Sources for Altitude Illness Information for Trekkers in the Himalayas
Publication date: Available online 28 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Brian M. Strickland, Nicholas C. KanaanAbstractIntroductionEducational materials are important tools in the prevention of altitude illness among individuals traveling to high altitude destinations. Travelers obtain information about altitude illness from many different educational resources. Our objective was to determine which educational resources for altitude illness prevention were used by trekkers on the Everest Base Camp trek and Annapurna Circuit. We also sought to compare which resources were used by individu...
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 practic...
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
Publication date: Available online 24 October 2019Source: Wilderness & Environmental MedicineAuthor(s): Christoph Lutter, Thilo Hotfiel, Thomas Tischer, Robert Lenz, Volker SchöfflIntroductionWith the growing enthusiasm from people of all ages about rock climbing and bouldering, adaptions and medical conditions of the older athlete have become increasingly important. We aimed to analyze injury demographics, distribution, and severity for the older rock-climbing athlete.MethodsDuring a 3-y period, we performed a single-center injury surveillance in athletes ≥ 35 y of age presenting with rock climbing–...
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 ...
Source: Wilderness and Environmental Medicine - October 25, 2019 Category: Environmental Health Source Type: research

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia
We report a case of an adult male who presented with a large lower extremity wound after a crocodile bite. The patient was managed with initial debridement and irrigation and serial wound care entirely under regional anesthesia at the bedside. The patient did not develop wound infection, eventually receiving a skin graft with good functional outcomes. Regional anesthesia techniques are increasingly being used in the trauma setting, and their versatility allows for their use in multiple settings, by practitioners with limited experience and in resource-limited environments. No specific guidelines exist for performance of ne...
Source: Wilderness and Environmental Medicine - October 23, 2019 Category: Environmental Health Source Type: research

Time Course of Hoist Operations by the Search and Rescue Helicopter Service in Southeast Norway
ConclusionsHoist rescue was performed in 10% (148) of the SAR operations. New information about hoist extrication time intervals can improve rescue helicopter dispatch accuracy. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 23, 2019 Category: Environmental Health Source Type: research

Endemic North American Plants as Potentially Suitable Agents for Wound Cleaning Under Resource Scarce Conditions
ConclusionsThese data suggest that both St. John’s wort and white oak are potential candidates for infection prophylaxis and therapy in austere wilderness scenarios, with St. John’s wort being the more potent agent. White oak may be more logistically feasible because the larger surface area of a white oak tree allows for harvesting a larger quantity of bark compared to the smaller surface area of the St. John’s wort plant. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 19, 2019 Category: Environmental Health Source Type: research

Risk of Burns During Active External Rewarming for Accidental Hypothermia
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 risk reduced if 1) manufacturer instructions are followed; 2) insulation is placed between the skin the and heat source; and 3) caregivers make regular efforts to observe heated skin for possible pending burn injury. Direct inspection is mandatory for the skin of areas that are on top of a heat source when the ...
Source: Wilderness and Environmental Medicine - September 30, 2019 Category: Environmental Health Source Type: research

Characteristics and Motivating Factors of Attendees of a Regional Student-Run Wilderness Medicine Conference
Publication date: Available online 28 September 2019Source: Wilderness & Environmental MedicineAuthor(s): Christina M. Stuart, Kailey C. Tindle, Lara L. PhillipsDespite 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 event. Results of the survey were analyzed to determine the demographic characteristics and motivating factors for attendance, as well as perceived ...
Source: Wilderness and Environmental Medicine - September 30, 2019 Category: Environmental Health Source Type: research

Photoperiod Impact on a Sailor’s Sleep-Wake Rhythm and Core Body Temperature in Polar Environment
Publication date: Available online 10 September 2019Source: Wilderness & Environmental MedicineAuthor(s): Kévin de Blasiis, Benoit Mauvieux, Charlotte Elsworth-Edelsten, Thierry Pezé, Romain Jouffroy, Rémy HurdielIntroductionStudies have reported circadian desynchronizations and sleep disruptions in onshore populations in the Arctic during the polar day. Although the Arctic region is becoming more accessible by sea and evidence is growing to implicate the importance of fatigue in sailing accidents, no study related to circadian disruptions has focused on sailors. The aim of this study was to observ...
Source: Wilderness and Environmental Medicine - September 10, 2019 Category: Environmental Health Source Type: research

