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1.
Wilderness Environ Med ; 35(1_suppl): 94S-111S, 2024 03.
Article in English | MEDLINE | ID: mdl-38379489

ABSTRACT

The Wilderness Medical Society convened a panel to review available evidence supporting practices for acute management of drowning in out-of-hospital and emergency care settings. Literature about definitions and terminology, epidemiology, rescue, resuscitation, acute clinical management, disposition, and drowning prevention was reviewed. The panel graded available evidence supporting practices according to the American College of Chest Physicians criteria and then made recommendations based on that evidence. Recommendations were based on the panel's collective clinical experience and judgment when published evidence was lacking. This is the second update to the original practice guidelines published in 2016 and updated in 2019.


Subject(s)
Drowning , Wilderness Medicine , Humans , Drowning/prevention & control , Emergency Medical Services , Resuscitation , Societies, Medical
3.
Wilderness environ. med ; 30(4): [S70-S86], Dec. 01, 2019.
Article in English | BIGG - GRADE guidelines | ID: biblio-1117202

ABSTRACT

Approximately 360,000 deaths globally are attributed to drowning every year. Drowning often affects young victims and can have dire personal, emotional, and financial consequences for patients, families, and society. The goal of these practice guidelines is to reduce the burden of drowning through improvements in treatment and prevention. We present accepted drowning terminology as part of a review and evaluation of literature regarding acute care for the drowning patient, in both out-of-hospital and emergency medical care settings, with particular focus on the wilderness context. The authors relied upon the experience and knowledge of a panel of wilderness and emergency medicine practitioners to make recommendations where little or unreliable evidence is available. This is the first update of the original publication from 2016.


Subject(s)
Humans , Child , Drowning/prevention & control , Drowning/epidemiology , Hypothermia/complications , Hypothermia/diagnosis , Hypothermia/prevention & control
4.
Wilderness Environ Med ; 30(4S): S70-S86, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31668915

ABSTRACT

The Wilderness Medical Society convened a panel to review available evidence supporting practices for acute management and treatment of drowning in out-of-hospital and emergency medical care settings. Literature about definitions and terminology, epidemiology, rescue, resuscitation, acute clinical management, disposition, and drowning prevention was reviewed. The panel graded available evidence supporting practices according to the American College of Chest Physicians criteria and then made recommendations based on that evidence. Recommendations were based on the panel's collective clinical experience and judgment when published evidence was lacking. This is the first update to the original practice guidelines published in 2016.


Subject(s)
Drowning/prevention & control , Practice Patterns, Physicians' , Resuscitation/methods , Wilderness Medicine/standards , Drowning/epidemiology , Humans , Hypothermia , Rescue Work , Societies, Medical , Wilderness Medicine/methods
7.
Scand J Trauma Resusc Emerg Med ; 25(1): 72, 2017 Jul 17.
Article in English | MEDLINE | ID: mdl-28716063

ABSTRACT

BACKGROUND: In 2002, the World Congress on Drowning developed a uniform definition for drowning. The aim of this study is to determine the prevalence of "non-uniform drowning terminology" (NUDT) and "non-uniform drowning definitions" (NUDD) in peer-reviewed scientific literature from 2010 to 2016, and compare these findings with those from our unpublished study performing a similar analysis on literature from 2003 to 2010. METHODS: A systematic review was performed using drowning-specific search terms in Pubmed and Web of Science. Titles and abstracts published between July 2010 and January 2016 were screened for relevance to the study focus. Articles meeting screening criteria were reviewed for exclusion criteria to produce the final group of studies. These articles were reviewed by four reviewers for NUDT and NUDD. The Fisher exact test was used to determine any statistically significant changes. RESULTS: The final group of studies included 167 articles. A total of 53 articles (32%) utilized NUDT, with 100% of these including the term "near drowning". The proportion of articles utilizing NUDT was significantly less than reported by our previous study (p < 0.05). In addition, 32% of the articles included a definition for drowning (uniform or non-uniform), with 15% of these utilizing NUDD. DISCUSSION: Our study reveals a statistically significant improvement over the past thirteen years in the use of uniform drowning terminology in peer-reviewed scientific literature, although year-to-year variability over the current study period does not yield an obvious trend. CONCLUSIONS: Of the articles reviewed during the 2010-2016 study period, 32% included outdated and non-uniform drowning terminology and definitions. While this reveals an absolute decrease of 11% as compared with the previous study period (2003-2010), there is still significant room for improvement.


Subject(s)
Drowning/diagnosis , Terminology as Topic , Follow-Up Studies , Humans
11.
Int J Geriatr Psychiatry ; 32(8): 909-921, 2017 Aug.
Article in English | MEDLINE | ID: mdl-27363866

ABSTRACT

OBJECTIVE: The objective is to apply the Institute of Medicine definition of healthcare disparities in order to compare (1) racial/ethnic disparities in general medical care use among older adults with and without comorbid mental health need and (2) racial/ethnic disparities in general medical care use within the group with comorbid mental health need. METHODS: Data were obtained from the Medical Expenditure Panel Survey (years 2004-2012). The sample included 21,263 participants aged 65+ years (14,973 non-Latino Caucasians, 3530 African-Americans, and 2760 Latinos). Physical illness was determined by having one of the 11 priority chronic health illnesses. Comorbid mental health need was defined as having one of the chronic illnesses plus a Kessler-6 Scale >12, or two-item Patient Health Questionnaire >2. General medical care use refers to receipt of non-mental health specialty care. Two-part generalized linear models were used to estimate and compare general medical care use and expenditures among older adults with and without a comorbid mental health need. RESULTS: Racial/ethnic disparities in general medical care expenditures were greater among those with comorbid mental health need compared with those without. Among those with comorbid mental health need, non-Latino Caucasians had significantly greater expenditures on prescription drug use than African-Americans and Latinos. CONCLUSIONS: Expenditure disparities reflect differences in the amount of resources provided to African-Americans and Latinos compared with non-Latino Caucasians. This is not equivalent to disparities in quality of care. Interventions and policies are needed to ensure that racial/ethnic minority older adults receive equitable services that enable them to manage effectively their comorbid mental and physical health needs. Copyright © 2016 John Wiley & Sons, Ltd.


Subject(s)
Ethnicity/statistics & numerical data , Health Services/statistics & numerical data , Healthcare Disparities/statistics & numerical data , Black or African American/statistics & numerical data , Aged , Aged, 80 and over , Comorbidity , Female , Health Expenditures/statistics & numerical data , Health Services Accessibility , Health Status , Hispanic or Latino/statistics & numerical data , Humans , Male , Minority Groups/statistics & numerical data , Regression Analysis , United States , White People/statistics & numerical data
12.
Wilderness Environ Med ; 27(2): 236-51, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27061040

ABSTRACT

The Wilderness Medical Society convened a panel to review available evidence supporting practices for the prevention and acute management of drowning in out-of-hospital and emergency medical care settings. Literature about definition and terminology, epidemiology, rescue, resuscitation, acute clinical management, disposition, and drowning prevention was reviewed. The panel graded evidence supporting practices according to the American College of Chest Physicians criteria, then made recommendations based on that evidence. Recommendations were based on the panel's collective clinical experience and judgment when published evidence was lacking.


Subject(s)
Drowning/prevention & control , Resuscitation/methods , Anti-Bacterial Agents/therapeutic use , Drowning/epidemiology , Humans , Hypothermia, Induced , Rescue Work , Respiration, Artificial , Societies, Medical , Swimming , Wilderness Medicine
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