Travelers Medical Guide

Page 139

Poison ivy, oak and sumac: Poison ivy, oak and sumac are the most common contact-poisonous plants in the United States, but there are others within the U.S. and elsewhere around the world. Learn to recognize the leaves of noxious plants to avoid the misery of the highly itchy rashes they can cause. For information about identifying poison ivy, oak and sumac, see CDC.gov/Niosh/Topics/Plants. Before you engage in wilderness activities in other parts of the world, research what plants to avoid there. Exposure to urushiol, the natural chemical that causes the allergic rash, is possible by direct contact with the plant, indirect contact with a surface that has touched the plant or inhalation of particles from burning plants that contain the substance. The CDC recommends the following steps for avoiding contact with such plants: • Cover up: Wear long sleeves, long pants and gloves. • Consider using a barrier lotion containing bentoquatam, but such lotions must be washed off and reapplied twice a day. • Use rubbing alcohol (isopropanol or isopropyl alcohol) or soap and water to clean any gear that may have come in contact with such plants. Urushiol can remain potent on the surface of objects for up to five years. • Do not burn plants that may contain urushiol or similar substances. If despite your best efforts you come in contact with poisonous plants, the CDC recommends the following steps: • Immediately wash the area well with rubbing alcohol, a specialized plant wash or a degreasing soap (such as dishwashing liquid) and lots of water, and then rinse well. • Scrub under your nails with a brush. • If you have a blistering rash, apply wet compresses, calamine lotion or hydrocortisone cream to mitigate the itching. An oatmeal bath or oral antihistamines such as Benadryl may also relieve itching. • Seek medical attention in cases of a severe allergic reaction or severe itching or blistering.

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Glossary

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pages 185-189

Wounds

1min
page 175

Heart Attack

0
page 172

Headache

1min
page 171

Urinary Tract Infections

1min
page 174

Administering Emergency Oxygen

1min
pages 166-167

Water-Related Injuries

3min
pages 144-146

Boating

2min
pages 153-154

Marine Animal Injuries

7min
pages 156-160

Beachgoing

1min
page 155

Snorkeling

2min
pages 147-148

Scuba Diving

3min
pages 149-152

Other Exposure Concerns

7min
pages 139-143

Altitude Sickness / Acute Mountain Sickness

6min
pages 133-136

Gout

1min
page 118

Hypothermia

9min
pages 126-132

Diabetes

6min
pages 109-112

Heart Disease

6min
pages 119-122

Hemorrhoids

1min
page 117

Heartburn/Reflux (GERD

1min
pages 115-116

Chronic Obstructive Pulmonary Disease

1min
page 108

Cholelithiasis

1min
page 107

Diseases

1min
page 98

Asthma

1min
page 106

Abdominal Wall Hernia

1min
page 105

Hand, Foot and Mouth Disease

1min
page 93

Ebola

1min
page 92

MRSA

2min
pages 94-95

Middle East Respiratory Syndrome (MERS

0
page 96

Other Conditions

11min
pages 76-82

Motor Vehicle Travel

3min
pages 13-15

Boat Travel

3min
pages 16-17

Motion Sickness

5min
pages 49-52

Medical Evacuation

2min
pages 19-20

Jet Lag

2min
pages 47-48

Malaria

3min
pages 74-75

Common Causes of Death Among Travelers

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page 10

Deep Vein Thrombosis

8min
pages 53-60
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