Wilderness & Environmental Medicine最新文献_第4页

Wilderness Medicine Curricula in US Multidisciplinary Training Courses. 美国多学科培训课程中的野外医学课程。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-26 DOI: 10.1177/10806032241289315

Maria Holstrom-Mercader, Avram Flamm

{"title":"Wilderness Medicine Curricula in US Multidisciplinary Training Courses.","authors":"Maria Holstrom-Mercader, Avram Flamm","doi":"10.1177/10806032241289315","DOIUrl":"https://doi.org/10.1177/10806032241289315","url":null,"abstract":"Introduction: Wilderness medicine (WM) is the study of medicine in austere environments. There are several US multidisciplinary courses that teach WM to people from varying medical backgrounds. However, WM topics are covered to different extents. This study's purpose was to compare WM components among US multidisciplinary training courses.Methods: The American College of Emergency Physicians WM fellowship curriculum's 19 components and the Fellowship of the Academy of Wilderness Medicine's 12 core and 16 elective competencies and their credits were used as two control lists. Curricula from 10 US multidisciplinary courses were analyzed for WM components. Using descriptive analysis, each course curriculum was compared with the controls.Results: This study examines WM components in 10 courses. The greatest number of American College of Emergency Physicians WM fellowship topics (14 of 19) was covered by the Paramedic course and the fewest number (4 of 19) by the Tactical Combat Casualty Care-Combat Lifesaver course. The greatest number of Fellowship of the Academy of Wilderness Medicine core credits (56) was offered by the Paramedic course and the fewest number (24) by the Tactical Combat Casualty Care-Medical Personnel course. The greatest number of Fellowship of the Academy of Wilderness Medicine elective credits (83) was offered by the Paramedic course and the fewest number (25) by the Tactical Combat Casualty Care-Combat Lifesaver course.Conclusion: This research analyzed WM components in US multidisciplinary courses and demonstrated that each covers WM topics to varying extents. This shows an opportunity for these courses to expand their WM education within their scope. It also demonstrates competencies offered by different courses for interested trainees.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241289315"},"PeriodicalIF":1.4,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511611","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

Operational Stress Injuries in Disaster Responders: A Framework for Supporting Mental Health in Climate Crisis. 救灾人员的操作压力伤害：气候危机中的心理健康支持框架》。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-21 DOI: 10.1177/10806032241287210

William Mundo, Terry O'Connor, Laura McGladrey

引用次数: 0

A Case of Couching: Portable Ultrasound Screening Increases Quality of Care in Cataract Outreach Camp. 沙发案例：便携式超声波筛查提高了白内障外展营的护理质量。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-16 DOI: 10.1177/10806032241289107

Alec Bernard, Kathryn Flaharty, Sampson Makpayiln, Boateng Wiafe, Geoff Tabin, In-Hei Hahn

引用次数: 0

The Influence of Climate Change on Vector-Borne Diseases in a Wilderness Medicine Context. 气候变化对荒野医学背景下病媒传播疾病的影响。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-14 DOI: 10.1177/10806032241283704

Jonas E Mertens

{"title":"The Influence of Climate Change on Vector-Borne Diseases in a Wilderness Medicine Context.","authors":"Jonas E Mertens","doi":"10.1177/10806032241283704","DOIUrl":"https://doi.org/10.1177/10806032241283704","url":null,"abstract":"The imminent climate crisis has been labeled as the biggest health threat humanity must deal with. Vector-borne disease distribution and transmission as well as the population at risk are influenced to a great degree by environmental and climactic factors affecting both the vectors themselves and the causative pathogens. Paired with an increase in worldwide travel, urbanization, and globalization, along with population displacements and migration, elucidating the effects of anthropogenic climate change on these illnesses is therefore of the essence to stave off potential negative sequelae. Outcomes on different vector-borne diseases will be diverse, but for many of them, these developments will result in a distribution shift or expansion with the possibility of (re-)introduction of vector and pathogen species in previously nonendemic areas. The consequence will be a growing likelihood for novel human, vector, and pathogen interactions with an increased risk for infection, morbidity, and mortality. Wilderness medicine professionals commonly work in close relationship to the natural environment and therefore will experience these alterations most strongly in their practice. Hence, this article attempts to bring awareness to the subject at hand in a wilderness medicine context, with a focus on malaria, the most burdensome of arthropod-borne diseases. For prevention of the potentially dire consequences on human health induced by climate change, concerted and intensified efforts to reduce the burning of fossil fuels and thus greenhouse gas emissions will be imperative on a global scale.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241283704"},"PeriodicalIF":1.4,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478934","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 Review of Climate-Driven Threats to Recreational Water Users in Hawaii. 气候对夏威夷休闲用水者的威胁综述。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-14 DOI: 10.1177/10806032241286486

Elizabeth M Kiefer, Diana Felton

引用次数: 0

Space Radiology: Emerging Nonsonographic Medical Imaging Techniques and the Potential Applications for Human Spaceflight. 太空放射学：新兴的 Nonsonographic 医学成像技术及其在载人航天飞行中的潜在应用。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-10-03 DOI: 10.1177/10806032241283380

