| Original Research |
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Article Title |
Author(s) |
Pages |
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Risk-taking Behavior in Skiing Among Helmet Wearers and Nonwearers
Objective: To examine differences in on-the-snow ski behavior between helmet wearers and nonwearers. Methods: The data were collected using a survey. Several tourist agencies helped in administrating ...
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Lana Ružić,
Anton Tudor
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291-296
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| Operational and Tactical Medicine |
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Article Title |
Author(s) |
Pages |
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Fighting in Thin Air: Operational Wilderness Medicine in High Asia
Objective: The current conflict in Afghanistan is the first major military action in which the United States and other North Atlantic Treaty Organization (NATO) forces have found themselves regularly ...
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George W. Rodway,
Stephen R. Muza
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297-303
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| Concepts |
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Article Title |
Author(s) |
Pages |
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Recognizing Dangerous Snakes in the United States and Canada: A Novel 3-Step Identification Method
30 September 2011
The rapid and accurate recognition of dangerously venomous snakes following bites is crucial to making appropriate decisions regarding first aid, evacuation, and treatment. Past recommendations for id...
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Michael D. Cardwell
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304-308
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| Brief Reports |
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Article Title |
Author(s) |
Pages |
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Conduit Vessel Blood Flow During the Trek to Mount Everest Base Camp
17 October 2011
Objective: Hemodynamic changes in response to the hypoxic environment of high altitude are vascular bed-specific. The aim of the present study was to investigate diameter and blood flow changes in con...
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Valerie Dumais,
Patrice Nault,
Alexander Tsertsvadze,
Thomas L. Forbes
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309-315
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Improving Sleep at Altitude: A Comparison of Therapies
10 October 2011
Objective: This study aimed to compare 3 treatment modalities during sleep at an altitude of 5300 m to identify strategies for reducing the incidence of periodic breathing at high altitude. Methods: F...
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George W. Rodway,
Mark E. Edsell,
Bob Wong,
Jeremy S. Windsor,
Caudwell Xtreme Everest Research Group
et al.
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316-320
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The Effects of High- and Low-Dose Aspirin on Thermoregulation During and After Acute Cold Exposure
12 September 2011
Objective: To explore the effect of aspirin on the thermoregulatory responses of men during exposure to 12°C air (acute cold exposure) for a period of 120 minutes and recovery in 25°C air (rewarming) ...
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Leigh K. Murray,
Ronald Otterstetter,
Matthew D. Muller,
Ellen L. Glickman
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321-325
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Fatalities on Austrian Ski Slopes During a 5-year period
10 October 2011
Background: While the mean injury rate from snow sports in Austria is low (less than 2 injuries per 1000 skier days), there is little information about fatalities on Austrian ski slopes. Objective: Th...
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Gerhard Ruedl,
Hanno Bilek,
Hans Ebner,
Karl Gabl,
Martin Kopp,
Martin Burtscher
et al.
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326-328
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A Blinded, Randomized, Palatability Study Comparing Variations of 2 Popular Field Water Disinfection Tablets
Objective: Halogen-based water disinfection tablets may render an unpleasant taste to treated water. Proposed safe additives such as ascorbic acid may reduce this objectionable taste. We compared the ...
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Jason D. Heiner,
Emily A. Simmons,
David C. Hile,
Ian S. Wedmore
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329-332
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Keeping Your Cool: A Case Study of a Female Explorer's Solo North Pole Expedition
10 October 2011
Objective: This study explored stress and coping experiences during a solo expedition to the North Pole using concurrent and retrospective methods. Methods: A 47-year-old female explorer, with 12 year...
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Tracey J. Devonport,
Andrew M. Lane,
Juliette Lloyd
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333-337
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| Case Series |
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Article Title |
Author(s) |
Pages |
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Irukandji Sydrome in the Torres Strait: A Series of 8 Cases
17 October 2011
Objective: To review the presentations of a series of patients with suspected Irukandji syndrome in the Torres Strait, where the syndrome has hitherto been unknown or undocumented, in order to identif...
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Lachlan J. McIver,
Irene G. Tjhung,
Shaun T. Parish,
Ruth C. Derkenne,
Alexander N. Kippin
et al.
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338-342
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| Review Article |
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Article Title |
Author(s) |
Pages |
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Immune Responses to Exercising in a Cold Environment
10 October 2011
Cold temperature and exercise independently impose stress on the human body that can lead to circulatory and metabolic changes, and depress the immune system. Multiple stressors applied together may a...
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Emily C.P. LaVoy,
Brian K. McFarlin,
Richard J. Simpson
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343-351
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| Lessons from History |
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Article Title |
Author(s) |
Pages |
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Because It's There … The Education of George Mallory
Initiative, creativity, and resolve represent both the pillars of the Wilderness Medical Society (WMS) and the story of George Mallory. His journey from humble beginnings to his rise to become one of ...
