Health Supply Utilization at a Boy Scout Summer Camp: An Evaluation for Improvement and Preparedness
Conclusions Summer camps need to be prepared for a wide range of conditions and injuries in youth campers, leaders, and staff members. Over 90% of presenting complaints were managed on site, and the majority of conditions were easily treatable minor injuries and illnesses. We provide recommendations for appropriate medical supplies and suggest opportunities for improvement to aid health centers in planning and treatment. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 3, 2016 Category: Environmental Health Source Type: research

In Reply to Drs Pasquier, Gnaegi, and Hugli
Publication date: Available online 3 November 2016 Source:Wilderness & Environmental Medicine Author(s): Hermann Brugger, Katharina Grasegger, Inigo Soteras, Giacomo Strapazzon (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 3, 2016 Category: Environmental Health Source Type: research

Dull Brains and Frozen Feet: A Historical Essay on Cold
Publication date: Available online 3 November 2016 Source:Wilderness & Environmental Medicine Author(s): Harvey V. Lankford This essay will review historical and medical aspects of cold exposure, hypothermia, and frostbite during the Napoleonic era. The 19th century writings of Dominique Jean Larrey, Pierre Jean Moricheau-Beaupré, and others are used to provide an evocative supporting narrative to illustrate some of the cold illnesses, physiology, and theory of both an earlier era and the present time. Medical care for over a century followed the how but not the why of treating frostbite and hypothermia slo...
Source: Wilderness and Environmental Medicine - November 3, 2016 Category: Environmental Health Source Type: research

Improvised Cricothyrotomy on a Mountain Using Hiking Gear
This report also discusses indications for cricothyrotomy, the challenges of resuscitation in a low-resource environment, and special considerations in a high-altitude setting. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Dengue and Dengue Hemorrhagic Fever, 2nd edition
Publication date: Available online 18 October 2016 Source:Wilderness & Environmental Medicine Author(s): Kenneth W. Kizer (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Medical Pathologies and Hut Guardians ’ Ability to Provide First Aid in Mountain Huts: A Prospective Observational Study
Conclusions MEs had low prevalence, but the hut guardian played a valuable role as a first aid responder. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Pulling Harder than the Hamate Tolerates: Evaluation of Hamate Injuries in Rock Climbing and Bouldering
Conclusion Climbers with an unspecific, diffuse pain in the wrist need to be examined by radiograph and, if radiograph is unclear, computed tomography or magnetic resonance imaging to detect or exclude the diagnosis of hamate fracture in order to avoid severe complications. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Pressures of Wilderness Improvised Wound Irrigation Techniques: How Do They Compare?
Conclusions Pressures are consistent with those previously reported. All systems using compressible water bottles and all syringe-based systems provided pressures at or exceeding a commercial wound irrigation device. A 14-ga punctured plastic bag and bladder-style hydration pack failed to generate similar irrigation pressures. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Preparing the United States for Zika Virus: Pre-emptive Vector Control and Personal Protection
Publication date: Available online 27 October 2016 Source:Wilderness & Environmental Medicine Author(s): James H. Diaz Discovered in 1947 in a monkey in the Zika forest of Uganda, Zika virus was dismissed as a cause of a mild illness that was confined to Africa and Southeast Asia and transmitted by Aedes mosquitoes. In 2007, Zika virus appeared outside of its endemic borders in an outbreak on the South Pacific Island of Yap. In 2013, Zika virus was associated with a major neurological complication, Guillain-Barré syndrome, in a larger outbreak in the French Polynesian Islands. From the South Pacific, Zika i...
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Management of Burn Injuries in the Wilderness: Lessons from Low-Resource Settings
Publication date: Available online 28 October 2016 Source:Wilderness & Environmental Medicine Author(s): Cindy C. Bitter, Timothy B. Erickson Burns are a common source of injuries worldwide, with a high burden of disease in low- and middle-income countries. Burns also account for 2%−8% of wilderness injuries. Although many are minor, the potential for serious morbidity and mortality exists, and standard treatments used in high-resource settings are not readily available in the backcountry. A literature review was performed to find evidence from low-resource settings that supports alternative or improvised th...
Source: Wilderness and Environmental Medicine - October 29, 2016 Category: Environmental Health Source Type: research

Ruins of a WWI Hospital, Falzarego, The Dolomites, Italy
Publication date: Available online 12 October 2016 Source:Wilderness & Environmental Medicine Author(s): Tom Edward Mallinson (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 13, 2016 Category: Environmental Health Source Type: research

