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Broadening Perspectives on Analgesia in Mass Casualty Incidents: A Response to Reader Feedback. 拓宽大规模伤亡事件中镇痛的视角：对读者反馈的回应。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-27 DOI: 10.1177/10806032241242224
William D Binder, Susanne J Spano
{"title":"Broadening Perspectives on Analgesia in Mass Casualty Incidents: A Response to Reader Feedback.","authors":"William D Binder, Susanne J Spano","doi":"10.1177/10806032241242224","DOIUrl":"10.1177/10806032241242224","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295098","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 Dr Jerome. 回答杰罗姆博士。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI: 10.1177/10806032241240448
Timothee de Valence, Laurent Suppan
{"title":"In reply to Dr Jerome.","authors":"Timothee de Valence, Laurent Suppan","doi":"10.1177/10806032241240448","DOIUrl":"10.1177/10806032241240448","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144449","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 Predatory Attempt by a Green Anaconda (Eunectes murinus) on a Child in Midwest Brazil. 巴西中西部一条绿蟒（Eunectes murinus）对一名儿童的掠夺企图。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-22 DOI: 10.1177/10806032241230242
Vidal Haddad, Marcelo Ribeiro Duarte
{"title":"A Predatory Attempt by a Green Anaconda (<i>Eunectes murinus</i>) on a Child in Midwest Brazil.","authors":"Vidal Haddad, Marcelo Ribeiro Duarte","doi":"10.1177/10806032241230242","DOIUrl":"10.1177/10806032241230242","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933781","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
Musculoskeletal injuries during trail sports: Sex- and age-specific analyses over 20 years from a national injury database. 越野运动中的肌肉骨骼损伤：从全国伤害数据库中对 20 年来的性别和年龄进行分析。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1177/10806032241234029
Madeline M Owen, Connor D Workman, Hunter S Angileri, Michael A Terry, Vehniah K Tjong
{"title":"Musculoskeletal injuries during trail sports: Sex- and age-specific analyses over 20 years from a national injury database.","authors":"Madeline M Owen, Connor D Workman, Hunter S Angileri, Michael A Terry, Vehniah K Tjong","doi":"10.1177/10806032241234029","DOIUrl":"10.1177/10806032241234029","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal (MSK) injuries in US trail sports are understudied as trail sport popularity grows. This study describes MSK injury patterns among hikers, trail runners, and mountain bikers from 2002 through 2021 and investigates MSK injury trends acquired during mountain sports.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was used to identify US emergency department (ED) patients from 2002-2021 (inclusive) who endured MSK injuries during hiking, trail running, or mountain biking. Injury rates and national estimates were calculated across demographics.</p><p><strong>Results: </strong>9835 injuries were included (48.4% male, 51.6% female). Injuries increased over time, with 1213 from 2002-2005 versus 2417 from 2018-2021. No sex differences existed before 2010, after which female injury rates exceeded those of males. The following findings were statistically significant, with <i>P</i><0.05: females endured more fractures and strains/sprains; males endured more lacerations; concussions and head injuries were higher among those <18 y; dislocations and strains/sprains were higher for 18 to 65 y; fractures were higher for >65 y; <18 y had high mountain-biking and low running rates; 18 to 65 y had high running rates; and >65 y had low biking and running rates. Although all diagnoses increased in number over time, no significant differences existed in the proportion of any given diagnosis relative to total injuries.</p><p><strong>Conclusions: </strong>MSK injuries during trail sports have increased since 2002. Males endured more injuries until 2009, after which females endured more. Significant sex and age differences were found regarding injury diagnosis and body parts. Further studies are needed to confirm these trends and their causes.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060924","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
Implementing Tourniquet Conversion Guidelines for Civilian EMS and Prehospital Organizations : A Case Report and Review. 为民间紧急医疗服务和院前组织实施止血带转换指南 ：案例报告与回顾。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-21 DOI: 10.1177/10806032241234667
Colin H Standifird, Sean Kaisler, Hunter Triplett, Michael J Lauria, Andrew D Fisher, Andrew J Harrell, Chelsea C White
{"title":"Implementing Tourniquet Conversion Guidelines for Civilian EMS and Prehospital Organizations : A Case Report and Review.","authors":"Colin H Standifird, Sean Kaisler, Hunter Triplett, Michael J Lauria, Andrew D Fisher, Andrew J Harrell, Chelsea C White","doi":"10.1177/10806032241234667","DOIUrl":"10.1177/10806032241234667","url":null,"abstract":"<p><p>Since the first documented use of a tourniquet in 1674, the popularity of tourniquets has waxed and waned. During recent wars and more recently in Emergency Medical Services systems, the tourniquet has been proven to be a valuable tool in the treatment of life-threatening hemorrhage. However, tourniquet use is not without risk, and several studies have demonstrated adverse events and morbidity associated with tourniquet use in the prehospital setting, particularly when left in place for more than 2 h. Consequently, the US military's Committee on Tactical Combat Casualty Care has recommended guidelines for prehospital tourniquet conversion to reduce the risk of adverse events associated with tourniquets once the initial hemorrhage has been controlled. Emergency Medical Services systems that operate in rural, frontier, and austere environments, especially those with transport times to definitive care that routinely exceed 2 h, may consider implementing similar tourniquet conversion guidelines.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177397","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 Yilmaz, Tatliparmak, and Ak. 答复 Yilmaz、Tatliparmak 和 Ak 博士。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-28 DOI: 10.1177/10806032241231554
Timothee de Valence, Laurent Suppan
