List Of Wilderness Medical Emergencies
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List Of Wilderness Medical Emergencies
The following is a list of symptoms and conditions that signal or constitute a possible wilderness medical emergency. Injury and illnesses * Arthropod bites and stings * Appendicitis (leading to peritonitis) * Ballistic trauma (gunshot wound when hunting) * Eye injuries (such as from branches) * Flail chest associated with ice climbing and snowclimbing falls * Hyperthermia (heat stroke or sunstroke) ** Malignant hyperthermia * Hypothermia * Frostbite * Poisoning ** Food poisoning associated with warm weather expeditions ** Venomous animal bite ** Botanical from mushrooms or "wild greens"" * Severe burn (forest fire) * Spreading wound infection * Suspected spinal injury from falls, falling rock, ice * Traumatic brain injury from falls, falling rock, ice Infections * Lyme disease * Malaria * Necrotizing fasciitis * Rabies * Salmonella Neurologic * Subdural hematoma, associated with rockfall, icefall, falls while climbing, glissade crashes with rocks, mountain bike cras ...
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Wilderness Medical Emergency
A wilderness medical emergency is a medical emergency that takes place in a wilderness or remote setting affinitive care (hospital, clinic, etc.). Such an emergency can require specialized skills, treatment techniques, and knowledge in order to manage the patient for an extended period of time before and during evacuation. Types Injury and illnesses * Arthropod bites and stings * Appendicitis (leading to peritonitis folkloric "what if" for long-distance sailing) * Ballistic trauma (gunshot wound when hunting) * Eye injuries (such as from branches) * Flail chest associated with ice climbing and snowclimbing falls * Hyperthermia (heat stroke or sunstroke) ** Malignant hyperthermia * Hypothermia * Frostbite * Poisoning ** Food poisoning associated with warm weather expeditions ** Venomous animal bite ** Botanical from mushrooms or "wild greens"" * Severe burn (forest fire) * Spreading wound infection * Suspected spinal injury from falls, falling rock, ice * Traumatic brain ...
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Botanical
Botany, also called , plant biology or phytology, is the science of plant life and a branch of biology. A botanist, plant scientist or phytologist is a scientist who specialises in this field. The term "botany" comes from the Ancient Greek word (''botanē'') meaning "pasture", " herbs" "grass", or " fodder"; is in turn derived from (), "to feed" or "to graze". Traditionally, botany has also included the study of fungi and algae by mycologists and phycologists respectively, with the study of these three groups of organisms remaining within the sphere of interest of the International Botanical Congress. Nowadays, botanists (in the strict sense) study approximately 410,000 species of land plants of which some 391,000 species are vascular plants (including approximately 369,000 species of flowering plants), and approximately 20,000 are bryophytes. Botany originated in prehistory as herbalism with the efforts of early humans to identify – and later cultivate – edible, me ...
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Glissade (climbing)
Glissading is the act of descending a steep snow- or scree-covered slope via a controlled slide on one's feet or buttocks. It is an alternative to other descent methods such as plunge stepping, and may be used to expedite a descent, or simply for the thrill. Glissading involves higher risks of injuries than other forms of descending. Glissading with crampons is especially dangerous and should never be attempted. "The Mt. Shasta rangers constantly stress that climbers never should glissade while wearing crampons. Regardless, a few slip through the cracks. Double broken ankles should teach a powerful lesson." Methods There are three primary methods of glissading: * Sitting * Standing * Crouching Sitting glissade This is the easiest type of glissade and generally provides the greatest amount of stability. It is also less tiring than a standing or crouching glissade in softer snow. To perform a sitting glissade one sits down and slides on the slope usually holding on to an ice ax ...
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Icefall
An icefall is a portion of certain glaciers characterized by relatively rapid flow and chaotic crevassed surface, caused in part by gravity. The term ''icefall'' is formed by analogy with the word ''waterfall'', which is a similar phenomenon of the liquid phase but at a more spectacular speed. When ice movement of a glacier is faster than elsewhere, because the glacier bed steepens or narrows, and the flow cannot be accommodated by plastic deformation, the ice fractures, forming crevasses. Where two fractures meet, seracs (or ice towers) can be formed. When the movement of the ice slows down, the crevasses can coalesce, resulting in the surface of the glacier becoming smoother. Ice flow Perhaps the most conspicuous consequence of glacier flow, icefalls occur where the glacier bed steepens and/or narrows. Most glacier ice flows at speeds of a few hundred metres per year or less. However, the flow of ice in an icefall may be measured in kilometres per year. Such rapid flow cannot ...
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Rockfall
A rockfall or rock-fallWhittow, John (1984). ''Dictionary of Physical Geography''. London: Penguin, 1984. . is a quantity/sheets of rock that has fallen freely from a cliff face. The term is also used for collapse of rock from roof or walls of mine or quarry workings. "A rockfall is a fragment of rock (a block) detached by sliding, toppling, or falling, that falls along a vertical or sub-vertical cliff, proceeds down slope by bouncing and flying along ballistic trajectories or by rolling on talus or debris slopes." Alternatively, a "rockfall is the natural downward motion of a detached block or series of blocks with a small volume involving free falling, bouncing, rolling, and sliding". The mode of failure differs from that of a rockslide. Causal mechanisms Favourable geology and climate are the principal causal mechanisms of rockfall, factors that include intact condition of the rock mass, discontinuities within the rockmass, weathering susceptibility, ground and surface water, ...
