Objective.—Studies on the neurologic effects of high-altitude travel have focused on psychometric and cognitive testing and the long-term effects of hypoxia on memory and cognition. Few authors have discussed overt clinical psychiatric illness during high-altitude travel, and those few have focused on patients with preexisting psychiatric diagnoses. We describe a series of patients with new-onset…
Objective/Introduction Secondary pharmacological interventions have shown promise at reducing the development of posttraumatic stress disorder symptoms (PTSS) in preclinical studies. The present study examined the preliminary efficacy of a 10-day low-dose (20 mg bid) course of hydrocortisone at preventing PTSS in traumatic injury victims. Methods Sixty-four traumatic injury patients (34% female) were randomly assigned in…
Ethan M. Meisel, MD • Brent Morgan, MD • Michael Schwartz, MD, MPH • Ziad Kazzi, MD • Huseyin Cetin, MD • Aynur Sahin, MD, PhD Abstract: Ingestion of Amanita muscaria mushrooms results in transient central nervous system excitation and depression mediated by its components, ibotenic acid and muscimol. The mushroom is distributed worldwide and…
Samuel P. Brown, Hillary E. Davis, Laura McGladrey, Leslie Brooks, Anne K. Lorentzen, Luit Penninga, Christopher Davis, and Jay Lemery Abstract: Background: Psychologically stressful events can be particularly challenging in the wilderness or extreme environments due to a lack of immediate medical or psychological support. Telemedicine consultations may provide a means to supply medical providers…
Abstract: The motivations of people who are drawn to the remaining frontiers of the world range from the adventurously realistic to the patently psychotic, with infinite graduates in between. This paper is concerned with a clinical syndrome presented by persons who appear to have fled into the arid wilderness in an attempt to solve their…