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The Next Chapter of the WMS Clinical Practice Guidelines. WMS 临床实践指南的下一章。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-03-01 DOI: 10.1177/10806032241227510
Michael Caudell, Tracy Cushing, Hillary R Irons
{"title":"The Next Chapter of the WMS Clinical Practice Guidelines.","authors":"Michael Caudell, Tracy Cushing, Hillary R Irons","doi":"10.1177/10806032241227510","DOIUrl":"10.1177/10806032241227510","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998077","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
Wilderness Medical Society Clinical Practice Guidelines for Treatment of Eye Injuries and Illnesses in the Wilderness: 2024 Update. 荒野医学会《荒野中眼部伤病治疗临床实践指南：2024 年更新版》。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-03-01 DOI: 10.1177/10806032231223008
Ryan Paterson, Brandy Drake, Geoffrey Tabin, Tracy Cushing
{"title":"Wilderness Medical Society Clinical Practice Guidelines for Treatment of Eye Injuries and Illnesses in the Wilderness: 2024 Update.","authors":"Ryan Paterson, Brandy Drake, Geoffrey Tabin, Tracy Cushing","doi":"10.1177/10806032231223008","DOIUrl":"10.1177/10806032231223008","url":null,"abstract":"<p><p>A panel convened to develop an evidence-based set of guidelines for the recognition and treatment of eye injuries and illnesses that may occur in the wilderness. These guidelines are meant to serve as a tool to help wilderness providers accurately identify and subsequently treat or evacuate for a variety of ophthalmologic complaints. Recommendations are graded based on the quality of their supporting evidence and the balance between risks and benefits according to criteria developed by the American College of Chest Physicians.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998079","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
Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update. 荒野医学会急性高原疾病预防、诊断和治疗临床实践指南：2024更新。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-03-01 Epub Date: 2023-12-27 DOI: 10.1016/j.wem.2023.05.013
Andrew M Luks, Beth A Beidleman, Luanne Freer, Colin K Grissom, Linda E Keyes, Scott E McIntosh, George W Rodway, Robert B Schoene, Ken Zafren, Peter H Hackett
{"title":"Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update.","authors":"Andrew M Luks, Beth A Beidleman, Luanne Freer, Colin K Grissom, Linda E Keyes, Scott E McIntosh, George W Rodway, Robert B Schoene, Ken Zafren, Peter H Hackett","doi":"10.1016/j.wem.2023.05.013","DOIUrl":"10.1016/j.wem.2023.05.013","url":null,"abstract":"<p><p>To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention, diagnosis, and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches for managing each form of acute altitude illness that incorporate these recommendations as well as recommendations on how to approach high altitude travel following COVID-19 infection. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in <i>Wilderness & Environmental Medicine</i> in 2010 and the subsequently updated WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2014 and 2019.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217732","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
Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. 荒野医学会热病预防和治疗临床实践指南：2024 年更新版》（Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update）。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-03-01 DOI: 10.1177/10806032241227924
Kurt P Eifling, Flavio G Gaudio, Charles Dumke, Grant S Lipman, Edward M Otten, August D Martin, Colin K Grissom
{"title":"Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update.","authors":"Kurt P Eifling, Flavio G Gaudio, Charles Dumke, Grant S Lipman, Edward M Otten, August D Martin, Colin K Grissom","doi":"10.1177/10806032241227924","DOIUrl":"10.1177/10806032241227924","url":null,"abstract":"<p><p>The Wilderness Medical Society (WMS) convened an expert panel in 2011 to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. The current panel retained 5 original members and welcomed 2 new members, all of whom collaborated remotely to provide an updated review of the classifications, pathophysiology, evidence-based guidelines for planning and preventive measures, and recommendations for field- and hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks or burdens for each modality. This is an updated version of the WMS clinical practice guidelines for the prevention and treatment of heat illness published in <i>Wilderness & Environmental Medicine.</i> 2019;30(4):S33-S46.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998078","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
A Field Study of Carbon Monoxide Levels in Snow Caves During Short-Term Stove Use 短期使用炉灶期间雪洞中一氧化碳水平的实地研究
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-02-22 DOI: 10.1177/10806032241230241
Simon Uhl Nielsen, Anders Karlsen
