title: Participation of iatrogenically coagulopathic patients in wilderness activities.
abstract: An increasing number of patients routinely undergo long-term anticoagulation with warfarin or other pharmacological agents. There is little evidence and no consensus documents in the literature regarding the appropriateness and relative risk of their participation in wilderness activities. We present a case report, conduct an analysis of the limited literature that is available, and make recommendations for wilderness medicine practitioners and screening personnel.
authors.affiliation: Department of Emergency Medicine, UNC-Chapel Hill School of Medicine, Chapel Hill, NC. Electronic address: hawk@aya.yale.edu.
authors.forename: Seth C
authors.initials: SC
authors.lastname: Hawkins
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Caudell
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Deloughery
authors.forename: William
authors.initials: W
authors.lastname: Murray
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects* / Q000493:pharmacokinetics; D004347:Drug Interactions; D006470:Hemorrhage / Q000139:chemically induced / Q000517:prevention & control; D006801:Humans; D010818:Practice Patterns, Physicians'; D012307:Risk Factors; D013177:Sports; D014812:Vitamin K / Q000037:antagonists & inhibitors; D014859:Warfarin / Q000009:adverse effects* / Q000493:pharmacokinetics; D055814:Wilderness; D014947:Wounds and Injuries / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants; D014812:Vitamin K; D014859:Warfarin
keywords: anticoagulation; coagulopathy; outdoor activities; outdoor sports; warfarin; wilderness activities