The Wilderness Medical Society convened an expert panel in 2011 to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both field- and hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks or burdens for each modality. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Treatment and Prevention of Heat-Related Illness published in 2013.
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http://dx.doi.org/10.1016/j.wem.2018.10.004 | DOI Listing |
Wilderness Environ Med
December 2024
Center for Healthy Aging, Department of Biomedical Sciences Faculty of Health and Medical Sciences University of Copenhagen Copenhagen, Denmark.
Wilderness Environ Med
December 2024
Emergency Medicine, Hackettstown Medical Center, Hackettstown, NJ.
Am J Emerg Med
December 2024
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.
Objectives: Data describing hypothermic cardiac arrest (HCA) outcomes predominantly originate from patients involved in wilderness accidents. We describe the incidence and outcomes of HCA in an urban environment, with a subgroup analysis of patients with witnessed HCA in the prehospital or emergency department (ED) setting.
Methods: We completed a retrospective, single center cohort analysis of consecutive adult patients with environmental exposure and core body temperature ≤ 32 °C.
Wilderness Environ Med
December 2024
Department of Anesthesiology and Critical Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Wilderness Environ Med
December 2024
Department of Emergency Medicine, Stanford University, Palo Alto, CA.
Management of the airway in austere environments can differ substantially from standard in-hospital airway management. Devices such as nasopharyngeal airways, oropharyngeal airways, endotracheal tubes, extraglottic airways, ventilators, and sedative and paralytic medications may not be available. Weather, scene hazards, difficulties of extrication, transport times, skill sets of rescuers, and availability of advanced equipment are highly variable.
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