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Wilderness injuries and illnesses.
Ann Emerg Med. 1992 Jul; 21(7):853-61.AE

Abstract

STUDY OBJECTIVE

To determine injury and illness patterns and occurrence rates during wilderness recreation.

DESIGN

Prospective injury and illness surveillance study.

SETTING

Wilderness areas throughout the Western hemisphere.

TYPE OF PARTICIPANTS

All students and instructors on National Outdoor Leadership School courses over a five-year period.

MAIN RESULTS

A single fatality occurred, resulting in a death rate of 0.28 per 100,000 person-days of exposure. Injuries occurred at a rate of 2.3 per 1,000 person-days of exposure. Sprains and strains and soft tissue injuries accounted for 80% of the injuries. The illness rate was 1.5 per 1,000 person-days of exposure. Sixty percent of illnesses were due to nonspecific viral illnesses or diarrhea; hygiene appeared to have a significant impact on the incidence of these illnesses. Thirty-nine percent of the injuries and illnesses required evacuation (1.5 per 1,000 person-days of exposure).

CONCLUSION

The injury and illness patterns indicate that wilderness medical efforts should concentrate on wilderness hygiene and management of musculoskeletal injuries and soft tissue wounds. The data also indicate that wilderness activities can be conducted relatively safely, but the decision to participate should be individualized, with an understanding of risks versus benefits.

Authors+Show Affiliations

Department of Surgery, Stanford University School of Medicine, Stanford, California.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1376973

Citation

Gentile, D A., et al. "Wilderness Injuries and Illnesses." Annals of Emergency Medicine, vol. 21, no. 7, 1992, pp. 853-61.
Gentile DA, Morris JA, Schimelpfenig T, et al. Wilderness injuries and illnesses. Ann Emerg Med. 1992;21(7):853-61.
Gentile, D. A., Morris, J. A., Schimelpfenig, T., Bass, S. M., & Auerbach, P. S. (1992). Wilderness injuries and illnesses. Annals of Emergency Medicine, 21(7), 853-61.
Gentile DA, et al. Wilderness Injuries and Illnesses. Ann Emerg Med. 1992;21(7):853-61. PubMed PMID: 1376973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wilderness injuries and illnesses. AU - Gentile,D A, AU - Morris,J A, AU - Schimelpfenig,T, AU - Bass,S M, AU - Auerbach,P S, PY - 1992/7/1/pubmed PY - 1992/7/1/medline PY - 1992/7/1/entrez SP - 853 EP - 61 JF - Annals of emergency medicine JO - Ann Emerg Med VL - 21 IS - 7 N2 - STUDY OBJECTIVE: To determine injury and illness patterns and occurrence rates during wilderness recreation. DESIGN: Prospective injury and illness surveillance study. SETTING: Wilderness areas throughout the Western hemisphere. TYPE OF PARTICIPANTS: All students and instructors on National Outdoor Leadership School courses over a five-year period. MAIN RESULTS: A single fatality occurred, resulting in a death rate of 0.28 per 100,000 person-days of exposure. Injuries occurred at a rate of 2.3 per 1,000 person-days of exposure. Sprains and strains and soft tissue injuries accounted for 80% of the injuries. The illness rate was 1.5 per 1,000 person-days of exposure. Sixty percent of illnesses were due to nonspecific viral illnesses or diarrhea; hygiene appeared to have a significant impact on the incidence of these illnesses. Thirty-nine percent of the injuries and illnesses required evacuation (1.5 per 1,000 person-days of exposure). CONCLUSION: The injury and illness patterns indicate that wilderness medical efforts should concentrate on wilderness hygiene and management of musculoskeletal injuries and soft tissue wounds. The data also indicate that wilderness activities can be conducted relatively safely, but the decision to participate should be individualized, with an understanding of risks versus benefits. SN - 0196-0644 UR - https://www.unboundmedicine.com/medline/citation/1376973/Wilderness_injuries_and_illnesses_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0644(05)81034-0 DB - PRIME DP - Unbound Medicine ER -