Should Wilderness First Responder be the standard of care for wilderness leadership?

Greenwald

Holton

2010

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Section: Discussionmentioning

confidence: 99%

Injury and Illness in College Outdoor Education

Greenwald

Holton

2010

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“…Retrospective review of the NOLS data reveals that instructors appropriately administered epinephrine in the 2 cases of anaphylaxis and an antihistamine in the 149 cases of acute allergic reactions. 10 There were no deaths among the cases of anaphylaxis or acute allergic reactions.…”

Section: Incidence Of Anaphylaxis In the General Public And In Outdoo...mentioning

confidence: 90%

Wilderness Medical Society Practice Guidelines for the Use of Epinephrine in Outdoor Education and Wilderness Settings: 2014 Update

Lemery

Johnson³

2014

The Epinephrine Roundtable took place on July 27, 2008, during the 25th Annual Meeting of the Wilderness Medical Society (WMS) in Snowmass, CO. The WMS convened this roundtable to explore areas of consensus and uncertainty in the field treatment of anaphylaxis. Panelists were selected on the basis of their relevant academic or professional experience. There is a paucity of data that address the treatment of anaphylaxis in the wilderness. Anaphylaxis is a rare disease, with a sudden onset and drastic course that does not lend itself to study in randomized, controlled trials. Therefore, the panel endorsed the following position based on the limited available evidence and review of published articles, as well as expert consensus. The position represents the consensus of the panelists and is endorsed by the WMS. In 2014, the authors reviewed relevant articles published since the Epinephrine Roundtable. The following is an updated version of the original guidelines published in Wilderness & Environmental Medicine 2010;21(4):185-187.

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“…Retrospective review of the NOLS data reveals that instructors appropriately administered epinephrine in the 2 cases of anaphylaxis and an anti-histamine in the 149 cases of acute allergic reactions. 7 There were no deaths among the cases of anaphylaxis or acute allergic reactions.…”

Section: Incidence Of Anaphylaxis In the General Public And In Outdoo...mentioning

confidence: 90%

Recommendations on the Use of Epinephrine in Outdoor Education and Wilderness Settings

Lemery

Johnson³

2010