CPR in Whitewater Drowning Victims: Is It Possible To Perform Adequate Chest Compressions Through a Personal Flotation Device (PFD)?
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Scott McCorvey, Erin Lurie, Robert D'Zio, Michael Caudell (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Telesound: Can Real-Time Video Streaming of Ultrasound Imaging from Remote Locations Yield An Accurate Diagnosis?
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Rachel E. Whitney, Antonio Riera, Lei Chen (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Trauma Training for Journalists: Developing and Implementing an Intercultural Medical Curriculum for Journalists Working in Regions of Conflict
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): David S. Young, Michael Puntis (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Lightning Accidents in the Austrian Alps 2006 to 2014 —A Retrospective Study
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Michael Lanthaler, Mathias Ströhle, Andreas Würtele, Hans Ebner, Peter Paal (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Harness Suspension Stress, Narrowing the Focus
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): James Marc Beverly, Jenna M.B. White, Erin Renee Beverly, Trisha A. McLain, Jeremy McCormick, Micah Zuhl, Jason Dale Williams, Christine M. Mermier (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Relationship of Blood Pressure and Hypertension to Acute Mountain Sickness
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Jennifer Starling, Linda Keyes, Sushil Patel, Nirajam Regmi, Devlin Cole, Charles Duke, Luke Mather, Theodore McConnell, Matthew McElwee, Purshotam Paudel, Benoit Phelan, Douglas Sallade, Alison Sheets, David Twillmann, David Young, Buddha Basnyat (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Crotalus horridus horridus Venom-Induced Thrombocytopenia: Characterization of Venom after Binding of Crotalidae Polyvalent Immune Fab Antivenom
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Laura Bechtel, Seth Althoff, Christopher Holstege (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Blood Pressure and High Altitude: An Observational Cohort Study of Hypertensive and Nonhypertensive Himalayan Trekkers in Nepal
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): T. Douglas Sallade, Linda E. Keyes, Jennifer Starling, Sushil Pant, Alison Sheets, David Young, David Twillman, Nirajan Regmi, Benoit Phelan, Purshotam Paudel, Matthew McElwee, Theodore McConell, Luke Mather, Charles Duke, Devlin Cole, Buddha Basnyat (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Accuracy of Acute Kidney Injury Measurements in Multistage Ultramarathon Runners
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Colin Little, Grant Lipman, Daniel Migliaccio, David Young, Brian Krabak (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Exercise in Inversions: A Pilot Study of PM2.5 Air Pollution Effects on Pulmonary Function and Aerobic Performance
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Dale Wagner (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Epidemiology of Scuba Diving-Related Injuries Presenting to the Emergency Department Between 2012 and 2014
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Benjamin Nicholson, Jolion McGreevy (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Epidemiology of Mountain Climbing Injuries Presenting to Emergency Departments in the United States from 2012 to 2014
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Benjamin Nicholson, Jacob Kallenberg, Jolion McGreevy (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Search and Rescue (SAR) and Fatalities in Mount Rainier National Park (MORA) 2010-2015: Location and Altitude Data May Enhance SAR Training and Preventative Search and Rescue (PSAR)
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Brian Scheele (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Iloprost With and Without rt-PA: Treatment of 131 Cases of Severe Frostbite
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Emmanuel Cauchy, Eric Chetaille, Emmanuel Pham, Hugo Nespoulet, Pascal Zellner, François Becker, Peter Hackett (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

An Assessment of Diarrhea among Long-Distance Backpackers in the Sierra Nevada
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Derek Meyer, Amber Costantino, Susanne Spano (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Phase 3 Efficacy and Safety Results of Sufentanil Sublingual 30 mcg Tablet for Management of Acute Traumatic Pain in Emergency Medicine
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): James Miner, Harold Minkowitz, Zubaid Rafique, Karen DiDonato, Pamela Palmer (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

The Benefits of Wilderness Programs for Cancer Patients and Survivors: A Literature Review
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): S. Terez Malka, Tyler Warmack (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Metal Accumulation in Horseshoe Crab (Limulus polyphemus) Eggs, Embryos, and Larvae From Potentially Contaminated Public Beaches
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Aaron Bakker, Jessica Dutton, Nicholas Santangelo (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Direct Measurement of Intracranial Pressure in Hypobaric Hypoxia: Implications for Acute Mountain Sickness
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Justin Lawley, Louis Whitworth, Benjamin Levine (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Canyoneering-related Search and Rescue in Zion National Park from 2005-2015
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Heather Beasley, Scott McIntosh (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Medical Problems of Casualties and Rescuers in the 2014 Volcanic Eruption in Japan
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Kazue Oshiro, Yuji Watanabe, Tomikazu Muarakami (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Battlefield Analgesia and Adherence to TCCC Guidelines: A Quality Assurance Analysis
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Steven Schauer, Andrew Fisher, Michael April, Cord Cunningham, James Aden, Jessie Fernandez, Robert Carter, Robert Delorenzo, Derek Brown (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

