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Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update

  • Patrick B. Fink MD
  • Albert R. Wheeler, III MD
  • William R. Smith MD
  • Graham Brant-Zawadzki MD, MPH
  • James R. Lieberman MD
  • Scott E. McIntosh MD, MPH
  • Christopher Van Tilburg MD
  • Ian S. Wedmore MD
  • Jeremy S. Windsor MD
  • Ross Hofmeyr MMed
  • David Weber FP-C

Abstract

The Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the management of pain in austere environments. Recommendations are graded based on the quality of supporting evidence as defined by criteria put forth ...
Free accessResearch articleFirst published Apr 23, 2024
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Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Frostbite: 2024 Update

  • Scott E. McIntosh MD, MPH
  • Luanne Freer MD
  • Colin K. Grissom MD
  • George W. Rodway PhD, APRN
  • Gordon G. Giesbrecht PhD
  • Marion McDevitt DO, MPH
  • Christopher H. Imray MD
  • Eric L. Johnson MD
  • Prativa Pandey MD
  • Jennifer Dow MD
  • Peter H. Hackett MD

Abstract

The Wilderness Medical Society convened an expert panel to develop a set of evidence-based guidelines for the prevention and treatment of frostbite. We present a review of pertinent pathophysiology. We then discuss primary and secondary prevention ...
Free accessResearch articleFirst published Apr 5, 2024
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Wilderness Medical Society Clinical Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents: 2024 Update

  • Christopher Van Tilburg MD
  • Peter Paal MD
  • Giacomo Strapazzon MD, PhD
  • Colin K. Grissom MD
  • Pascal Haegeli PhD
  • Natalie Hölzl MD
  • Scott McIntosh MD, MPH
  • Martin Radwin MD
  • William “Will” R. Smith MD
  • Stephanie Thomas MS
  • Bruce Tremper MS
  • David Weber FP-C
  • Albert R. Wheeler MD
  • Ken Zafren MD
  • Hermann Brugger MD

Abstract

To provide guidance to the general public, clinicians, and avalanche professionals about best practices, the Wilderness Medical Society convened an expert panel to revise the evidence-based guidelines for the prevention, rescue, and resuscitation of ...
Free accessResearch articleFirst published Dec 28, 2023
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Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update

  • Andrew M. Luks MD
  • Beth A. Beidleman ScD
  • Luanne Freer MD
  • Colin K. Grissom MD
  • Linda E. Keyes MD
  • Scott E. McIntosh MD, MPH
  • George W. Rodway PhD, APRN
  • Robert B. Schoene MD
  • Ken Zafren MD
  • Peter H. Hackett MD

Abstract

To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention, diagnosis, and treatment of acute mountain sickness, high altitude cerebral edema, ...
Free accessResearch articleFirst published Dec 27, 2023
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Tarp-Assisted Cooling for Exertional Heat Stroke Treatment in Wildland Firefighting

  • Riana R. Pryor PhD
  • Kara Haboian MS
  • Triniti Fitts BS
  • Jocelyn J. Stooks MPH

Abstract

Introduction
Exertional heat stroke is a life-threatening emergency necessitating immediate treatment with rapid body cooling. A field-expedient alternative may be tarp-assisted cooling, requiring only water and a tarp. The objective of this study was to ...
Free accessResearch articleFirst published Dec 1, 2023
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Use of Unmanned Aerial Vehicles in Wilderness Search and Rescue Operations: A Scoping Review

  • Craig Vincent-Lambert PhD
  • Anje Pretorius BHS EMC
  • Bernard Van Tonder M EMC

Abstract

Wilderness Search and Rescue (WSAR) focuses on locating and extricating missing persons in remote settings. As unmanned aerial vehicle (UAV) or “drone” technology has evolved, so has the literature describing its application in WSAR operations. We ...
Open AccessReview articleFirst published Dec 1, 2023
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Time to Reconsider Analgesia in Mass Casualty Incidents

  • Timothee de Valence MD
  • Laurent Suppan MD

Abstract

The provision of analgesia in mass casualty incidents has traditionally been viewed as low-priority and reserved for later stages of care. Poor pain management is commonplace in trauma victims, and inadequate acute pain management can hinder evacuation ...
Open AccessResearch articleFirst published Dec 1, 2023
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Compartment Syndrome after Crotalid Envenomation in the United States: A Review of the North American Snakebite Registry from 2013 to 2021 on Behalf of the ToxIC Snakebite Study Group

  • Meghan B. Spyres MD
  • Greg Maker MD
  • Kim Aldy MD
  • Brian J. Wolk MD
  • Kevan E. Meadors MD
  • Michael Christian MD
  • Anne-Michelle Ruha MD

Abstract

Introduction
Compartment syndrome (CS) is a rare but serious complication after crotalid envenomation in the United States. Few data are available regarding the epidemiology and management of these cases. Significant controversy and misunderstanding over ...
Free accessResearch articleFirst published Sep 1, 2023
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Sudden Cardiac Arrests in the Polish Tatra Mountains: A Retrospective Study

  • Maciej Mikiewicz MD
  • Kamil Polok MD, PhD
  • Wojciech Szczeklik MD, PhD
  • Andrzej Górka MA
  • Sylweriusz Kosiński MD, PhD

Abstract

Introduction
Achieving the optimal survival rate for sudden cardiac arrest in mountains is challenging. The odds of surviving are influenced mainly by distance, response time, and organization of the emergency medical system. The aim of this study was to ...
Free accessResearch articleFirst published Jun 1, 2023
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Are Different Aged Youth Skiers and Snowboarders Experiencing Different Injury Characteristics?

  • Kyle C. Chesler BS
  • David R. Howell PhD
  • Morteza Khodaee MD, MPH
  • Lauren A. Pierpoint PhD
  • R. Dawn Comstock PhD
  • Aaron J. Provance MD

Abstract

Introduction
Skiing and snowboarding are popular winter sports with significant youth participation and inherent potential for injury. We investigated the relationship between age and injury characteristics exhibited by youth skiers and snowboarders.
...
Free accessResearch articleFirst published Mar 1, 2023
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