{"title":"In Reply to Drs Yilmaz, Tatliparmak, and Ak.","authors":"Timothee de Valence, Laurent Suppan","doi":"10.1177/10806032241231554","DOIUrl":"10.1177/10806032241231554","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984308","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
Recommendation on the Use of the HOPE Score at the Hospital for Outcome Prediction in Critically Buried Hypothermic Avalanche Victims Considered for ECLS Rewarming. 关于在医院使用 HOPE 评分预测考虑使用 ECLS 复温的重症雪崩低温掩埋伤员的预后的建议。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-28 DOI: 10.1177/10806032241242084
Valentin Rousson, Nicolas Hall, Mathieu Pasquier
{"title":"Recommendation on the Use of the HOPE Score at the Hospital for Outcome Prediction in Critically Buried Hypothermic Avalanche Victims Considered for ECLS Rewarming.","authors":"Valentin Rousson, Nicolas Hall, Mathieu Pasquier","doi":"10.1177/10806032241242084","DOIUrl":"10.1177/10806032241242084","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319638","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 Analgesia in Mass Casualty Incidents by de Valence and Suppan. 针对 de Valence 和 Suppan 所著的《大规模伤亡事件中的镇痛》。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.1177/10806032241232418
David Jerome
{"title":"In Response to Analgesia in Mass Casualty Incidents by de Valence and Suppan.","authors":"David Jerome","doi":"10.1177/10806032241232418","DOIUrl":"10.1177/10806032241232418","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094905","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
Regional Anesthesia in the Austere Environment: Lessons Learned from Current Out-of-Hospital Practice. 严峻环境下的区域麻醉：从当前院外实践中汲取的经验教训。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-21 DOI: 10.1177/10806032241231257
Nathan D Anderson, Julie L Shaner, Stefan Braunecker, Lydia G Potter
{"title":"Regional Anesthesia in the Austere Environment: Lessons Learned from Current Out-of-Hospital Practice.","authors":"Nathan D Anderson, Julie L Shaner, Stefan Braunecker, Lydia G Potter","doi":"10.1177/10806032241231257","DOIUrl":"10.1177/10806032241231257","url":null,"abstract":"<p><strong>Introduction: </strong>Pain management for trauma in the extreme environment is vital for both casualty comfort and aiding safe extrication. However, adequate pain management in a resource-limited environment can be challenging and is often limited. We conducted a scoping review of the use of regional anesthesia in the prehospital environment, evaluating which regional anesthetic procedure was performed for various indications, their efficacy, and the type of healthcare provider delivering the anesthetic.</p><p><strong>Methods: </strong>A PRISMA-guided systematic literature review was conducted of Medline, Embase, and Cochrane databases for studies reporting the use of regional anesthesia in the prehospital environment published before June 30, 2022.</p><p><strong>Results: </strong>Thirty studies met the criteria and were included in the review. The most common types of regional anesthesia were fascia-iliaca compartment block (<i>n</i> = 317, from 12 studies) and femoral nerve block (<i>n</i> = 210, from 8 studies), along with various other blocks for a range of indications. These blocks had good efficacy and a low-risk profile and could be delivered by a wide range of healthcare providers.</p><p><strong>Conclusions: </strong>Regional anesthesia is an effective and non-resource-heavy pain management tool in prehospital environments, which may be applicable to austere settings. It can cover a wide range of injuries and can avoid systemic complications for casualties that may already be challenging to manage in out-of-hospital settings. Additionally, regional anesthesia can be effectively delivered by a wide range of providers. This review provides a holistic summary of pain management using regional anesthesia in the prehospital environment, with a discussion on its potential use in more extreme settings.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913912","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
Crossbow Injuries: Predictors of Mortality. 弩伤：死亡率的预测因素
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1177/10806032241230243
Joshua W Julian, Maxwell L Todd, Benjamin J Marcheschi, Paula M Buchanan, Angela J Spencer, Cindy C Bitter
{"title":"Crossbow Injuries: Predictors of Mortality.","authors":"Joshua W Julian, Maxwell L Todd, Benjamin J Marcheschi, Paula M Buchanan, Angela J Spencer, Cindy C Bitter","doi":"10.1177/10806032241230243","DOIUrl":"10.1177/10806032241230243","url":null,"abstract":"<p><strong>Introduction: </strong>Crossbow injuries are rare but carry significant morbidity and mortality, and there is limited evidence in the medical literature to guide care. This paper reviews the case reports and case series of crossbow injuries and looks for trends regarding morbidity and mortality based on the type of arrow, anatomic location of injury, and intent of injury.</p><p><strong>Methods: </strong>Multiple databases were searched for cases of crossbow injuries and data were abstracted into a spreadsheet. Statistics were done in SPSS.</p><p><strong>Results: </strong>358 manuscripts were returned in the search. After deduplication and removal of nonclinical articles, 101 manuscripts remained. Seventy-one articles describing 90 incidents met the inclusion criteria. The mean age was 36.5 years. There were 10 female and 79 male victims. Fatality was 36% for injuries by field tip arrows and 71% for broadhead arrows, <i>p</i>  =  .024. Assaults were fatal in 84% of cases, suicides in 29%, and accidental injuries in 17%, <i>p</i> < .001. Mortality was similar for wounds to the head and neck (41%), chest (42%), abdomen (33%), extremities (50%), and multiple regions, <i>p</i>  =  .618.</p><p><strong>Conclusions: </strong>Crossbows are potentially lethal weapons sold with fewer restrictions than firearms. Injuries caused by broadhead arrows are more likely to be fatal than injuries from field tip arrows. The anatomic location of injury does not correlate with fatality. More than half of crossbow injuries are due to attempted suicide, with a high case-fatality rate.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060901","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
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