Assessing the Validity of Bioelectrical Impedance and Skinfold Calipers for Measuring Body Composition in NOLS Backcountry Hikers
ConclusionsThis study shows that the skinfold caliper and the Tanita scale give measurements comparable to the less readily available and more costly Bod Pod measurement in backcountry expedition participants. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 7, 2019 Category: Environmental Health Source Type: research

Dermatological Progression of a Probable Box Jellyfish Sting
Publication date: Available online 30 August 2019Source: Wilderness & Environmental MedicineAuthor(s): Paul S. Auerbach, Deepak Gupta, Karen Van Hoesen, Adriana ZavalaThis case report describes the typical features of the dermatological progression of a patient stung by a (probable) box jellyfish. The purpose is to guide clinicians and patients to an understanding of what to expect after such a sting using the clinical narrative and unique sequential photographs of the injury. With knowledgeable consultation from experienced physicians and meticulous care, this envenomation healed without the need for skin grafting. (S...
Source: Wilderness and Environmental Medicine - August 31, 2019 Category: Environmental Health Source Type: research

Arthropod Bites and Stings Treated in Emergency Departments: Recent Trends and Correlates
ConclusionsThese results provide updated surveillance on the prevalence and correlates of arthropod bites and stings in the US population. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 10, 2019 Category: Environmental Health Source Type: research

In Reply to Dr Bennett
Publication date: Available online 8 August 2019Source: Wilderness & Environmental MedicineAuthor(s): Scott E. McIntosh, Mika Hemphill, Marion C. McDevitt, Tsering Yangzom Gurung, Mukhiya Ghale, Jonathan R. Knott, Ghan Bahadur Thapa, Buddha Basnyat, Jennifer Dow, David C. Weber, Colin K. Grissom, The RADICAL author team (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 10, 2019 Category: Environmental Health Source Type: research

In Response to Estimating Creatinine in Ultramarathon Runners by Little et al
Publication date: Available online 9 August 2019Source: Wilderness & Environmental MedicineAuthor(s): Wojciech Wołyniec, Renke Marcin, Wojciech Ratkowski (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 10, 2019 Category: Environmental Health Source Type: research

The Insignificance of Significance in Scientific Reporting
Publication date: Available online 7 August 2019Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 7, 2019 Category: Environmental Health Source Type: research

Evaluation of Scorpion Envenomation by Tityus trivittatus in Adults: An Analysis of Variables Related to Severity of Clinical Presentation
Publication date: Available online 25 July 2019Source: Wilderness & Environmental MedicineAuthor(s): Natalia E. Frassone, James S. Ford, Diana Villalon, Andrés Barnes, Jose D. Debes, Leonardo G. MarianelliIntroductionIn Argentina, the scorpion species Tityus trivittatus has been the species most commonly associated with serious injury and death.MethodsWe performed a retrospective study of cases of T trivittatus envenomation that presented to the emergency department at an infectious disease hospital in Cordoba, Argentina, between December 2014 and February 2015. All cases were taxonomically confirmed using crite...
Source: Wilderness and Environmental Medicine - July 25, 2019 Category: Environmental Health Source Type: research

The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan
ConclusionsThis retrospective study revealed simultaneity between the introduction of the yearly meetings and a reduced duration of the HEMS staff's activity at either the scene or the first aid hospital. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - July 22, 2019 Category: Environmental Health Source Type: research

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite: 2019 Update
We present a review of pertinent pathophysiology. We then discuss primary and secondary prevention measures and therapeutic management. Recommendations are made regarding each treatment and its role in management. These recommendations are graded on the basis of the quality of supporting evidence and balance between the benefits and risks or burdens for each modality according to methodology stipulated by the American College of Chest Physicians. This is an updated version of the guidelines published in 2014. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - July 18, 2019 Category: Environmental Health Source Type: research

