Wilderness & Environmental Medicine最新文献_第2页

In reply to Dr Davis et al. 作为对Davis博士等人的回应。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-26 DOI: 10.1177/10806032241308478

Simon Uhl Nielsen, Anders Karlsen

引用次数: 0

Not Just Peds, Millipedes: An Arthropod Burn Case Report. 不仅仅是足类，还有千足类：节肢动物烧伤病例报告。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-24 DOI: 10.1177/10806032241302313

Jeffrey M Kalczynski, Matthew Piechnik, Cosimo Laterza, David Cuthbert

引用次数: 0

Solanum erianthum Poisoning Causing Speech Disturbance: A Case Series. 龙葵中毒引起语言障碍：一个案例系列。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-20 DOI: 10.1177/10806032241304734

Lee Kee Choon, Ain Izzati Khiruddin

{"title":"Solanum erianthum Poisoning Causing Speech Disturbance: A Case Series.","authors":"Lee Kee Choon, Ain Izzati Khiruddin","doi":"10.1177/10806032241304734","DOIUrl":"https://doi.org/10.1177/10806032241304734","url":null,"abstract":"The Solanaceae plant family (Solanum), such as capsicum, eggplant, potato, and tomato, is made up of common plants consumed by humans. Despite having medicinal benefits, these plants can produce toxic alkaloid compounds. We report 2 cases of uncommon Solanum erianthum poisoning after consuming the berries as a meal. Both patients presented with slurring of speech, which is easily mistaken for a stroke. Symptoms developed 19 h after consuming the wild berries and resolved spontaneously 12 h after onset. Both patients recovered with no neurologic deficit. No antidote was given in either case. The Solanaceae plant family is a common group of plants consumed by humans and is considered one of the largest genera. The phytochemical profile showed that the leaves and berries contain toxic glycoalkaloid levels, which can cause gastrointestinal and neurologic symptoms in poisoning cases. Reports have shown that the toxic glycoalkaloids can inhibit the cholinesterase enzyme, thus producing cholinergic effects. Theoretically, atropine is the choice of antidote, but no case report of atropine use has been documented. Treatment of S erianthum poisoning remains supportive care. These cases highlight the rare occurrence of poisoning from S erianthum and emphasize the necessity for considering toxicologic causes in nonlocalizing neurologic symptoms.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241304734"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866048","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

T. Howard Somervell: War Surgeon, Everest Pioneer, and Medical Missionary. T.霍华德·萨默维尔：战地外科医生，珠峰先驱和医疗传教士。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-20 DOI: 10.1177/10806032241303719

George W Rodway, Graham Hoyland

{"title":"T. Howard Somervell: War Surgeon, Everest Pioneer, and Medical Missionary.","authors":"George W Rodway, Graham Hoyland","doi":"10.1177/10806032241303719","DOIUrl":"https://doi.org/10.1177/10806032241303719","url":null,"abstract":"A full century has passed since George Leigh-Mallory and Andrew (Sandy) Irvine disappeared on the upper reaches of Mount Everest in June 1924. Theodore Howard Somervell (April 16, 1890-January 23, 1975), mountaineer, surgeon, and medical missionary, also was a key player in the 1924 expedition-as well as the 1922 Everest expedition where he was a member of the first ever team of climbers to break the 8000-m barrier. More commonly known as Howard or T.H., Somervell was one of those rare individuals whose multiple talents qualified him as nothing short of a polymath while simultaneously providing an example of outstanding humanitarian qualities. British born, he was resident in India for nearly 40 y while working there as a medical missionary. He bore witness as a battlefield surgeon to the horrors of the First World War after receiving his medical training at University College, London. An active climber for much of his early life, he made notable ascents not only in the Himalaya but also closer to home in the mountains of the United Kingdom and mainland Europe. Somervell contributed numerous articles to the medical literature, but he is perhaps best known for 3 books published between 1936 and 1947 that touch largely on his experiences as a medical missionary. His decades of practice as a medical missionary in service to the poor of India allowed him to save lives on a scale approaching that of the slaughter he witnessed years earlier as an Army medical officer.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241303719"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866054","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

Airway Management in Austere Settings: Intubation Is Not Always the Best Option. 严峻环境下的气道管理：插管并不总是最好的选择。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-20 DOI: 10.1177/10806032241301047

Nicholas E Weinberg, Nicholas J Daniel, Stephanie A Lareau, James H Elder, Ken Zafren

引用次数: 0

Shelters in Alpine Rescue: Can They Create a Comfortable Zone at the Deployment Site? 高山救援中的避难所：他们能在部署地点创造一个舒适的区域吗？

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-20 DOI: 10.1177/10806032241300132

