Jellyfish Blooms Causing Mass Envenomations in Aquatic Marathonists: Report of Cases in S and SE Brazil (SW Atlantic Ocean)
Publication date: Available online 12 January 2018 Source:Wilderness & Environmental Medicine Author(s): Vidal Haddad, André C. Morandini, Lucia E. Rodrigues (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

Update on the Epidemiology of Scorpion Envenomation in the South of Tunisia
Conclusion This study found that the outcome of scorpion-stung patients has clearly improved. This enhancement can be explained by early medical consultation and standardized management of patients with predictive factors for cardiac dysfunction. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

Acetazolamide Use in Ultrarunners at Altitude: Issues with Doping
Publication date: Available online 12 January 2018 Source:Wilderness & Environmental Medicine Author(s): Suvash Dawadi (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

Cutaneous Vascular Responses of the Hands and Feet to Cooling, Rewarming, and Hypoxia in Humans
Conclusion The earlier vasoconstrictor response and later release of vasoconstriction in the finger during hypoxic conditions may result in a greater dose of cold to that digit, taking longer to rewarm following the release of vasoconstriction. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

An Effective Treatment in the Austere Environment? A Critical Appraisal into the Use of Intra-Articular Local Anesthetic to Facilitate Reduction in Acute Shoulder Dislocation
The objective of this systematic review of the literature was to determine if intra-articular local anesthetic (IAL) is an effective treatment that could have prehospital application. A methodical search of MEDLINE, PubMed, and EMBASE databases targeted publications from January 1, 1990 until January 1, 2017. Eligible articles compared IAL with other analgesic techniques in patients 16 years or older experiencing acute glenohumeral dislocation. Reduction success, complications, and patient-reported outcome measures underwent comparison. All identified publications originated from the hospital setting. Procedural success ra...
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

An Iconic Pit Viper of the Central American Rainforests
Publication date: Available online 17 January 2018 Source:Wilderness & Environmental Medicine Author(s): Pablo Deschepper, Raf Aerts (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

An Update on Fatalities Due to Venomous and Nonvenomous Animals in the United States (2008 –2015)
Conclusions Appropriate education and prevention measures aimed at decreasing injury from animals should be directed at the high-risk groups of agricultural workers and young children with dogs. Public policy and treatment pricing should align to ensure adequate available medication for those at risk of anaphylaxis from stings from Hymenoptera. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

Journal Shopping and Pruning the Literature
Publication date: Available online 19 January 2018 Source:Wilderness & Environmental Medicine Author(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

2017 Wilderness & amp; Environmental Medicine Peer Reviewers
Publication date: Available online 19 January 2018 Source:Wilderness & Environmental Medicine Author(s): Alicia Byrne (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 30, 2018 Category: Environmental Health Source Type: research

Amatoxin-Containing Mushroom Poisonings: Species, Toxidromes, Treatments, and Outcomes
Publication date: Available online 8 January 2018 Source:Wilderness & Environmental Medicine Author(s): James H. Diaz Amatoxins are produced primarily by 3 species of mushrooms: Amanita, Lepiota, and Galerina. Because amatoxin poisonings are increasing, the objective of this review was to identify all amatoxin-containing mushroom species, present a toxidromic approach to earlier diagnoses, and compare the efficacies and outcomes of therapies. To meet these objectives, Internet search engines were queried with keywords to select peer-reviewed scientific articles on amatoxin-containing mushroom poisoning and managem...
Source: Wilderness and Environmental Medicine - January 9, 2018 Category: Environmental Health Source Type: research

Common Bite —Bizarre Rash
Publication date: Available online 5 January 2018 Source:Wilderness & Environmental Medicine Author(s): Simant Singh Thapa, Buddha Basnyat (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 6, 2018 Category: Environmental Health Source Type: research

Use of a Parabolic Microphone to Detect Hidden Subjects in Search and Rescue
Conclusions Use of a 66-cm (26-inch) parabolic microphone significantly improved detection and comprehension of hidden calling subjects at distances between 322 and 2510 m when compared with unaided hearing. This study supports the use of a parabolic microphone in search and rescue to locate responsive subjects in favorable weather and terrain. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 6, 2018 Category: Environmental Health Source Type: research

