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T. Howard Somervell: War Surgeon, Everest Pioneer, and Medical Missionary. T.霍华德·萨默维尔：战地外科医生，珠峰先驱和医疗传教士。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI: 10.1177/10806032241303719
George W Rodway, Graham Hoyland
{"title":"T. Howard Somervell: War Surgeon, Everest Pioneer, and Medical Missionary.","authors":"George W Rodway, Graham Hoyland","doi":"10.1177/10806032241303719","DOIUrl":"10.1177/10806032241303719","url":null,"abstract":"<p><p>A full century has passed since George Leigh-Mallory and Andrew (Sandy) Irvine disappeared on the upper reaches of Mount Everest in June 1924. Theodore Howard Somervell (April 16, 1890-January 23, 1975), mountaineer, surgeon, and medical missionary, also was a key player in the 1924 expedition-as well as the 1922 Everest expedition where he was a member of the first ever team of climbers to break the 8000-m barrier. More commonly known as Howard or T.H., Somervell was one of those rare individuals whose multiple talents qualified him as nothing short of a polymath while simultaneously providing an example of outstanding humanitarian qualities. British born, he was resident in India for nearly 40 y while working there as a medical missionary. He bore witness as a battlefield surgeon to the horrors of the First World War after receiving his medical training at University College, London. An active climber for much of his early life, he made notable ascents not only in the Himalaya but also closer to home in the mountains of the United Kingdom and mainland Europe. Somervell contributed numerous articles to the medical literature, but he is perhaps best known for 3 books published between 1936 and 1947 that touch largely on his experiences as a medical missionary. His decades of practice as a medical missionary in service to the poor of India allowed him to save lives on a scale approaching that of the slaughter he witnessed years earlier as an Army medical officer.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"133-138"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866054","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
Tube Tip in Pharynx (TTIP) Ventilation-a Simple Rescue Technique in Limited Resource Settings. 咽部置管通气（TTIP）--资源有限环境中的简单抢救技术。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-26 DOI: 10.1177/10806032241291525
Sandra Ellefsen, Anja B Stubager, Michael S Kristensen
{"title":"Tube Tip in Pharynx (TTIP) Ventilation-a Simple Rescue Technique in Limited Resource Settings.","authors":"Sandra Ellefsen, Anja B Stubager, Michael S Kristensen","doi":"10.1177/10806032241291525","DOIUrl":"10.1177/10806032241291525","url":null,"abstract":"<p><p>Airway devices may be scarce in limited resource situations, such as prehospital settings or austere environments. Tube tip in pharynx (TTIP) ventilation is a simple, one-handed technique that may prove valuable for ensuring airway control in a life-threatening situation. The technique only requires a standard cuffed endotracheal tube and a self-inflating bag. This case report illustrates a scenario where both bag-valve-mask (BVM) ventilation and intubation failed, and the TTIP technique was utilized successfully several times during the case management. This case report illustrates that TTIP may be a useful technique, especially in limited resource settings. It is easy to learn, takes seconds to perform, and has minimal equipment requirements. The case report is reported according to the CARE guidelines. Informed consent from the patient is obtained.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"126-129"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511610","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
Not Just Peds, Millipedes: An Arthropod Burn Case Report. 不仅仅是足类，还有千足类：节肢动物烧伤病例报告。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1177/10806032241302313
Jeffrey M Kalczynski, Matthew Piechnik, Cosimo Laterza, David Cuthbert
{"title":"Not Just Peds, Millipedes: An Arthropod Burn Case Report.","authors":"Jeffrey M Kalczynski, Matthew Piechnik, Cosimo Laterza, David Cuthbert","doi":"10.1177/10806032241302313","DOIUrl":"10.1177/10806032241302313","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"130-132"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883524","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 : 2025-03-01 Epub Date: 2024-10-21 DOI: 10.1177/10806032241287210
William Mundo, Terry O'Connor, Laura McGladrey
{"title":"Operational Stress Injuries in Disaster Responders: A Framework for Supporting Mental Health in Climate Crisis.","authors":"William Mundo, Terry O'Connor, Laura McGladrey","doi":"10.1177/10806032241287210","DOIUrl":"10.1177/10806032241287210","url":null,"abstract":"<p><p>The rising occurrence of natural disasters linked to climate change has drawn the attention of disaster response leaders to the significance of addressing operational stress injuries among disaster response personnel. We define and describe operational stress injuries in this workforce and explore theoretical frameworks that can inform the development of programs and interventions to mitigate these effects. We aim to establish a conceptual framework for understanding an operational stress injury by introducing a model specific to disaster responders. We also emphasize strategies that can be employed within a stress injury awareness framework to promote the mental well-being of those who respond to climate-related disasters.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"35-43"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478933","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 : 2025-03-01 Epub Date: 2024-09-17 DOI: 10.1177/10806032241281241
David Jerome
{"title":"In Response to Implementing Tourniquet Conversion Guidelines for Civilian EMS and Prehospital Organizations by Standifird et al.","authors":"David Jerome","doi":"10.1177/10806032241281241","DOIUrl":"10.1177/10806032241281241","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"139-146"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299433","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 : 2025-03-01 Epub Date: 2024-10-14 DOI: 10.1177/10806032241286486
Elizabeth M Kiefer, Diana Felton
{"title":"A Review of Climate-Driven Threats to Recreational Water Users in Hawaii.","authors":"Elizabeth M Kiefer, Diana Felton","doi":"10.1177/10806032241286486","DOIUrl":"10.1177/10806032241286486","url":null,"abstract":"<p><p>In Hawaii, impacts from climate change, such as sea-level rise and flooding, increased hurricanes and wildfires, and warmer temperatures, intersect with aging infrastructure, toxicities from the built environment, and pathogens to threaten the health of recreational ocean users via reduced water quality, severe weather and flooding, environmental degradation, and food systems impacts. An examination of climate-driven threats to water safety is a pertinent review of threats to coastal residents globally.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"61-66"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478929","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
