Wilderness & Environmental Medicine最新文献_第6页

In Response to From Forest to Intensive Care Unit: Managing Severe Complications of Bothrops bilineatus Envenomation by Vásquez Paredes. 回应从森林到重症监护室：处理严重的双头虫中毒并发症Vásquez Paredes。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-28 DOI: 10.1177/10806032251359912

Chitta Ranjan Mohanty, Amiya Kumar Barik, Rakesh Vadakkethil Radhakrishnan, Srikant Behera, Pearl S Konikkara

引用次数: 0

Adjunctive Hyperbaric Oxygen Treatment for Grade-Four Frostbite: A Case Study and Short Discussion From Tasmania, Australia. 辅助高压氧治疗四级冻伤：来自澳大利亚塔斯马尼亚的案例研究和简短讨论。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-25 DOI: 10.1177/10806032251368760

Graham Stevens

引用次数: 0

Exploring the Role of Wilderness Medicine in Undergraduate Medical Education in India: Impact on Student Motivation and Self-Directed Learning. 探索荒野医学在印度本科医学教育中的作用：对学生动机和自主学习的影响。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-21 DOI: 10.1177/10806032251368236

Siju V Abraham, Aravind Sreekumar, Appu Suseel, Deo Mathew, Punchalil Chathappan Rajeev, Collin Raju George, Sonali Sunil Chammanam, Vijay Chanchal Attuvalappil Bharathan, Amayoor Variyam Raghu, Jyothi Antony, Arin Eliza Sunny, Cheru Kandiyil Kassyap

{"title":"Exploring the Role of Wilderness Medicine in Undergraduate Medical Education in India: Impact on Student Motivation and Self-Directed Learning.","authors":"Siju V Abraham, Aravind Sreekumar, Appu Suseel, Deo Mathew, Punchalil Chathappan Rajeev, Collin Raju George, Sonali Sunil Chammanam, Vijay Chanchal Attuvalappil Bharathan, Amayoor Variyam Raghu, Jyothi Antony, Arin Eliza Sunny, Cheru Kandiyil Kassyap","doi":"10.1177/10806032251368236","DOIUrl":"https://doi.org/10.1177/10806032251368236","url":null,"abstract":"BackgroundIn India, emergency medicine is a developing specialty and is not yet integrated into undergraduate medical education (bachelor of medicine and bachelor of surgery [MBBS]). Against this backdrop, introducing wilderness medicine may seem premature, but its relevance is clear given the country's vast rural geography and limited prehospital care. This study evaluated the impact of a 1-d wilderness medicine elective on medical students' motivation, self-directed learning, and satisfaction.MethodThis mixed-methods study involved 53 MBBS students from a tertiary care teaching institute divided into 3 independent batches that sequentially underwent wilderness medicine training across 3 curricular iterations. Data collection included pre- and post-tests, surveys using validated scales, and qualitative feedback from focus group discussions.ResultsConfidence improved significantly (P<0.001) in scene size-up (2.66±0.99 to 4.22±0.53), first aid (2.66±0.99 to 4.22±0.53), identification of life-threatening emergencies (2.66±0.94 to 4.20±0.51), and first aid kit preparation (2.39±1.07 to 4.29±0.72, all scores out of 5). The module was highly valued, with strong support from the learners for its inclusion in the curriculum (4.14±0.94 to 4.86±0.35; P<0.001) and reported high satisfaction and demonstrated intrinsic motivation.ConclusionsThe elective module enhanced students' confidence and engagement, supporting its integration into undergraduate curricula. Further research is warranted to assess long-term impact and scalability. Further research is needed to validate these findings and assess the long-term effects on clinical practice.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251368236"},"PeriodicalIF":1.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976379","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

Ski Patroller Manual Cardiopulmonary Resuscitation During Rescue Toboggan Transport: Three Vermont Skier Cases of Cardiac Arrest With Neurologically Intact Survival and Practical Suggestions for Implementation. 滑雪巡逻员手册：雪橇救援运输中的心肺复苏：三例佛蒙特州滑雪者心脏骤停，神经系统完好存活及实施建议。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-20 DOI: 10.1177/10806032251364148

