medicine. The primary aim was to generate interest in and awareness of these seldom covered fields of medicine by exp...
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Pain Is Inevitable But Suffering Is Optional: Relationship of Pain Coping Strategies to Performance in Multistage Ultramarathon Runners
Publication date: Available online 7 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Kevin N. Alschuler, Brian J. Krabak, Anna L. Kratz, Mark P. Jensen, Dave Pomeranz, Patrick Burns, Joshua Bautz, Claire Nordeen, Crystal Irwin, Grant S. LipmanIntroductionUltramarathon runners commonly endure musculoskeletal pain during endurance events. However, the effect of pain coping skills on performance has not been examined.MethodsA prospective observational study during three 250 km (155 mi), 6 stage ultramarathons was conducted. Finish line surveys were completed after each of the four 40 km (25 mi) and one ...
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Wilderness Medical Society Clinical Practice Guidelines for the Management of Exercise-Associated Hyponatremia: 2019 Update
Publication date: Available online 8 February 2020Source: Wilderness & Environmental MedicineAuthor(s): Brad L. Bennett, Tamara Hew-Butler, Mitchell H. Rosner, Thomas Myers, Grant S. Lipman (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 8, 2020 Category: Environmental Health Source Type: research

Exercise in Thermal Inversions: PM2.5 Air Pollution Effects on Pulmonary Function and Aerobic Performance
ConclusionsNeither run time nor pulmonary function of healthy adults were adversely affected by an acute bout of exercise in elevated ambient PM2.5, equivalent to yellow or orange on the air quality index. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 7, 2020 Category: Environmental Health Source Type: research

Periorbital Edema Mimicking an Allergic Reaction After Black Widow Envenomation
Publication date: Available online 31 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Meghan B. Spyres, Ayrn D. O’Connor (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 31, 2020 Category: Environmental Health Source Type: research

Tolio: Foot Rot in Grand Canyon River Runners
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 disorders have been identified as components of tolio, with the most prevalent currently being pitted keratolysis. We present a case of pitted keratolysis in a river guide occurring during a multiday river trip, where treatment can be difficult. Prevention is often more important. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 31, 2020 Category: Environmental Health Source Type: research

Powassan Virus in a Hunter Returning from a Trip in the Adirondack Park
We present the case of a 56-y-old man who presented to our hospital with symptoms of confusion, altered behavior, and headache. The patient developed fever and status epilepticus despite supportive care and required endotracheal intubation. Six days before presentation, the patient had returned from a hunting trip in the Adirondack region of New York State. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2020 Category: Environmental Health Source Type: research

In Reply to Drs Lawson and Newman
Publication date: Available online 27 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Susanne J. Spano, John A. Seymer, Desiree H. Crane, Paul S. Auerbach (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 29, 2020 Category: Environmental Health Source Type: research

Bruce C. Paton, MD: August 28, 1925 to November 4, 2019
Publication date: Available online 27 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Howard Backer (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 29, 2020 Category: Environmental Health Source Type: research

In Response to Impact of Half Dome Cable Permitting by Spano et al
Publication date: Available online 23 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Steven R. Lawson, Peter Newman (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 24, 2020 Category: Environmental Health Source Type: research

Penetrating Thoracic Injury and Fatal Aortic Transection From the Barb of a Stingray
We present a case of a 62-y-old diver who was pierced in the chest by the barb of a stingray while transferring the animal to another tank as part of his work in a public aquarium. He was rescued immediately from the tank but was found to be in cardiac arrest. Bystander cardiopulmonary resuscitation was promptly initiated by his colleagues. He was rapidly evacuated to the nearest emergency department, where he was noted to be in pulseless electrical activity. A single puncture wound was noted over the right second intercostal space, with the spine of the stingray still impaled in the chest. Trauma surgeons were activated p...
Source: Wilderness and Environmental Medicine - January 24, 2020 Category: Environmental Health Source Type: research

In Response to Cardiac Events in Mountain Rescues in Aragón by Martínez-Caballero et al
Publication date: Available online 22 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Iñigo Soteras, Peter Paal, Marc Ayala, Francesc Carmona, Enric Subirats, Giacomo Strapazzon (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 23, 2020 Category: Environmental Health Source Type: research

In Reply to Dr Soteras et al
Publication date: Available online 22 January 2020Source: Wilderness & Environmental MedicineAuthor(s): Carmen M. Martínez-Caballero, Eva Sierra Quintana (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 23, 2020 Category: Environmental Health Source Type: research

Pelvic Ring Fracture During a Professional Surfing Event at the Banzai Pipeline
We present a case of a 32-y-old male professional surfer who sustained an isolated pelvic ring fracture after wiping out on a large wave and striking the ocean floor during a world championship tour surfing competition in Hawaii. The surfer was rescued by the water patrol lifeguards, evaluated by onsite medical staff, and stabilized for transfer and subsequent surgical management. As surfing and surfing competitions become increasingly popular, medical staff and event organizers must be aware of the possibility for severe, life-threatening injuries during surfing events. Although infrequent, staff must be prepared to ...
Source: Wilderness and Environmental Medicine - January 17, 2020 Category: Environmental Health Source Type: research

Thrombotic Microangiopathy following Hypnale zara (Hump-Nosed Pit Viper) Envenoming: The First Known Case Report from Sri Lanka
Publication date: Available online 20 December 2019Source: Wilderness & Environmental MedicineAuthor(s): Rathnayaka Mudiyanselage M.K. Namal Rathnayaka, P.E. Anusha Nishanthi Ranathunga, Senanayake A.M. KularatneA 65-y-old previously healthy farmer developed thrombotic microangiopathy (TMA) comprising the triad of acute kidney injury, microangiopathic haemolysis, and thrombocytopenia after a proven Hypnale zara (hump-nosed pit viper) bite. He developed coagulopathy, which was treated with fresh frozen plasma, and underwent 8 cycles of hemodialysis. He is being followed up in the nephrology clinic for acute kidney injur...
Source: Wilderness and Environmental Medicine - December 21, 2019 Category: Environmental Health Source Type: research