ERRATUM in Wilderness Environ Med. 28/2S
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Death on the Dome: Epidemiology of Recreational Deaths on Half Dome in Yosemite National Park
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Gregory Richardson, Susanne Spano (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Cardiovascular Implantable Electronic Devices and SCUBA Diving: from Cardiac Electrophysiology Point of View
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Anthony Chang (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Mushroom Poisoning
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): William Brandenburg (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Apostle Islands National Lakeshore: a Review of Search and Rescue and Emergency Medical Services Operations, 2006 –2015
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Elan Small, Sarah Burbank, Jeanette Lorme, Karl Karlson, Timothy Erickson, David Young (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Technical Rescue Call Analysis of Roanoke County EMS for Creating WEMS Protocols
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Nathan Moore, Joshua Nichols, Stephanie Lareau (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

The Epidemiology and Medical Morbidity of Long-Distance Backpackers in the Sierra Nevada
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Philip Stalcup, Susanne Spano (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Preparedness and Reliance on Technology Among Climbers and Skiers in White Mountain National Forest
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Brian Lentz, Damian Stobierski, Eva Szymanski, Megan Hadley, Ryan Mason, Lisa Hile, David Hile (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Prevalence of the “Screaming Barfies” Among North American Ice Climbers
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Alexander Beyer, Arun Ganti, Brendan Byrne (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Oral L-Tyrosine Supplementation Improved Core Temperature Maintenance to Whole-Body Cold Exposure in Older Adults
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): James Lang, Jahyun Kim, Alex Krajek, Joel Rand (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Sleep Characterization at High Altitude
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Nicholas Kanaan, Caleb Phillips, Becky Higbee, David Pomeranz, Michael Shaheen, Kristin Fontes, Patrick Cain, Sean Wentworth, Carolyn Meyer, Grant Lipman (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Reduced Acetazolamide Dosing for Acute Mountain Sickness Prevention Study: A Comparison of 62.5 vs 125 mg BID (the RAD AMS prevention study)
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Scott McIntosh, Mika Hemphill, Marion McDevitt, Tsering Yangzom Gurung, Mukhiya Ghale, Jonathan Knott, Ghan Bahadur Thapa, Buddha Basnyat, Jennifer Dow, David Weber, Colin Grissom (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

Effect of Simulated Tree-well vs Avalanche Snow Burial on Core Temperature Cooling Rate
Publication date: December 2017 Source:Wilderness & Environmental Medicine, Volume 28, Issue 4 Author(s): Nicholas Kanaan, Joseph Krakker, Heather Beasley, Jeffrey Sorensen, Scott McIntosh, Colin Grissom (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - December 1, 2017 Category: Environmental Health Source Type: research

In Reply to Birkeland, Greene, and Logan
Publication date: Available online 31 October 2017 Source:Wilderness & Environmental Medicine Author(s): Brian Jekich, Jacob Nacht, Kurt Eifling, Martin Musi, Christopher Davis (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 1, 2017 Category: Environmental Health Source Type: research

Scientific Writing
Publication date: Available online 31 October 2017 Source:Wilderness & Environmental Medicine Author(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - November 1, 2017 Category: Environmental Health Source Type: research

In Reply to Drs Lipman and Hackett
Publication date: Available online 28 October 2017 Source:Wilderness & Environmental Medicine Author(s): Nicholas C. Kanaan, Alicia L. Peterson, Matiram Pun, Ghan B. Thapa, Aditya Tiwari, Bikash Basyal, Peter S. Holck, Jennifer Starling, Thomas F. Freeman, Jessica R. Gehner, Linda Keyes, Dana R. Levin, Catherine J. O’Leary, Katherine E. Stuart, Jared L. Velgersdyk, Ken Zafren, Buddha Basnyat (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 29, 2017 Category: Environmental Health Source Type: research

Knowledge of the Avalanche Victim Resuscitation Checklist and Utility of a Standardized Lecture in Italy
Conclusions Health care providers and mountain rescue personnel are not widely aware of avalanche guidelines. The standardized lecture significantly improved knowledge of the principles of avalanche management related to core AVReCh elements. However, the effect that this knowledge acquisition has on avalanche victim survival or adherence to the AVReCh in the field is yet to be determined. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 24, 2017 Category: Environmental Health Source Type: research

