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Acute Hand Injury in Surfing: A Case Report 冲浪运动中的急性手部损伤：病例报告
Wilderness & Environmental Medicine Pub Date : 2024-01-17 DOI: 10.1177/10806032231223323
Ryo Yoshimura, Rituja Kamble, Rebecca Dunlop, Justin Wormald
{"title":"Acute Hand Injury in Surfing: A Case Report","authors":"Ryo Yoshimura, Rituja Kamble, Rebecca Dunlop, Justin Wormald","doi":"10.1177/10806032231223323","DOIUrl":"https://doi.org/10.1177/10806032231223323","url":null,"abstract":"Hand injuries from surfing tend to be severe and require medical attention. Follow-up of a surfing injury is difficult because many patients are visiting and go home after treatment. We report a case of a surfing hand injury sustained abroad, which was treated upon the patient's return, allowing for follow-up. The mechanism of injury was traction and torsion from the surfboard leash while surfing. The patient was initially treated for nailbed injury but presented later back home after persistent pain, for which an unstable distal phalanx fracture in their right ring finger was found by x-ray. This was surgically reduced with K-wire insertion and nailbed repair. Postoperatively, the injured finger was kept in a splint, and the patient had physiotherapy. Pain was significantly reduced, and the patient regained sufficient function. Considering a fracture as a differential for finger injury caused by the surfboard leash may prevent management delays. Injury may be prevented through education and redesign of the surfboard leash.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"36 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527442","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 Performance of a Chemical Heat Blanket by Greene et al 回应 Greene 等人提出的化学隔热箱的性能问题
Wilderness & Environmental Medicine Pub Date : 2024-01-15 DOI: 10.1177/10806032231221998
Daniel L. Phillips, Jason Bowman, Ken Zafren
{"title":"In Response to Performance of a Chemical Heat Blanket by Greene et al","authors":"Daniel L. Phillips, Jason Bowman, Ken Zafren","doi":"10.1177/10806032231221998","DOIUrl":"https://doi.org/10.1177/10806032231221998","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"29 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139529406","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 reply to “A symptom-driven mitigation protocol for SARS-CoV-2 in a wilderness medicine elective” 回复 "野外医学选修课中针对 SARS-CoV-2 的症状驱动缓解方案"
Wilderness & Environmental Medicine Pub Date : 2024-01-10 DOI: 10.1177/10806032231222358
Christopher Woll
{"title":"In reply to “A symptom-driven mitigation protocol for SARS-CoV-2 in a wilderness medicine elective”","authors":"Christopher Woll","doi":"10.1177/10806032231222358","DOIUrl":"https://doi.org/10.1177/10806032231222358","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"65 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534632","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
Envenomation by Eyelash Viper Bothriechis schlegelii (Berthold, 1846) in Southwestern Colombia 哥伦比亚西南部的睫毛蝰（Bothriechis schlegelii）（Berthold，1846 年）造成的环境污染
Wilderness & Environmental Medicine Pub Date : 2024-01-10 DOI: 10.1177/10806032231222353
Carlos A. Cañas, Valeria Erazo-Martínez, Valentina Pérez-Uribe, Santiago Castaño-Valencia, Fernando Castro-Herrera
{"title":"Envenomation by Eyelash Viper Bothriechis schlegelii (Berthold, 1846) in Southwestern Colombia","authors":"Carlos A. Cañas, Valeria Erazo-Martínez, Valentina Pérez-Uribe, Santiago Castaño-Valencia, Fernando Castro-Herrera","doi":"10.1177/10806032231222353","DOIUrl":"https://doi.org/10.1177/10806032231222353","url":null,"abstract":"Bothriechis schlegelii is a Crotaline viperid species of Central America and Northern South America. The characteristics of its envenomation have not been well established. We present clinical characteristics of human cases evaluated and treated in a hospital in southwestern Colombia. We evaluated data from patients who suffered Bothriechis schlegelii envenomation and were seen at Fundación Valle del Lili Hospital, Cali, Colombia between 2011 and 2022. Eight patients were included, with a median age of 24 years. Snakebites occurred in rural areas. Six (75%) patients were bitten on the upper extremities in relation to the arboreal habits of this animal. The most common symptoms were pain and edema ( N = 8, 100%), ecchymoses ( N = 2, 25%), and paresthesia ( N = 2, 25%). The most common systemic findings were hypofibrinogenemia ( N = 8, 100%) and prolonged prothrombin time in five patients ( N = 5, 62.5%). All were treated with polyvalent antivenom for Colombian snakes, with a good response and outcome. Most bite sites from B. schlegelii were on the upper limbs. All patients had both local manifestations, including edema, pain, and systemic effects with hypofibrinogenemia, but none had systemic bleeding. Every patient received antivenom and had favorable outcomes.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139627282","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
Continuous Positive Airway Pressure in the Treatment of Pediatric High Altitude Pulmonary Edema: A Case Study 持续气道正压治疗小儿高海拔肺水肿：病例研究
Wilderness & Environmental Medicine Pub Date : 2024-01-10 DOI: 10.1177/10806032231222003
Ryan Hodnick, Michael L. Cohen, Joseph B. Loehner, Jennifer Mazzanti
