Camp Fire Smoke Sunset
Publication date: Available online 5 February 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 5, 2019 Category: Environmental Health Source Type: research

Expired Drugs in the Remote Environment
ConclusionsThe results suggest that the studied drugs may be stable beyond expiry, even when not maintained in strictly temperature-controlled conditions. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 2, 2019 Category: Environmental Health Source Type: research

One Foot After Another—Fungal Foot Issues in Expedition Adventure Racing
We present a case with characteristic clinical manifestations, including the “sandpaper symptom.” There is limited literature exploring infectious foot complaints in expedition adventure racers. Beyond this case report, more research is needed to better understand incidence rates, risk factors, diagnostic measures, treatment, and prevention options. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 2, 2019 Category: Environmental Health Source Type: research

Rejection Under Peer Review
Publication date: Available online 1 February 2019Source: Wilderness & Environmental MedicineAuthor(s): Neal W. Pollock (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - February 1, 2019 Category: Environmental Health Source Type: research

Success Rates with Digital Intubation: Comparing Unassisted, Stylet, and Gum-Elastic Bougie Techniques
ConclusionsIn a manikin model, stylet-assisted digital intubation was the most successful technique tested and allowed intubation to be accomplished just as quickly as with an endotracheal tube alone. Bougie-assisted digital intubation was slower and may not be as helpful as when it is used as an adjunct with direct laryngoscopy. Further research is needed to determine the utility of these adjuncts on live subjects. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 31, 2019 Category: Environmental Health Source Type: research

Thrombotic Microangiopathy, Hemolytic Uremic Syndrome, and Thrombotic Thrombocytopenic Purpura Following Hump-nosed Pit Viper (Genus: Hypnale) Envenoming in Sri Lanka
We describe 4 cases of TMA following hump-nosed pit viper (Hypnale spp) bites in Sri Lanka. The first case is a typical TMA that spontaneously resolved with supportive treatments. The second and third cases are related to hemolytic uremic syndrome complicated with acute kidney injury that required hemodialysis. The fourth case is thrombotic thrombocytopenic purpura associated with acute kidney injury that required hemodialysis and therapeutic plasma exchange. For each patient we describe the circumstances of the bite, clinical features, laboratory findings, and management. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 31, 2019 Category: Environmental Health Source Type: research

In Reply to Drs Joob and Wiwanitkit
Publication date: Available online 18 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Hiroki Nagasawa, Youichi Yanagawa (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 18, 2019 Category: Environmental Health Source Type: research

In Reply to Dr Podsiadło et al
Publication date: Available online 16 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Gordon G. Giesbrecht (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 17, 2019 Category: Environmental Health Source Type: research

2018 Wilderness & Environmental Medicine Peer Reviewers
Publication date: Available online 17 January 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 17, 2019 Category: Environmental Health Source Type: research

In Reply to Lorenzati et al
Publication date: Available online 11 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Giacomo Strapazzon, Mario Milani, Hermann Brugger (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 12, 2019 Category: Environmental Health Source Type: research

Improvised Hydration Bladder Air Splint: A Wilderness Case Report
Publication date: Available online 11 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Hans F. Hurt, Aaron J. ReillyThis case report describes the use of a hydration bladder as an improvised air splint for a left forearm fracture in an austere environment. The literature regarding the use of air splints in the prehospital and wilderness environments is scarce, and it does not appear that this technique has been previously described in the literature. Given the widespread use of hydration bladders, the adjustable nature and overall comfort of the splint, and the anecdotal success of this technique without a...
Source: Wilderness and Environmental Medicine - January 12, 2019 Category: Environmental Health Source Type: research

Delayed-Onset High Altitude Pulmonary Edema: A Case Report
We report a case of a trekker with previous high altitude experience who developed HAPE 8 d after arrival to altitude despite what was believed to be a conservative ascent profile. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 12, 2019 Category: Environmental Health Source Type: research

Ethnicity-Based Inequality in Heat-Related Illness Is on the Rise in California
Publication date: Available online 12 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Rana Abualsaud, Grigory Ostrovskiy, Ziyad R. Mahfoud (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 12, 2019 Category: Environmental Health Source Type: research

Neko Harbor, Andvord Bay, Antarctic Peninsula, on a Beautiful Sunny Day
Publication date: Available online 12 January 2019Source: Wilderness & Environmental MedicineAuthor(s): (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 12, 2019 Category: Environmental Health Source Type: research

Bite Caused by the Assassin Bug Zelus Fabricius, 1803 (Hemiptera; Heteroptera: Reduviidae) in a Human
Publication date: Available online 9 January 2019Source: Wilderness & Environmental MedicineAuthor(s): Carlos Eduardo Pereira dos Santos, José Ricardo de Souza, Régis Adriel Zanette, Felipe Jorge da Silva, Christine StrussmannA 47-y-old man was bitten by a reduviid bug from the Zelus Fabricius, 1803 genus, which was hidden inside a rubber-coated boot. The bite caused immediate and sharp pain, followed by local edema and constant pruritus for 15 d. Pain and fever within the first 24 h were managed with analgesics as needed, and resolution was complete and without sequelae after 21 d. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - January 10, 2019 Category: Environmental Health Source Type: research