Wilderness & Environmental Medicine最新文献_第9页

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1177/10806032241287774

Dirk Thomas Haselow

{"title":"Treestrand-Related Injuries Outnumber Projectile-Related Injuries in Arkansas Hunters, 1993-2022.","authors":"Dirk Thomas Haselow","doi":"10.1177/10806032241287774","DOIUrl":"10.1177/10806032241287774","url":null,"abstract":"Introduction: Epidemiologic data on hunting-related injuries is sparse. Most published studies in this arena come from case reports or case series from a trauma department or state trauma registry. Relatively few of the studies have attempted to calculate rates of injury by demographic characteristics or hunting-related activities. In this study, we summarize the epidemiologic trends in hunting-related injuries in Arkansas over the last 30 years.Methods: A descriptive analysis of hunter injury data collected by the Arkansas Game and Fish Commission from 1993 to 2022 was performed.Results: Analyses showed that the overall number of hunting-related injuries decreased by 0.16 per 100,000 licensees per year during the study period (P=0.0009). Projectile-related injuries decreased by 0.24 per 100,000 licensees (P=0.00001), and treestand-related injuries increased by 0.06 per 100,000 licensees (P=0.02) during the same time (both trends P<0.00001). treestand-related injuries now account for two thirds of all hunting-related injuries reported to the Arkansas Game and Fish Commission. Among hunters subject to hunter education certification mandates, compliance was 48.7%.Conclusions: Although projectile-related hunting injuries have decreased in Arkansas in the last 30 years, treestand-related hunting injuries have increased. These injuries are largely preventable if the hunter follows treestand safety recommendations (such as using a body harness and tether at all times when off the ground), as recommended by the Treestand Manufacturers of America. In addition, implementing strategies to improve compliance with hunter education certification also may help reduce injury rates.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"431-438"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478935","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

Abstracts from the 8^th World Congress on Mountain and Wilderness Medicine July 28 - August 1, 2024, Snowbird, UT. 第八届世界山地与荒野医学大会摘要 2024 年 7 月 28 日至 8 月 1 日，犹他州斯诺伯德。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI: 10.1177/10806032241292324

引用次数: 0

In Reply to Drs Barik, Mohanty, Gupta, Radhakrishnan, and Chororia. 答复 Barik、Mohanty、Gupta、Radhakrishnan 和 Chororia 博士。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI: 10.1177/10806032241282964

Stefan Braunecker, Lydia Potter, Nathan Anderson, Julie L Shaner

引用次数: 0

Differential Diagnoses for Isolated Right Sixth Nerve Palsy in the High Altitude Setting: A Case Report. 高海拔地区孤立性右第六神经麻痹的鉴别诊断：病例报告。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI: 10.1177/10806032241272116

Benjamin Gj Alba

引用次数: 0

Exercise-Associated Hyponatremic Encephalopathy, Rhabdomyolysis, and Acute Kidney Injury While Hiking in the Grand Canyon. 在大峡谷徒步旅行时运动引起的低钠血症脑病、横纹肌溶解症和急性肾损伤。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI: 10.1177/10806032241286487

Thomas M Myers, Brad L Bennett, Weston Myers

{"title":"Exercise-Associated Hyponatremic Encephalopathy, Rhabdomyolysis, and Acute Kidney Injury While Hiking in the Grand Canyon.","authors":"Thomas M Myers, Brad L Bennett, Weston Myers","doi":"10.1177/10806032241286487","DOIUrl":"10.1177/10806032241286487","url":null,"abstract":"We present an unusual case of concomitant exercise-associated hyponatremic encephalopathy (EAHE), exertional rhabdomyolysis (ER), and acute kidney injury (AKI) in a Grand Canyon hiker. Our case patient, an adult 41-year-old male, consumed an excessive amount of water during his descent into the Canyon during hot weather. The next day, he was unable to hike out due to severe leg pain and disorientation, and ultimately evacuated by helicopter, having a grand mal seizure in flight. Despite having no serum sodium level, medics administered an intravenous (IV) bolus of 3% hypertonic saline (HTS) before transporting him to the hospital. There, he was diagnosed with EAHE (serum sodium, 114 mmol⋅L-1), ER, bilateral compartment syndromes, and mild AKI. The life-threatening EAHE was immediately corrected with more IV HTS, the limb-threatening compartment syndromes by surgical fasciotomies, and eventually, the AKI by oral and IV fluids. This case demonstrates the seriousness of overconsumption of water, as well as the potential complications of muscle damage when a deconditioned person does prolonged, strenuous exercise. Furthermore, it also illustrates the importance of considering EAHE within the differential diagnosis for acute alterations in level of consciousness. Lastly, it shows the importance to prioritize patient treatments for conditions that are an immediate threat to life or limb.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"484-489"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511609","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