A Comprehensive Review of Hirudiniasis: From Historic Uses of Leeches to Modern Treatments of Their Bites
Publication date: Available online 10 October 2017 Source:Wilderness & Environmental Medicine Author(s): Jeremy Joslin, Amy Biondich, Kara Walker, Nicole Zanghi Exposure to leeches in the wilderness setting is common. Leeches may attach themselves to exposed skin or pass through one of the body’s orifices and attach internally. The condition of leech attachment is known as hirudiniasis, which can result in serious morbidity and, rarely, mortality. A comprehensive review of the literature was performed to detail the prevention of leech attachment, as well as both anecdotal and studied methods of removal. Comp...
Source: Wilderness and Environmental Medicine - October 10, 2017 Category: Environmental Health Source Type: research

Melting Ice and Boiling Water in the Mountains: A History and Physics Essay
Publication date: Available online 9 October 2017 Source:Wilderness & Environmental Medicine Author(s): Harvey V. Lankford, Leslie R. Fox (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - October 9, 2017 Category: Environmental Health Source Type: research

ERRATUM in Wilderness Environ Med. 28/2
Publication date: Available online 28 September 2017 Source:Wilderness & Environmental Medicine (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 29, 2017 Category: Environmental Health Source Type: research

A Puff of Spores
Publication date: Available online 28 September 2017 Source:Wilderness & Environmental Medicine Author(s): James H. Diaz (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 29, 2017 Category: Environmental Health Source Type: research

Recreational and Commercial Catfishing Injuries: A Review of the Literature
Publication date: Available online 28 September 2017 Source:Wilderness & Environmental Medicine Author(s): Courtney R.J. Kaar, Albert K. Nakanishi Catfish injuries are increasingly common from the recreational activities of hobbyists, fishermen, and “noodling” enthusiasts as well as in the commercial catfish industry, most commonly in Brazil. Injuries can range from mild skin abrasions to life-threatening infections and tissue damage requiring urgent treatment. Most injuries and subsequent morbidity associated with catfish encounters involve the dorsal and pectoral fins. These injuries are most often l...
Source: Wilderness and Environmental Medicine - September 28, 2017 Category: Environmental Health Source Type: research

The “Newbie” Syndrome
Publication date: Available online 22 September 2017 Source:Wilderness & Environmental Medicine Author(s): Volker Schöffl, Christoph Lutter (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 23, 2017 Category: Environmental Health Source Type: research

Colorful Mushroom Ingestion
Publication date: Available online 22 September 2017 Source:Wilderness & Environmental Medicine Author(s): James H. Diaz (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 23, 2017 Category: Environmental Health Source Type: research

In Response to Ibuprofen vs Acetaminophen in AMS Prevention by Kanaan et al
Publication date: Available online 22 September 2017 Source:Wilderness & Environmental Medicine Author(s): Grant S. Lipman, Peter Hackett (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 23, 2017 Category: Environmental Health Source Type: research

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers
Conclusion Arthroscopic repair of acute and chronic rotator cuff tears shows a good functional outcome, enabling most patients to regain a high level of rock climbing ability. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 21, 2017 Category: Environmental Health Source Type: research

Pulmonary Injury from Waterproofing Spray During a Hike
Publication date: Available online 15 September 2017 Source:Wilderness & Environmental Medicine Author(s): Tomonori Harada, Yukio Hirabayashi, Yuriko Takayama-Isagawa, Hiroto Sakamoto, Makoto Kawaishi, Hiroyuki Hara, Shin Aizawa A 48-year-old man developed general fatigue, dyspnea, and fever at an altitude of 1562 m from the morning of the first day of a 3-day hike. Despite pharyngeal discomfort and mild general fatigue, he felt that the symptoms were not sufficient to abandon his plan. He usually required 1.5 hours to reach Tokusawa (6.4 km from the starting point at an altitude of 1500 m), but this time he requi...
Source: Wilderness and Environmental Medicine - September 16, 2017 Category: Environmental Health Source Type: research

Improvised Hand Injury Treatment Using Traditional Veterinary Medicine in Ethiopia
We present a case of a 31-year-old man who fell off a horse while trekking through a remote mountain landscape in Ethiopia and sustained blunt force trauma to the hand. A local mountain hut keeper examined the patient’s hand and used heated leaves of the succulent plant Kalanchoe petitiana to treat a suspected metacarpal fracture. As first responder in a low-resource setting, the hut keeper relied on his traditional knowledge of ethnoveterinary medicine to improvise a treatment for a human injury in a remote mountain environment. Although in this case the outcome of the traditional intervention was positive, our anal...
Source: Wilderness and Environmental Medicine - September 15, 2017 Category: Environmental Health Source Type: research