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Rishi Madhok,
Jay Lemery,
George W. Rodway
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352-354
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| Selected Abstracts |
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Article Title |
Author(s) |
Pages |
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The Epidemiology of Lift-Accessed Downhill Mountain Biking Injuries
Lift-accessed downhill mountain biking has grown exponentially in popularity over the past decade. The sport, while offering participants access to a vast amount of terrain, also requires navigating s...
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Zachary Ashwell,
Mary Pat McKay,
Jeffery Brubacher,
Annie Gareau
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355
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Impact of Social, Political, and Cultural Factors on Care of an Unresponsive Patient during the December Riots in Port-au-Prince, Haiti
A 30-year-old unresponsive woman was cared for by a volunteer team of US medical professionals at the Partners in Development Clinic in Port-au-Prince, Haiti, during the December riots. Previously, sh...
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Ashley S. Bean
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355
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Morbidity and Mortality in US National Parks: A Review of National Emergency Medical Services Workload from 2007 to 2009
Outdoor recreation is growing in the United States with over 278 million annual visitors to areas controlled by the National Park Service (NPS). The National Park rangers oversee emergency medical nee...
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Matthieu P. DeClerck,
Laurie M. Atterton,
Thomas Seibert,
Tracy A. Cushing
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355-356
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Ocular Myiasis During an Amphibious Military Exercise in Djibouti
In November 2010, a healthy 27-year-old active duty US marine presented to the Battalion Landing Team 3/8 Battalion Aid Station located, at the time, on a beach in the East African nation of Djibouti....
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Kurt P. Eifling,
Joseph W. Diclaro
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356
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Acute Anxiety Among Marines After Recent Arrival at High Altitude: High Altitude Anxiety as a Distinct Diagnostic Entity
As United States and allied armed forces maintain a presence in high altitude regions such as eastern Afghanistan, a better understanding of the prevention, diagnosis, and treatment of altitude illnes...
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Jeffrey H. Gertsch,
Erik Virre,
Michael K. Sracic,
Allen Pate,
Darren Thomas
et al.
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356-357
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Exercise-associated Hyponatremia is Common Among Dehydrated 161 Kilometer Ultramarathoners
Previous work has demonstrated that exercise-associated hyponatremia (EAH) rarely occurs in association with dehydration and that there is a significant negative relationship between post-race serum s...
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Martin D. Hoffman,
Tamara Hew-Butler,
Kristin J. Stuempfle,
Ian R. Rogers
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357
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Wilderness Medicine Within Global Health: A Strategy for Less Risk and More Reward
A Case Study of Integrating the 2 Disciplines at Weill Cornell Medical College
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Amita A. Kulkarni,
Liz B. Francis,
Jay M. Lemery,
Dana L. Sacco
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357-358
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A Prospective Cohort Study of Acute Kidney Injury in Multi-Day Ultramarathon Runners
Ultramarathon foot races of distances greater than the traditional 26.2 mile marathon are increasing in popularity, attracting more than 70 000 annual participants worldwide. Prior studies have consis...
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Grant S. Lipman,
Garrett Chan,
Sarah Logan,
Brian Krabak,
Brandee Waite,
Anil Menon
et al.
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358
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Who is Being Rescued in Canadian National Parks?
There has been a growing body of literature reviewing the epidemiology of injuries, illnesses, and search and rescue (SAR) operations in National Parks in the United States. There are 42 National Park...
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Jonathan A. Malo,
Eiman Zargaran
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358
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Injury and Illness on the West Coast Trail: Still the graveyard of the Pacific?
The West Coast Trail (WCT) is a 75 km trek in Pacific Rim National Park Reserve on the southwest coast of Vancouver Island, British Columbia, with 4000 to 6000 hikers attempting to complete the trail ...
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Jonathan A. Malo,
Eiman Zargaran
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358-359
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Impact of Handheld SONAR Devices on SCUBA Diver Rescue
To investigate if a handheld sound navigation ranging (SONAR) device significantly reduces the median duration to locate a missing diver. A secondary objective is to determine the effect a rescue adju...
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Owen McGrane,
Aaron Cronin,
David Hile
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359
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Implications of Parental Influence on Child/Adolescent Helmet Use in Snow Sports
Helmets have become increasingly more important with the advent of extreme snow sports, including skiing and snowboarding. Despite proven benefits, the rate of helmet use is less than ideal. The objec...
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Aaron J. Provance,
Glenn H. Engelman,
Patrick M. Carry
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359-360
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High Altitude Cerebral Edema Strikes a 26-year-old Male Corpsman after 18 Hours at Approximately 3110 m: Correlation of Objective and Clinical Findings
A 26-year-old male Marine Corps Corpsman experienced high altitude cerebral edema (HACE) at a relatively low altitude (3110 m). His case and its significance are discussed.