Emergency Medical Care Provided by North Shore Rescue Advanced Medical Providers. 由北岸救援队高级医疗服务提供者提供紧急医疗服务。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1177/10806032241282963

Foster T Wynne, Matthew Turnock, Michael Crickmer, Alec H Ritchie

{"title":"Emergency Medical Care Provided by North Shore Rescue Advanced Medical Providers.","authors":"Foster T Wynne, Matthew Turnock, Michael Crickmer, Alec H Ritchie","doi":"10.1177/10806032241282963","DOIUrl":"10.1177/10806032241282963","url":null,"abstract":"Introduction: The North Shore Rescue (NSR) Advanced Medical Provider (AMP) program is composed of physicians and nurses based in North Vancouver who attend high acuity medical search and rescue (SAR) callouts in British Columbia, Canada. This study aimed to analyze the medical care provided by AMPs with appropriate comparisons to non-AMP callouts.Methods: A retrospective review of all NSR callouts from January 1, 2018, to December 31, 2022, was conducted. The analysis included AMP involvement, rescue logistics, subject demographics, activity, primary cause, provisional diagnosis, treatments, medical decision-making, and extraction means. National Advisory Committee for Aeronautics (NACA) scores were assigned by physicians to evaluate medical acuity as well as under-triage and over-triage.Results: Of the 767 NSR callouts over the 5-year span, 283 (37%) were medical, and of these, 35% (n = 99) involved AMPs. Seventy-five percent of AMP rescues involved traumatic injuries, and 31% involved nontraumatic medical illnesses. The mean NACA score for AMP callouts was significantly higher than non-AMP callouts (3.1 ± 1.3 vs 1.9 ± 1.3, p < .00001). Medications were administered in 40% of AMP rescues, procedures were performed in 54%, and 37% involved advanced medical decision-making. Over-triage occurred in 33% of AMP callouts, with under-triage in 10%.Conclusions: The AMP program provides a useful service when advanced medical care in wilderness environments is needed. AMPs coordinate appropriate medical response and ensure safe, comfortable, and efficient transport to definitive care. The NSR AMP program may act as a model for the development of similar programs by other SAR teams.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"422-430"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330919","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

Incidence of Acute Mountain Sickness in Adolescents Backpacking at Philmont Scout Ranch. 在菲尔蒙特童子军牧场背包旅行的青少年中急性晕山症的发病率。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI: 10.1177/10806032241281230

Courtney Ll Sharp, Hayley Ditmars, Ky Stoltzfus, Tanya Filardi, Aidan F Mullan, Robert J Hyde

{"title":"Incidence of Acute Mountain Sickness in Adolescents Backpacking at Philmont Scout Ranch.","authors":"Courtney Ll Sharp, Hayley Ditmars, Ky Stoltzfus, Tanya Filardi, Aidan F Mullan, Robert J Hyde","doi":"10.1177/10806032241281230","DOIUrl":"10.1177/10806032241281230","url":null,"abstract":"Introduction: Individuals ascending to elevations above 2500 m are at risk of developing altitude illness. We sought to establish the incidence and to determine what risk factors, if any, increased the likelihood of developing acute mountain sickness (AMS) in adolescents at Philmont Scout Ranch (PSR) in Cimarron, New Mexico. PSR, with elevations ranging from 2011 to 3792 m, attracts thousands of adolescent participants each year, many of whom arrive from lower elevations with little or no experience ascending to high altitude.Methods: We conducted a prospective observational study of adolescent participants aged 14 to 19 years who ascended to a minimum of 3000 m while trekking from June to July 2021. Prior to the start of each participant's trek, pretrek survey data were obtained at PSR's basecamp (2011 m). During the trek at 3048 m, the Lake Louise AMS score was used to diagnose AMS.Results: The incidence of AMS in our study was 13.7%. Participants reporting a history of daily headaches had more than four times the risk of developing AMS. A history of gastrointestinal problems carried three times the risk of developing AMS, and a prior history of AMS increased the risk of developing AMS by 44%.Conclusions: Our findings enhance our understanding of AMS risk in adolescents and may provide guidance to youth for developing AMS. For individuals with a history of headaches or gastrointestinal problems or a prior history of AMS, there may be an opportunity to reduce the risk of developing AMS.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"403-408"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156469","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

