Wilderness & Environmental Medicine最新文献_第2页

Characteristics of Fatal Accidents due to Exogenous Causes at Ski Resorts in Japan Over the Past 13 Years: A Retrospective Descriptive Study 过去 13 年日本滑雪胜地外因致死事故的特征：回顾性描述研究

Wilderness & Environmental Medicine Pub Date : 2024-02-11 DOI: 10.1177/10806032241226680

S. Tanaka, R. Sagisaka, K. Nakagawa, Hideharu Tanaka

{"title":"Characteristics of Fatal Accidents due to Exogenous Causes at Ski Resorts in Japan Over the Past 13 Years: A Retrospective Descriptive Study","authors":"S. Tanaka, R. Sagisaka, K. Nakagawa, Hideharu Tanaka","doi":"10.1177/10806032241226680","DOIUrl":"https://doi.org/10.1177/10806032241226680","url":null,"abstract":"—The characteristics of ski- and snowboard-related fatalities at Japanese ski resorts remain unknown. We aimed to analyze the characteristics of this in the current study. —Using the Ski Resort Injury Report data for the 13-y period between the 2011–12 and 2022–23 seasons, we described the characteristics of fatal accidents due to exogenous causes. —Eighty-four subjects (48 skiers and 36 snowboarders) were analyzed. Males accounted for 73 cases of all 84 fatalities (86.9%), including 44 skiers (91.7%) and 29 snowboarders (80.6%). Skiers aged ≥50 y and snowboarders aged 20–35 y had the highest number of fatal accidents (32 and 18 cases, respectively). Regarding location, 26 fatal accidents occurred on slopes, and 58 occurred out of slopes (skiers, 11 and 37 cases; snowboarders, 15 and 21 cases, respectively). Among skiers, head and neck trauma accounted for the cause of death in 13 cases (27.1%) and asphyxiation in 11 cases (22.9%). Among snowboarders, head and neck trauma accounted for the cause of death in 14 cases (38.9%) and asphyxiation in 14 cases (38.9%). —Males, particularly those aged ≥50 among skiers and 20−35 among snowboarders, should be wary of the potential for injuries to the head, neck, and airway when skiing or snowboarding. In this study, traumatic deaths from crashing into trees and asphyxiation from deep snow immersion accidents accounted for approximately half of fatal ski accidents in Japan.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Management of Severe Unresponsive Snake Bite Envenomation Using Plasmapheresis and Corticosteroid at Egyptian National Environmental and Clinical Toxicology Research Center: A Case Report 埃及国家环境和临床毒理学研究中心使用浆细胞疗法和皮质类固醇成功治疗严重无反应的蛇咬伤：病例报告

Wilderness & Environmental Medicine Pub Date : 2024-02-11 DOI: 10.1177/10806032231225102

M. M. Fouad, N. Zawilla, Aiesha Ashraf Abdelsamie, Marie Manawil, Rehab Shehata Abdelhady Shehata, R. S. Mohammed, E. Khalifa, Mona Abdallah Ramadan, B. Mourad

{"title":"Successful Management of Severe Unresponsive Snake Bite Envenomation Using Plasmapheresis and Corticosteroid at Egyptian National Environmental and Clinical Toxicology Research Center: A Case Report","authors":"M. M. Fouad, N. Zawilla, Aiesha Ashraf Abdelsamie, Marie Manawil, Rehab Shehata Abdelhady Shehata, R. S. Mohammed, E. Khalifa, Mona Abdallah Ramadan, B. Mourad","doi":"10.1177/10806032231225102","DOIUrl":"https://doi.org/10.1177/10806032231225102","url":null,"abstract":"Snakebite is a significant public health issue in which venom-induced consumption coagulopathy is a common and serious complication that results from the activation of the coagulation pathway by snake toxins. We report a male patient, 56 y old, who was thought to have been bitten by a snake on his left foot. He was transported to a nearby hospital where he received analgesics and 3 snake polyvalent antivenom vials, and then he was transported to our hospital after 12 h. He presented with 2 small puncture wounds, pain, blistering, and edema of the left foot. On the 2nd day, the patient developed gingival bleeding and hematuria. Laboratory investigations upon admission revealed prothrombin time (PT) of more than 3 min, prothrombin concentration (PC) of less than 2.5%, and an international normalized ratio (INR) of 23.43. Further investigation of urine showed more than 100 RBCs. Despite receiving 16 packs of plasma and 40 snake polyvalent antivenom vials manufactured by VACSERA over 3 days, hemoglobin concentration and platelet count decreased with the appearance of jaundice, lactate dehydrogenase was 520, and reticulocytes were 3.5%. PT was more than 300 s, and INR was still over range. Plasmapheresis and corticosteroids were provided, which improved the patient’s general condition, PT, PC, and INR, and the patient was discharged after 6 days of hospital stay. This case report indicated that plasmapheresis and corticosteroids were clinically efficient approaches in the management of snake envenomation unresponsive to antivenom.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oropharyngeal Swelling and Airway Obstruction from Environmental Cold Exposure: A Case Report 环境寒冷导致口咽肿胀和气道阻塞：病例报告

