The effect of wilderness and medical training on injury and altitude preparedness among backcountry hikers in Rocky Mountain National Park / 世界急诊医学杂志(英文)
World Journal of Emergency Medicine
; (4): 172-177, 2018.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-789839
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The purpose of this study was to document the correlation between medical and wilderness training with levels of preparedness for acute mountain sickness (AMS), illness, and injury among backcountry hikers.METHODS:
We conducted a cross-sectional, convenience survey in Rocky Mountain National Park in July and August 2015. The study group consisted of 380 hikers who completed a written survey that collected information about demographics, wilderness experience, altitude experience, hiking equipment, communications devices, and trip planning.RESULTS:
Factors such as wilderness training (wilderness first aid [WFA], wilderness first responder [WFR], or wilderness emergency medical technician [WEMT]), wilderness experience, and altitude experience all affected hikers' emergency preparedness. Respondents with medical training were more prepared to avoid or respond to AMS (62.3% vs. 34.3% [P<0.001]). They were also more prepared to avoid or manage injury/illness than hikers without medical training (37.7%vs. 20.7% [P=0.003]). Participants with wilderness training were more likely to be prepared to avoid or respond to AMS (52.3% vs. 36.8% [P=0.025]) but not significantly more likely to be prepared to manage illness/injury (31.8% vs. 22.0% [P<0.11]). Adjusting for experience, wilderness training, age, and gender, we found that medical training was associated with increased preparedness for AMS (OR 2.72; 95% CI 1.51–4.91) and injury/illness (OR 2.71; 95% CI 1.5–4.89).CONCLUSION:
Medically trained hikers were more likely to be prepared to avoid or manage AMS, medical emergencies, and injuries than their non-medically trained counterparts. Wilderness training increased hikers' preparedness for AMS but did not significantly alter preparedness for illness/injury.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Idioma:
Chinês
Revista:
World Journal of Emergency Medicine
Ano de publicação:
2018
Tipo de documento:
Artigo