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An Occupational Health Survey of British Mountain Guides Operating Internationally
ConclusionsMusculoskeletal problems are the main occupational health problems experienced by the study group. New findings include a low but important prevalence of ultraviolet radiation–associated conditions. One in 3 guides have experienced significant psychological trauma, and one quarter of these had symptoms of PTSD. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 15, 2019 Category: Environmental Health Source Type: research

Cold Water Immersion Syndrome and Whitewater Recreation Fatalities
Publication date: Available online 6 June 2019Source: Wilderness & Environmental MedicineAuthor(s): David J. Farstad, Julie A. DunnSudden death during whitewater recreation often occurs through understandable mechanisms such as underwater entrapment or trauma, but poorly defined events are common, particularly in colder water. These uncharacterized tragedies are frequently called flush drownings by whitewater enthusiasts. We believe the condition referred to as cold water immersion syndrome may be responsible for some of these deaths. Given this assumption, the physiologic alterations contributing to cold water immersion s...
Source: Wilderness and Environmental Medicine - June 7, 2019 Category: Environmental Health Source Type: research

Using an Unmanned Aircraft System (Drone) to Conduct a Complex High Altitude Search and Rescue Operation: a Case Study
Publication date: Available online 4 June 2019Source: Wilderness & Environmental MedicineAuthor(s): Jake N. McRae, Christopher J. Gay, Brandon M. Nielsen, Andrew P. HuntUnmanned aircraft systems, also known as unmanned aerial vehicles or drones, are becoming increasingly common consumer products; their potential applications to search and rescue operations are becoming ever more apparent. A consumer drone was used to locate a mountaineer after he and his climbing partner were separated while summiting Broad Peak in the Karakoram Mountains of northeastern Pakistan, the world's 12th highest summit. The use of a commercial dr...
Source: Wilderness and Environmental Medicine - June 4, 2019 Category: Environmental Health Source Type: research

ERRATUM in Wilderness Environ Med. 30/1
Publication date: Available online 4 June 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 4, 2019 Category: Environmental Health Source Type: research

Challenges of Remote Medical Care in South Sudan: Centipede Bites
This report aims to add to the local literature; because of decades of internal conflict and poor infrastructure, reporting of health data from South Sudan is severely lacking. Further investigation into the pharmacological variation and activity of toxic peptides in centipede venom is recommended. As it stands, this case provides additional information on potential effects of centipede envenomation that should be useful to any healthcare providers preparing for the delivery of remote medical care throughout the Great Upper Nile region. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 1, 2019 Category: Environmental Health Source Type: research

Human Responses to 5 Heated Hypothermia Wrap Systems in a Cold Environment
ConclusionsThe user-assembled and Doctor Down systems were most effective, and subjects were coldest with the HPMK system. However, it is likely that any of the tested systems would be viable options for wilderness responders, and the choice would depend on considerations of cost; volume, as it relates to available space; and weight, as it relates to ability to carry or transport the system to the patient. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 3, 2019 Category: Environmental Health Source Type: research

Chemical Heat Packs as an Intervention to Prolong Ultrasound Battery Runtime
ConclusionsThe application of chemical foot warmers to handheld ultrasound machines exposed to cold environments prolongs usable battery life and, consequently, may allow for extended scanning time in austere and remote environments. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - May 3, 2019 Category: Environmental Health Source Type: research

Environmental Deaths in the Northern Territory of Australia, 2003–2018
ConclusionsThe Northern Territory has a challenging environment that is hot, humid, remote, and isolated. Circumstantial information and thorough police investigations are essential in the medicolegal investigation of environmental deaths. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 28, 2019 Category: Environmental Health Source Type: research

In Reply to Drs McAnaney and Ganti
Publication date: Available online 24 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Joseph A. Sol, Joseph W. Domitrovich, Brent C. Ruby, Steven E. Gaskill, Charles L. Dumke (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 25, 2019 Category: Environmental Health Source Type: research

The Evolution to Prospective Research in Wilderness Medicine
Publication date: Available online 22 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2019 Category: Environmental Health Source Type: research

Introduction to Mountain Rescue Casualty Care and the Undergraduate Medical Elective
Publication date: Available online 22 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Steve Donelan (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 23, 2019 Category: Environmental Health Source Type: research

Challenges of Remote Medical Care in South Sudan: Centipede Stings
This report aims to add to the local literature; because of decades of internal conflict and poor infrastructure, reporting of health data from South Sudan is severely lacking. Further investigation into the pharmacological variation and activity of toxic peptides in centipede venom is recommended. As it stands, this case provides additional information on potential effects of centipede envenomation that should be useful to any healthcare providers preparing for the delivery of remote medical care throughout the Great Upper Nile region. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 19, 2019 Category: Environmental Health Source Type: research

Ayoloco: One of Mexico's Surviving Glaciers
Publication date: Available online 19 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Rodrigo Ville-Benavides (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 19, 2019 Category: Environmental Health Source Type: research

Taking the Edge out of High-Risk Selfies in Adventure Tourists
Publication date: Available online 17 April 2019Source: Wilderness & Environmental MedicineAuthor(s): Gerard T. Flaherty, Michael Smith (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - April 18, 2019 Category: Environmental Health Source Type: research

Cause of Death in Utah Avalanche Fatalities, 2006–2007 through 2017–2018 Winter Seasons
ConclusionsAsphyxia continues to be the most prevalent killer in avalanche burial. Patterns of ongoing avalanche deaths continue to suggest that rapid recovery and techniques that prolong survival while buried may decrease fatality rates. Trauma is a significant factor in many avalanche fatalities. Education and technologies focused on reducing traumatic injuries such as improved education in techniques for avalanche risk avoidance and/or use of avalanche airbags may further decrease fatality rates. Snowmobilers represent an increasing percentage of Utah avalanche deaths and now make up the majority of victims; increased e...
Source: Wilderness and Environmental Medicine - April 18, 2019 Category: Environmental Health Source Type: research