Willi Troeger, Manuel Winkler, Markus Isser, Wolfgang Lederer

{"title":"Shelters in Alpine Rescue: Can They Create a Comfortable Zone at the Deployment Site?","authors":"Willi Troeger, Manuel Winkler, Markus Isser, Wolfgang Lederer","doi":"10.1177/10806032241300132","DOIUrl":"https://doi.org/10.1177/10806032241300132","url":null,"abstract":"Introduction: Lightweight shelters made of water- and windproof polyester are frequently used by mountain rescue, but information on physical and psychological stress during their use is scarce.Methods: A prospective observational study was conducted with 48 experienced rescuers who performed cardiopulmonary resuscitation training on a manikin in a shelter in alpine terrain. The objective parameters of air temperature, moisture, and concentrations of carbon dioxide and oxygen were measured inside the shelter. The subjective experience of the rescuers regarding stress, moisture, noise, air draft, convenience, spatial confinement, brightness, room temperature, and air quality was assessed using a questionnaire.Results: During 15 min of cardiopulmonary resuscitation, the median temperature in the shelter rose by >15°C (Δt, 15.9°C; interquartile range, 14.3-16.5°C; P=0.018). Carbon dioxide concentrations increased to 0.97 vol% maximum. Bag valve mask ventilation was established with and without the use of supplemental oxygen, which showed significantly different oxygen shelter concentrations (21.1 vol% with oxygen, 20.6 vol% without oxygen; P<0.001). Most participants rated the physical comfort and spatial conditions inside the shelter as convenient.Conclusions: In this study, the use of shelters in alpine terrain improved physical comfort while carrying out a rescue. Most participants gave high ratings for the working conditions in the shelter.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241300132"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866052","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

Characteristics of Climbers with High Altitude Pulmonary Edema on Mount Aconcagua. 阿空加瓜山高原肺水肿登山者的特点。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-18 DOI: 10.1177/10806032241303438

Andrew Park, Aaron Brillhart, Sameer Sethi, Bernabé Abramor, Rodrigo Duplessis, Roxana Pronce, Javier Seufferheld, Sarah Schlein

{"title":"Characteristics of Climbers with High Altitude Pulmonary Edema on Mount Aconcagua.","authors":"Andrew Park, Aaron Brillhart, Sameer Sethi, Bernabé Abramor, Rodrigo Duplessis, Roxana Pronce, Javier Seufferheld, Sarah Schlein","doi":"10.1177/10806032241303438","DOIUrl":"https://doi.org/10.1177/10806032241303438","url":null,"abstract":"Introduction—: Mount Aconcagua (6961 m) in Argentina is the highest peak in the Americas, and more than 3000 climbers attempt to summit annually. High altitude pulmonary edema (HAPE) is a leading cause of mortality and evacuation on Aconcagua.Objective—: This study sought to describe the characteristics of climbers who developed HAPE on Aconcagua to aid in future prevention efforts.Methods—: Climbers diagnosed with HAPE in January 2024 were surveyed regarding demographics, preparation, acclimatization, and illness. Healthy climbers on Aconcagua also were surveyed for the same period, providing a control population.Results—: Seventeen climbers were diagnosed with HAPE. These climbers were similar to climbers without HAPE in age, sex, origin, home elevation, hypoxic tent use, staged ascent, recent virus exposure, fitness metrics, and ascent-rate plans. Climbers with HAPE spent fewer nights at the 4300-m base camp (3.6 vs 5.0 nights). Prior to developing HAPE, 71% of patients reported unresolved acute mountain sickness symptoms. HAPE onset median elevation was 5500 m, with a median of 8.0 days over 3000 m and a median lowest SpO2 of 60% at diagnosis. There was a nonsignificant trend between acetazolamide use and increased HAPE. All surveyed HAPE patients descended, required helicopter evacuation, and survived.Conclusion—: This study examined climbers who developed HAPE on Mount Aconcagua, yielding implications for high altitude illness prevention efforts and further study. HAPE cases were associated with insufficient nights at the 4300-m base camp and unresolved acute mountain sickness symptoms. The relationship between acetazolamide and HAPE warrants further study on Aconcagua.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241303438"},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848187","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

Reviewing the Impacts of Natural and Technological Disasters on the End-Stage Kidney Disease Community. 回顾自然灾害和技术灾害对终末期肾病群体的影响。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-17 DOI: 10.1177/10806032241296528

