Wilderness & Environmental Medicine最新文献

A Case of Accidental Veratrum californicum (California False Hellebore) Toxicity. 加利福尼亚毒舌草意外中毒1例。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-19 DOI: 10.1177/10806032251348162

Caitlin Roake, Charizza Grace Besmanos, Patil Armenian

{"title":"A Case of Accidental Veratrum californicum (California False Hellebore) Toxicity.","authors":"Caitlin Roake, Charizza Grace Besmanos, Patil Armenian","doi":"10.1177/10806032251348162","DOIUrl":"https://doi.org/10.1177/10806032251348162","url":null,"abstract":"The Veratrum genus of plants contains multiple toxic alkaloid compounds, and ingestion of Veratrum species may result in clinically significant human illness. Although many cases of Veratrum ingestion have been reported in the Eastern United States and Europe, no case report of human toxicity from the most common California species, Veratrum californicum, exists in the literature. We report on the clinical course and treatment of a patient with a known Veratrum californicum ingestion. We discuss the identification of the Veratrum species and compare our case to other cases of Veratrum ingestions reported in the literature. We find that similar to ingestions of other Veratrum species, our patient became hypotensive and bradycardic, requiring fluid resuscitation. Similar to other reports, our patient responded to treatment with atropine and was able to safely discharge after a short hospital stay. Our case adds the first reported ingestion of Veratrum californicum to the literature of other Veratrum ingestions and suggests that this toxicity similarly responds to atropine and hemodynamic support.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251348162"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shoulder Deformity as a Result of a Fall While Skiing. 滑雪时跌倒导致的肩部畸形。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-19 DOI: 10.1177/10806032251349736

Morteza Khodaee, Arshia Khodaee

引用次数: 0

Wilderness Medical Society Clinical Practice Guideline on Care of Burns in the Wilderness. 荒野医学会野外烧伤护理临床实践指南。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-19 DOI: 10.1177/10806032251345768

Cindy C Bitter, Michelle Storkan, Alex Overmiller, Jessicah A Respicio, Torree McGowan, Andrew Park, John T Culhane

引用次数: 0

Axonal Guillain-Barré Syndrome After Leptospirosis Contracted in a Cave or While Packrafting-A Case Report. 洞穴或包装时钩端螺旋体感染后轴突格林-巴利综合征1例报告。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-18 DOI: 10.1177/10806032251349730

Roger B Mortimer, Donald J Iverson

引用次数: 0

Traumatic Knee Arthrotomy Induced by Wild Boar Tusk in a 15-Year-Old Male: A Case Report. 野猪牙致15岁男性外伤性膝关节切开术1例。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-17 DOI: 10.1177/10806032251347933

Lindsey M Ammann, Michael Barnum, Stefano Cardin

{"title":"Traumatic Knee Arthrotomy Induced by Wild Boar Tusk in a 15-Year-Old Male: A Case Report.","authors":"Lindsey M Ammann, Michael Barnum, Stefano Cardin","doi":"10.1177/10806032251347933","DOIUrl":"https://doi.org/10.1177/10806032251347933","url":null,"abstract":"This case report describes a unique incident involving a boar attack in a wilderness setting, resulting in a traumatic knee arthrotomy in a pediatric patient. The patient presented to the emergency department with a laceration caused by a wild boar attack while hunting. Initial assessment revealed a deep laceration over his anterior knee and radiographs demonstrated significant air within the knee joint, consistent with a traumatic knee arthrotomy. The patient was placed on empiric, broad-spectrum antibiotics and underwent urgent surgical irrigation and debridement. Intraoperative cultures were sent, and infectious disease was consulted. Intraoperative cultures obtained grew Aspergillus and Stenotrophomonas maltophilia, although the Aspergillus was ultimately thought to be a contaminant. The patient was then placed on sulfamethoxazole-trimethoprim (SMX-TMP) for targeted antibiotic treatment. The patient responded well to the treatment regimen, with no signs of infection or further complications. Follow-up examinations have demonstrated full, painless knee range of motion and no adverse postoperative events. This case demonstrates a rare but significant injury in a pediatric patient secondary to a wild boar attack. Furthermore, though a systematic review was not conducted, no similar cases were identified in the available literature describing these bacterial isolates from a wild boar tusk within a traumatic arthrotomy. These findings may assist orthopedic surgeons, emergency physicians, and infectious disease specialists in antibiotic selection when these injuries are encountered to prevent subsequent complications.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251347933"},"PeriodicalIF":1.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Samar Cobra (Naja samarensis): The Intersection of Clinical Toxinology and Wildlife Conservation in the Philippines. 沙玛眼镜蛇（Naja samarensis）：菲律宾临床毒理学和野生动物保护的交叉。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-16 DOI: 10.1177/10806032251347271

Yoshihiro Aoki, Chinelo M Cardaño, Marvin Jay Sarmiento, Patrick Joseph Tiglao, Chris Smith, Ma Theresa P Loreto, Edgardo E Tulin

引用次数: 0

Three Cases of Lyme Carditis and a Review of Management. 心莱姆病3例及治疗回顾。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-13 DOI: 10.1177/10806032251349439

