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  1. Artikel ; Online: Wilderness Medical Society Clinical Practice Guidelines on Water Treatment for Wilderness, International Travel, and Austere Situations: 2024 Update.

    Backer, Howard D / Derlet, Robert W / Hill, Vincent R

    Wilderness & environmental medicine

    2023  Band 35, Heft 1_suppl, Seite(n) 45S–66S

    Abstract: To provide guidance to medical providers, wilderness users, and travelers, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for treating water in situations where the potability of available water is not ... ...

    Abstract To provide guidance to medical providers, wilderness users, and travelers, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for treating water in situations where the potability of available water is not assured, including wilderness and international travel, areas impacted by disaster, and other areas without adequate sanitation. The guidelines present the available methods for reducing or eliminating microbiological contamination of water for individuals, groups, or households; evaluation of their effectiveness; and practical considerations. The evidence base includes both laboratory and clinical publications. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians.
    Mesh-Begriff(e) Humans ; Disasters ; Societies, Medical ; Wilderness Medicine
    Sprache Englisch
    Erscheinungsdatum 2023-12-27
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Practice Guideline
    ZDB-ID 1238909-2
    ISSN 1545-1534 ; 1080-6032
    ISSN (online) 1545-1534
    ISSN 1080-6032
    DOI 10.1177/10806032231218722
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Austere Situations.

    Backer, Howard D / Derlet, Robert W / Hill, Vincent R

    Wilderness & environmental medicine

    2019  Band 30, Heft 4S, Seite(n) S100–S120

    Abstract: To provide guidance to clinicians, the Wilderness Medical Society convened experts to develop evidence-based guidelines for water disinfection in situations where the potability of available water is not ensured, including wilderness and international ... ...

    Abstract To provide guidance to clinicians, the Wilderness Medical Society convened experts to develop evidence-based guidelines for water disinfection in situations where the potability of available water is not ensured, including wilderness and international travel, areas affected by disaster, and other areas without adequate sanitation. The guidelines present the available methods for reducing or eliminating microbiologic contamination of water for individuals, groups, or households; evaluation of their effectiveness; and practical considerations. The evidence evaluation includes both laboratory and clinical publications. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks or burdens, according to the criteria published by the American College of Chest Physicians.
    Mesh-Begriff(e) Disasters ; Disinfection/methods ; Humans ; Practice Patterns, Physicians' ; Societies, Medical ; Travel-Related Illness ; Water Microbiology ; Water Purification/methods ; Wilderness Medicine/methods ; Wilderness Medicine/standards
    Sprache Englisch
    Erscheinungsdatum 2019-10-23
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Practice Guideline
    ZDB-ID 1238909-2
    ISSN 1545-1534 ; 1080-6032
    ISSN (online) 1545-1534
    ISSN 1080-6032
    DOI 10.1016/j.wem.2019.06.006
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Medical Care at California Wildfire Incident Base Camps.

    Backer, Howard D / Wright, Charles / Dong, Jialin / Baba, Nathaniel / McFadden, Honda / Rosen, Brett

    Disaster medicine and public health preparedness

    2021  Band 17, Seite(n) e61

    Abstract: Objective: The California Emergency Medical Services Authority manages and deploys California Medical Assistance Teams (CAL-MAT) to disaster medical incidents in the state. This analysis reviews diagnoses for ambulatory medical visits at multiple ... ...

    Abstract Objective: The California Emergency Medical Services Authority manages and deploys California Medical Assistance Teams (CAL-MAT) to disaster medical incidents in the state. This analysis reviews diagnoses for ambulatory medical visits at multiple wildland fire incident base camp field sites in California during the 2020 fire season.
    Methods: Clinical data without personal health information were extracted retrospectively from patient care records from all patients seen by a provider. Results were entered into Excel spreadsheets with calculation of summary statistics.
    Results: During the 2020 fire season, CAL-MAT teams deployed 21 times for a total of 327 days to base camps supporting large fire incidents and cared for 1756 patients. Impacts of heat and environmental smoke are a constant factor near wildfires; however, our most common medical problem was rhus dermatitis (54.5%) due to poison oak. All 2020 medical missions were further complicated by prevention and management of coronavirus disease (COVID-19).
    Conclusions: There is very little literature regarding the acute medical needs facing responders fighting wildland fires. Ninety-five percent of clinical conditions presenting to a field medical team at the wildfire incident base camp during a severe fire season in California can be managed by small teams operating in field tents.
    Mesh-Begriff(e) Humans ; Wildfires ; Smoke/analysis ; Retrospective Studies ; COVID-19/epidemiology ; Fires ; Patient Care ; California/epidemiology
    Chemische Substanzen Smoke
    Sprache Englisch
    Erscheinungsdatum 2021-11-23
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2021.321
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Buch: Wilderness first aid