Bashir B El-Khoury, Faith R Kelly, Kathleen Sherman-Morris

{"title":"Reviewing the Impacts of Natural and Technological Disasters on the End-Stage Kidney Disease Community.","authors":"Bashir B El-Khoury, Faith R Kelly, Kathleen Sherman-Morris","doi":"10.1177/10806032241296528","DOIUrl":"https://doi.org/10.1177/10806032241296528","url":null,"abstract":"The impact and severity of natural disasters and hazards have been increasing in the United States and throughout the world. With our mounting reliance and dependence on technology in our industrialized society, technological disasters also have become more commonplace. Although disasters may occur with little to no warning, these risks are felt to be acceptable despite their ability to impact large populations. Natural and technological disasters disproportionately affect vulnerable populations, including those with end-stage kidney disease (ESKD). The impact of natural and technological disasters on the ESKD community has been closely examined via numerous case studies and through the lens of particular disasters, but there is a paucity of data exploring the impacts of natural and technological disasters on the ESKD community by disaster type. A comprehensive literature search was performed using PubMed and Google Scholar, and relevant articles pertaining to the impacts of natural and technological disasters on the ESKD community were reviewed. More than 50 studies were reviewed in total. This review aimed to identify common patterns and trends observed in the impacts of different disaster types on the ESKD community to better prepare patients and their providers before the next disaster strikes.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241296528"},"PeriodicalIF":1.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840084","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

Black Widow Spider Exposures: A Retrospective Review of the National Poison Data System 2012-2022. 黑寡妇蜘蛛暴露：2012-2022年国家毒物数据系统回顾。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-13 DOI: 10.1177/10806032241300134

Abigail F Kerns, Emily T Scheffel, Rita Farah, Christopher P Holstege

{"title":"Black Widow Spider Exposures: A Retrospective Review of the National Poison Data System 2012-2022.","authors":"Abigail F Kerns, Emily T Scheffel, Rita Farah, Christopher P Holstege","doi":"10.1177/10806032241300134","DOIUrl":"https://doi.org/10.1177/10806032241300134","url":null,"abstract":"Introduction: The black widow spider, Latrodectus mactans, stands out as one of the most medically significant arachnids due to its extensive geographic distribution in the United States and its ability to produce a potent neurotoxin, α-latrotoxin. This study aimed to describe the epidemiology of black widow spider exposures by month of exposure, geographic distribution, demographics, symptoms, treatment, and health system resource utilization between 2012 and 2022.Methods: This was a retrospective observational study using the US National Poison Data System, the data warehouse of the 55 US poison centers. A descriptive analysis of patient demographic data, month of exposure, clinical effects, level of healthcare received, and medical outcome was performed.Results: During the studied period, a total of 15,299 cases of Latrodectus spp exposures were reported to US poison centers. Exposures occurred with higher frequency in warm-weather states and during summer months. Almost half the cases were managed outside a healthcare facility (48.6%). Hospital admission was required for 10.0% of exposures. The most common therapies received were wound care (43.7%) and benzodiazepines (18.6%). Antivenom was administered in 3.4% (n=521) of exposures.Conclusions: Poison center data indicate that most black widow spider exposures result in minor consequences. Supportive care is the primary approach for black widow spider bites. Although antivenom use is infrequent, providers may seek administration guidance from toxicologists through local poison centers. This study underscores the pivotal role of poison centers in mitigating unnecessary healthcare visits and subsequent hospitalizations.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241300134"},"PeriodicalIF":1.4,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820001","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

First Aid and Basic Life Support Training in the Wilderness. 野外急救和基本生命支持训练。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-13 DOI: 10.1177/10806032241297959

Alexis Fremery, Rémi Mutricy, Florian Negrello, Jean Pujo, Thomas Labrousse, Loïc Epelboin

{"title":"First Aid and Basic Life Support Training in the Wilderness.","authors":"Alexis Fremery, Rémi Mutricy, Florian Negrello, Jean Pujo, Thomas Labrousse, Loïc Epelboin","doi":"10.1177/10806032241297959","DOIUrl":"https://doi.org/10.1177/10806032241297959","url":null,"abstract":"Introduction: French Guiana is a French territory in South America covered by 90% of tropical forest. Despite regular first aid standards training, some of the workers in isolated areas remain untrained in common problems they may encounter. We present here the knowledge assessment of these workers concerning first aid and a new training program.Methods: Thirty-two workers operating in remote areas attended a 1-d training course. The program covered infectious diseases, wildlife envenomation, and first aid and basic life support with a wilderness medicine focus. Questionnaires were issued to assess their knowledge and satisfaction with the course.Results: The learners were 78% male and of intermediate age (26-55 y). The most common profession was forester (53%). Professionals had been working in remote areas for 12 (4-19) y, and 91% had already received first aid training. The common life-threatening emergencies were not well known; only 6 learners (19%) knew how to recognize a cardiac arrest, 7 (22%) recognized symptoms of severe anaphylaxis, and 23 (72%) performed maneuvers not recommended in cases of upper airway partial obstruction. A total of 26 learners (81%) completed the satisfaction questionnaire. The training met the learners' expectations. However, 92% would like further training, and 96% requested regular renewal.Conclusions: This training was the first step toward the creation of a specialized wilderness first aid course. This work supports the need to reinforce training for nonmedical personnel by integrating regionally specific topics. This experience permitted the rise of a working group that proposed a medical kit as well as first aid protocols for workers in isolated areas.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241297959"},"PeriodicalIF":1.4,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820003","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