Wilderness & Environmental Medicine最新文献_第2页

West Ridge Forerunner: Thomas F. Hornbein and the Development of the Maytag Oxygen Mask for the 1963 American Mount Everest Expedition. 西岭先行者：托马斯·f·霍恩拜因和1963年美国珠穆朗玛峰探险队Maytag氧气面罩的发展。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-30 DOI: 10.1177/10806032251351587

George W Rodway, Robert B Schoene

引用次数: 0

Embarking in the Backcountry: Traumatic Injuries Sustained in the Boundary Waters Canoe Area. 在边远地区登船：边界水域独木舟区遭受的创伤。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-30 DOI: 10.1177/10806032251351842

Anna Marie Rauzi, Melissa Harry, Kristin Colling

{"title":"Embarking in the Backcountry: Traumatic Injuries Sustained in the Boundary Waters Canoe Area.","authors":"Anna Marie Rauzi, Melissa Harry, Kristin Colling","doi":"10.1177/10806032251351842","DOIUrl":"https://doi.org/10.1177/10806032251351842","url":null,"abstract":"IntroductionThe Boundary Waters Canoe Area (BWCA) is a backcountry recreation area. This study aimed to characterize injuries sustained in the BWCA.MethodsA single reviewer completed a retrospective chart review of trauma admissions to Essentia Health from January 1, 2014 to February 25, 2023. Patients were included if their injury was documented to have occurred in the BWCA and they had not opted out of research.ResultsEighteen patients were found to have sustained injury in the BWCA. Most were adult males (78%), White (89%), and nonsmokers (94%). Most patients had no alcohol (83.3%) or drug (94.4%) use related to the injury. Seven patients self-extricated out to the BWCA, 6 were transported by ground Emergency Medical Services, and 5 required flight extrication. Median time from notification of injury to Emergency Medical Services arrival was 64 min. Time from notification of injury to hospital arrival was a median of 131 min. Falls were the main mechanism of injury (61%), followed by strike injury (22%) and water injury (17%). A few patients required lifesaving interventions (eg, prehospital intubations, needle thoracostomy, and blood transfusion). Twelve patients required a procedure (eg, <5 chest tubes and 10 surgeries). All 18 patients were alive at discharge.ConclusionThe most common injuries sustained in the BWCA were from falls, strikes, and water injuries. In collaboration with forest ranger stations, we plan to provide this information to backpackers to assist in their preparation for backcountry emergencies.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251351842"},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530687","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. 荒野。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-06-27 DOI: 10.1177/10806032251349090

引用次数: 0

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