Ryan F Coughlin, Anne Fox, Erin Underriner, Tatiana Moylan, David Della-Giustina, Katja Goldflam

{"title":"Three Cases of Lyme Carditis and a Review of Management.","authors":"Ryan F Coughlin, Anne Fox, Erin Underriner, Tatiana Moylan, David Della-Giustina, Katja Goldflam","doi":"10.1177/10806032251349439","DOIUrl":"https://doi.org/10.1177/10806032251349439","url":null,"abstract":"Lyme carditis, primarily caused by Borrelia burgdorferi, affects 1 to 10% of patients with untreated Lyme disease. This study reviewed 3 cases of Lyme carditis that presented to a tertiary hospital's emergency department in the northeastern United States during the summer months. The cases involved patients with varying degrees of atrioventricular (AV) block: first-degree, second-degree Type 2, and complete heart block. Case 1 involved a 19-y-old male presenting with syncope and diagnosed with first-degree AV block. He received intravenous (IV) ceftriaxone, resulting in resolution of the AV block. Case 2 was a 22-y-old male who experienced an unresponsive episode with bystander chest compressions. He had discrete erythematous patches and was diagnosed with Type 2 second-degree AV block. IV ceftriaxone followed by doxycycline resolved his condition without further incident. Case 3 described a 32-y-old male with lightheadedness and syncope, diagnosed with complete heart block. A temporary pacing lead and IV ceftriaxone were employed, transitioning to doxycycline, which effectively resolved the heart block. All three patients tested positive for Lyme antibodies with reflex Western blot. Lyme carditis presents variably, often without a clear history of tick exposure or erythema migrans. Prompt recognition and treatment in endemic areas are critical to prevent implantation of unnecessary permanent pacemakers. This paper underscores the importance of high clinical suspicion and reviews appropriate management in the emergency department setting for patients with potential Lyme carditis presenting with unexplained cardiac symptoms.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251349439"},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on Regional Differences in Systemic Toxicity Following Texas Coral Snake (Micrurus tener) Envenomations by Greene et al. Greene等人对德克萨斯珊瑚蛇（Micrurus tener）中毒后系统毒性的区域差异的评论。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-12 DOI: 10.1177/10806032251346693

Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Amiya Kumar Barik, Stephen Paul Samuel, Aashish Ranjan Kumar

引用次数: 0

Medicine in the Final Frontier. 医学在最后的边疆。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-12 DOI: 10.1177/10806032251338923

Erik Antonsen, Jennifer Fogarty, Anil Menon, N Stuart Harris

引用次数: 0

Graduate Medical Education Fellowships Versus Specialty Society Curriculum: A Comparative Study on Alumni Outcomes and Academic Pursuits in Wilderness Medicine. 研究生医学教育奖学金与专业学会课程：荒野医学校友成果与学术追求的比较研究。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-12 DOI: 10.1177/10806032251345770

Stephanie Lareau, Pavel Diaz, Alec M Chan-Golston, Susanne Spano

{"title":"Graduate Medical Education Fellowships Versus Specialty Society Curriculum: A Comparative Study on Alumni Outcomes and Academic Pursuits in Wilderness Medicine.","authors":"Stephanie Lareau, Pavel Diaz, Alec M Chan-Golston, Susanne Spano","doi":"10.1177/10806032251345770","DOIUrl":"https://doi.org/10.1177/10806032251345770","url":null,"abstract":"Introduction-Wilderness medicine (WM) is a growing field offering advanced training and recognition through graduate medical education (GME) WM fellowships and the Fellow of the Academy of Wilderness Medicine (FAWM) professional designation. GME fellowships, introduced in 2004, provide immersive, structured training and experiential learning opportunities. The FAWM designation, established in 2005, is earned through approved educational activities. This study compared alumni outcomes between these pathways.Methods-A cross-sectional survey was conducted among GME fellowship graduates and FAWM recipients. Inclusion criteria were GME fellowship alumni or individuals with FAWM recognition. Exclusion criteria included incomplete surveys. Respondents were surveyed on demographics, academic output, and satisfaction with their training. Data analysis included χ2 tests for categorical data, analysis of variance for publication comparisons, and ordinal Likert scales for satisfaction.Results-Of 321 responses, 281 were included. GME alumni expressed greater satisfaction with mentorship and research opportunities; 95% of FAWM-only respondents reported exposure to career opportunities unknown prior to fellowship. There was no detectable difference (P=0.523) between FAWM-only respondents' number of WM-related publications. Overall, 93% of FAWM-only respondents and 76% of GME alumni would repeat their fellowship. Both groups demonstrated high proficiency in WM, with 89% feeling proficient.Conclusion-Both GME and FAWM pathways support WM education and career development. However, GME fellowships provide enhanced academic involvement, mentorship, and performance of relevant clinical skills. FAWM introduced new wilderness careers and had higher alumni satisfaction. These findings highlight the complementary roles of GME fellowships and FAWM recognition in advancing proficiency and professional growth.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251345770"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0