UV keratitis is the result of acute high-dose or suprathreshold UV radiation. It can cause severe ocular pain, tearing, conjunctival chemosis, blepharospasm and deterioration of vision. The onset is typically several hours after exposure. UV keratitis can be prevented by minimizing radiation exposure (e.g. wearing a hat, sunglasses, UV-blocking contact lenses). Depending on the degree of UV […]
Physical exertion in high temperatures forces the body to adapt to the heat stress. The physiological response can reach a limit at which the advantages do not weigh up to the disadvantages of this response. At this point heat-related illnesses like heat cramp, syncope, exhaustion and stroke can develop. Symptoms of heat exhaustion are thirst, […]
Smoking as a risk factor for Altitude Sickness?
Smoking as a risk factor for Acute Mountain Sickness? Altitude, a history of Acute Mountain Sickness (AMS), rate of ascent and lack of acclimatization are some well established risk factors for developing AMS. Among these risk factors cigarette smoking is particularly important because it is modifiable. Previous findings in regard to smoking and AMS have […]
Why Wilderness Medicine matters
Michiel van Veelen, co-founder of Outdoor Medicine, published an article in the Emergency Physicians International Journal on how Outdoor Medicine training gives doctors the tools they need for everyday emergencies outside the hospital. In the article several dilemmas are illustrated which doctors encounter when faced with a medical emergency outside of their comfort zone, such […]
Guideline: Prevention and treatment of frostbite
A very cold guideline to keep you warm this holiday season: The WMS has published an update for the guideline “prevention and treatment of frostbite”. We present you a useful summary and some recommendations. A simplified classification system for diagnosing frostbite is often used in the field. After rewarming, frostbite can be classified as superficial […]
Acute High-Altitude Illnesses
Persons who are not acclimatized to high altitudes and who ascend to 2500 m are at risk for acute high-altitude illnesses. This article reviews approaches to prevention (e.g., slow ascent, inclusion of a rest day during ascent, and medications) and treatment. Check de NEJM voor het volledige artikel.
Equipment of Medical Backpacks in Mountain Rescue
Just Published – The offical recommendation of the international commission for Mountain Emergency Medicine (ICAR MEDCOM). The guideline describes the desired materials and medication used in Mountain Rescue. Read the full article here.
SAM splint as cervical collar?
Interesting prospective study in healthy volunteers comparing the freedom of movement of the neeck after immobilisation by SAM splint versus a Philidelphia collar. “The results of this study suggest that the SAM splint, when molded into a cervical collar, is as effective as the Philadelphia collar at limiting movement of the cervical spine”. Read the […]
Superglue as tissue adhesive?
This article reviews the pros and cons of commercially available Super Glue versus the much more expensive tissue adhesive, produced by the pharmacutical companies. Interesting conclusion: ‘The avid outdoors-man, whose pack is as light as his wallet, might prefer a tube of Super Glue for commonly encountered field repairs and infrequent therapeutic use’. Read the […]
Maybritt Kuypers, MD, CEO of Outdoor Medicine, writes about the medical considerations in prolonged space travel in this essay in the Journal of Wilderness & Environmental Medicine. She advocates the need for Wilderness and Emergency Medicine skills in Space. Read the full artice here.