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Related Experiment Videos

Wilderness injuries and illnesses.

D A Gentile1, J A Morris, T Schimelpfenig

  • 1Department of Surgery, Stanford University School of Medicine, Stanford, California.

Annals of Emergency Medicine
|July 1, 1992
PubMed
Summary
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Wilderness recreation poses risks, with injuries like sprains and strains being common. Focusing on wilderness hygiene and managing musculoskeletal injuries can improve safety for outdoor activities.

Area of Science:

  • Wilderness Medicine
  • Outdoor Recreation Safety
  • Epidemiology

Background:

  • Wilderness recreation is increasingly popular, necessitating an understanding of associated health risks.
  • Data on injury and illness patterns in wilderness settings are crucial for developing effective safety protocols.

Purpose of the Study:

  • To investigate the patterns and occurrence rates of injuries and illnesses during wilderness recreation.
  • To inform medical strategies for wilderness environments.

Main Methods:

  • A prospective injury and illness surveillance study was conducted.
  • Data were collected over five years from students and instructors participating in National Outdoor Leadership School courses across the Western Hemisphere.

Main Results:

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  • The fatality rate was 0.28 per 100,000 person-days. Injury rates were 2.3 per 1,000 person-days, with sprains, strains, and soft tissue injuries comprising 80%.
  • Illness rates were 1.5 per 1,000 person-days, primarily nonspecific viral illnesses and diarrhea, influenced by hygiene.
  • Evacuation was required for 39% of injuries and illnesses.

Conclusions:

  • Wilderness medical efforts should prioritize hygiene and the management of musculoskeletal and soft tissue injuries.
  • While generally safe, wilderness activities require individual risk assessment, balancing potential benefits against inherent risks.