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1.
Wilderness Environ Med ; 35(1_suppl): 2S-19S, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37833187

RESUMO

To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention, diagnosis, and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches for managing each form of acute altitude illness that incorporate these recommendations as well as recommendations on how to approach high altitude travel following COVID-19 infection. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in Wilderness & Environmental Medicine in 2010 and the subsequently updated WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2014 and 2019.


Assuntos
Doença da Altitude , COVID-19 , Humanos , Doença da Altitude/diagnóstico , Doença da Altitude/prevenção & controle , Altitude , COVID-19/diagnóstico , COVID-19/prevenção & controle , Consenso , Sociedades Médicas , Teste para COVID-19
2.
Wilderness Environ Med ; 25(4 Suppl): S118-33, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25498257

RESUMO

In an effort to produce best-practice guidelines for wound management in the austere environment, the Wilderness Medical Society convened an expert panel charged with the development of evidence-based guidelines for the management of wounds sustained in an austere (dangerous or compromised) environment. Recommendations are made about several parameters related to wound management. These recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks or burdens for each parameter according to the methodology stipulated by the American College of Chest Physicians. This is an updated version of the original guidelines published in Wilderness & Environmental Medicine 2014;25(3):295-310.


Assuntos
Padrões de Prática Médica , Medicina Selvagem/normas , Ferimentos e Lesões/terapia , Humanos , Sociedades Médicas , Medicina Selvagem/métodos
3.
Wilderness Environ Med ; 25(4 Suppl): S4-14, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25498261

RESUMO

To provide guidance to clinicians about best practices, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations about their role in disease management. Recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to prevention and management of each disorder that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in Wilderness & Environmental Medicine 2010;21(2):146-155.


Assuntos
Doença da Altitude/prevenção & controle , Edema Encefálico/prevenção & controle , Padrões de Prática Médica , Edema Pulmonar/prevenção & controle , Medicina Selvagem , Doença da Altitude/terapia , Edema Encefálico/terapia , Humanos , Montanhismo , Edema Pulmonar/terapia , Sociedades Médicas , Medicina Selvagem/normas
4.
Wilderness Environ Med ; 25(4 Suppl): S66-85, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25498264

RESUMO

To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445.


Assuntos
Hipotermia/diagnóstico , Hipotermia/terapia , Padrões de Prática Médica , Medicina Selvagem/métodos , Humanos , Hipotermia/fisiopatologia , Montanhismo , Sociedades Médicas , Medicina Selvagem/normas
5.
Wilderness Environ Med ; 25(4 Suppl): S86-95, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25498265

RESUMO

To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the treatment and prevention of lightning injuries. These guidelines include a review of the epidemiology of lightning and recommendations for the prevention of lightning strikes, along with treatment recommendations organized by organ system. Recommendations are graded on the basis of the quality of supporting evidence according to criteria put forth by the American College of Chest Physicians. This is an updated version of the original WMS Practice Guidelines for Prevention and Treatment of Lightning Injuries published in Wilderness & Environmental Medicine 2012;23(3):260-269.


Assuntos
Lesões Provocadas por Raio/terapia , Padrões de Prática Médica , Medicina Selvagem , Humanos , Lesões Provocadas por Raio/epidemiologia , Lesões Provocadas por Raio/prevenção & controle , Sociedades Médicas , Medicina Selvagem/métodos , Medicina Selvagem/normas
6.
Wilderness Environ Med ; 21(2): 146-55, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20591379

RESUMO

To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the prevention and treatment of acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude pulmonary edema (HAPE). These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations for their roles in disease management. Recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to the prevention and management of each disorder that incorporate these recommendations.


Assuntos
Doença da Altitude/prevenção & controle , Doença da Altitude/terapia , Montanhismo , Medicina Selvagem/normas , Acetazolamida/uso terapêutico , Doença Aguda , Albuterol/análogos & derivados , Albuterol/uso terapêutico , Edema Encefálico/prevenção & controle , Edema Encefálico/terapia , Carbolinas/uso terapêutico , Dexametasona/uso terapêutico , Humanos , Nifedipino/uso terapêutico , Piperazinas/uso terapêutico , Edema Pulmonar/prevenção & controle , Edema Pulmonar/terapia , Purinas/uso terapêutico , Xinafoato de Salmeterol , Citrato de Sildenafila , Sociedades , Sulfonas/uso terapêutico , Tadalafila
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