Aaron Brillhart, Connor Nowak, Nathaniel Moore, Eric Silva

{"title":"Ski Patroller Manual Cardiopulmonary Resuscitation During Rescue Toboggan Transport: Three Vermont Skier Cases of Cardiac Arrest With Neurologically Intact Survival and Practical Suggestions for Implementation.","authors":"Aaron Brillhart, Connor Nowak, Nathaniel Moore, Eric Silva","doi":"10.1177/10806032251364148","DOIUrl":"10.1177/10806032251364148","url":null,"abstract":"Debate exists regarding safety and optimal technique for ski patrollers performing cardiopulmonary resuscitation (CPR) on cardiac arrest patients in a moving toboggan during rescue evacuation. Cases of successful outcomes after toboggan-transport (in-sled) manual (hands-on) or mechanical CPR by ski patrollers have not been described in the medical literature. This case series presents 3 adult resort skiers who experienced medical cardiac arrest in Vermont over the years 2024-25, and who received manual CPR in a moving rescue toboggan, leading to return of spontaneous circulation and subsequent neurologically intact hospital discharge. One case displayed signs of cognitive activity only during chest compressions, which suggests that manual CPR in a moving rescue toboggan can create brain perfusion. This study documents that after an initial period of on-scene stationary CPR and defibrillation, manual CPR may be safely continued in the appropriate circumstance by ski patrollers in a moving toboggan and can lead to successful outcomes for medical cardiac arrest. An educational opportunity exists. Practical suggestions and techniques are discussed for the implementation of safe and effective toboggan-transport CPR when indicated.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251364148"},"PeriodicalIF":1.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884176","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

Clinical Profile and Outcome of Heat-Stroke Patients Presenting to the Emergency Department of a Tertiary Care Center in Eastern Part of India. 印度东部三级医疗中心急诊科中暑患者的临床概况和结果

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-19 DOI: 10.1177/10806032251361709

Divendu Bhushan, Muskan Dogney, Deepak Kumar, Mohammed Iqbal A N, Vishal Vaibhaw

{"title":"Clinical Profile and Outcome of Heat-Stroke Patients Presenting to the Emergency Department of a Tertiary Care Center in Eastern Part of India.","authors":"Divendu Bhushan, Muskan Dogney, Deepak Kumar, Mohammed Iqbal A N, Vishal Vaibhaw","doi":"10.1177/10806032251361709","DOIUrl":"10.1177/10806032251361709","url":null,"abstract":"BackgroundHeat stroke represents a growing public health concern, exacerbated by rising temperatures and prolonged heat waves. This study examines the clinical profile, prognostic markers, and outcomes of heat stroke patients presenting to a tertiary care center in India and compares findings with previous global studies.ObjectiveTo analyze the clinical profile, prognostic markers, and outcomes of heat stroke patients presenting to a tertiary care center in India and to compare findings with previous global studies.MethodsA retrospective study was conducted between March to July 2024. Data on demographics, clinical parameters, laboratory values, and outcomes were collected and analyzed. Primary outcomes were mortality and functional recovery. Statistical tests included chi-square, Mann-Whitney U test, and multivariate logistic regression.ResultsAmong 43 patients, the mean age was 57 years, and 67% were male. The overall mortality rate was 21%. Significant predictors of mortality included hypotension (SBP <100 mm Hg, p = 0.040), tachypnea (RR >20/min, p = 0.001), Glasgow Coma Scale score <9 (p < 0.001), elevated creatinine, and multi-organ dysfunction syndrome (MODS) involving renal and CNS systems (p < 0.01). Middle-aged, active individuals were disproportionately affected due to occupational exposure to high ambient temperatures.ConclusionOur findings highlight key clinical and biochemical predictors of poor outcomes in heat stroke. Indian patients who are middle-aged individuals, possibly exposed due to outdoor occupations, may face greater exposure to high ambient temperatures.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251361709"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884175","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 reply to Mohanty et al. 在回答莫汉蒂等人。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-12 DOI: 10.1177/10806032251361454

Percy J Vásquez-Paredes

引用次数: 0

Prehospital Frostbite Management With Iloprost: Case Reports of Two Helicopter Evacuations in Northern Canada. 院前冻伤管理与Iloprost：两个案例报告在加拿大北部直升机疏散。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-11 DOI: 10.1177/10806032251364149

Pierre-Marc Dion, Josianne Gauthier, Ryan Soucy, Domhnall O'Dochartaigh, Alexander Poole