Proton Pump Inhibitor Use Is Associated With a Reduced Risk of Infection with Intestinal Protozoa
Conclusions Patients taking a PPI were statistically less likely to have an intestinal protozoa reported on stool O & P examination compared with those not taking a PPI. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 13, 2017 Category: Environmental Health Source Type: research

Trends in Skin and Soft Tissue-Related Injuries in NOLS Wilderness Expeditions from 1984 to 2012
Conclusions Over this 28-year period, the incidence of soft tissue injuries associated with the most common activities decreased. Incidence of activity-independent injuries did not change significantly, but reported severity decreased. These data provide unique insights to help improve wilderness risk management for institutions and individuals and suggest areas in which educational efforts may further reduce risk. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 4, 2017 Category: Environmental Health Source Type: research

Inappropriate Dexamethasone Use by a Trekker in Nepal: A Case Report
We present a case of inappropriate dexamethasone use in a trekker in the Everest region of Nepal. We aim to increase awareness among health professionals of the possible use of this medication by trekkers and promote knowledge of potential complications. In this case, a previously altitude-naive trekker was prescribed prophylactic dexamethasone by physicians in a Western travel clinic before high-altitude trekking in Nepal. There were no indications for prophylactic medication nor for the use of dexamethasone. The trekker reported that no discussion regarding risks and benefits, alternatives, side effects, contraindication...
Source: Wilderness and Environmental Medicine - September 2, 2017 Category: Environmental Health Source Type: research

Avalanche Accident Resulting in Leg Amputation
Publication date: Available online 1 September 2017 Source:Wilderness & Environmental Medicine Author(s): Mathieu Pasquier, Christos Karatzios, Olivier Borens, Fabrice Coppex (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 2, 2017 Category: Environmental Health Source Type: research

Channel 7-7 PMR: A Radio Communication Initiative in Mountain-Related Emergencies in Spain
Publication date: Available online 1 September 2017 Source:Wilderness & Environmental Medicine Author(s): Sendoa Ballesteros-Peña (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - September 1, 2017 Category: Environmental Health Source Type: research

Bite Wounds Caused by a Wild Boar: A Case Report
Publication date: Available online 1 September 2017 Source:Wilderness & Environmental Medicine Author(s): Hiroki Nagasawa, Kazuhiko Omori, Hiroyuki Maeda, Ikuto Takeuchi, Suguru Kato, Takashi Iso, Kei Jitsuiki, Toshihiko Yoshizawa, Kouhei Ishikawa, Hiromichi Ohsaka, Youichi Yanagawa A 74-year-old man was attacked by a wild boar while on his way home from his farm in the daytime in winter 2017 on the rural Izu peninsula. He did not provoke the boar; however, hunters were hunting animals in the mountains near the farm around the same time. The boar bit his left leg, and the man fell to the ground. The boar continued...
Source: Wilderness and Environmental Medicine - September 1, 2017 Category: Environmental Health Source Type: research

In Response to Avalanche Fatalities in the United States by Jekich et al
Publication date: Available online 30 August 2017 Source:Wilderness & Environmental Medicine Author(s): Karl W. Birkeland, Ethan M. Greene, Spencer Logan (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 30, 2017 Category: Environmental Health Source Type: research

Injuries and Illnesses Occurring on a Recreational Bicycle Tour: The Great Ohio Bicycle Adventure
Conclusions The prevalence of injury and illness is relatively low in multiday recreational cycling events. Our findings provide important data for planning and preparing for medical coverage at mass recreational cycling events. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 7, 2017 Category: Environmental Health Source Type: research

Impact of a Newly Constructed Motor Vehicle Road on Altitude Illness in the Nepal Himalayas
Conclusions Rapid ascent by the newly constructed road from Besisahar to Manang appears to be related to a significant increase in the number of patients with all forms of altitude illness, especially among Nepalis. The authors believe that educational interventions emphasizing prevention are urgently needed. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 7, 2017 Category: Environmental Health Source Type: research

Exercise-Associated Hyponatremia, Hypernatremia, and Hydration Status in Multistage Ultramarathons
Conclusions The incidence of EAH in multistage ultramarathons was similar to marathons and single-stage ultramarathons, but the cumulative incidence of hypernatremia was 3 times greater than that of EAH. EAH was associated with increased weight gain (overhydration) in early stage nonfinishers and postrace finishers. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - August 7, 2017 Category: Environmental Health Source Type: research