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Gregory Ulrich,
Darren Thomas,
Erik Virre,
Jeffrey H. Gertsch
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360
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Case Report: Simple and Effective Field Extraction of Human Botfly Using a Snake Venom Extractor
Two weeks following a trip to Belize, a 25-year-old male noticed an erythematous lesion on his upper left chest, which enlarged over a 6-week period and formed a central punctum with a small opening i...
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Jonathan K. West
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360
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Emergency Medicine Resident-Run Wilderness Life Support Course Improves Confidence in Several Skill Areas of Wilderness Medicine Across Multiple Levels of Medical Providers
This study was designed to evaluate changes in comfort level with specific wilderness skills before and after an Advanced Wilderness Life Support (AWLS) course.
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Jenna M.B. White,
Kathleen D. Moorhead,
Benjamin S. Bassin
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360-361
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| Abstracts of Current Literature |
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Article Title |
Author(s) |
Pages |
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Visual Side Effects of Scopolamine/Dextroamphetamine Among Parabolic Fliers
The authors of this experimental study sought to test the operational effects of scopolamine and dexamphetamine by testing near vision, accommodation, and pupil size. Scopolamine (0.4 mg) and dexamphe...
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362
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Intravital Pathophysiologic Comparison of Frostbite and Burn Injury in a Murine Model
The authors of this experimental study tested a murine model using heat and cold injury that did not involve direct contact in order to compare cellular changes between each mechanism. Forty mice were...
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362
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Video Calls for Dispatcher-assisted Cardiopulmonary Resuscitation Can Improve the Confidence of Lay Rescuers—Surveys After Simulated Cardiac Arrest
The authors of this survey study used a randomized control design to assess participants' responses to dispatcher direction of cardiopulmonary resuscitation (CPR) through audio and video modalities. I...
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362
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Epidemiology and Outcomes of Poisoning-induced Out-of-hospital Cardiac Arrest
This retrospective chart review focused on a Korean population of out-of-hospital cardiac arrests (OHCA) in order to define epidemiologic factors related to outcome when poisoning was the causative fa...
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363
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Simple Derivation of the Initial Fluid Rate for the Resuscitation of Severely Burned Adult Combat Casualties: In Silico Validation of the Rule of 10
The authors suggest that initial burn resuscitation is made difficult by using existing American Burn Association (ABA) guidelines recommending the Parkland or modified Brooke formula (2 to 4 mL of la...
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363
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| Letters to the Editor |
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Article Title |
Author(s) |
Pages |
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In Response to “Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite”
10 October 2011
I would like to congratulate the authors of the Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite for their review of the literature and for their recommenda...
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Ken Zafren
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364-365
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In Reply to Dr Zafren
We thank Dr Zafren for his insightful comments and questions. We acknowledge that the Frostbite Guidelines are not an exhaustive treatise, but are recommendations from a group of subject matter expert...
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Scott E. McIntosh,
Matthew Hamonko,
Luanne Freer,
Colin K. Grissom,
Paul S. Auerbach,
George W. Rodway,
Amalia Cochran,
Gordon Giesbrecht,
Marion McDevitt,
Christopher H.E. Imray,
Eric Johnson,
Jennifer Dow,
Peter H. Hackett
et al.
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365-366
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In Response to Bradford Washburn's 1962 NEJM Article “Frostbite: What It Is—How To Prevent It—Emergency Treatment”—Historical Background and Commentary
17 October 2011
I read with interest and alarm Bradford Washburn's 1962 NEJM Article “Frostbite: What It Is—How To Prevent It—Emergency Treatment”—Historical Background and Commentary by Rodway et al. Some of the les...
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Ken Zafren
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366-368
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In Reply to Dr Zafren
10 October 2011
We would like to thank Dr Zafren for his letter regarding our historical treatment of Bradford Washburn's 1962 New England Journal of Medicine article on frostbite. The information Dr Zafren relates i...
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George W. Rodway,
Scott E. McIntosh,
Eldon Wayne Askew
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368-369
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| Book Review |
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Article Title |
Author(s) |
Pages |
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Book review
03 October 2011
If you dream of adventure in frozen landscapes, this book may be for you. However, this coffee table book is not for everyone. It is written in French, German, and English, but not in the usual manner...
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Ken Zafren
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370
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| Wilderness Reflections |
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Article Title |
Author(s) |
Pages |
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Outside Kathmandu
17 October 2011
On August 23, 2010 a plane carrying 11 passengersfrom Kathmandu to Lukla crashed in heavy rains.
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Mikel Vause
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371
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| Wilderness Images |
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Article Title |
Author(s) |
Pages |
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Wilderness Images
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Cory Fieldling
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372
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Wilderness Images
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Jonathan Conard
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373
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Wilderness Images
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Cory Fielding
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374
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