Wilderness & Environmental Medicine最新文献

Association of Temperature and Cloud Conditions with Skiing and Snowboarding Injuries. 温度和云条件与滑雪和单板滑雪受伤的关系。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-10-17 DOI: 10.1177/10806032251382446

Maiya Smith, Bangyan Zhang, Stuart Willick, Heba Abushanab, Emad Awad, Jamal Jones

{"title":"Association of Temperature and Cloud Conditions with Skiing and Snowboarding Injuries.","authors":"Maiya Smith, Bangyan Zhang, Stuart Willick, Heba Abushanab, Emad Awad, Jamal Jones","doi":"10.1177/10806032251382446","DOIUrl":"https://doi.org/10.1177/10806032251382446","url":null,"abstract":"ObjectiveTo evaluate the association between environmental conditions, specifically air temperature and cloud conditions (eg, sunny, partly cloudy, or cloudy/foggy), and types of injuries sustained by skiers and snowboarders.MethodsWe conducted a retrospective observational study of adult patients (≥18 y of age) who presented with skiing- or snowboarding-related musculoskeletal injuries at a Utah ski resort clinic during the 2022-24 ski seasons. Data were extracted from electronic medical records and included demographics, injury type, air temperature, and categorized cloud conditions. Statistical analyses included bivariate comparisons using χ2 analysis and analysis of variance and adjusted analyses using multinomial logistic regression.ResultsA total of 1813 patients were included; 62.2% were male, and 81.3% were skiers. Ligamentous knee injuries were the most common injury (31.3%). Unadjusted analysis showed a significant association between temperature and injury type (P<0.001), with higher temperatures linked to more upper extremity injuries and lacerations. Cloud condition showed no significant association with injury patterns (P=0.99). In the adjusted analysis, only head injuries remained significantly associated with temperature: For each 1°C increase, the odds of head injury increased by 3.5% (odds ratio=1.04; 95% CI, 1.007-1.06; P=0.01). Cloud conditions were not significantly associated with any injury type.ConclusionHigher temperatures are associated with a modest increase in head injuries among skiers/snowboarders, whereas general cloud conditions do not significantly impact injury type. These findings suggest that while temperature may influence injury risk, particularly for head injuries, other factors likely contribute to injury patterns.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251382446"},"PeriodicalIF":1.1,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314059","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

Epidemiology and Clinical Impact of Cattle-Related Injuries: A Retrospective Study in a High-Density Livestock Region. 牛相关伤害的流行病学和临床影响：在畜牧业高密度地区的回顾性研究。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-10-17 DOI: 10.1177/10806032251384165

Jacopo Davide Giamello, Barbara Da Ros, Federico Sisca, Salvatore D'Agnano, Martina Mazzariol, Sara Abram, Alberto Grosso, Gianni Marchetto, Gianpiero Martini, Andrea Sciolla, Giuseppe Lauria

{"title":"Epidemiology and Clinical Impact of Cattle-Related Injuries: A Retrospective Study in a High-Density Livestock Region.","authors":"Jacopo Davide Giamello, Barbara Da Ros, Federico Sisca, Salvatore D'Agnano, Martina Mazzariol, Sara Abram, Alberto Grosso, Gianni Marchetto, Gianpiero Martini, Andrea Sciolla, Giuseppe Lauria","doi":"10.1177/10806032251384165","DOIUrl":"https://doi.org/10.1177/10806032251384165","url":null,"abstract":"IntroductionFrequent human-cattle interactions in high-density livestock regions expose farm workers to a significant risk of traumatic accidents, which range from minor to severe and life-threatening injuries. This study aimed to assess the incidence, mechanisms, and clinical impact of cattle-related injuries in a high-livestock-density area to inform preventive and healthcare strategies.MethodsThis monocentric retrospective observational study was conducted at Santa Croce e Carle Hospital, Cuneo, Italy, between January 1, 2018, and December 31, 2024. All patients aged ≥18 y presenting to the emergency department with cattle-related trauma were included. Injury severity was assessed using the Injury Severity Score (ISS), need for total-body computed tomography, intensive care unit admission, and 30-d mortality.ResultsA total of 182 patients (male:female ratio 4.5) were included, with a median age of 55 y (interquartile range, 45-64). The primary injury mechanisms were kicks (43.4%), charges (29.1%), and trampling (9.9%). Most cases (67.6%) were low priority at triage; 5.5% required intensive care unit admission. The median ISS was 1 (interquartile range, 1-4), and 3.3% had an ISS of >15. No trauma-related mortality was observed within 30 d.ConclusionsCattle-related injuries pose a substantial burden on farm workers and healthcare services; injuries range from minor to severe trauma. Given the high-energy potential of cattle-related impacts, improved safety measures and specific clinical management protocols are warranted to mitigate risks and enhance occupational safety in agricultural settings.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251384165"},"PeriodicalIF":1.1,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309792","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

In Response to Mohave Rattlesnake Envenomation Causing Allergic Myocardial Infarction (Kounis Syndrome) and Neurotoxic Respiratory Failure by Mookadam et al. Mookadam等人对响尾蛇中毒引起过敏性心肌梗死（Kounis综合征）和神经毒性呼吸衰竭的反应

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-29 DOI: 10.1177/10806032251379388

Anne-Michelle Ruha, Joshua Canning

引用次数: 0

In Reply to Ruha and Canning. 对鲁哈和坎宁的答复。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-29 DOI: 10.1177/10806032251379389

Martina Mookadam, Damir Vukomanovic, Siamac Yazdchi, Samuel Unzek, Farouk Mookadam

引用次数: 0

Special Issue: Space Medicine & Health Systems. 特刊：空间医学与卫生系统。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-24 DOI: 10.1177/10806032251378103