Wilderness & Environmental Medicine Pub Date : 2024-02-07 DOI: 10.1177/10806032231222966

Stefan Cowtan, Jon Broughton, Sarvesh Logsetty

引用次数: 0

Oropharyngeal Swelling and Airway Obstruction from Environmental Cold Exposure: A Case Report 环境寒冷导致口咽肿胀和气道阻塞：病例报告

Wilderness & Environmental Medicine Pub Date : 2024-02-07 DOI: 10.1177/10806032231222966

Stefan Cowtan, Jon Broughton, Sarvesh Logsetty

引用次数: 0

Marine Envenomation in Okinawa: Overview and Treatment Concept 冲绳的海洋污染：概述和处理概念

Wilderness & Environmental Medicine Pub Date : 2024-02-06 DOI: 10.1177/10806032231220401

S. Hughey, Joshua A. Kotler, Yuriko Ozaki, Yuki Itani, Fumitoshi Fukuzawa, Tatsuma Yanagimoto, Ko Takamatsu, Shu Koito, Hiroki Suzuki, Yoshimasa Nishihira, Anna C. Hughey, Takashi Nagata

引用次数: 0

Marine Envenomation in Okinawa: Overview and Treatment Concept 冲绳的海洋污染：概述和处理概念

Wilderness & Environmental Medicine Pub Date : 2024-02-06 DOI: 10.1177/10806032231220401

S. Hughey, Joshua A. Kotler, Yuriko Ozaki, Yuki Itani, Fumitoshi Fukuzawa, Tatsuma Yanagimoto, Ko Takamatsu, Shu Koito, Hiroki Suzuki, Yoshimasa Nishihira, Anna C. Hughey, Takashi Nagata

引用次数: 0

Impact of Topical Capsaicin Cream on Thermoregulation and Perception While Walking in the Cold 在寒冷中行走时，外用辣椒素霜对体温调节和感知的影响

Wilderness & Environmental Medicine Pub Date : 2024-01-22 DOI: 10.1177/10806032231223757

Alejandro M. Rosales, Jessica L. Moler, Andrew C. Engellant, Alice L. Held, Dustin R. Slivka

