{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:50:57Z","timestamp":1790725857836,"version":"4.1.0"},"reference-count":173,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,28]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tropical infectious diseases and vaccine-preventable emergencies are the mainstay of pre-travel consultations. However, non-communicable diseases, injuries and accidents that occur during travel are not emphasized enough in these settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a narrative review based on a literature search of PubMed, Google Scholar, UpToDate, DynaMed and LiSSa and on reference textbooks and medical journals dedicated to travel, emergency and wilderness medicine. Relevant secondary references were extracted. We also aimed to discuss newer or neglected issues, such as medical tourism, Coronavirus Disease 2019, exacerbations of co-morbidities associated with international travel, insurance coverage, health care seeking abroad, medical evacuation or repatriation and tips for different types of travellers\u2019 emergency medical kits (personal, group, physician handled).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All sources reviewed led to the selection of &amp;gt;170 references. Among epidemiological data on morbidity and deaths while abroad, only retrospective data are available. Deaths are estimated to occur in 1 in 100\u2009000 travellers, with 40% caused by trauma and 60% by diseases, and &amp;lt;3% linked to infectious diseases. Trauma and other injuries acquired during travel, such as traffic accidents and drowning, can be reduced by up to 85% with simple preventive recommendations such as avoiding simultaneous alcohol intake. In-flight emergencies occur on 1 in 604 flights on average. Thrombosis risk is two to three times greater for travellers than for non-travellers. Fever during or after travel can occur in 2\u20134% of travellers, but in up to 25\u201330% in tertiary centres. Traveller\u2019s diarrhoea, although rarely severe, is the most common disease associated with travel. Autochthonous emergencies (acute appendicitis, ectopic pregnancy, dental abscess) can also occur.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pre-travel medicine encounters must include the topic of injuries and medical emergencies, such as the risk-taking behaviours and foster better planning in a comprehensive approach along with vaccines and infectious diseases advices.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jtm\/taad088","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T19:30:32Z","timestamp":1688585432000},"source":"Crossref","is-referenced-by-count":13,"title":["Injuries and medical emergencies among international travellers"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7114-8115","authenticated-orcid":false,"given":"Mathieu","family":"Potin","sequence":"first","affiliation":[{"name":"ISTM CTH (Certificate of Travel Health) , Chemin des Croix-Rouges 12, Lausanne CH-1007 , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Nicolas","family":"Carron","sequence":"additional","affiliation":[{"name":"Emergency Department, Lausanne University Hospital and University of Lausanne , Rue du Bugnon 46, Lausanne CH-1011 , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blaise","family":"Genton","sequence":"additional","affiliation":[{"name":"Policlinic of Tropical , Travel Medicine and Vaccination, Centre for Primary Care and Public Health, Unisant\u00e9, , Rue du Bugnon 44, Lausanne CH-1011 , Switzerland"},{"name":"University of Lausanne , Travel Medicine and Vaccination, Centre for Primary Care and Public Health, Unisant\u00e9, , Rue du Bugnon 44, Lausanne CH-1011 , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"2024012910332123100_ref1","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0733-8627(05)70295-9","article-title":"Travel medicine problems encountered in emergency departments","volume":"15","author":"Jong","year":"1997","journal-title":"Emerg Med Clin N Am"},{"key":"2024012910332123100_ref2","first-page":"482","volume-title":"Textbook of Travel Medicine and Health","author":"Rogenmoser","year":"2001","edition":"2nd"},{"key":"2024012910332123100_ref3","first-page":"1","volume-title":"The Travel and Tropical Medicine Manual","author":"Jong","year":"2017","edition":"5th"},{"key":"2024012910332123100_ref4","doi-asserted-by":"crossref","first-page":"ITC1","DOI":"10.7326\/AITC201801020","article-title":"In the clinic: travel medicine","volume":"168","author":"Leung","year":"2018","journal-title":"Ann Intern Med"},{"key":"2024012910332123100_ref5","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/B978-0-323-54696-6.00053-7","volume-title":"Travel Medicine","author":"Lang","year":"2019","edition":"4th"},{"key":"2024012910332123100_ref6","doi-asserted-by":"crossref","first-page":"tax046","DOI":"10.1093\/jtm\/tax046","article-title":"What proportion of international travellers acquire a travel-related illness? 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