Emergency Medical Training for the Commercial Fishing Industry: An Expanded Role for Wilderness Medicine
This article describes the conception, implementation, and evaluation of a wilderness medicine–based first aid class for the commercial fishing industry. Commercial fishing is a dangerous occupation in the United States. Currently, commercial fishermen often only have access to basic first aid classes. Because of its focus on austere environments, hazardous conditions, and distance from definitive medical care—hallmarks of commercial fisheries—wilderness medicine offers a more appropriate approach to decreasing morbidity and mortality in the industry. A 2-d, 16-h pilot wilderness medicine course for comme...
Source: Wilderness and Environmental Medicine - July 12, 2019 Category: Environmental Health Source Type: research

Risk of Death and Major Injury from Natural Winter Hazards in Helicopter and Snowcat Skiing in Canada
ConclusionWe recommend the design of an industry-wide incident and near-miss reporting system to support evidence-based improvements of safety practices. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - July 12, 2019 Category: Environmental Health Source Type: research

Pediatric High Altitude Cerebral Edema in the Nepal Himalayas
We report on 2 cases of suspected HACE in 2 patients, aged 12 and 16 y, who presented to the Manang Himalayan Rescue Association clinic at 3500 m. The 16-y-old patient presented with severe headache, vomiting, and ataxia after rapid ascent to 3800 m. The 12-y-old patient presented with severe headache, vomiting, visual disturbances, and ataxia at 4500 m, which began to resolve with descent to the clinic at 3500 m. Our cases suggest that HACE can occur in children and adolescents. Because there are no specific guidelines for treatment of acute mountain sickness or HACE in patients under the age of 18 y, we recommend treatme...
Source: Wilderness and Environmental Medicine - July 12, 2019 Category: Environmental Health Source Type: research

The Seven Continents Marathon Club
Publication date: Available online 9 July 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - July 9, 2019 Category: Environmental Health Source Type: research

DNA from Tooth Embedded in Man's Foot Resolves Quarter-Century-Old Shark Bite Mystery
Publication date: Available online 1 July 2019Source: Wilderness & Environmental MedicineAuthor(s): Lei Yang, John S.S. Denton, Shannon Corrigan, Tyler B.T. Bowling, Gavin J.P. Naylor (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - July 3, 2019 Category: Environmental Health Source Type: research

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update
Publication date: Available online 24 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Andrew M. Luks, Paul S. Auerbach, Luanne Freer, Colin K. Grissom, Linda E. Keyes, Scott E. McIntosh, George W. Rodway, Robert B. Schoene, Ken Zafren, Peter H. HackettTo provide guidance to clinicians about best preventive and therapeutic practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supp...
Source: Wilderness and Environmental Medicine - June 25, 2019 Category: Environmental Health Source Type: research

Recovery of Heart Rate Variability After Exercise Under Hot Conditions: The Effect of Relative Humidity
ConclusionsStress score and sympathetic/parasympathetic ratio seem to be the best HRV predictors of internal load. Although there are no differences in HRV during recovery at the same time points in both conditions, the recovery is slower after exercise in HH than in HD. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 25, 2019 Category: Environmental Health Source Type: research

Cougar (Puma concolor) Injury in the United States
Publication date: Available online 25 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Yoyo Y. Wang, Thomas G. Weiser, Joseph D. ForresterIntroductionHuman encounters with the cougar (Puma concolor) are rare in the United States but may be fatal.MethodsWe performed a retrospective analysis of cougar attacks in the United States. We asked Fish and Wildlife Department officials from the 16 states in which cougars are known to live to identify all verified cougar attacks recorded in state history. Variables describing the human victim, cougar, and conditions surrounding the attack were recorded. The Fisher e...
Source: Wilderness and Environmental Medicine - June 25, 2019 Category: Environmental Health Source Type: research

