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Wilderness event medicine.

Timothy E Burdick1, Reed Brozen

  • 1Dartmouth Medical School, Hanover, NH, USA. tim.burdick@alum.dartmouth.org

Wilderness & Environmental Medicine
|January 15, 2004
PubMed
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Injury rates at wilderness events are similar to urban events, with most hikers needing only basic care. This study suggests defining wilderness events and creating a database to improve safety and preparedness.

Area of Science:

  • Wilderness Event Medicine (WEM) is an emerging subspecialty focused on large-scale events in remote locations.
  • This study investigates injury rates within a specific wilderness event to inform the advancement of WEM.

Background:

  • Wilderness Event Medicine (WEM) addresses medical care for large groups in remote settings.
  • The subspecialty is experiencing rapid growth within the broader field of wilderness medicine.

Purpose of the Study:

  • To document injury rates from a single wilderness event.
  • To propose strategies for the development of the Wilderness Event Medicine field.

Main Methods:

  • A 1-day wilderness hike was analyzed.
  • Injury rates from this event were compared to those from urban and other wilderness events.

Main Results:

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  • Out of 350 hikers, 6 required medical evaluation (1.7% or 17 per 1000 person-days), primarily for dehydration and orthopedic issues.
  • Only one participant needed medical assistance beyond oral rehydration (0.3% or 2.9 per 1000).
  • These injury rates are comparable to those observed in urban events and other wilderness activities.

    • Conclusions:

    • Available data suggest wilderness event injury rates are similar to urban event rates.
    • Recommendations include defining a "wilderness event" and establishing a standardized database for events, injuries, and responses.
    • A database can aid in injury prevention, anticipation, and preparedness for medical responses.