{"title":"A Field Study of Carbon Monoxide Levels in Snow Caves During Short-Term Stove Use","authors":"Simon Uhl Nielsen, Anders Karlsen","doi":"10.1177/10806032241230241","DOIUrl":"https://doi.org/10.1177/10806032241230241","url":null,"abstract":"<jats:sec><jats:title>Introduction</jats:title>While the use of camping stoves in poorly ventilated areas is discouraged, the need to address dehydration challenges in harsh arctic conditions has led to their unconventional use inside snow caves for snow melting, subjecting occupants to unknown carbon monoxide (CO) levels. This study, located at sea level in northeastern Greenland, aimed to assess CO levels and dynamics during short cooking sessions in newly constructed emergency snow caves.</jats:sec><jats:sec><jats:title>Methods</jats:title>In 5 snow caves, constructed according to the same design principles by 4 different individuals, a single MSR Whisperlite multifuel burner, primed with ethanol and burning white gas, was used to melt snow. CO concentrations were monitored every minute until all the snow in a 5-L pot was converted to water and CO levels returned to below 10 ppm.</jats:sec><jats:sec><jats:title>Results</jats:title>A total of 16 experiments conducted showed that the priming phase generated the highest CO peaks, with a maximum of 120 ppm. Time-weighted averages ranged from 14 ppm to 67 ppm, with trial durations of 15 to 21 min. A single trial with a dirty burner resulted in up to a 10-fold increase in CO levels.</jats:sec><jats:sec><jats:title>Conclusions</jats:title>While single, short cooking sessions of less than 10 min burn time in newly constructed snow caves may be tolerated under specific conditions, the study highlighted substantial variation between caves and the importance of using clean burners, emphasizing the need for further research to gain a comprehensive understanding of CO exposure dynamics in snow caves.</jats:sec>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139927183","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
Reestablishing the Prevalence of Acute Mountain Sickness in Nepal: Surveying Manang and the Khumbu 重建尼泊尔急性高山病的流行:调查马南和昆布
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2023-11-15 DOI: 10.1016/j.wem.2023.08.017
Jerome Rogich MD, MS , Mary Starrs MD , Andrew Leamon MD, MPH , Caleb Phillips PhD , James Marvel MD
{"title":"Reestablishing the Prevalence of Acute Mountain Sickness in Nepal: Surveying Manang and the Khumbu","authors":"Jerome Rogich MD, MS ,&nbsp;Mary Starrs MD ,&nbsp;Andrew Leamon MD, MPH ,&nbsp;Caleb Phillips PhD ,&nbsp;James Marvel MD","doi":"10.1016/j.wem.2023.08.017","DOIUrl":"https://doi.org/10.1016/j.wem.2023.08.017","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138395518","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
Failure to Ventilate with the i-gel Supraglottic Device in Wilderness Settings: A Case Series 野外环境下使用i-gel声门上装置通气失败:一个案例系列
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2023-11-15 DOI: 10.1016/j.wem.2023.08.010
Michael Fischer MD , Jim Jurchenko NRP , Nicholas Sullens AEMT , Susanne Spano MD
{"title":"Failure to Ventilate with the i-gel Supraglottic Device in Wilderness Settings: A Case Series","authors":"Michael Fischer MD ,&nbsp;Jim Jurchenko NRP ,&nbsp;Nicholas Sullens AEMT ,&nbsp;Susanne Spano MD","doi":"10.1016/j.wem.2023.08.010","DOIUrl":"https://doi.org/10.1016/j.wem.2023.08.010","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138345138","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
Evaluating Hybrid Online and In-Person Delivery of Wilderness Medicine Training for Undergraduate Medical Students 对本科医学生野外医学培训在线与现场混合授课的评估
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2023-11-15 DOI: 10.1016/j.wem.2023.08.013
Laura Appleton BSc, Neil Lodhia BSc, Barbara Pavlou BSc
{"title":"Evaluating Hybrid Online and In-Person Delivery of Wilderness Medicine Training for Undergraduate Medical Students","authors":"Laura Appleton BSc,&nbsp;Neil Lodhia BSc,&nbsp;Barbara Pavlou BSc","doi":"10.1016/j.wem.2023.08.013","DOIUrl":"https://doi.org/10.1016/j.wem.2023.08.013","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138345139","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
Epidemiological Review of Black Widow Human Exposures as Reported to the National Poison Data System 向国家毒物数据系统报告的人类接触黑寡妇的流行病学审查
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2023-11-15 DOI: 10.1016/j.wem.2023.08.014
Samuel Holstege MS, Rita Farah PharmD, MPH, PhD, John Sweeney MD, Austin Murray, Christopher Holstege MD
{"title":"Epidemiological Review of Black Widow Human Exposures as Reported to the National Poison Data System","authors":"Samuel Holstege MS,&nbsp;Rita Farah PharmD, MPH, PhD,&nbsp;John Sweeney MD,&nbsp;Austin Murray,&nbsp;Christopher Holstege MD","doi":"10.1016/j.wem.2023.08.014","DOIUrl":"https://doi.org/10.1016/j.wem.2023.08.014","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138345140","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
Change in Climbing Performance Measurements after 24 h of Endurance Climbing 耐力攀登24小时后攀登性能测量的变化
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2023-11-15 DOI: 10.1016/j.wem.2023.08.006
Elaine Yu DO, Christanne Coffey MD
{"title":"Change in Climbing Performance Measurements after 24 h of Endurance Climbing","authors":"Elaine Yu DO,&nbsp;Christanne Coffey MD","doi":"10.1016/j.wem.2023.08.006","DOIUrl":"https://doi.org/10.1016/j.wem.2023.08.006","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138395513","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
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