In Response to Reduced Acetazolamide Dose for AMS by McIntosh et al
Publication date: Available online 25 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Robert Bennett (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 25, 2019 Category: Environmental Health Source Type: research

High Altitude Deterioration: A Historical Essay
Publication date: Available online 20 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Harvey V. LankfordThis wilderness essay about high altitude deterioration will explore the historical mountaineering and medical literature with a limited discussion of physiology. The writings of mountaineers and physician-mountaineers provide an evocative supporting narrative to illustrate one of the problems of living at altitude. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 21, 2019 Category: Environmental Health Source Type: research

Friction Blister by Climbing Harness: A Case Report
Publication date: Available online 20 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Subarna Adhikari, Suvash Dawadi, Jenisha UpadhyayAn experienced 24-y-old climber on Mount Everest presented to the Base Camp medical clinic with a friction blister on his right flank. The blister was filled with clear fluid and was located about 3 cm posterior and 3 cm superior to the highest point of the right iliac crest, the site where a climbing harness would support the climber while hanging. A diagnosis of friction blister caused by a climbing harness used while traversing between Camp 2 and Camp 3 of Mount Everes...
Source: Wilderness and Environmental Medicine - June 21, 2019 Category: Environmental Health Source Type: research

Successful Management of Two Patients with Intracranial Hemorrhage due to Carpet Viper (Echis ocellatus) Envenomation in a Limited-Resource Environment
We present 2 cases of E ocellatus envenomation with intracranial hemorrhage seen at a rural hospital in Bembèrèkè, Benin, and describe the successful management of these patients in a limited-resource setting. In one case the patient was treated with an ineffective Indian-made antivenom before evaluation by the authors and continued to deteriorate until she was treated with effective antivenom 10 d after the bite. In both cases lumbar puncture was performed for diagnostic or therapeutic purposes with good effect, and both patients made full recoveries without sequelae. These cases demonstrate the remar...
Source: Wilderness and Environmental Medicine - June 21, 2019 Category: Environmental Health Source Type: research

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update
We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both field- and hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks or burdens for each modality. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Treatment and Prevention of Heat-Related Illness published in 2013. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 18, 2019 Category: Environmental Health Source Type: research

The Reliability of Noninvasive Blood Pressure Measurement through Layers of Autumn/Winter Clothing: a Prospective Study
ConclusionsOur findings confirm that it is possible to perform reliable NIBP measurements over 2 and 3 layers of autumn/winter clothing. Measuring NIBP with a clothed arm does not show clinical or statistically significant differences in comparison with measurements performed on the bare arm. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 18, 2019 Category: Environmental Health Source Type: research

Catfish Bite Case Report
Publication date: Available online 18 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Lawrence LeBlondAlthough 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 consuming aquatic animals. Susceptible to all gram-negative active antibiotics, it is easily treated except in immunocompromised hosts, such as those with malignancy, diabetes, and hepatic dy...
Source: Wilderness and Environmental Medicine - June 18, 2019 Category: Environmental Health Source Type: research

An Occupational Health Survey of British Mountain Guides Operating Internationally
ConclusionsMusculoskeletal problems are the main occupational health problems experienced by the study group. New findings include a low but important prevalence of ultraviolet radiation–associated conditions. One in 3 guides have experienced significant psychological trauma, and one quarter of these had symptoms of PTSD. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 15, 2019 Category: Environmental Health Source Type: research

Cold Water Immersion Syndrome and Whitewater Recreation Fatalities
Publication date: Available online 6 June 2019Source: Wilderness & Environmental MedicineAuthor(s): David J. Farstad, Julie A. DunnSudden death during whitewater recreation often occurs through understandable mechanisms such as underwater entrapment or trauma, but poorly defined events are common, particularly in colder water. These uncharacterized tragedies are frequently called flush drownings by whitewater enthusiasts. We believe the condition referred to as cold water immersion syndrome may be responsible for some of these deaths. Given this assumption, the physiologic alterations contributing to cold water immersi...
Source: Wilderness and Environmental Medicine - June 7, 2019 Category: Environmental Health Source Type: research