引用次数: 0

Amputations and Avulsion Injuries due to Human/Equine Interaction. 人/马相互作用导致的截肢和撕脱伤。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-06 DOI: 10.1177/10806032251361904

Randall T Loder, Alyssa L Walker, Laurel C Blakemore

{"title":"Amputations and Avulsion Injuries due to Human/Equine Interaction.","authors":"Randall T Loder, Alyssa L Walker, Laurel C Blakemore","doi":"10.1177/10806032251361904","DOIUrl":"https://doi.org/10.1177/10806032251361904","url":null,"abstract":"IntroductionAmputations and avulsion injuries due to horse-associated activity are rare, yet they can result in significant impairment. The purpose of this study was to further investigate such injuries using a national emergency department database.MethodsThe US National Electronic Injury Surveillance System (NEISS) was used to identify horse-associated amputation and avulsion injuries occurring between 2000-2023. Demographic data of age, sex, and injury details were collected.ResultsThere were 34,091 emergency department visits for equine-associated injuries, with 120 (0.35%) due to amputations/avulsions; 53 (44%) patients sustained amputations, and 67 patients (56%) sustained avulsions. The average age was 37 (SD = 21 years). There were 78 female and 42 male patients. The most common mechanism of injury was riding the horse, with further details not specified (31%), followed by equipment issues (19%), bucked/thrown/kicked off the horse (15%), falling off the horse (11%), and others (6%). A rope/chain was involved in 29 patients (24%). There were 55 amputations involving the finger (40), thumb (13), and others (2). Rope-related injuries were more commonly involved in those sustaining amputations versus avulsions (42% vs 10%, P < .001). Males had more rope-associated injuries (36% vs 18%, P = .043).ConclusionsThis is the largest study to date of amputations and/or avulsions due to horse-associated injuries. There were multiple mechanisms of injury, with ropes involved in one-quarter. This baseline data can be useful for evaluating the effectiveness of future prevention programs.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251361904"},"PeriodicalIF":1.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790494","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 Reply to Drs Mohanty, Radhakrishnan, Barik, Samuel, and Kumar. 回复Mohanty， Radhakrishnan, Barik， Samuel和Kumar博士。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-08-06 DOI: 10.1177/10806032251364150

Spencer Greene, Amber Anderson, Misty Wilcken, Dietrich Jehle, Shawn Varney

引用次数: 0

Navigating Hygiene: Genitourinary and Perianal Health Strategies Among Female Long-Distance Backpackers. 导航卫生：女性长途背包客的泌尿生殖系统和肛周健康策略。

IF 1.1 4区医学

Wilderness & Environmental Medicine Pub Date : 2025-07-28 DOI: 10.1177/10806032251358161

Kelly Ray, Lynn Foster-Johnson, Sarah Crockett

{"title":"Navigating Hygiene: Genitourinary and Perianal Health Strategies Among Female Long-Distance Backpackers.","authors":"Kelly Ray, Lynn Foster-Johnson, Sarah Crockett","doi":"10.1177/10806032251358161","DOIUrl":"https://doi.org/10.1177/10806032251358161","url":null,"abstract":"IntroductionPreventing illness and maintaining hygiene in the genital and anal regions are concerns when hikers spend extended time in the backcountry. This cross-sectional survey study assessed prevention and hygiene strategies used by female long-distance backpackers and whether these approaches are associated with an increased incidence of symptoms of diarrhea, urinary tract infection, vaginitis, and dermatitis.MethodsA total of 868 long-distance backpackers who hiked in 2021 completed a survey about the prevention and hygiene strategies they used, and results were divided by anatomic sex. Chi-squared and effect sizes were used to determine if any practices were associated with a change in the frequency of adverse health outcomes. Thematic analysis of open-ended comments facilitated interpretation of the findings.ResultsThere were 620 respondents reporting female anatomy. Reusable products often were used for menstrual management and for postelimination hygiene. Several hygiene management practices and some reusable products were associated with increased reports of ill health effects. Hikers with more on-trail experience and a consistent hygiene routine were less likely to report adverse effects.ConclusionsLong-distance hikers use a variety of strategies to manage genital and perianal hygiene while in the backcountry, with reusable products being popular. Most strategies had little adverse effect on health. Maintaining a consistent hygiene routine appeared to be protective. More study is needed to understand whether the use of female urinary devices leads to more urinary tract infections or if minor modifications in their application could prevent such symptoms.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251358161"},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734858","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