Wilderness & Environmental Medicine最新文献

筛选
英文 中文
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
{"title":"Wilderness Medical Society Clinical Practice Guideline on Care of Burns in the Wilderness.","authors":"Cindy C Bitter, Michelle Storkan, Alex Overmiller, Jessicah A Respicio, Torree McGowan, Andrew Park, John T Culhane","doi":"10.1177/10806032251345768","DOIUrl":"https://doi.org/10.1177/10806032251345768","url":null,"abstract":"<p><p>To provide guidance to clinicians about best practices in caring for burn patients in remote settings, the Wilderness Medical Society convened an expert panel to develop an evidence-based clinical practice guideline. Recommendations for field-expedient care are made, with recommendations being graded using the American College of Chest Physicians criteria for the quality of supporting evidence and balance of risks and potential harms of treatment.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251345768"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327514","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
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
{"title":"Axonal Guillain-Barré Syndrome After Leptospirosis Contracted in a Cave or While Packrafting-A Case Report.","authors":"Roger B Mortimer, Donald J Iverson","doi":"10.1177/10806032251349730","DOIUrl":"https://doi.org/10.1177/10806032251349730","url":null,"abstract":"<p><p>A 64-y-old male went caving and packrafting in Chiapas, Mexico. On return, he developed fever, headaches, and nausea and was treated empirically for leptospirosis with ceftriaxone and doxycycline. Convalescent IgM titers returned positive for leptospirosis. Other work-up was negative. As the symptoms of leptospirosis abated, the patient developed an areflexic quadriparesis. Nerve conduction velocities confirmed acute motor axonal neuropathy consistent with Guillain-Barré syndrome. Serologic work-up disclosed anti-GD1a antibodies. He was treated with intravenous immune globulin for 5 d and then did extensive rehabilitation. Three years after diagnosis, he is once again exploring caves.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251349730"},"PeriodicalIF":1.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318476","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
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":"<p><p>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 <i>Aspergillus</i> and <i>Stenotrophomonas maltophilia</i>, although the <i>Aspergillus</i> 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.</p>","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
{"title":"Samar Cobra (<i>Naja samarensis</i>): The Intersection of Clinical Toxinology and Wildlife Conservation in the Philippines.","authors":"Yoshihiro Aoki, Chinelo M Cardaño, Marvin Jay Sarmiento, Patrick Joseph Tiglao, Chris Smith, Ma Theresa P Loreto, Edgardo E Tulin","doi":"10.1177/10806032251347271","DOIUrl":"https://doi.org/10.1177/10806032251347271","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251347271"},"PeriodicalIF":1.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303366","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
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":"<p><p>Lyme carditis, primarily caused by <i>Borrelia burgdorferi</i>, 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.</p>","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
Comment on Regional Differences in Systemic Toxicity Following Texas Coral Snake (Micrurus tener) Envenomations by Greene et al. Greene等人对德克萨斯珊瑚蛇(Micrurus tener)中毒后系统毒性的区域差异的评论。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-06-12 DOI: 10.1177/10806032251346693
Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Amiya Kumar Barik, Stephen Paul Samuel, Aashish Ranjan Kumar
{"title":"Comment on Regional Differences in Systemic Toxicity Following Texas Coral Snake (<i>Micrurus tener</i>) Envenomations by Greene et al.","authors":"Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Amiya Kumar Barik, Stephen Paul Samuel, Aashish Ranjan Kumar","doi":"10.1177/10806032251346693","DOIUrl":"https://doi.org/10.1177/10806032251346693","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251346693"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276447","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
Graduate Medical Education Fellowships Versus Specialty Society Curriculum: A Comparative Study on Alumni Outcomes and Academic Pursuits in Wilderness Medicine. 研究生医学教育奖学金与专业学会课程:荒野医学校友成果与学术追求的比较研究。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-06-12 DOI: 10.1177/10806032251345770
Stephanie Lareau, Pavel Diaz, Alec M Chan-Golston, Susanne Spano
{"title":"Graduate Medical Education Fellowships Versus Specialty Society Curriculum: A Comparative Study on Alumni Outcomes and Academic Pursuits in Wilderness Medicine.","authors":"Stephanie Lareau, Pavel Diaz, Alec M Chan-Golston, Susanne Spano","doi":"10.1177/10806032251345770","DOIUrl":"https://doi.org/10.1177/10806032251345770","url":null,"abstract":"<p><p>Introduction-Wilderness medicine (WM) is a growing field offering advanced training and recognition through graduate medical education (GME) WM fellowships and the Fellow of the Academy of Wilderness Medicine (FAWM) professional designation. GME fellowships, introduced in 2004, provide immersive, structured training and experiential learning opportunities. The FAWM designation, established in 2005, is earned through approved educational activities. This study compared alumni outcomes between these pathways.Methods-A cross-sectional survey was conducted among GME fellowship graduates and FAWM recipients. Inclusion criteria were GME fellowship alumni or individuals with FAWM recognition. Exclusion criteria included incomplete surveys. Respondents were surveyed on demographics, academic output, and satisfaction with their training. Data analysis included <i>χ</i><sup>2</sup> tests for categorical data, analysis of variance for publication comparisons, and ordinal Likert scales for satisfaction.Results-Of 321 responses, 281 were included. GME alumni expressed greater satisfaction with mentorship and research opportunities; 95% of FAWM-only respondents reported exposure to career opportunities unknown prior to fellowship. There was no detectable difference (<i>P</i>=0.523) between FAWM-only respondents' number of WM-related publications. Overall, 93% of FAWM-only respondents and 76% of GME alumni would repeat their fellowship. Both groups demonstrated high proficiency in WM, with 89% feeling proficient.Conclusion-Both GME and FAWM pathways support WM education and career development. However, GME fellowships provide enhanced academic involvement, mentorship, and performance of relevant clinical skills. FAWM introduced new wilderness careers and had higher alumni satisfaction. These findings highlight the complementary roles of GME fellowships and FAWM recognition in advancing proficiency and professional growth.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251345770"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286973","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