    Backer, Howard D / Gulli, Benjamin

    emergency care in remote locations

    2015  

    Körperschaft Emergency Care and Safety Institute,
    American Academy of Orthopaedic Surgeons.
    Wilderness Medical Society
    Verfasserangabe Howard D. Backer [and 5 others] ; Benjamin Gulli, medical editor
    Mesh-Begriff(e) Wilderness Medicine ; First Aid ; Mountaineering/injuries ; Wounds and Injuries/therapy
    Sprache Englisch
    Umfang vi, 352 pages :, illustrations
    Ausgabenhinweis Fourth edition.
    Dokumenttyp Buch
    Anmerkung Includes index. ; Preceded by: Wilderness first aid : emergency care for remote locations / American Academy of Orthopaedic Surgeons, Wilderness Medical Society, ECSI, Emergency Care and Safety Institute ; Howard D. Backer ... [et al.] ; medical editor, Benjamin Gulli. 3rd ed. c2008.
    ISBN 9781449642181 ; 1449642187
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  5. Artikel ; Online: Statewide Method of Measuring Ambulance Patient Offload Times.

    Backer, Howard D / D'Arcy, Nicole T / Davis, Adam J / Barton, Bruce / Sporer, Karl A

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2018  Band 23, Heft 3, Seite(n) 319–326

    Abstract: Objective: Ambulance patient offload time (APOT) also known colloquially as "Wall time" has been described in various jurisdictions but seems to be highly variable. Any attempt to improve APOT requires the use of common definitions and standard ... ...

    Abstract Objective: Ambulance patient offload time (APOT) also known colloquially as "Wall time" has been described in various jurisdictions but seems to be highly variable. Any attempt to improve APOT requires the use of common definitions and standard methodology to measure the extent of the problem.
    Methods: An Ambulance Offload Delay Task Force in California developed a set of standard definitions and methodology to measure APOT for transported 9-1-1 patients. It is defined as the time "interval between the arrival of an ambulance at an emergency department and the time that the patient is transferred to an ED gurney, bed, chair or other acceptable location and the ED assumes responsibility for care of the patient." Local EMS agencies voluntarily reported data according to the standard methodology to the California EMS Authority (State agency).
    Results: Data were reported for 9-1-1 transports during 2017 from 9 of 33 local EMS Agencies in California that comprise 37 percent of the state population. These represent 830,637 ambulance transports to 126 hospitals. APOT shows significant variation by EMS agency with half of the agencies demonstrating significant delays. Offload times vary markedly by hospital as well as by region. Three-fourths of hospitals detained EMS crews more than one hour, 40% more than two hours, and one-third delayed EMS return to service by more than three hours.
    Conclusion: This first step to address offload delays in California consists of standardized definitions for data collection to address the significant variability inherent in obtaining data from 33 local agencies, hundreds of EMS provider agencies, and 320 acute care hospital Emergency Departments that receive 9-1-1 ambulance transports. The first year of standardized data collection of ambulance patient offload times revealed significant ambulance patient offload time delays that are not distributed uniformly, resulting in a substantial financial burden for some EMS providers in California.
    Mesh-Begriff(e) Ambulances/statistics & numerical data ; Benchmarking ; California ; Efficiency, Organizational ; Emergency Medical Services/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Hospitalization ; Humans ; Time Factors ; Transportation of Patients/standards
    Sprache Englisch
    Erscheinungsdatum 2018-10-25
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2018.1525456
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Buch: Wilderness first aid

    Backer, Howard D

    emergency care for remote locations

    2005  

    Körperschaft American Academy of Orthopaedic Surgeons.
    Wilderness Medical Society
    Verfasserangabe Howard D. Backer ... [et al.]
    Mesh-Begriff(e) First Aid ; Mountaineering/injuries ; Wounds and Injuries/therapy
    Sprache Englisch
    Umfang x, 350 p. :, col. ill. ;, 22 cm.
    Ausgabenhinweis 2nd. ed.
    Verlag Jones and Bartlett Publishers
    Erscheinungsort Sudbury, Mass
    Dokumenttyp Buch
    Anmerkung At head of title: American Academy of Orthopaedic Surgeons; Wilderness Medical Society. ; Includes indexes.
    ISBN 9780763728311 ; 0763728314
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  7. Buch: Wilderness first aid

