The effect of wilderness and medical training on injury and altitude preparedness among backcountry hikers in Rocky Mountain National Park

作     者：Michael D.T.Yue David W.Spivey Daniel B.Gingold Douglas G.Sward 

作者机构：University of Maryland School of MedicineBaltimoreMarylandUSA Department of Emergency MedicineUniversity of Maryland School of MedicineBaltimoreMarylandUSA Division of Hyperbaric MedicineProgram in TraumaUniversity of Maryland Medical CenterBaltimoreMarylandUSA 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2018年第9卷第3期

页      面：172-177页

核心收录：

学科分类：0401[教育学-教育学] 04[教育学] 1002[医学-临床医学] 040110[教育学-教育技术学（可授教育学、理学学位）] 

主　　题：Hiking wilderness Acute mountain illness Injury Training 

摘      要：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 ***:We conducted a cross-sectional,convenience survey in Rocky Mountain National Park in July and August *** 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 ***: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 *** with medical training were more prepared to avoid or respond to AMS(62.3%vs.34.3%[P0.001]).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%[P0.11]).Adjusting for experience,wilderness training,age,and gender,we found that medical training was associated with increased preparedness for AMS(OR2.72;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 *** training increased hikers’preparedness for AMS but did not significantly alter preparedness for illness/injury.