Wilderness medicine

Sward, Douglas G; Bennett, Brad L.

doi:10.5847/wjem.j.issn.1920-8642.2014.01.001

Cited by 28 publications

(15 citation statements)

References 136 publications

(120 reference statements)

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“…Wilderness medicine research is difficult to perform, but it is essential in furthering our understanding of the contributions of specific techniques in improving clinical outcomes. 12,50 The use of mannequins, animal models, or cadavers may enhance our understanding of interventions in austere environments when such studies would be difficult or impossible to conduct on humans. Furthermore, implementing a method for prioritizing wilderness medicine research would allow these gaps to be addressed more strategically and is recommended for advancement of evidence-based clinical practice guidelines.…”

Section: Discussionmentioning

confidence: 99%

Research Gaps in Wilderness Medicine

Tritz

Dormire

Brachtenbach

et al. 2018

Wilderness & Environmental Medicine

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Overall, few studies were being conducted to address research gaps in wilderness medicine. Heat-related illness had the most new or ongoing research, whereas no studies were being conducted to address gaps in eye injuries, basic wound management, or spine immobilization. Animals, cadavers, and mannequin research are useful in cases in which human evidence is difficult to obtain. Establishing research priorities is recommended for addressing research gaps identified by guideline panels.

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Section: Discussionmentioning

confidence: 99%

Research Gaps in Wilderness Medicine

Tritz

Dormire

Brachtenbach

et al. 2018

Wilderness & Environmental Medicine

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“…A core skill taught in wilderness and prehospital medicine is how to manage an accidental hypothermic patient, with an emphasis on preventing further heat loss with an improvised passive heat retention system. [45][46][47][48] This system, traditionally known as a hypothermia wrap, basically consists of a vapor-tight waterproof tarp, 1 to 3 ground insulation pads, and 1 to 3 sleeping bags. The patient is placed in the middle sleeping bag, and the outer layer then is folded up systematically to prevent cold air entry and to maximize heat retention.…”

Section: Transition Of the Hypothermia Prevention Management Kitmentioning

confidence: 99%

Battlefield Trauma-Induced Hypothermia: Transitioning the Preferred Method of Casualty Rewarming

Bennett

Holcomb²

2017

Wilderness & Environmental Medicine

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For centuries, cold and wet weather has affected military combat operations leading to tremendous loss of manpower caused by cold-weather-related injuries including trench foot, frostbite, and hypothermia. The initial battlefield management of hypothermia in military personnel had not advanced significantly following many wars and conflicts until 2006. The aim of this review is to: 1) provide an overview of trauma-induced hypothermia (TIH); 2) highlight the Department of Defense strategy for the implementation of a hypothermia clinical management program for battlefield (prehospital) casualties; 3) highlight the research and development of the Hypothermia Prevention and Management Kit (HPMK) as the preferred field rewarming system for battlefield TIH; and 4) emphasize how the HPMK can be easily transitioned to the civilian sector for active rewarming of both accidental and TIH patients. The HPMK is ideal for those working in civilian Emergency Medical Services and austere prehospital care environments. This kit is a low cost, lightweight, small dimension commercial product that can provide effective passive management or active rewarming for both accidental (primary) and trauma-induced (secondary) hypothermia patients.

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“…Paul Auerbach, Edward Geehr, and Ken Kizer to support WM in areas such as health care delivery, research, and education via conferences, workshops, journals, and other outreach tools. 3 Dr. Auerbach subsequently authored Wilderness Medicine, an educational textbook that is currently in its seventh edition. 4 Numerous other texts have since described the field of WM as the field continues to evolve, and there have been significant advances in incorporating WM aspects into other subspecialties, including Hawkins' Wilderness EMS and published text by the National Association of [Emergency Medical Services] EMS Physicians (NAEMSP; Overland Park, Kansas USA).…”

Section: Introductionmentioning

confidence: 99%

“…7 Recently, WM has evolved to include topics such as Altitude Medicine, Dive Medicine, Envenomation, Trauma, Environmental Exposure, Avalanche, Military Medicine, Epidemiology, Search and Rescue, Travel Medicine, Disaster Medicine, and Ultrasound. 3…”

Section: Introductionmentioning

confidence: 99%

Wilderness Medicine Curricula in United States EMS Fellowship, Emergency Medicine Residency, and Wilderness Medicine Programs

Holstrom-Mercader

Kass

Corsetti

et al. 2022

Prehosp. Disaster med.

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Objective: Wilderness Medicine (WM) focuses on care delivered in austere or resource-scarce environments. The Accreditation Council for Graduate Medical Education (ACGME) requirements and core content for Emergency Medicine (EM) residency and Emergency Medical Services (EMS) fellowship in the United States (US) include some WM topics that are covered to varying degrees in these programs. Furthermore, there are no ACGME-approved WM fellowships or specific curricula. Different training programs may develop WM content and curricula that differ significantly, leading to variations in WM competencies and training. In 2009, the American College of Emergency Physicians (ACEP) Wilderness Medicine Section created a Fellowship Subcommittee and Taskforce to develop a standardized curriculum and core content for EM-based WM fellowships. However, to date, EMS fellowship and EM residency WM curricula in the US content have not been analyzed for consistency with the ACEP WM fellowship curriculum. Methods: In this study, the WM curricula components of EM residency and EMS fellowship were evaluated using the ACEP WM fellowship curriculum as a control. Potential curriculum gaps for each program type were identified. Results: Of the 19 WM competencies developed by the ACEP Wilderness Medicine Section Fellowship Subcommittee and Taskforce, EMS fellowship covers more WM topics (16 topics, or 84%) than EM residency (12 topics, or 63%), and combined, they cover 89% of these topics. Conclusions: By expanding to cover two additional WM topics, all WM curricula topics recommended by the ACEP WM fellowship curriculum could potentially be covered in EM residency + EMS fellowship; however, the depth of education in each topic may vary. It may be beneficial for Graduate Medical Education (GME)-level learners for programs to implement hands-on educational experiences in WM topics.

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Wilderness medicine

Cited by 28 publications

References 136 publications

Research Gaps in Wilderness Medicine

Research Gaps in Wilderness Medicine

Battlefield Trauma-Induced Hypothermia: Transitioning the Preferred Method of Casualty Rewarming

Wilderness Medicine Curricula in United States EMS Fellowship, Emergency Medicine Residency, and Wilderness Medicine Programs

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