Primary care in extreme environments: Medical clinic utilization at Antarctic stations, 2013-2014

James M. Pattarini, Jullian R. Scarborough, V. Lee Sombito, Scott E. Parazynski

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives The unique challenges posed by the Antarctic environment include both physiological and psychological stressors to the individual as well as the limited onsite medical capabilities available to address them. This report compares medical clinic utilization among 3 US Antarctic stations to identify differences in diagnostic frequency and utilization of clinic resources under current medical prescreening regimes for summer and winter seasons. Methods Clinic data from 3 Antarctic locations (McMurdo Station, Amundsen-Scott South Pole Station, and Palmer Station) for the 2013-2014 Antarctic year were reviewed for patient encounter frequency by season, and provider-assigned visit diagnostic category. Differences between relative diagnosis frequencies among stations were analyzed, and per-capita clinic utilization was compared. Results The McMurdo clinic recorded 1555 patient encounters, with South Pole Station reporting 744 and Palmer with 128 encounters over the year. The most frequent reasons for clinic visits were orthopedic and dermatologic, with increased visits at McMurdo for respiratory illness and at the more remote locations for neurologic complaints and insomnia. Altitude-related visits were reported only at McMurdo and South Pole stations. Conclusions The clinic volume predictably correlated with station population. Insomnia and headache complaints, reported only at the South Pole Station, are likely associated with the increased elevation at that site, although they could be attributable to psychological stress from the isolated environment. Although the majority of cases could not be prevented with current screening, we suggest several changes to the current concept of operations that may decrease medical utilization and provide significant improvements to health care delivery on the ice.

Original languageEnglish (US)
Pages (from-to)69-77
Number of pages9
JournalWilderness and Environmental Medicine
Volume27
Issue number1
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

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Sleep Initiation and Maintenance Disorders
Primary Health Care
Ice
Ambulatory Care
Psychological Stress
Nervous System
Orthopedics
Headache
Psychology
Delivery of Health Care
Population
Extreme Environments

Keywords

  • altitude sickness
  • Antarctica
  • austere environment
  • isolation
  • MEDEVAC
  • remote environment
  • South Pole

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Emergency Medicine

Cite this

Primary care in extreme environments : Medical clinic utilization at Antarctic stations, 2013-2014. / Pattarini, James M.; Scarborough, Jullian R.; Lee Sombito, V.; Parazynski, Scott E.

In: Wilderness and Environmental Medicine, Vol. 27, No. 1, 01.03.2016, p. 69-77.

Research output: Contribution to journalArticle

Pattarini, James M. ; Scarborough, Jullian R. ; Lee Sombito, V. ; Parazynski, Scott E. / Primary care in extreme environments : Medical clinic utilization at Antarctic stations, 2013-2014. In: Wilderness and Environmental Medicine. 2016 ; Vol. 27, No. 1. pp. 69-77.
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