    Backer, Howard D / Gulli, Benjamin

    emergency care for remote locations

    2008  

    Körperschaft American Academy of Orthopaedic Surgeons.
    Wilderness Medical Society.
    ECRI (Organization)
    Verfasserangabe American Academy of Orthopaedic Surgeons, Wilderness Medical Society, ECSI, Emergency Care and Safety Institute ; Howard D. Backer ... [et al.] ; medical editor, Benjamin Gulli
    Mesh-Begriff(e) First Aid ; Mountaineering/injuries ; Wounds and Injuries/therapy
    Sprache Englisch
    Umfang xi, 369 p. :, ill.
    Ausgabenhinweis 3rd ed.
    Verlag Jones and Bartlett Publishers
    Erscheinungsort Sudbury, Mass
    Dokumenttyp Buch
    Anmerkung Includes index.
    ISBN 9780763751456 ; 0763751456
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  8. Artikel ; Online: Medical Support for California Wildfire Response.

    Backer, Howard / Duncan, David / Christensen, Kate / Devereaux, Asha / Rosen, Brett / Noste, Erin / Wright, Chuck / Johnson, Craig

    Disaster medicine and public health preparedness

    2021  Band 17, Seite(n) e77

    Abstract: Wildfires have become a regular seasonal disaster across the Western region of the United States. Wildfires require a multifaceted disaster response. In addition to fire suppression, there are public health and medical needs for responders and the ... ...

    Abstract Wildfires have become a regular seasonal disaster across the Western region of the United States. Wildfires require a multifaceted disaster response. In addition to fire suppression, there are public health and medical needs for responders and the general population in the path of the fire, as well as a much larger population impacted by smoke. This paper describes key aspects of the health and medical response to wildfires in California, including facility evacuation and shelter medical support, with emphasis on the organization, coordination, and management of medical teams deployed to fire incident base camps. This provides 1 model of medical support and references resources to help other jurisdictions that must respond to the rising incidence of large wildland fires.
    Mesh-Begriff(e) Humans ; United States ; Wildfires ; Fires ; Smoke ; Public Health ; California
    Chemische Substanzen Smoke
    Sprache Englisch
    Erscheinungsdatum 2021-12-22
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2021.347
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Buch: What to expect while your smallpox vaccination heals

    Backer, Howard D

    a practical guide to precautions

    2004  

    Abstract: Producer) Provides practical information needed after vaccination. See how a typical vaccination site progresses and some common reactions, hear practical tips, and learn how to bandage correctly. Also includes simple precautions to protect household ... ...

    Körperschaft California Distance Learning Health Network
    Verfasserangabe California Distance Learning Health Network
    Abstract (Producer) Provides practical information needed after vaccination. See how a typical vaccination site progresses and some common reactions, hear practical tips, and learn how to bandage correctly. Also includes simple precautions to protect household contacts while the vaccination is infectious.
    Mesh-Begriff(e) Smallpox Vaccine ; Self Care
    Sprache Englisch
    Umfang 1 videocassette (16 min.) :, sd., col. ;, 1/2 in.
    Verlag California Distance Learning Health Network
    Erscheinungsort San Diego, CA
    Dokumenttyp Buch
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  10. Buch: Wilderness first aid

    Backer, Howard D

    emergency care for remote locations

    2002  

    Körperschaft National Safety Council.
    Wilderness Medical Society
    Verfasserangabe Howard D. Backer .. [et al.]
    Mesh-Begriff(e) First Aid ; Mountaineering/injuries ; Wounds and Injuries/therapy
    Sprache Englisch
    Umfang x, 350 p. :, ill. ;, 22 cm.
    Ausgabenhinweis Rev. ed.
    Verlag Jones and Bartlett Publishers
    Erscheinungsort Sudbury, Mass
    Dokumenttyp Buch
    Anmerkung At head of title: National Safety Council; Wilderness Medical Society. ; Includes index.
    ISBN 9780763716967 ; 0763716960
    Datenquelle Katalog der US National Library of Medicine (NLM)

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