Edward J Mel Otten

引用次数: 0

Immediate Load Carriage Improves Core Temperature but Not Skin Temperatures When Wearing Wet Clothing in Mild Cold Air. 当在温和寒冷的空气中穿着湿衣服时，立即装载可以提高核心温度，但不能提高皮肤温度。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-24 DOI: 10.1177/10806032251376323

Phillip O Bodurtha, MariaLena A Shaw, Andrew M Greenfield, Dina M Pitsas, Billie K Alba, John W Castellani, Catherine O'Brien, Afton D Seeley

{"title":"Immediate Load Carriage Improves Core Temperature but Not Skin Temperatures When Wearing Wet Clothing in Mild Cold Air.","authors":"Phillip O Bodurtha, MariaLena A Shaw, Andrew M Greenfield, Dina M Pitsas, Billie K Alba, John W Castellani, Catherine O'Brien, Afton D Seeley","doi":"10.1177/10806032251376323","DOIUrl":"https://doi.org/10.1177/10806032251376323","url":null,"abstract":"IntroductionMembers of the military are regularly exposed to austere environmental conditions that may create clothing saturation in cold conditions. This study sought to determine whether immediate ruck initiation is superior in maintaining rectal temperature (Tre), improving skin temperatures, and augmenting thermal comfort compared with remaining static and/or delayed ruck initiation when wet in cold air.MethodsEleven healthy adults (10 males and 1 female, 26±9 y old, 22.5±8.6% body fat) participated in this study. Volunteers were immersed in warm water (34.0±0.3°C) before entering the cold chamber (5.3±0.4°C) and began immediately rucking (IR) or stood statically for 60 min (Static) before rucking (delayed rucking [DR]) for 60 min.ResultsIR initiation was superior in elevating Tre compared with Static at 20 min (37.6±0.4 vs 37.3±0.2°C, P=0.033), 40 min (37.9±0.4 vs 37.5±0.2°C, P=0.012), and 60 min (37.9±0.4 vs 37.6±0.3°C, P=0.016). IR Tre was also greater than DR at 40 min (37.9±0.4 vs 37.4±0.5°C, P=0.002) and 60 min of wet-cold exposure (37.9±0.4 vs 37.5±0.5°C, P<0.001). Consequently, IR tended to improve thermal sensation ratings compared with both DR and Static. Yet, IR was no more sufficient in overcoming wet-cold decrements in skin temperatures than Static, especially at the finger (P>0.05).ConclusionsCompared with DR and Static, IR is effective at elevating deep body temperature and improving thermal perceptions but is significantly less effective at improving wet-cold skin temperatures compared with Static.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251376323"},"PeriodicalIF":1.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132391","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

Impact of Extreme Temperatures on Hemostatic Gauze Using Thromboelastography. 极端温度对使用血栓弹性成像止血纱布的影响。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-24 DOI: 10.1177/10806032251376307

Brittany A Ockenfels, Matthew R Jordan, Taylor DesRosiers, Sean Stuart

{"title":"Impact of Extreme Temperatures on Hemostatic Gauze Using Thromboelastography.","authors":"Brittany A Ockenfels, Matthew R Jordan, Taylor DesRosiers, Sean Stuart","doi":"10.1177/10806032251376307","DOIUrl":"https://doi.org/10.1177/10806032251376307","url":null,"abstract":"IntroductionHemorrhage control in austere environments is challenging, particularly for wounds that are not amenable to tourniquets. Hemostatic gauzes are crucial in such settings, but their efficacy may be compromised by suboptimal storage conditions, including extreme temperatures, where discoloration has been observed. This study evaluated the impact of extreme temperature exposure on the efficacy of hemostatic gauze using thromboelastography.MethodsBlood from 30 healthy adults was diluted by 30% with hetastarch to mimic trauma-induced coagulopathy. Kerlix and QuikClot Combat Gauze stored for 3 weeks in cold (-10°C), hot (70°C), and room-temperature (22°C) environments were compared in the thromboelastography parameters of R (time to initiation of clot formation), K (clot amplification), α angle (clot formation rate), and MA (maximum amplitude of clot).ResultsCompared with whole blood, diluted blood had weaker clots with slower clot-formation kinetics (MA=58 vs 43 mm, P<0.0001; K=2.6 vs 4.0 min, P<0.0001; α angle=55 vs 47 degrees, P<0.0003) but faster clot initiation times (R=8.7 vs 7.1 min, P<0.0001). Addition of either gauze shortened clot initiation times (Kerlix: 7.1 vs 5.0 min, P<0.0001; QuikClot Combat Gauze: 7.1 vs 2.7 min, P<0.0001), with QuikClot Combat Gauze significantly shortening R compared with Kerlix. Reductions in R values were consistent across temperature extremes (P<0.05). The other parameters were consistently unaffected (P>0.05).ConclusionsThis in vitro laboratory study demonstrated that hemostatic gauze retained its ability to initiate clotting in vitro even after prolonged exposure to temperature extremes.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251376307"},"PeriodicalIF":1.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132452","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

Is e-Mountain Biking an Extreme Sport? 电子山地自行车是一项极限运动吗？

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-22 DOI: 10.1177/10806032251377070

Gerhard Ruedl, Martin Burtscher

引用次数: 0

High Altitude Retinopathy in an Emergency Physician Working at Everest Base Camp: A Case Report. 珠穆朗玛峰大本营急诊医师的高海拔视网膜病变一例报告

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-09-22 DOI: 10.1177/10806032251376306

Govinda Bhandari

引用次数: 0

Potassium Chlorate at High Altitude: Lost to History. 高海拔地区的氯酸钾：遗失在历史中。