Latest Wilderness Medical Society Journal Articles Jun-2016 (Volume 27, Issue 2)

New Practice Guidelines for the Prevention and Treatment of Drowning. If you have a pool, beach, swimming area as part of your program you need to know this!!!

You need to be a member to keep up to date with the latest medical and first aid issues.


VIEW: Is Drinking to Thirst Adequate to Appropriately Maintain Hydration Status During Prolonged Endurance Exercise? Yes

Martin D. Hoffman, James D. Cotter, Éric D. Goulet, Paul B. Laursen

COUNTERVIEW: Is Drinking to Thirst Adequate to Appropriately Maintain Hydration Status During Prolonged Endurance Exercise? No

Lawrence E. Armstrong, Evan C. Johnson, Michael F. Bergeron

REBUTTAL from “Yes”

Martin D. Hoffman, James D. Cotter, Éric D. Goulet, Paul B. Laursen

REBUTTAL from “No”

Lawrence E. Armstrong, Evan C. Johnson, Michael F. Bergeron

Original Research

Risk of Avalanche Involvement in Winter Backcountry Recreation: The Advantage of Small Groups

Benjamin Zweifel, Emily Procter, Frank Techel, Giacomo Strapazzon, Roman Boutellier

Pulley Ruptures in Rock Climbers: Outcome of Conservative Treatment With the Pulley-Protection Splint—A Series of 47 Cases

Micha Schneeberger, Andreas Schweizer

An Analysis of Media-Reported Venomous Snakebites in the United States, 2011–2013

Dennis K. Wasko, Stephan G. Bullard

Outdoor Activity and High Altitude Exposure During Pregnancy: A Survey of 459 Pregnancies

Linda E. Keyes, Peter H. Hackett, Andrew M. Luks

Practice Guidelines

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning

Andrew C. Schmidt, Justin R. Sempsrott, Seth C. Hawkins, Ali S. Arastu, Tracy A. Cushing, Paul S. Auerbach


Novel Technique for Epinephrine Removal in New Generation Autoinjectors

Patrick E. Robinson, Stephanie A. Lareau

Case Report

Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test

Ian Quigley, Ken Zafren

Twostriped Walkingstick Targets Human Eye With Chemical Defense Spray

Ashley N. Ferrara, John B. Luck, Mark C. Chappell

First Reported Case of Fatal Stinging by the Large Carpenter Bee Xylocopa tranquebarica

Senanayake A.M. Kularatne, Sathasivam Raveendran, Jayanthi Edirisinghe, Inoka Karunaratne, Kosala Weerakoon

Snakebite by the Shore Pit Viper (Trimeresurus purpureomaculatus) Treated With Polyvalent Antivenom

Rupeng Mong, Hock Heng Tan

Fatal Honey Poisoning Caused by Tripterygium wilfordii Hook F in Southwest China: A Case Series

Qiang Zhang, Xinguang Chen, Shunan Chen, Zhitao Liu, Rong Wan, Juanjuan Li

Corneal Opacity in a Participant of a 161-km Mountain Bike Race at High Altitude

Morteza Khodaee, David R. Torres

Traumatic Amputation of Finger From an Alligator Snapping Turtle Bite

Robert D. Johnson, Cynthia L. Nielsen

Avalanche Survival After Rescue With the RECCO Rescue System: A Case Report

Katharina Grasegger, Giacomo Strapazzon, Emily Procter, Hermann Brugger, Inigo Soteras

Lightning Strike in Pregnancy With Fetal Injury

Kellen Galster, Ryan Hodnick, Ross P. Berkeley

Bitten by a Dragon

Stephen D. Ducey, Jeffrey S. Cooper, Michael C. Wadman

Case Series

The “Heel Hook”—A Climbing-Specific Technique to Injure the Leg

Volker Schöffl, Christoph Lutter, Dominik Popp

Brief Report

Acute Interstitial Nephritis Following Snake Envenomation: A Single-Center Experience

P.S. Priyamvada, Vijay Shankar, B.H. Srinivas, N.G. Rajesh, Sreejith Parameswaran

Sildenafil and Exercise Capacity in the Elderly at Moderate Altitude

George W. Rodway, Anne J. Lovelace, Michael J. Lanspa, Scott E. McIntosh, James Bell, Ben Briggs, Lindell K. Weaver, Frank Yanowitz, Colin K. Grissom

Cycling Injuries in Southwest Colorado: A Comparison of Road vs Trail Riding Injury Patterns

Simon Kotlyar

Body Positioning of Buried Avalanche Victims

Daniel K. Kornhall, Spencer Logan, Thomas Dolven

Clinical Images

A Wasp Sting and a Broken Heart

James H. Diaz

Mistaken Mushroom Poisonings

James H. Diaz

A Broken Leg in the Bugs

Alexander J. Martin-Bates

Letter to the Editor

Expanding Wilderness Medicine Fellowship Eligibility Beyond Emergency Medicine

Derek J. Meyer, Megann Young

In Response to ACE I/D Polymorphism and HAPE by Bhagi et al

Gaurav Sikri, Srinivasa A.B., Bikalp Thapa

In Reply to Dr Sikri et al

Swati Srivastava

Pitviper Envenomation Guidelines Should Address Choice Between FDA-approved Treatments for Cases at Risk of Late Coagulopathy

Leslie V. Boyer, Anne-Michelle Ruha

In Reply to Drs Boyer and Ruha

Nicholas C. Kanaan, Jeremiah Ray, Matthew Stewart, Matthew Fuller, E. Martin Caravati, Katie W. Russell, Sean P. Bush, Michael D. Cardwell, Robert L. Norris, Scott A. Weinstein

In response to Epidemiology of Search and Rescue in Baxter State Park: Dangers of Descent and Fatigue

Aaron Brillhart, Scott McIntosh, Jennifer Dow, Colin Grissom

In reply to Brillhart et al.

Chris R. Welter, J. Matthew Sholl, Tania D. Strout, Ben Woodard

Book Review

Book review

Aaron D. Campbell

Book review

Christopher Van Tilburg

Book review

Christopher Van Tilburg

Wilderness Image

Calotropis gigantea

Tanuj Kanchan, Alok Atreya



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