Expedition and Wilderness Medicine

With an increase in visits to remote and dangerous locations around the world, the number of serious and fatal injuries and illnesses associated with these expeditions has markedly increased. Medical personnel working in or near such locations are not always explicitly trained in the management of unique environmental injuries, such as high-altitude sickness, the bends, lightning strikes, frostbite, acute dehydration, venomous stings and bites, and tropical diseases. Many health care professionals seek training in the specialty of wilderness medicine to cope with the health risks faced when far removed from professional care resources, and the American College of Emergency Medicine has recently mandated that a minimum level of proficiency needs to be exhibited by all ER physicians in this discipline. This book covers everything a prospective field physician or medical consultant needs to prepare for when beginning an expedition and explains how to treat a variety of conditions in a concise, clinically oriented format. - Hot new field with lots of interest in reference book for professionals - Fully illustrated, covers a full range of possible health problems and concerns for the expedition - More concise and smaller than the main competitor Contents Part I. Expedition Planning: 1. The expedition physician Howard J. Donner; 2. Assessing expedition needs William W. Forgey; 3. Expedition medical kit William W. Forgey; 4. Immunizations David A. Townes and Russell McMullen; 5. Legal considerations during expedition planning Kristin Larson and Tracey Knutson; 6. Travel safety Michael VanRooyen; 7. Nutritional support for expeditions H. Wayne Askew; 8. Water safety Howard Backer; 9. Special considerations Blair Dillard Erb, Sr.; 10. Communications planning for the expedition medical officer Christian Macedonia; 11. Minimizing risk on an expedition Michael J. Manyak; 12. The expedition returns Randy Hyer; Part II. Expeditions in Unique Environments: 13. Tactical and protective medicine Nelson Tang, Kevin B. Gerold and Richard Carmona; 14. Hostile geopolitical environments Michael VanRooyen; 15. Aerospace medicine Richard S. Williams and Marc A. Shepanek; 16. Polar medicine Desmond Lugg and Jeff Ayton; 17. Tropical medicine for expeditions Peter Hotez and David M. Parenti; 18. Medicine in subterranean environments William Hamilton; 19. High-altitude medicine Luanne Freer and Peter H. Hackett; 20. Medicine at sea Joyce M. Johnson; 21. Event medicine David A. Townes; 22. Telemedicine in evolution - implications for expeditionary medicine William P. Wiesmann, M. Nicole Draghic and L. Alex Pranger; 23. Dive medicine Craig Cook; Part III. Illness and Injuries on Expeditions: 24. General medical J. Lee Jenkins, Edbert B. Hsu, Italo Subbaro, Kisha Moore and Alex Vu; 25. Traveler's diarrhea R. Bradley Sack; 26. Malaria Christian Ockenhouse; 27. Animal attacks Jenny Hargrove and Luanne Freer; 28. Envenomations Michael Callahan; 29. Hazardous marine life Craig Cook; 30. Toxicology Timothy B. Erickson and Janet Y. Lin; 31. Environmental injuries Kenneth Kamler; 32. Penetrating and explosive wounds Ian S. Wedmore and John G. McManus; 33. Drowning and submersion injury Bradley Winters; 34. Trauma resuscitation Elliot Haut and Rajan Gupta; 35. Wound care James M. Marinucci; 36. Expedition eye injuries Stanley Spielman; 37. Dental emergencies Martin Nweeia; 38. Foot injuries John VonHoff and Zak Weis; 39. Expedition orthopedics Alan Gianotti and S. V. Mahadevan; 40. Expedition self-rescue and evacuation Ken Zafren and Urs Wiget; 41. Aeromedical evacuations Gene DeLaune. Contributors Howard J. Donner, William W. Forgey, David A. Townes, Russell McMullen, Kristin Larson, Tracey Knutson, Michael VanRooyen, H. Wayne Askew, Howard Backer, Blair Dillard Erb, Sr., Christian Macedonia, Michael J. Manyak, Randy Hyer, Nelson Tang, Kevin B. Gerold, Richard Carmona, Richard S. Williams, Marc A. Shepanek, Desmond Lugg, Jeff Ayton, Peter Hotez, David M. Parenti, William Hamilton, Luanne Freer, Peter H. Hackett, Joyce M. Johnson, William P. Wiesmann, M. Nicole Draghic, L. Alex Pranger, Craig Cook, J. Lee Jenkins, Edbert B. Hsu, Italo Subbaro, Kisha Moore, Alex Vu, R. Bradley Sack, Christian Ockenhouse, Jenny Hargrove, Michael Callahan, Timothy B. Erickson, Janet Y. Lin, Kenneth Kamler, Ian S. Wedmore, John G. McManus, Bradley Winters, Elliot Haut, Rajan Gupta, James M. Marinucci, Stanley Spielman, Martin Nweeia, John VonHoff, Zak Weis, Alan Gianotti, S. V. Mahadevan, Ken Zafren, Urs Wiget, Gene DeLaune