Wilderness & Environmental Medicine最新文献_第5页

Corrigendum 2 to "Russula subnigricans Poisoning Causes Severe Rhabdomyolysis That Could be Misdiagnosed as Non-ST Segment Elevation Myocardial Infarction". Russula subnigricans 中毒导致严重横纹肌溶解，可能被误诊为非 ST 段抬高型心肌梗死》的更正 2。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-27 DOI: 10.1177/10806032241259468

引用次数: 0

Corrigendum to "Prevention and Treatment of Nonfreezing Cold Injuries and Warm Water Immersion Tissue Injuries: A Supplement to the Wilderness Medical Society Clinical Practice Guidelines". 非冰冻冷伤和温水浸泡组织损伤的预防和治疗：荒野医学会临床实践指南》补编。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-05 DOI: 10.1177/10806032241253558

引用次数: 0

A Season at the Himalayan Rescue Association Aid Post in Manang. 马南喜马拉雅救援协会援助站的一个季节。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI: 10.1177/10806032241257923

Shashank Timilsina, Geoffrey E Hillwood, Guy E Thwaites, C Louise Thwaites, Thaneshwar Bhandari

{"title":"A Season at the Himalayan Rescue Association Aid Post in Manang.","authors":"Shashank Timilsina, Geoffrey E Hillwood, Guy E Thwaites, C Louise Thwaites, Thaneshwar Bhandari","doi":"10.1177/10806032241257923","DOIUrl":"10.1177/10806032241257923","url":null,"abstract":"The Himalayan Rescue Association (HRA) has operated high altitude clinics in Nepal for 50 years, with rising visitor numbers, especially from India, China, and Nepal. New roads have eased access and increased the speed of ascent in some areas. Our aim was to provide a description of the activities, clinical problems, and lecture attendees of the HRA aid post in Manang over one season. We also highlight the evolving challenges of providing healthcare and education in the high Himalayan region. We describe the clinical and educational activities of the HRA aid post in Manang from September 24 to December 1, 2023. Prospective clinical data collection included anonymized patient demographics and diagnoses. Lecture data were taken from the attendee register and by daily manual counts of lecture attendees. We saw 376 patients, 62% of whom were Nepalis. Infectious diseases (42%) and altitude illness (16%) were the most common problems. A total of 846 people from 47 countries attended the daily altitude lectures. Only 5% of attendees were Nepali. Electrical supply interruptions and limitations in medical evacuation options were among the challenges of providing care at a high altitude clinic and preventing altitude illness using educational lectures. Altitude illness remains a common and potentially life-threatening problem, with risks increased by rapid ascent enabled by new road access and by ignorance of risks of altitude among travelers, especially Nepalis. Language barriers in educational outreach call for novel approaches and interventions that will ensure the effectiveness of altitude education.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879654","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

Contributions of Griffith Pugh to Success on Mt. Everest and His Impact on the Advancement of Altitude and Environmental Physiology. 格里菲斯-普对成功登顶珠穆朗玛峰的贡献以及他对海拔和环境生理学发展的影响。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-06-11 DOI: 10.1177/10806032241259499

Mayowa A Olatunji, Stephen Cornish, Phillip Gardiner, Gordon G Giesbrecht

{"title":"Contributions of Griffith Pugh to Success on Mt. Everest and His Impact on the Advancement of Altitude and Environmental Physiology.","authors":"Mayowa A Olatunji, Stephen Cornish, Phillip Gardiner, Gordon G Giesbrecht","doi":"10.1177/10806032241259499","DOIUrl":"10.1177/10806032241259499","url":null,"abstract":"Griffith Pugh, MD (1909-1994), was a pioneer in altitude physiology. During World War II, he developed training protocols in Lebanon to improve soldier performance at altitude and in the cold. In 1951 he was chosen to join the British Everest team as a scientist. In preparation, he developed strategies for success on a training expedition on Cho Oyu in 1952. Results from Cho Oyu led to the use of supplemental oxygen at higher flow rates during ascent than used previously (4 L/min vs 2 L/min) and continued use (at a reduced rate of 2 L/min) during descent, enabling increased performance and improved mental acuity. Oxygen was also used during sleep, leading to improved sleep and warmth. Adequate hydration (∼3 L/day) was also stressed, and a more appealing diet led to improved nutrition and condition of the climbers. Improved hygiene practices and acclimatization protocols were also developed. These strategies contributed to the first successful summiting of Mount Everest in 1953. Pugh was then appointed as the lead scientist for a ground-breaking eight-and-a-half-month research expedition where the team was the first to overwinter at high altitude (5800 m) in the Himalayas. This current work summarizes Pugh's scientific contributions as they relate to success on Mount Everest and in inspiring future altitude research by generations of successful researchers.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301924","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

Merrem's Hump-Nosed Viper (Hypnale hypnale) Bite on the Tongue of an Infant Leading to Upper Airway Obstruction: An Unusual Presentation. Merrem's 驼鼻蝰 (Hypnale hypnale) 咬伤婴儿舌头导致上气道阻塞：一种不寻常的表现。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-10 DOI: 10.1177/10806032241252109

