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Family Medicine Patient and Physician Attitudes Toward Climate Change and Health in Wisconsin
ConclusionsPatients and physicians are concerned about climate change and its health implications. Patient data reveals that physicians are highly trusted but underutilized sources. However, physicians are unsure of their role in addressing this topic. Thus, a large opportunity exists for family physicians to educate patients on the emerging issue of climate change and health. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 6, 2019 Category: Environmental Health Source Type: research

Age and Sex Are Strongly Correlated to the Rate and Type of Mountain Injuries Requiring Search and Rescue Missions
ConclusionsSex and age are associated with the mechanisms and severity of injuries in the mountain environment. They should be considered in the development of appropriate prevention and response programs. Further studies are needed to confirm the results. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 6, 2019 Category: Environmental Health Source Type: research

Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester
Publication date: Available online 5 November 2019Source: Wilderness & Environmental MedicineAuthor(s): Jessica Yano, Matthew Zerden, Benjamin GermanSnake envenomation during pregnancy is an uncommon emergency with several potential complications associated with the poisoning and its treatment. This case discusses a 27-y-old gravida 3, para 1102 (3 total pregnancies, 1 term birth, 1 premature birth, 0 abortions, 2 living births, twins) at 36 wk gestation who was bitten by a presumed Agkistrodon contortrix (copperhead snake). She had worsening pain and swelling in the right lower limb. Crotalidae polyvalent immune Fab was a...
Source: Wilderness and Environmental Medicine - November 6, 2019 Category: Environmental Health Source Type: research

Fresh Low Titer O Whole Blood Transfusion in the Austere Medical Environment
Publication date: Available online 3 November 2019Source: Wilderness & Environmental MedicineAuthor(s): Alison Matthews, Steven G. Schauer, Andrew D. FischerMassive hemorrhage is an immediate threat to life. The military developed the Tactical Combat Casualty Care guidelines to address the management of acute trauma, including administration of blood products. The guidelines have been expanded to include low titer O whole blood, which is in limited use by the military. This proposal describes how the transfusion of fresh whole blood might be applied to the remote civilian environment. In doing so, this life-saving interven...
Source: Wilderness and Environmental Medicine - November 4, 2019 Category: Environmental Health Source Type: research

Clinical Findings Associated with Ornithodoros brasiliensis Tick Parasitism in Travelers, Southern Brazil
We report a series of clinical cases associated with parasitism by the Ornithodoros brasiliensis tick in a group of travelers in the Caxias do Sul municipality, Southern Brazil. These cases draw attention to underdiagnosed noninfectious syndromes caused by ticks with restricted local distributions. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 2, 2019 Category: Environmental Health Source Type: research

Heightened Immune Response to Presumed Loxosceles reclusa Envenomation
Publication date: Available online 2 November 2019Source: Wilderness & Environmental MedicineAuthor(s): Kristin M. Schmid, Matthew R. Treaster, Christopher Barrios, Chenchen Zhang, Anthony J. ScalzoLoxoscelism is a systemic inflammatory reaction in response to a brown recluse spider bite (BRSB). In this case we describe a patient with a heightened inflammatory response to a presumed BRSB, with Coomb’s positive hemolysis, cytoplasmic antineutrophil cytoplasmic antibody (cANCA) vasculitis, and features of hemophagocytic lymphohistiocytosis (HLH). A 24-y-old female presented with sudden pain and swelling to her lower back, ...
Source: Wilderness and Environmental Medicine - November 2, 2019 Category: Environmental Health Source Type: research

Sources for Altitude Illness Information for Trekkers in the Himalayas
ConclusionsIn this group of trekkers in the Himalayas, the Internet was the most common source of information on altitude illness prevention and management. Trekkers using Internet sources were slightly younger than non-Internet users. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2019 Category: Environmental Health Source Type: research

An Introduction From the Co-Chairs of the Wilderness Medical Society Clinical Practice Guidelines Committee
Publication date: Available online 28 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Christopher Davis, Michael Caudell, Tracy Cushing (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2019 Category: Environmental Health Source Type: research

Emergency Airways After Himalayan Black Bear Attacks in Bhutan
ConclusionsThe use of highly trained HEMS critical care retrieval teams may improve outcomes in critically injured patients who require time-critical airway management in remote areas. Countries such as Bhutan with populations far from emergency and critical care might benefit from the establishment of HEMS critical care retrieval services. HEMS teams providing care while retrieving patients from austere environments should be expert in emergency airway management. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2019 Category: Environmental Health Source Type: research

Intestinal Evisceration in Children From the Bite of the Domestic Pig, Sus scrofa domesticus: A Report of Two Cases
We report 2 separate cases of children managed at our institution who sustained abdominal injuries after attack by domestic pigs in rural Zimbabwe. Both incidents occurred at home in remote rural areas with long prehospital transport times. Initial resuscitative interventions were performed in both cases in the prehospital setting and at poorly resourced peripheral hospitals before referral. Prophylactic antibiotics were also given in both cases. Laparotomy was performed for both patients. Reduction of eviscerated bowel, exploratory laparotomy, and peritoneal lavage were performed with closure of the abdominal wounds. No s...
Source: Wilderness and Environmental Medicine - October 29, 2019 Category: Environmental Health Source Type: research

Wilderness Medical Society Clinical Practice Guidelines for the Treatment and Prevention of Drowning: 2019 Update
Publication date: Available online 25 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Andrew C. Schmidt, Justin R. Sempsrott, Seth C. Hawkins, Ali S. Arastu, Tracy A. Cushing, Paul S. AuerbachThe Wilderness Medical Society convened a panel to review available evidence supporting practices for acute management and treatment of drowning in out-of-hospital and emergency medical care settings. Literature about definitions and terminology, epidemiology, rescue, resuscitation, acute clinical management, disposition, and drowning prevention was reviewed. The panel graded available evidence supporting practices a...
Source: Wilderness and Environmental Medicine - October 26, 2019 Category: Environmental Health Source Type: research

Handling the Thorny Issue of Coauthorship in Scientific Publishing
Publication date: Available online 24 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 25, 2019 Category: Environmental Health Source Type: research

Leaf-Cutter Ants in Wound Closure
Publication date: Available online 24 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Hillary E. Davis (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 25, 2019 Category: Environmental Health Source Type: research

Evaluation of Rock Climbing Related Injuries in Older Athletes
ConclusionsCompared to younger athletes, older rock climbers demonstrate a higher proportion of overuse injuries, especially degenerative conditions. Profound knowledge of climbing injuries patterns and conditions in older rock climbers is crucial to prevent injuries among all age groups and to decrease the number of degenerative injuries. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 25, 2019 Category: Environmental Health Source Type: research

Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Austere Situations
Publication date: Available online 23 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Howard D. Backer, Robert W. Derlet, Vincent R. HillTo provide guidance to clinicians, the Wilderness Medical Society convened experts to develop evidence-based guidelines for water disinfection in situations where the potability of available water is not ensured, including wilderness and international travel, areas affected by disaster, and other areas without adequate sanitation. The guidelines present the available methods for reducing or eliminating microbiologic contamination of water for individuals, groups, or hous...
Source: Wilderness and Environmental Medicine - October 25, 2019 Category: Environmental Health Source Type: research