Document Detail


Wilderness and Adventure Travel With Underlying Asthma.
MedLine Citation:
PMID:  24393703     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Given the high prevalence of asthma, it is likely that providers working in a pretravel setting will be asked to provide guidance for asthma patients about how to manage their disease before and during wilderness or adventure travel, while providers working in the field setting may need to address asthma-related issues that arise during such excursions. This review aims to provide information to assist providers facing these issues. Relevant literature was identified through the MEDLINE database using a key word search of the English-language literature from 1980 to 2013 using the term "asthma" cross-referenced with "adventure travel," "trekking," "exercise," "exercise-induced bronchoconstriction," "high-altitude," "scuba," and "diving." We review data on the frequency of worsening asthma control during wilderness or adventure travel and discuss the unique aspects of wilderness travel that may affect asthma patients in the field. We then provide a general approach to evaluation and management of asthma before and during a planned sojourn and address 2 particular situations, activities at high altitude and scuba diving, which pose unique risks to asthma patients and warrant additional attention. Although wilderness and adventure travel should be avoided in individuals with poorly controlled disease or worsening control at the time of a planned trip, individuals with well-controlled asthma who undergo appropriate pretravel assessment and planning can safely engage in a wide range of wilderness and adventure-related activities.
Authors:
Daniel Doan; Andrew M Luks
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-1-3
Journal Detail:
Title:  Wilderness & environmental medicine     Volume:  -     ISSN:  1545-1534     ISO Abbreviation:  Wilderness Environ Med     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-1-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505185     Medline TA:  Wilderness Environ Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014 Wilderness Medical Society Published by Wilderness Medical Society All rights reserved.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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