Using an Unmanned Aircraft System (Drone) to Conduct a Complex High Altitude Search and Rescue Operation: a Case Study
Publication date: Available online 4 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Jake N. McRae, Christopher J. Gay, Brandon M. Nielsen, Andrew P. HuntUnmanned aircraft systems, also known as unmanned aerial vehicles or drones, are becoming increasingly common consumer products; their potential applications to search and rescue operations are becoming ever more apparent. A consumer drone was used to locate a mountaineer after he and his climbing partner were separated while summiting Broad Peak in the Karakoram Mountains of northeastern Pakistan, the world's 12th highest summit. The use of a commercia...
Source: Wilderness and Environmental Medicine - June 4, 2019 Category: Environmental Health Source Type: research

ERRATUM in Wilderness Environ Med. 30/1
Publication date: Available online 4 June 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 4, 2019 Category: Environmental Health Source Type: research

Challenges of Remote Medical Care in South Sudan: Centipede Bites
This report aims to add to the local literature; because of decades of internal conflict and poor infrastructure, reporting of health data from South Sudan is severely lacking. Further investigation into the pharmacological variation and activity of toxic peptides in centipede venom is recommended. As it stands, this case provides additional information on potential effects of centipede envenomation that should be useful to any healthcare providers preparing for the delivery of remote medical care throughout the Great Upper Nile region. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 1, 2019 Category: Environmental Health Source Type: research

Human Responses to 5 Heated Hypothermia Wrap Systems in a Cold Environment
Publication date: Available online 2 May 2019Source: Wilderness & Environmental MedicineAuthor(s): Ramesh Dutta, Kartik Kulkarni, Alan M. Steinman, Phillip F. Gardiner, Gerren K. McDonald, Gordon G. GiesbrechtIntroductionWe compared the effectiveness of 5 heated hypothermia wrap systems.MethodsPhysiologic and subjective responses were determined in 5 normothermic subjects (1 female) for 5 heated hypothermia wraps (with vapor barrier and chemical heat sources) during 60 min of exposure to a temperature of −22°C. The 5 systems were 1) user-assembled; 2) Doctor Down Rescue Wrap; 3) Hypothermia Prevention and Man...
Source: Wilderness and Environmental Medicine - May 4, 2019 Category: Environmental Health Source Type: research

Chemical Heat Packs as an Intervention to Prolong Ultrasound Battery Runtime
Publication date: Available online 2 May 2019Source: Wilderness & Environmental MedicineAuthor(s): Steven Roy, Ryck K. Schielke, Daniel Haffey, Heather CoombsIntroductionPoint-of-care ultrasonography is a burgeoning field of practice and study. Although point-of-care ultrasonography has started to penetrate the field of wilderness medicine, its use in cold environments is often limited by poor battery performance. In the current study, we investigated the effect of chemical foot warmers on battery runtime of handheld ultrasound machines in cold weather.MethodsThis prospective study used a balanced, crossover randomizat...
Source: Wilderness and Environmental Medicine - May 4, 2019 Category: Environmental Health Source Type: research

Environmental Deaths in the Northern Territory of Australia, 2003–2018
ConclusionsThe Northern Territory has a challenging environment that is hot, humid, remote, and isolated. Circumstantial information and thorough police investigations are essential in the medicolegal investigation of environmental deaths. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 28, 2019 Category: Environmental Health Source Type: research

In Reply to Drs McAnaney and Ganti
Publication date: Available online 24 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Joseph A. Sol, Joseph W. Domitrovich, Brent C. Ruby, Steven E. Gaskill, Charles L. Dumke (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 25, 2019 Category: Environmental Health Source Type: research

The Evolution to Prospective Research in Wilderness Medicine
Publication date: Available online 22 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2019 Category: Environmental Health Source Type: research

Introduction to Mountain Rescue Casualty Care and the Undergraduate Medical Elective
Publication date: Available online 22 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Steve Donelan (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2019 Category: Environmental Health Source Type: research