Wilderness and Rescue Medicine 8th Edition

vii

Expanded Contents

Treatment of Traumatic Amputation.......127 Rabies........................................................... 128 Wound Infection........................................128 Treatment of Wound Infection.................128 Burns............................................................ 129 High-Risk Burns.........................................130 Treatment of Burns....................................131 Blisters.......................................................... 131 Treatment of Blisters..................................131 Risk Versus Benefit in Wound Care.........132 Chapter 16 Review: Wounds and Burns.133 Section V: Environmental Medicine.................................. 137 Chapter 17: Thermoregulation..................... 138 Hypothermia............................................... 139 Mild Hypothermia.....................................140 Severe Hypothermia..................................142 Heat-Related Illness...................................144 Heat Exhaustion.........................................144 Heat Stroke..................................................145 Risk Versus Benefit.....................................146 Chapter 17 Review: Thermoregulation...147 Chapter 18: Cold Injuries.............................148 Frostbite....................................................... 148 Superficial Frostbite...................................148 Deep Frostbite.............................................149 Prevention of Frostbite..............................151 Trench Foot.................................................151 Treatment of Trench Foot (or Hand).......152 Raynaud’s Phenomenon............................152 Risk Versus Benefit.....................................153 Chapter 18 Review: Cold Injuries............154 Chapter 19: Altitude Illness..........................155 Cerebral and Pulmonary Edema..............156 High-Altitude Cerebral Edema................156 High-Altitude Pulmonary Edema............158 Other Altitude Illnesses.............................159 Risk Versus Benefit.....................................160 Chapter 19 Review: Altitude Illness.........161 Chapter 20: Medical Aspects of Avalanche Rescue................................................................. 162 Treatment. ................................................... 163 Risk Versus Benefit.....................................164 Chapter 20 Review: Medical Aspects of Avalanche Rescue.......................................165

Chapter 21: Water-Related Injury...............166 Drowning. ................................................... 166 Treatment of Drowning Injury.................167 SCUBA Diving Injuries.............................168 Pulmonary Overpressure Syndromes and Decompression Sickness...........................168 Ear Pain and Mask Squeeze......................170 Risk Versus Benefit.....................................170 Chapter 21 Review: Water-Related Injury............................................................ 171 Chapter 22: Lightning Injuries....................172 Lightning Injuries.......................................172 Scene Safety.................................................173 Treatment of Lightning Injury..................174 Prevention of Lightning Injury.................174 Risk Versus Benefit.....................................175 Chapter 22 Review: Lightning Injuries...176 Chapter 23: Toxins, Envenomation, and Disease Vectors..................................................177 Ingested Toxins...........................................178 Drug Overdose...........................................178 Food Poisoning...........................................178 Topical Toxins.............................................180 High-Risk Topical Exposure.....................180 Inhaled Toxins............................................180 Injected Toxins............................................181 Snakebite...................................................... 182 Pit Vipers.....................................................182 Coral Snakes................................................183 Marine Toxins.............................................183 Spiny Injury.................................................183 Nematocyst Sting........................................184 Insects and Arachnids...............................185 Black Widow...............................................185 Brown Recluse............................................186 Scorpions..................................................... 186 Tick Paralysis..............................................187 Arthropod Disease Vectors.......................187 Mosquitoes.................................................. 188 Fleas, Lice, and Mites.................................188 Insect Repellents.........................................190 Risk Versus Benefit.....................................190 Chapter 23 Review: Toxins, Envenomation, and Disease Vectors...................................192