Tactical Combat Casualty Care: Beginnings
Publication date: Available online 9 March 2017 Source:Wilderness & Environmental Medicine Author(s): Frank K. Butler Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity hemorrhage, a leading cause of preventable death on the battlefield, was not being treated with a readily available and highly effective intervention: the tourniquet. This insight prompt...
Source: Wilderness and Environmental Medicine - March 9, 2017 Category: Environmental Health Source Type: research

Tactical Combat Casualty Care: Transitioning Battlefield Lessons Learned to Other Austere Environments
Publication date: Available online 9 March 2017 Source:Wilderness & Environmental Medicine Author(s): Brad Bennett, Ian Wedmore, Frank Butler (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 9, 2017 Category: Environmental Health Source Type: research

The Transition to the Committee on Tactical Combat Casualty Care
This article discusses the formation of the Committee on Tactical Combat Casualty Care (CoTCCC) and the changes to the original guidelines that constituted the first update. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - March 8, 2017 Category: Environmental Health Source Type: research

2016 Wilderness & amp; Environmental Medicine Peer Reviewers
Publication date: Available online 30 January 2017 Source:Wilderness & Environmental Medicine Author(s): Alicia Byrne (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 15, 2017 Category: Environmental Health Source Type: research

Turning Submissions Into a Journal
Publication date: Available online 2 February 2017 Source:Wilderness & Environmental Medicine Author(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 3, 2017 Category: Environmental Health Source Type: research

In reply to Drs Sikri, Bhattachar, and Thapa
Publication date: Available online 1 February 2017 Source:Wilderness & Environmental Medicine Author(s): James S. Lawrence, Stephen A. Reid (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 1, 2017 Category: Environmental Health Source Type: research

Lymphangitis from Scolopendra heros Envenomation: The Texas Redheaded Centipede
We present a case of an elderly man who came to the emergency department with lymphangitis and dermatitis secondary to a centipede sting that awoke him from sleep. It is important to recognize the potential of centipede envenomation to have severe local and systemic manifestations. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 11, 2017 Category: Environmental Health Source Type: research

On Rope Looking Up
Publication date: Available online 10 January 2017 Source:Wilderness & Environmental Medicine Author(s): Joshua E. Lane (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 10, 2017 Category: Environmental Health Source Type: research

Severe Hemorrhagic Syndrome After Lonomia Caterpillar Envenomation in the Western Brazilian Amazon: How Many More Cases Are There?
Publication date: Available online 10 January 2017 Source:Wilderness & Environmental Medicine Author(s): João Hugo A. Santos, Sâmella S. Oliveira, Eliane C. Alves, Iran Mendonça-da-Silva, Jacqueline A.G. Sachett, Antonio Tavares, Luiz Carlos Ferreira, Hui Wen Fan, Marcus V.G. Lacerda, Wuelton M. Monteiro Contact with Lonomia caterpillars can cause a hemorrhagic syndrome. In Brazil, Lonomia obliqua and Lonomia achelous are known to cause this venom-induced disease. In the Brazilian Amazon, descriptions of this kind of envenomation are scarce. Herein, we report a severe hemorrhagic syndrome cause...
Source: Wilderness and Environmental Medicine - January 10, 2017 Category: Environmental Health Source Type: research

On Trails: An Exploration, Robert Moor. Simon & amp; Schuster, New York, NY (2016)
Publication date: Available online 28 December 2016 Source:Wilderness & Environmental Medicine Author(s): Cindy Bitter (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 29, 2016 Category: Environmental Health Source Type: research

Littered Cans —Death Trap of Snakes
Publication date: Available online 15 December 2016 Source:Wilderness & Environmental Medicine Author(s): Subhendu Mallik, Sudipta Ranjan Singh, Indramani Nath (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 16, 2016 Category: Environmental Health Source Type: research

In Response to Risk Determinants of Acute Mountain Sickness by Lawrence and Reid
Publication date: Available online 6 December 2016 Source:Wilderness & Environmental Medicine Author(s): Gaurav Sikri, Srinivasa Bhattachar, Bikalp Thapa (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 7, 2016 Category: Environmental Health Source Type: research

Clinical and Epidemiological Aspects of Scorpionism in the World: A Systematic Review
Conclusions The large number of scorpion stings worldwide is concerning and reaffirms the need for new prevention measures and policies to reduce the incidence, prevalence, morbidity, and mortality rates from these poisonous arachnids. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 30, 2016 Category: Environmental Health Source Type: research

Circadian Rhythm and Sleep During Prolonged Antarctic Residence at Chinese Zhongshan Station
Conclusions Our results indicate that during polar nights Chinese expeditioners experienced the following problems: delayed circadian rhythm and sleep phase, later chronotype, and incidence of subsyndromal seasonal affective disorder. An appropriate combination of artificial bright light during dark winter months and a strict social schedule are recommended in a winter-over station in Antarctica. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 30, 2016 Category: Environmental Health Source Type: research

Ethics and Oversight in Publication
Publication date: December 2016 Source:Wilderness & Environmental Medicine, Volume 27, Issue 4 Author(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 30, 2016 Category: Environmental Health Source Type: research

Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon contortrix)
Publication date: Available online 18 November 2016 Source:Wilderness & Environmental Medicine Author(s): Michael P. Emswiler, F. Phillip Griffith, Kirk L. Cumpston Over 14,000 copperhead (Agkistrodon contortrix) bites were reported to United States poison centers between 1983 and 2008, and 1809 cases were reported to poison centers in 2014. The copperhead is primarily found in the southeastern United States and belongs to the pit viper subfamily Crotalinae, which also includes the water moccasin (Agkistrodon piscivorus) and rattlesnakes (Crotalus and Sistrurus genera). Postmortem rattlesnakes have been reported t...
Source: Wilderness and Environmental Medicine - November 19, 2016 Category: Environmental Health Source Type: research

Inclined Wind Tunnel for the Study of Human and Large Animal Flight
Publication date: Available online 18 November 2016 Source:Wilderness & Environmental Medicine Author(s): Anton Westman, Peter Georén, Johan Strömberg (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 19, 2016 Category: Environmental Health Source Type: research

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