Women, Iron, and Altitude-Path to the Peak. 女人、铁和海拔——通往顶峰之路。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-06-11 DOI: 10.1177/10806032251346664
Emma P DeLoughery, Thomas G DeLoughery
{"title":"Women, Iron, and Altitude-Path to the Peak.","authors":"Emma P DeLoughery, Thomas G DeLoughery","doi":"10.1177/10806032251346664","DOIUrl":"10.1177/10806032251346664","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251346664"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267745","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
Comparing Single-Site Fractures with Multisite Injuries in Pediatric Skiers and Snowboarders. 儿童滑雪和单板滑雪运动员单部位骨折与多部位损伤的比较。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-06-11 DOI: 10.1177/10806032251345771
Ruikang Kong Kong Liu, Michael Lieu, David R Howell, Lauren A Pierpoint, Morteza Khodaee, Aaron Provance
{"title":"Comparing Single-Site Fractures with Multisite Injuries in Pediatric Skiers and Snowboarders.","authors":"Ruikang Kong Kong Liu, Michael Lieu, David R Howell, Lauren A Pierpoint, Morteza Khodaee, Aaron Provance","doi":"10.1177/10806032251345771","DOIUrl":"https://doi.org/10.1177/10806032251345771","url":null,"abstract":"<p><p>Introduction-The purpose of this study was to evaluate pediatric skiing and snowboarding fracture injuries at a large ski resort, comparing injury patterns in those who sustained fracture injuries at a single site against those with injuries in multiple sites. Given the more serious nature of multisite injuries, this information may give healthcare providers insight into injury patterns when assessing a patient in snow sport settings.Methods-Radiographs of 797 patients aged 3 to 17 y diagnosed with at least 1 skiing- or snowboarding-related fracture at a large ski resort were reviewed by a sports medicine fellowship-trained physician. Descriptive information about regions of injury was provided, and Bonferroni-corrected multivariable logistic regression modeling and <i>χ</i><sup>2</sup> tests were used.Results-Of the total, 756 patients had single-site fractures, whereas 41 patients had fractures with a secondary injury. Upper extremity fractures were the most common primary injury site in both groups at 61%. The head/neck was the most common location of a second injury, with concussions being the most common injury type. Collision with an object or person and being transferred to a local hospital were independently associated with higher odds of a multisite injury. No significant differences were found when comparing age, sex, self-rated ability, or terrain.Conclusions-One must maintain a high index of suspicion for concussions/head injuries following any fracture injury and have a low threshold for working up internal organ injuries with fractures in the torso.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251345771"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267744","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
Medical Student Training for a Wilderness Rotation at the Philmont Scout Ranch: Validation of a Skills Curriculum. 医学院学生在菲尔蒙特童子军牧场野外轮换训练:技能课程的验证。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-06-09 DOI: 10.1177/10806032251346692
Kathleen S White, Stasha B Beermann, Tanya Z Filardi, David G Naylor
{"title":"Medical Student Training for a Wilderness Rotation at the Philmont Scout Ranch: Validation of a Skills Curriculum.","authors":"Kathleen S White, Stasha B Beermann, Tanya Z Filardi, David G Naylor","doi":"10.1177/10806032251346692","DOIUrl":"https://doi.org/10.1177/10806032251346692","url":null,"abstract":"<p><p>Introduction-Fourth-year medical students from the University of Kansas School of Medicine have the opportunity to complete a rotation at the Philmont Scout Ranch. To be prepared for this rotation, the students need to be taught a set of skills so that they are capable of evaluating and initiating treatment of patients in the infirmary and backcountry. We aimed to demonstrate that the training provided to the medical students improved confidence in the required skills.Methods-The training curriculum was developed by three Philmont physicians involved in medical student education and included skills videos, virtual training sessions, and an in-person training weekend. The necessary skills were identified by these physicians. Surveys on the confidence in these skills were administered to the medical students before training, after training, and after rotation. Paired t-tests were done to compare the confidence levels before and after training as well as before training and after rotation.Results-A total of 23 responses were gathered from the pre-training survey, 21 responses from the post-training survey, and 20 responses from the post-rotation survey. There was a statistically significant increase in the confidence level of all the skills from pre-training to post-training and of all the skills except suturing from pre-training to post-rotation.Conclusion-The training curriculum successfully improved the confidence of third-year medical students with unfamiliar skills and helped prepare them for their rotation at Philmont. Further refinement is needed to improve complex mastery of all the skills and standardize the training.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251346692"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259217","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信