Identification of Factors Associated with Both Frequency and Severity of Deer-Related Motorcycle Crashes. 确定与鹿有关的摩托车碰撞事故的频率和严重程度的相关因素。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-06 DOI: 10.1177/10806032241291771
David P Betten, Benjamin M Goulding, Phillip J Kostka, William D Corser, Kristen N Owen
{"title":"Identification of Factors Associated with Both Frequency and Severity of Deer-Related Motorcycle Crashes.","authors":"David P Betten, Benjamin M Goulding, Phillip J Kostka, William D Corser, Kristen N Owen","doi":"10.1177/10806032241291771","DOIUrl":"10.1177/10806032241291771","url":null,"abstract":"<p><strong>Introduction: </strong>Motorcyclists are particularly vulnerable to injury when encountering large animals such as deer in the roadway. The frequency of these events, factors associated with their occurrence, and the extent of injuries sustained from such crashes are not yet well described.</p><p><strong>Methods: </strong>A review of 10 years (2012-2021) of statewide motorcycle crash reports from a single state with a large deer population was performed to ascertain the frequency of deer-associated motorcycle crashes. Environmental and roadway conditions, as well as motorcyclist age, gender, and helmet usage, were identified to determine if associations exist with the severity of injuries sustained.</p><p><strong>Results: </strong>Statewide, 8.5% of reported motorcycle crashes involved deer. Excluding the two most densely populated counties, this rose to 10.7%, with 24.1% of crashes occurring during non-daylight hours being deer related. Factors associated with increased frequency of more severe injury and death included not wearing a helmet, female gender, and rural county crash location. Death and severe injuries were reported in more than twice as many riders who were unhelmeted compared to those wearing helmets (36.1 vs 16.6%; <i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>In a single midwestern state, deer represent a significant danger to motorcyclists, especially in rural settings during non-daylight hours. A cautious approach to riding during this time, utilizing available safety precautions to minimize risk of severe injury and death, and further exploration of viable interventions to reduce the likelihood of these occurrences should be considered.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"89-96"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584610","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
First Aid and Basic Life Support Training in the Wilderness. 野外急救和基本生命支持训练。
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-13 DOI: 10.1177/10806032241297959
Alexis Fremery, Rémi Mutricy, Florian Negrello, Jean Pujo, Thomas Labrousse, Loïc Epelboin
{"title":"First Aid and Basic Life Support Training in the Wilderness.","authors":"Alexis Fremery, Rémi Mutricy, Florian Negrello, Jean Pujo, Thomas Labrousse, Loïc Epelboin","doi":"10.1177/10806032241297959","DOIUrl":"10.1177/10806032241297959","url":null,"abstract":"<p><strong>Introduction: </strong>French Guiana is a French territory in South America covered by 90% of tropical forest. Despite regular first aid standards training, some of the workers in isolated areas remain untrained in common problems they may encounter. We present here the knowledge assessment of these workers concerning first aid and a new training program.</p><p><strong>Methods: </strong>Thirty-two workers operating in remote areas attended a 1-d training course. The program covered infectious diseases, wildlife envenomation, and first aid and basic life support with a wilderness medicine focus. Questionnaires were issued to assess their knowledge and satisfaction with the course.</p><p><strong>Results: </strong>The learners were 78% male and of intermediate age (26-55 y). The most common profession was forester (53%). Professionals had been working in remote areas for 12 (4-19) y, and 91% had already received first aid training. The common life-threatening emergencies were not well known; only 6 learners (19%) knew how to recognize a cardiac arrest, 7 (22%) recognized symptoms of severe anaphylaxis, and 23 (72%) performed maneuvers not recommended in cases of upper airway partial obstruction. A total of 26 learners (81%) completed the satisfaction questionnaire. The training met the learners' expectations. However, 92% would like further training, and 96% requested regular renewal.</p><p><strong>Conclusions: </strong>This training was the first step toward the creation of a specialized wilderness first aid course. This work supports the need to reinforce training for nonmedical personnel by integrating regionally specific topics. This experience permitted the rise of a working group that proposed a medical kit as well as first aid protocols for workers in isolated areas.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"104-112"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820003","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 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 : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1177/10806032241289107
Alec Bernard, Kathryn Flaharty, Sampson Makpayiln, Boateng Wiafe, Geoff Tabin, In-Hei Hahn
{"title":"A Case of Couching: Portable Ultrasound Screening Increases Quality of Care in Cataract Outreach Camp.","authors":"Alec Bernard, Kathryn Flaharty, Sampson Makpayiln, Boateng Wiafe, Geoff Tabin, In-Hei Hahn","doi":"10.1177/10806032241289107","DOIUrl":"10.1177/10806032241289107","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"144-146"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478928","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
Juneau Icefield Research Project: Camp 26. 朱诺冰原研究项目：26 号营地
IF 1.4 4区 医学
Wilderness & Environmental Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-19 DOI: 10.1177/10806032241294039
Marc Cassone, Evan Koncewicz
{"title":"Juneau Icefield Research Project: Camp 26.","authors":"Marc Cassone, Evan Koncewicz","doi":"10.1177/10806032241294039","DOIUrl":"10.1177/10806032241294039","url":null,"abstract":"","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"147-148"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669679","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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