Chanaka Gunawardena, Hemal Samarathunga, Dayananda Bandara, Anuruddha Kiridena, Anjana Silva

引用次数: 0

In Response to Oropharyngeal Swelling and Airway Obstruction from Environmental Cold Exposure: A Case Report. 环境寒冷导致口咽肿胀和气道阻塞：病例报告。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-03-28 DOI: 10.1177/10806032241240449

Anju Gupta, Chitta Ranjan Mohanty, Amiya Kumar Barik, Rakesh Vadakkethil Radhakrishnan

引用次数: 0

Trick or Treat-Jack O'Lanterns Are NOT Good to Eat. 不给糖就捣蛋--杰克灯笼不能吃。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-06-09 DOI: 10.1177/10806032241258334

Kailee Pollock, Josh Trebach, Kevin Watkins

引用次数: 0

Acute Coronary Syndrome at Altitude: Diagnostic Dilemma on Aconcagua Using Point-of-Care Ultrasound. 高海拔地区的急性冠状动脉综合征：在阿空加瓜岛使用护理点超声波诊断难题。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-08 DOI: 10.1177/10806032241249128

Chance Sullivan, Aaron Brillhart, Rodrigo J Duplessis, Ellen Stein, Sarah M Schlein

{"title":"Acute Coronary Syndrome at Altitude: Diagnostic Dilemma on Aconcagua Using Point-of-Care Ultrasound.","authors":"Chance Sullivan, Aaron Brillhart, Rodrigo J Duplessis, Ellen Stein, Sarah M Schlein","doi":"10.1177/10806032241249128","DOIUrl":"10.1177/10806032241249128","url":null,"abstract":"At the Plaza de Mulas medical tent, located at 4300 m (14,100 ft) along the Normal Route to the 6960 m (22,837 ft) summit of Aconcagua in Argentina, a Korean male in his 50s with no known medical conditions presented with lightheadedness and shortness of breath. He had taken sildenafil and acetazolamide that morning without improvement. Vital signs on arrival were notable for oxygen saturations in the high 60s with basilar crackles on lung auscultation, concerning for high altitude pulmonary edema. The patient was started on oxygen via nasal cannula and given dexamethasone. History was limited secondary to language barriers, but on review of systems the patient noted mild chest pressure. Bedside cardiac echocardiogram was performed, which revealed a septal wall motion abnormality. The patient was therefore given aspirin and clopidogrel and was flown to a lower trailhead, where he was met by local Emergency Medical Services. A 12-lead electrocardiogram revealed an anterior ST-elevation myocardial infarction, and the patient was taken emergently to the catheterization lab in Mendoza and underwent stent placement with a full recovery.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891199","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

The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety-A Mountain Rescue Case Series. 将可能患有轻度体温过低的寒冷患者送至安全地带的结果--山地救援案例系列。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI: 10.1177/10806032241259943

Mike Greene, Naomi Dodds, Les Gordon

{"title":"The Outcome of Walking Cold Patients with Potential Mild Hypothermia to Safety-A Mountain Rescue Case Series.","authors":"Mike Greene, Naomi Dodds, Les Gordon","doi":"10.1177/10806032241259943","DOIUrl":"10.1177/10806032241259943","url":null,"abstract":"Introduction: Some experts recommend that ambulant hypothermic patients should be rewarmed, fed, and not permitted to exercise for 30 min because of concerns that afterdrop can cause cardiac instability. We investigated the outcome of ambulant hypothermic patients in a case series from mountain rescue teams in Great Britain.Methods: A questionnaire was used to collect information on a series of adult patients with a clinical diagnosis of mild hypothermia. All patients were alert on the AVPU scale and evacuated by walking from the mountain. The outcome measures were survival or a change in management because of medical deterioration during evacuation.Results: A series of 108 eligible cases were reported over a 5-year period. When rescuers arrived on the scene, 98 (91%) patients were stationary, and 10 (9%) were still mobile. Thirty-eight (39%) of the stationary cases were walked immediately off the mountain without any on-scene delay. In the remaining 60 (61%) stationary cases, the decision was taken to delay evacuation to provide food, drinks, and additional clothing. In 3 cases, the use of heat packs indicated an intention to actively rewarm. In cases where the on-scene time was reported, 27 (79%) were known to be mobile again within 20 min. All patients survived, and no adverse medical events occurred in all 108 cases.Conclusions: In this study, no adverse events occurred because of immediate mobilization, suggesting that in these cases, there appears to be minimal risk of early activity.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318744","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

Inappropriate Acetazolamide Use for a Hiker Who Developed Acute Kidney Injury. 为一名出现急性肾损伤的徒步旅行者不当使用乙酰唑胺。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-10 DOI: 10.1177/10806032241249452

Weston R Myers, Charles Bawcom, Cooper Schraudenbach, Brad L Bennett

引用次数: 0