Extended and Remote Care Part II

This is Part II of The Principles of Long-Term Patient Care. In the previous issue we reviewed the principles of long-term patient care concerning aspects of monitoring and re-SOAPing the patient, the environmental emergencies, and medical emergencies. This edition of the WMNL will concentrate on long-term patient care and the trauma patient.

ISSN-1059-6518

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Scabies

September/October 2009  ISSN-1059-6518  Volume 22  Number 5

Scabies

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

Sarcoptes scabiei, variety hominis

Scabies is Latin for “to scratch”. It was first described over 2500 years ago as a lice of the skin.

Scabies is a very small mite that spends its entire life-cycle in and on human skin.

An obligate ectoparasite that infects the skin and causes a red, itchy rash, Scabies is very common worldwide with an estimated 300 million new cases annually.

Every traveler is at risk of contracting this bothersome rash.

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Urinary Tract Disorders

September/October 2009  ISSN-1059-6518  Volume 22 Number 5

Urinary Tract Disorders:

 By Frank Hubbell, DO

Urinary tract disorders are a common expedition problem. The problems that are most frequently encountered are urinary tract infections, kidney infections, and kidney stones. These urinary tract problems are precipitated by and exacerbated by the conditions associated with expeditions. In particular, it is the tendency to become dehydrated from the long hours of travel, unique environments, new people and places, not to mention the effort of putting one foot in front of the other and heading out on a long hiking and climbing trek.

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Anti-Itch Creams and Their Uses

September/October 2009 ISSN-1059-6518  Volume 22 Number 5

Anti-Itch Creams and Their Uses

By Frank Hubbell, DO

 

There seems to be an infinite variety of over-the-counter (OTC) ointments, lotions, lubricants, and creams for the skin. Most of these are for cosmetic purposes or to make dry skin moist or wet skin dry. However, there are a few that do have value and application in wilderness medicine.

In the last issue of the WMN we discussed Antibiotic Ointments, Iodine, and Bactroban Cream – July/August 2009, in this issue we will look at anti-itch creams.

All of the medications reviewed in this article are commonly available OTC medications.

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