{"title":"Continuous Positive Airway Pressure in the Treatment of Pediatric High Altitude Pulmonary Edema: A Case Study","authors":"Ryan Hodnick, Michael L. Cohen, Joseph B. Loehner, Jennifer Mazzanti","doi":"10.1177/10806032231222003","DOIUrl":"https://doi.org/10.1177/10806032231222003","url":null,"abstract":"Treatment of high altitude pulmonary edema (HAPE) can be challenging and is further complicated in the pediatric patient in the prehospital environment. The following case presents a decompensating pediatric patient with HAPE in the prehospital aeromedical environment. It illustrates the potential benefit of continuous positive airway pressure (CPAP) as a treatment modality in the treatment of HAPE.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139627187","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
Oral Ingestion of an Iron-Containing Hand Warmer in a Pediatric Patient 一名儿科患者口服含铁暖手器
Wilderness & Environmental Medicine Pub Date : 2024-01-09 DOI: 10.1177/10806032231222373
Jeremy R. Hardin, Emi Suzuki, Justin A. Seltzer, Raymond T. Suhandynata, Mamata Sivagnanam, Daniel R. Lasoff
{"title":"Oral Ingestion of an Iron-Containing Hand Warmer in a Pediatric Patient","authors":"Jeremy R. Hardin, Emi Suzuki, Justin A. Seltzer, Raymond T. Suhandynata, Mamata Sivagnanam, Daniel R. Lasoff","doi":"10.1177/10806032231222373","DOIUrl":"https://doi.org/10.1177/10806032231222373","url":null,"abstract":"Hand warmer packets are common products used to provide a portable, nonflammable heat source via the exothermic oxidation of iron. We present the first reported case of pediatric hand warmer packet ingestion in a three-year-old male who developed an elevated serum iron concentration (peak 335 ug/dL) and gastrointestinal injury after ingesting the contents of a HOTHANDS hand warmer packet. He was treated with endoscopic gastric foreign body removal and lavage, as well as proton-pump inhibitors and whole bowel irrigation. Hand warmer packs contain reduced elemental iron powder, which has been shown to have a more favorable safety profile when compared to iron salts. The mechanism of toxicity for reduced iron is unknown, though it is thought to be due to conversion to more toxic iron ions in an acidic environment. While the current adult literature suggests that ingestion of a single hand warmer packet is without significant risk, our case demonstrates that even a partial ingestion carries a significant risk of both iron toxicity and direct gastrointestinal caustic injury in a young child. This case demonstrates the need for multidisciplinary care and consideration of urgent endoscopic foreign body removal and gastric lavage followed by whole bowel irrigation to mitigate the potential of severe iron toxicity.","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"41 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442369","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 “Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol” 回应 "滑雪巡逻队用于山坡上镇痛的鼻内注射芬太尼"
Wilderness & Environmental Medicine Pub Date : 2024-01-09 DOI: 10.1177/10806032231222375
Michael Fischer, Michelle Storkan
{"title":"In Response to “Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol”","authors":"Michael Fischer, Michelle Storkan","doi":"10.1177/10806032231222375","DOIUrl":"https://doi.org/10.1177/10806032231222375","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"46 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442196","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
START-A (Simple Triage, Rapid Treatment and Analgesia) in Mass Casualty Incidents 大规模伤亡事件中的 START-A（简单分诊、快速治疗和镇痛
Wilderness & Environmental Medicine Pub Date : 2024-01-09 DOI: 10.1177/10806032231222474
Sarper Yılmaz, A. C. Tatliparmak, Rohat Ak
{"title":"START-A (Simple Triage, Rapid Treatment and Analgesia) in Mass Casualty Incidents","authors":"Sarper Yılmaz, A. C. Tatliparmak, Rohat Ak","doi":"10.1177/10806032231222474","DOIUrl":"https://doi.org/10.1177/10806032231222474","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"31 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442933","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 Reply to Dr Allen 答复艾伦博士
Wilderness & Environmental Medicine Pub Date : 2023-12-21 DOI: 10.1177/10806032231220394
Lindsey L. Fell, Emily E. Johnston, Thomas DeLoughery
{"title":"In Reply to Dr Allen","authors":"Lindsey L. Fell, Emily E. Johnston, Thomas DeLoughery","doi":"10.1177/10806032231220394","DOIUrl":"https://doi.org/10.1177/10806032231220394","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950905","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 reply to Dr Mohanty et al 回复 Mohanty 博士等人
Wilderness & Environmental Medicine Pub Date : 2023-12-20 DOI: 10.1177/10806032231217964
Alexandre Moser, Luca Cioccari, Sylvain Tosetti
{"title":"In reply to Dr Mohanty et al","authors":"Alexandre Moser, Luca Cioccari, Sylvain Tosetti","doi":"10.1177/10806032231217964","DOIUrl":"https://doi.org/10.1177/10806032231217964","url":null,"abstract":"","PeriodicalId":431977,"journal":{"name":"Wilderness & Environmental Medicine","volume":"112 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138958587","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
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