Travel and adventure medicine:
Gespeichert in:
| Weitere Verfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
2016
|
| Schriftenreihe: | Medical clinics of North America
volume 100, number 2 (March 2016) |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xviii Seiten, Seite 237-433 Illustrationen 24 cm |
| ISBN: | 9780323416511 |
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| 245 | 1 | 0 | |a Travel and adventure medicine |c editors Paul S. Pottinger, Christopher A. Sanford |
| 264 | 1 | |a Philadelphia, Pennsylvania |b Elsevier |c 2016 | |
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| 490 | 1 | |a Medical clinics of North America |v volume 100, number 2 (March 2016) | |
| 490 | 0 | |a Clinics review articles | |
| 505 | 8 | |a Includes bibliographical references and index | |
| 505 | 8 | |a Ethics of medical volunteerism -- Immunizations -- Travel medical kit -- Care for the health care provider -- Malaria in the traveler: how to manage before departure and evaluate upon return -- Personal protection measures against mosquitoes, ticks, and other arthropods -- Traveler's diarrhea -- Road traffic and other unintentional injuries among travelers to developing countries -- Wilderness medicine -- High-altitude medicine -- Adventure and extreme sports -- Illness in the returned international traveler -- Travel and adventure medicine resources | |
| 700 | 1 | |a Pottinger, Paul S. |4 edt | |
| 700 | 1 | |a Sanford, Christopher |4 edt | |
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Datensatz im Suchindex
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| adam_text | Titel: Travel and adventure medicine
Autor: Pottinger, Paul S
Jahr: 2016
Travel and Adventure Medicine
Contents
Foreword: Travel and Adventure Medicine
Douglas S. Paauw
Preface: Travel and Adventure Medicine
Paul S. Pottinger and Christopher A. Sanford
The Ethics of Medical Volunteerism
Geren S. Stone and Kristian R. Olson
xvii
237
Responding to disparities in health, thousands of health care providers
volunteer annually for short-term medical service trips (MSTs) to serve
communities in need as a result of environmental, geographic, historical,
or sociopolitical factors. Although well intentioned, short-term MSTs
have the potential to benefit and harm those involved, including partici-
pants and communities being served. The contexts, resource and time lim-
itations, and language and cultural barriers present ethical challenges.
There have been increasing requests for standardized global guidelines,
transparency, and open review of MSTs and their outcomes. Principles
of mission, partnership, preparation, reflection, support, sustainability,
and evaluation inform and equip those engaging in medical volunteerism.
Immunizations 247
Christopher A. Sanford and Elaine C. Jong
Vaccinations are a cornerstone of the pretravel consultation. The pretravel
provider should assess a traveler s past medical history, planned itinerary,
activities, mode of travel, and duration of stay and make appropriate
vaccine recommendations. Given that domestic vaccine-preventable ill-
nesses are more common in international travelers than are exotic or
low-income nation-associated vaccine-preventable illnesses, clinicians
should first ensure that travelers are current regarding routine immuniza-
tions. Additional immunizations may be indicated in some travelers. Famil-
iarity with geographic distribution and seasonality of infectious diseases is
essential. Clinicians should be cognizant of which vaccines are live, as
there exist contraindications for live vaccines.
Travel Medical Kit 261
Anne C. Terry and N. Jean Haulman
The traveler s medical kit is an essential tool for both the novice and expert
traveler. It is designed to treat travel-related illness and injury and to ensure
preexisting medical conditions are managed appropriately. Travelers are at
increased risk for common gastrointestinal issues during travel. Respiratory
illnesses make up approximately 8% of the ailments present in returned in-
ternational travelers. Approximately 12% of travelers experience a travel-
related skin condition. First aid treatment for minor injuries is essential to
xii Contents
all travel medical kits. The complexity ranges from a small, simple case for
the urban traveler to a larger, extensive case for wilderness travel.
Care for the Health Care Provider 279
Sharon Brown Kunin and David Mitchell Kanze
Pretravel care for the health care provider begins with an inventory,
including the destination, length of stay, logistical arrangements, type of
lodging, food and water supply, team members, personal medical needs,
and the needs of the community to be treated. This inventory should be
created and processed well in advance of the planned medical excursion.
The key thing to remember in one s planning is to be a health care provider
during one s global health care travel and not to become a patient oneself.
This article will help demonstrate the medical requirements and recom-
mendations for such planning.
Malaria in the Traveler: How to Manage Before Departure and Evaluate
Upon Return 289
William O. Hahn and Paul S. Pottinger
Malaria is the clinical syndrome when a patient experiences symptoms in
response to infection with one of several strains of the Plasmodium para-
site. This article is intended for health care providers to become familiar
with some of the basics of care of patients who are travelling to or returning
from an area with ongoing malaria transmission. The specific focus is on
patients from nonendemic areas who plan on travel for a finite period to
an area where malaria is endemic.
Personal Protection Measures Against Mosquitoes, Ticks, and Other Arthropods 303
Jonathan D. Alpern, Stephen J. Dunlop, Benjamin J. Dolan,
William M. Stauffer, and David R. Boulware
Arthropod-associated diseases are a major cause of morbidity among trav-
elers. Obtaining a detailed travel itinerary and understanding traveler-
specific and destination-specific risk factors can help mitigate the risk of
vector-borne diseases. DEET, picaridin, PMD, and IR3535 are insect repel-
lents that offer sufficient protection against arthropod bites. IR3535 does
not provide adequate protection against Anopheles mosquitoes, and
should be avoided in malaria-endemic regions. General protective mea-
sures, such as bite avoidance, protective clothing, insecticide-treated
bed nets, and insecticide-treated clothing, should be recommended, espe-
cially in malaria-endemic areas. Spatial repellents may prevent nuisance
biting, but have not been shown to prevent against vector-borne disease.