How Effective Is a Dental Skills Workshop in Improving the Knowledge and Confidence of Medical Students and Residents in Management of Dental Emergencies?
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Nicholas Walter, Janina Golob Deeb, Amber Johnson, George Deeb, Mikhail Bondarew (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

A Review of Search and Rescue Operations in Slovenia
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Nicholas Walter, Mija Gasperin, Janina Golob Deeb, George Deeb (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Medical and Logistical Challenges of the Longest Cave Rescue: A Case Report
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Thomas-Michael Schneider, Rino Bregani, Rok Stopar, Jakob Krammer, Martin Göksu, Natalie Müller, Michael Petermeyer, Johannes Schiffer, Hermann Brugger, Antonella Santini, Luca Pilo, Giacomo Strapazzon (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Burial Duration and Airpocket Explain Avalanche Survival Patterns in Austria
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Emily Procter, Giacomo Strapazzon, Tomas Dal Cappello, Andreas Würtele, Andreas Renner, Benjamin Zweifel, Markus Falk, Hermann Brugger (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

The Influence of Snow Density on O2 and CO2 Levels in Subjects Breathing into an Artificial Airpocket
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Giacomo Strapazzon, Kai Schenk, Peter Paal, Markus Falk, Tomas Dal Cappello, Katharina Grassegger, Sandro Malacrida, Hannes Gatterer, Lukas Riess, Benjamin Zweifel, Jürg Schweizer, Hermann Brugger (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

The Effect of Riociguat on Gas Exchange, Exercise Performance, and Pulmonary Artery Pressure During Acute Altitude Exposure
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Jon Andrews, Stefanie Martina, Michael Natoli, Nicole Harlan, Luke Neilans, Miguel Alvarez Villela, John Freiberger, Aaron Walker, Ishwori Dhakal, Richard Moon (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Ambulatory Blood Pressure Monitoring Reveals Increased Sleeping Blood Pressure in Hypertensive Individuals at High Altitude
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): David S. Young, Linda E. Keyes, Luke F. Mather, Charles Duke, Nirajam Rejmi, Benoit M. Phelan, Sushil Pant, Jennifer M. Starling, Matthew K. McElwee, Devlin Cole, Theodore McConnell, Purshotam Paudel, Douglas Sallade, Allison L. Sheets, David R. Twillman, Buddha Basynat (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Promoting Resilience among Veterans Using Wilderness Therapy
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Shauna Joye, Zachary Dietrich (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Prospective Double-Blinded Randomized Field-Based Clinical Trial of Metoclopramide and Ibuprofen for the Treatment of Acute Mountain Sickness
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Hillary R. Irons, Renee N. Salas, Salman F. Bhai, N. Stuart Harris (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Core Content for Wilderness Medicine Training: Development of a Wilderness Medicine Track within an Emergency Medicine Residency
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Jonathan Drew, Nicole Battaglioli, Walter A. Schrading (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Prehospital Interventions during Mass Casualty Events in Afghanistan: A Case Series
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Steven G. Schauer, Derek Brown, Michael D. April, Erica Simon, Joseph Maddry, Robert Carter, Robert Delorenzo (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Down to the Wire? Ventilation during Intubated Stretcher Helicopter Winching
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): John D. Hollott (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

A Novel Cooling Method and Comparison of Active Rewarming of Mild Hypothermia
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Mark L. Christensen, Grant S. Lipman, Dennis A. Grahn, Kate Shea, Joseph Einhorn, Craig Heller (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Performance Matters: Training Tools to Improve Medical Team Disaster Performance in Austere Environments
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Lancer A. Scott, Kemp Anderson, Janelle Sourbeer, Layne Madden, Diann Krywko, Evert Eriksson, Dan Fisher (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Survey of Hand and Upper-Extremity Injuries among Rock Climbers
Publication date: September 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 3 Author(s): Clayton E. Nelson, Ghazi M. Rayan, Dustin I. Judd, Kai Ding, Julie A. Stoner (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Thermoregulation During Extended Exercise in the Heat: Comparisons of Fluid Volume and Temperature
Conclusions The temperature of consumed fluids may be as important as the volume for the management of thermoregulation and other physiological responses for extended work in hot environments. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research

Point-of-use Unit Based on Gravity Ultrafiltration Removes Waterborne Gastrointestinal Pathogens from Untreated Water Sources in Rural Communities
Conclusion This study demonstrated that point-of-use filters using gravity-fed ultrafilters are a low-cost, effective water treatment technology for water of poor microbial quality. However, further identification of the sources and mechanisms by which water is contaminated when stored after treatment will help with designing and implementing better strategies for keeping water safe for domestic use. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2016 Category: Environmental Health Source Type: research