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Subdural Hematoma
A subdural hematoma (SDH) is a type of bleeding in which a Hematoma, collection of blood—usually but not always associated with a traumatic brain injury—gathers between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain. It usually results from tears in bridging veins that cross the subdural space. Subdural hematomas may cause an increase in the intracranial pressure, pressure inside the skull, which in turn can cause compression of and damage to delicate brain tissue. Acute subdural hematomas are often life-threatening. Chronic subdural hematomas have a better prognosis if properly managed. In contrast, epidural hematomas are usually caused by tears in arteries, resulting in a build-up of blood between the dura mater and the skull. The third type of brain hemorrhage, known as a subarachnoid hemorrhage, causes bleeding into the subarachnoid space between the arachnoid mater and the pia mater. __TOC__ Signs and symptoms The sympt ...
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Salmonella
''Salmonella'' is a genus of rod-shaped (bacillus) Gram-negative bacteria of the family Enterobacteriaceae. The two species of ''Salmonella'' are ''Salmonella enterica'' and ''Salmonella bongori''. ''S. enterica'' is the type species and is further divided into six subspecies that include over 2,600 serotypes. ''Salmonella'' was named after Daniel Elmer Salmon (1850–1914), an American veterinary surgeon. ''Salmonella'' species are non-spore-forming, predominantly motile enterobacteria with cell diameters between about 0.7 and 1.5 μm, lengths from 2 to 5 μm, and peritrichous flagella (all around the cell body, allowing them to move). They are chemotrophs, obtaining their energy from oxidation and reduction reactions, using organic sources. They are also facultative anaerobes, capable of generating ATP with oxygen ("aerobically") when it is available, or using other electron acceptors or fermentation ("anaerobically") when oxygen is not available. ''Salmonella'' spe ...
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Rabies
Rabies is a viral disease that causes encephalitis in humans and other mammals. Early symptoms can include fever and tingling at the site of exposure. These symptoms are followed by one or more of the following symptoms: nausea, vomiting, violent movements, uncontrolled excitement, fear of water, an inability to move parts of the body, confusion, and loss of consciousness. Once symptoms appear, the result is virtually always death, regardless of treatment. The time period between contracting the disease and the start of symptoms is usually one to three months but can vary from less than one week to more than one year. The time depends on the distance the virus must travel along peripheral nerves to reach the central nervous system. Rabies is caused by lyssaviruses, including the rabies virus and Australian bat lyssavirus. It is spread when an infected animal bites or scratches a human or other animals. Saliva from an infected animal can also transmit rabies if the saliva come ...
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Necrotizing Fasciitis
Necrotizing fasciitis (NF), also known as flesh-eating disease, is a bacterial infection that results in the death of parts of the body's soft tissue. It is a severe disease of sudden onset that spreads rapidly. Symptoms usually include red or purple skin in the affected area, severe pain, fever, and vomiting. The most commonly affected areas are the limbs and perineum. Typically, the infection enters the body through a break in the skin such as a cut or burn. Risk factors include poor immune function such as from diabetes or cancer, obesity, alcoholism, intravenous drug use, and peripheral artery disease. It does not typically spread between people. The disease is classified into four types, depending on the infecting organism. Between 55 and 80% of cases involve more than one type of bacteria. Methicillin-resistant ''Staphylococcus aureus'' (MRSA) is involved in up to a third of cases. Medical imaging is often helpful to confirm the diagnosis. Necrotizing fasciitis may b ...
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Malaria
Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. Symptoms usually begin ten to fifteen days after being bitten by an infected mosquito. If not properly treated, people may have recurrences of the disease months later. In those who have recently survived an infection, reinfection usually causes milder symptoms. This partial resistance disappears over months to years if the person has no continuing exposure to malaria. Malaria is caused by single-celled microorganisms of the ''Plasmodium'' group. It is spread exclusively through bites of infected ''Anopheles'' mosquitoes. The mosquito bite introduces the parasites from the mosquito's saliva into a person's blood. The parasites travel to the liver where they mature and reproduce. Five species of ''Plasmodium'' can infect and be spread by h ...
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Lyme Disease
Lyme disease, also known as Lyme borreliosis, is a vector-borne disease caused by the ''Borrelia'' bacterium, which is spread by ticks in the genus ''Ixodes''. The most common sign of infection is an expanding red rash, known as erythema migrans (EM), which appears at the site of the tick bite about a week afterwards. The rash is typically neither itchy nor painful. Approximately 70–80% of infected people develop a rash. Early diagnosis can be difficult. Other early symptoms may include fever, headaches and tiredness. If untreated, symptoms may include loss of the ability to move one or both sides of the face, joint pains, severe headaches with neck stiffness or heart palpitations. Months to years later repeated episodes of joint pain and swelling may occur. Occasionally shooting pains or tingling in the arms and legs may develop. Despite appropriate treatment about 10 to 20% of those affected develop joint pains, memory problems and tiredness for at least six months. Lym ...
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Traumatic Brain Injury
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity (ranging from mild traumatic brain injury TBI/concussionto severe traumatic brain injury), mechanism ( closed or penetrating head injury), or other features (e.g., occurring in a specific location or over a widespread area). Head injury is a broader category that may involve damage to other structures such as the scalp and skull. TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death. Causes include falls, vehicle collisions and violence. Brain trauma occurs as a consequence of a sudden acceleration or deceleration within the cranium or by a complex combination of both movement and sudden impact. In addition to the damage caused at the moment of injury, a variety of events following the injury may result in ...
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