Michael Pohlen

{"title":"Space Radiology: Emerging Nonsonographic Medical Imaging Techniques and the Potential Applications for Human Spaceflight.","authors":"Michael Pohlen","doi":"10.1177/10806032241283380","DOIUrl":"https://doi.org/10.1177/10806032241283380","url":null,"abstract":"Space medicine is a multidisciplinary field that requires the integration of medical imaging techniques and expertise in diagnosing and treating a wide range of acute and chronic conditions to maintain astronaut health. Medical imaging within this domain has been viewed historically through the lens of inflight point-of-care ultrasound and predominantly research uses of cross-sectional imaging before and after flight. However, space radiology, a subfield defined here as the applications of imaging before, during, and after spaceflight, will grow to necessitate the involvement of more advanced imaging techniques and subspecialist expertise as missions increase in length and complexity. While the performance of imaging in spaceflight is limited by equipment mass and volume, power supply, radiation exposure, communication delays, and personnel training, recent developments in nonsonographic modalities have opened the door to their potential for in-mission use. Additionally, improved exam protocols and scanner technology in combination with artificial intelligence algorithms have greatly advanced the utility of possible pre- and postflight studies. This article reviews the past and present of space radiology and discusses possible use cases, knowledge gaps, and future research directions for radiography, fluoroscopy, computed tomography, and magnetic resonance imaging within space medicine, including both the performance of new exam types for new indications and the increased extraction of information from exams already routinely obtained. Through thoughtfully augmenting the use of these tools, medical mission risk may be reduced substantially through preflight screening, inflight diagnosis and management, and inflight and postflight surveillance.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241283380"},"PeriodicalIF":1.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367182","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 Implementing Tourniquet Conversion Guidelines for Civilian EMS and Prehospital Organizations by Standifird et al. 针对 Standifird 等人撰写的《民间急救服务和院前组织实施止血带转换指南》。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-17 DOI: 10.1177/10806032241281241

David Jerome

引用次数: 0

Creation of an Emergency Care Capacity Assessment Tool for Facilities in Austere Environments. 为环境恶劣的设施创建紧急救护能力评估工具。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-12 DOI: 10.1177/10806032241278982

Vijay Christopher Kannan,Geoff Comp,Stephanie Lareau

{"title":"Creation of an Emergency Care Capacity Assessment Tool for Facilities in Austere Environments.","authors":"Vijay Christopher Kannan,Geoff Comp,Stephanie Lareau","doi":"10.1177/10806032241278982","DOIUrl":"https://doi.org/10.1177/10806032241278982","url":null,"abstract":"INTRODUCTIONFacilities in austere environments may consider emergency care beyond their scope. Often patients with high-acuity conditions have no other choice than to present to these facilities. The disconnect between the intent of health systems planners and the reality faced by providers manifests as facilities unable to manage such cases.The Indian Health Service, with a range of stakeholders, developed an emergency care delivery assessment tool for facilities in austere environments, designed to identify deficiencies in facility readiness for emergency care delivery across four areas: 1. Procedural2. Human resources3. Non-pharmacologic material resources4. Pharmacologic material resources.METHODSThe tool's underlying architecture is a resource matrix similar to hospital-based tools, using the \"Facility\" component of the WHO Emergency Care Systems Framework as the Y-axis and undifferentiated presentations taught by the WHO basic emergency care course, advanced trauma life support, and advanced life support in obstetrics as the X-axis. The tool was piloted at a remote frontier clinic.RESULTSWe found 48 deficiencies: 7 procedural, 1 human resources, 31 non-pharmacologic materials, and 9 pharmacologic materials. We aggregated deficiencies by facility function to assess the capacity to perform each. We also aggregated deficiencies by clinical presentation to identify targets for educational interventions.CONCLUSIONWe successfully created a novel emergency care capacity assessment tool for use in austere environments using materials with broad international consensus. The successful pilot found deficiencies across all 4 areas. This tool may be useful in many other remote domestic facilities and rural health posts in low- and middle-income countries.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":"70 1","pages":"10806032241278982"},"PeriodicalIF":1.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142204075","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

Catfish Puncture Wound and Retained Spine Management in the ED Setting: A Case Report. 急诊室中的鲶鱼刺伤和脊柱留置治疗：病例报告。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-10 DOI: 10.1177/10806032241273505

Spencer J Carbone,Jennifer L Jozefick,Adam P Sigal,Robert H Nordell

引用次数: 0

Backward and in Heels . . . Mabel Purefoy FitzGerald's Extraordinary Journey to Discovery at High Altitudes. 后退并穿着高跟鞋 . .梅布尔-普尔福伊-菲茨杰拉德在高海拔地区的非凡发现之旅.

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-02 DOI: 10.1177/10806032241272125

Martha Tissot van Patot

引用次数: 0