{"title":"Impact of Topical Capsaicin Cream on Thermoregulation and Perception While Walking in the Cold","authors":"Alejandro M. Rosales, Jessica L. Moler, Andrew C. Engellant, Alice L. Held, Dustin R. Slivka","doi":"10.1177/10806032231223757","DOIUrl":"https://doi.org/10.1177/10806032231223757","url":null,"abstract":"Capsaicin, a chili pepper extract, can stimulate increased skin blood flow (SkBF) with a perceived warming sensation on application areas. Larger surface area application may exert a more systemic thermoregulatory response. Capsaicin could assist with maintaining heat transport to the distal extremities, minimizing cold weather injury risk. However, the thermoregulatory and perceptual impact of topical capsaicin cream application prior to exercise in the cold is unknown. Following application of either a 0.1% capsaicin or control cream to the upper and lower extremities (10 g total, ∼40–50% body surface area), 11 participants in shorts and a t-shirt were exposed to 30 min of cold (0 °C, 40% relative humidity). Exposures comprised of 5 min seated rest, 20 min walking (1.6 m·s−1, 5% grade), and 5 min seated rest. Temperature (skin, core), SkBF, skin conductivity, heart rate, thermal sensation, and thermal comfort were measured throughout. The capsaicin treatment did not differ from the control treatment in skin temperature (treatment mean: 30.0 ± 2.5, 30.1 ± 2.4 °C, respectively, p = 0.655), core temperature (treatment mean: 37.3 ± 0.5, 37.4 ± 0.4 °C, respectively, p = 0.113), SkBF (treatment mean: −8.4 ± 10.0, −11.1 ± 10.7 A.U., respectively, p = 0.492), skin conductivity (treatment mean: −0.7 ± 5.1, 0.4 ± 6.4 µS, respectively, p = 0.651), or heart rate (treatment mean: 83 ± 29, 85 ± 28 beats·minute−1, respectively, p = 0.234). The capsaicin and control treatments also did not differ in thermal sensation ( p = 0.521) and thermal comfort ( p = 0.982), with perceptual outcomes corresponding with feeling “cool” and “just uncomfortable,” respectively. 0.1% topical capsaicin application to exposed limbs prior to walking in a cold environment does not alter whole-body thermoregulation or thermal perception.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139607004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In response to “time to reconsider analgesia in mass casualty incidents” by Valence et al. 针对 Valence 等人撰写的 "是时候重新考虑大规模伤亡事件中的镇痛问题了 "一文。

Wilderness & Environmental Medicine Pub Date : 2024-01-22 DOI: 10.1177/10806032231223756

C. Mohanty, Subhasree Das, A. Barik, R. Radhakrishnan, Sangeeta Sahoo

引用次数: 0

Stingray Impalement and Envenomation: Local Envenoming Causing Necrosis and Sepsis 魟鱼刺伤和啮咬：局部噬咬导致坏死和败血症

Wilderness & Environmental Medicine Pub Date : 2024-01-22 DOI: 10.1177/10806032231223326

Alexandra J. Mrani, Timothy Kuchera, Adam Strohl, Chaiya Laoteppitaks, Phyllis Flomenberg, Lara Phillips

引用次数: 0

Nationwide Aquatic Envenomations Reported to US Poison Control Centers from 2011 to 2020 2011 年至 2020 年向美国毒物控制中心报告的全国水生环境中毒事件

Wilderness & Environmental Medicine Pub Date : 2024-01-22 DOI: 10.1177/10806032231223016

Tyler N. Kirchberg, F. L. Cantrell, C. Coffey, Christian Tomaszewski

{"title":"Nationwide Aquatic Envenomations Reported to US Poison Control Centers from 2011 to 2020","authors":"Tyler N. Kirchberg, F. L. Cantrell, C. Coffey, Christian Tomaszewski","doi":"10.1177/10806032231223016","DOIUrl":"https://doi.org/10.1177/10806032231223016","url":null,"abstract":"Aquatic envenomations are common injuries along the coastal United States that pose a public health risk and can cause significant morbidity. We examined aquatic envenomation exposures that were called in to poison control centers (PCC) in the United States from 2011 to 2020. The Association of Poison Control Center's (AAPCC) National Poison Data System was queried for all aquatic envenomations reported during the 10 y period from January 1, 2011, to December 31, 2020. Data collected included date, exposure and geographic location, patient age and sex, signs and symptoms, management setting, treatments, and clinical outcome. Duplicated records, confirmed nonexposure, and reports not originating within the United States were excluded. There were 8517 human aquatic envenomations reported during the study period, 62% (5243) of whom were male; 56% (4264) of patients were 30 y or younger. There were an average of 852 calls per year, with 46% of calls occurring during June to August. California, Texas, and Florida had the highest number of envenomations during the study period. Fish (61%; 5159) and Cnidaria (30%; 2519) envenomations were the most common exposures. Overall, 37% (3151) of exposures were treated in healthcare facilities, with no deaths reported. The highest proportion of aquatic envenomations occurred among younger males (≤30 y) during the summer months. While rarely leading to major adverse events, aquatic envenomations were commonly reported injuries to PCC and occurred in all 50 states. Poison control centers continue to be real-time sources of information and data regarding aquatic envenomation trends.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139609110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wilderness &amp; Environmental Medicine最新文献

Wilderness & Environmental Medicine最新文献