Traveler s Diarrhea 317
Stanley L. Giddings, A. Michal Stevens, and Daniel T. Leung
Traveler s diarrhea (TD) is the most common travel-related illness, and it
can have a significant impact on the traveler. Pretravel consultation pro-
vides an excellent opportunity for the clinician to counsel the traveler
and discuss strategies such as food and water hygiene, vaccinations,
and medications for prophylaxis or self-treatment that may decrease the
incidence and impact of TD. Postinfectious sequelae, such as
Contents xiii
postinfectious irritable bowel syndrome, reactive arthritis, and Guillain-
Barre syndrome, may develop weeks or months after return.
Road Traffic and Other Unintentional Injuries Among Travelers to Developing
Countries 331
Barclay T. Stewart, Isaac Kofi Yankson, Francis Afukaar,
Martha C. Hijar Medina, Pham Viet Cuong, and Charles Mock
Injuries result in nearly 6 million deaths and incur 52 million disability-
adjusted life-years annually, making up 15% of the global disease burden.
More than 90% of this burden occurs in low- and middle-income coun-
tries. Given this burden, it is not unexpected that injuries are the leading
cause of death among travelers to low- and middle-income countries,
namely, from road traffic crashes and drowning. Therefore, pretravel
advice regarding foreseeable dangers and how to avoid them may signif-
icantly mitigate injury risk, such as wearing seatbelts, helmets, and per-
sonal flotation devices when appropriate; responsibly consuming
alcohol; and closely supervising children.
Wilderness Medicine 345
Whitney Alexander, Steven Bright, Patrick Burns, and David Townes
Wilderness medicine encompasses prevention and treatment of illness
and injury, education and training, emergency medical services, and
search and rescue in the wilderness. Although traumatic injuries, including
minor injuries, outnumber medical illness as the cause of morbidity in the
wilderness, basic understanding of the prevention and management of
injury and illness, including recognition, identification, treatment, initial
management, and stabilization, is essential, in addition to the ability to
facilitate evacuation of affected patients. An important theme throughout
wilderness medicine is planning and preparation for the best- and worst-
case scenarios, and being ready for the unexpected.
High-Altitude Medicine 357
Nicholas J. Johnson and Andrew M. Luks
Individuals may seek the advice of medical providers when considering
travel to high altitude. This article provides a basic framework for coun-
seling and evaluating such patients. After defining high altitude and
describing the key environmental features at higher elevations, the physi-
ologic changes that occur at high altitude and how these changes are
experienced by the traveler are discussed. Clinical features and strategies
for prevention and treatment of the main forms of acute altitude illness are
outlined, and frameworks for approaching the common clinical scenarios
that may be encountered regarding high-altitude travelers are provided.
Adventure and Extreme Sports 371
Andrew Thomas Gomez and Ashwin Rao
Adventure and extreme sports often involve unpredictable and inhospi-
table environments, high velocities, and stunts. These activities vary widely
and include sports like BASE jumping, snowboarding, kayaking, and surf-
ing. Increasing interest and participation in adventure and extreme sports
xiv Contents
warrants understanding by clinicians to facilitate prevention, identification,
and treatment of injuries unique to each sport. This article covers alpine
skiing and snowboarding, skateboarding, surfing, bungee jumping,
BASE jumping, and Whitewater sports with emphasis on epidemiology,
demographics, general injury mechanisms, specific injuries, chronic in-
juries, fatality data, and prevention. Overall, most injuries are related to
overuse, trauma, and environmental or microbial exposure.
Illness in the Returned International Traveler 393
Christopher A. Sanford and Claire Fung
Familiarity with the distribution, mode of transmission, and risk factors for
acquisition of illnesses commonly transmitted to travelers to low-income
nations can help guide clinicians in their work-up of an ill returned traveler.
The 3 most common categories of illness in returned international travelers
are gastrointestinal illness, fever, and dermatoses. Diarrhea is the most
common illness reported in returned international travelers. Fever is a
marker of a potentially significant illness; work-up of the ill febrile returned
traveler should be conducted promptly.
Travel and Adventure Medicine Resources 411
Christopher A. Sanford and Paul S. Pottinger
Given the ever-changing nature of travel medicine, practitioners who pro-
vide pretravel and posttravel care are obligatorily students for the duration
of their professional careers. A large variety of resources are available for
medical practitioners. Providers should join at least one travel or tropical
medicine professional association, attend its annual meeting, and read
its journal. The largest general travel medicine association is the Interna-
tional Society of Travel Medicine.
Index
417
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| spelling | Travel and adventure medicine editors Paul S. Pottinger, Christopher A. Sanford Philadelphia, Pennsylvania Elsevier 2016 xviii Seiten, Seite 237-433 Illustrationen 24 cm txt rdacontent n rdamedia nc rdacarrier Medical clinics of North America volume 100, number 2 (March 2016) Clinics review articles Includes bibliographical references and index Ethics of medical volunteerism -- Immunizations -- Travel medical kit -- Care for the health care provider -- Malaria in the traveler: how to manage before departure and evaluate upon return -- Personal protection measures against mosquitoes, ticks, and other arthropods -- Traveler's diarrhea -- Road traffic and other unintentional injuries among travelers to developing countries -- Wilderness medicine -- High-altitude medicine -- Adventure and extreme sports -- Illness in the returned international traveler -- Travel and adventure medicine resources Pottinger, Paul S. edt Sanford, Christopher edt Medical clinics of North America volume 100, number 2 (March 2016) (DE-604)BV000003310 100,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028943379&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Travel and adventure medicine |
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