Traconia Fish Sting in a City without a Sea. 没有海的城市里的特拉科尼亚鱼刺。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-02 DOI: 10.1177/10806032241273508

Mümin Karahan, Levent Sahin

引用次数: 0

Scaling the Heights: Rates of Pelvic Floor Dysfunction in Female Rock-Climbing Enthusiasts. 攀登高峰：女性攀岩爱好者的盆底功能障碍率。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-11-25 DOI: 10.1177/10806032241290804

Paulina C Altshuler, Iris M Burgard, James K Poling, Tyler Muffly

{"title":"Scaling the Heights: Rates of Pelvic Floor Dysfunction in Female Rock-Climbing Enthusiasts.","authors":"Paulina C Altshuler, Iris M Burgard, James K Poling, Tyler Muffly","doi":"10.1177/10806032241290804","DOIUrl":"https://doi.org/10.1177/10806032241290804","url":null,"abstract":"Introduction: Rock climbing has recently gained popularity, particularly among females. There are no current studies evaluating pelvic floor dysfunction among female climbers. This cross-sectional study seeks to investigate the prevalence of incontinence and pelvic floor disorders among female rock climbers in the United States.Methods: This study utilized an online survey distributed via social media platforms to assess the prevalence of pelvic floor disorders. Participants were queried about demographic information, climbing habits, pregnancy history, and pelvic floor symptoms. Data analysis involved descriptive statistics and inferential analysis where applicable.Results: A total of 343 participants completed the study, with a median age of 34 years, lean body mass, and the majority identifying as White or Caucasian. The most common pelvic floor disorder was overactive bladder (n = 314, 91.5%), and the least common was pelvic organ prolapse (n = 6, 1.7%). Rope climbers were significantly more bothered by pelvic organ prolapse and anal incontinence symptoms than boulderers (4, p < .01 and 1.44, p < .01, respectively). Parous climbers reported significantly higher bothersome symptoms of OAB and SUI (1.43, p = .01 and 2.71, p < .01, respectively) than their nulliparous counterparts.Conclusions: Although rock climbing represents a relatively low-impact sport and our sample was largely comprised of young, healthy, nulliparous women, female rock climbers demonstrated higher rates of pelvic floor disorders than a normative population, with rope climbers at higher risk than boulderers. Clinicians should be aware of the need for more frequent pelvic floor disorder screening in active women.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241290804"},"PeriodicalIF":1.4,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711649","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

Comparison of Camera-Acquired Vital Signs to Conventional Vital Signs in a Space-Analog Environment. 空间模拟环境中相机获取的生命体征与传统生命体征的比较。

IF 1.4 4区医学

Wilderness & Environmental Medicine Pub Date : 2024-11-10 DOI: 10.1177/10806032241291994

Carlo A Canepa, Dana R Levin, Amit S Padaki

{"title":"Comparison of Camera-Acquired Vital Signs to Conventional Vital Signs in a Space-Analog Environment.","authors":"Carlo A Canepa, Dana R Levin, Amit S Padaki","doi":"10.1177/10806032241291994","DOIUrl":"https://doi.org/10.1177/10806032241291994","url":null,"abstract":"Introduction: Vital sign acquisition is a key component of modern medical care. In wilderness and space medical settings, vital sign acquisition can be a difficult process because of limitations on available personnel or lack of access to the patient. Camera-acquired vital signs could address each of these difficulties.Methods: Healthy volunteers used software designed by Presage Technologies to acquire heart rate and respiratory rate at the HI-SEAS space-analog site in Mauna Loa, Hawai'i. Camera-acquired vital signs were compared to more conventionally acquired vital signs.Results: Camera-acquired heart rate showed high correlation to conventionally acquired heart rate (R ∼ 0.95). Camera-acquired respiratory rate showed moderate correlation (R ∼ 0.65).Conclusions: These results show that camera acquisition of vital signs is theoretically feasible in wilderness and space-analog environments. HR may be highly accurate even using current technology. Additional studies will be needed to further validate other types of camera sensors and other potential environments such as partial gravity and microgravity.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032241291994"},"PeriodicalIF":1.4,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631351","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