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Mountain rescue

Wanjie Tang, Jingdong Zhao, Yi Lu, Tingting Yan, Lijuan Wang, Jun Zhang, Jiuping Xu
OBJECTIVE: Millions of children were exposed to major earthquake in China, with serious psychological and developmental consequences. To obtain accurate rate of post-disaster related disorder and identify predictors may help inform post-disaster rescue and rehabilitation efforts. The present longitudinal study explored correlations of demographic and socioeconomic characteristics of juvenile survivors of the Ya'an and Wenchuan earthquakes in China with their trajectories of post-disaster related disorder...
September 13, 2016: Comprehensive Psychiatry
Julia Ausserer, Elizabeth Moritz, Matthias Stroehle, Hermann Brugger, Giacomo Strapazzon, Simon Rauch, Peter Mair
INTRODUCTION: In remote and mountainous areas, helicopter emergency medical systems (HEMS) are used to expedite evacuation and provide pre-hospital advanced trauma life support (ATLS) in major trauma victims. Aim of the study was to investigate feasibility of ATLS in HEMS mountain rescue missions and its influence on patient condition at hospital admission. PATIENTS: 58 major trauma victims (Injury Severity Score ≥16), evacuated by physician staffed HEMS from remote and mountainous areas in the State of Tyrol, Austria between 1...
September 8, 2016: Injury
Urs Pietsch, Jürgen Knapp, Ludwig Ney, Armin Berner, Volker Lischke
OBJECTIVE: Mountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew. METHODS: A simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed...
September 2016: Air Medical Journal
Jessie Biles, Alan A Garner
INTRODUCTION: Although harness suspension trauma has been documented since the 1960s, especially in the mountaineering setting, there is little robust medical research into the area. Helicopter hoist rescue shares similar risks and is reserved for those cases that cannot be accessed safely by other routes, where extrication may be hazardous or will take an unreasonable amount of time. The single sling or chest harness used for hoist rescue is a single harness around the upper torso and is easier and quicker to apply than a stretcher...
September 2016: Aerospace Medicine and Human Performance
Piotr Szawarski, David Hillebrandt
Venturing into the mountains, doctors have accompanied expeditions to provide routine care to the teams, undertake research and occasionally take on a rescue role. The role of doctors practicing mountain medicine is evolving. Public health issues involving concepts of health and safety have become necessary with the coming of commercial and youth expeditions. Increasingly individuals with a disability or a medical diagnosis choose to ascend to high altitudes. Doctors become involved in assessment of risk and providing advice for such individuals...
August 2016: Postgraduate Medical Journal
Sriram Sudarsanam, James Mathew, Swapnesh Panigrahi, Julien Fade, Mehdi Alouini, Hema Ramachandran
Numerous everyday situations like navigation, medical imaging and rescue operations require viewing through optically inhomogeneous media. This is a challenging task as photons propagate predominantly diffusively (rather than ballistically) due to random multiple scattering off the inhomogenieties. Real-time imaging with ballistic light under continuous-wave illumination is even more challenging due to the extremely weak signal, necessitating voluminous data-processing. Here we report imaging through strongly scattering media in real-time and at rates several times the critical flicker frequency of the eye, so that motion is perceived as continuous...
2016: Scientific Reports
Clare C W Yu, Chun T Au, Frank Y F Lee, Raymond C H So, John P S Wong, Gary Y K Mak, Eric P Chien, Alison M McManus
BACKGROUND: Overweight, obesity, and cardiovascular disease risk factors are prevalent among firefighters in some developed countries. It is unclear whether physical activity and cardiopulmonary fitness reduce cardiovascular disease risk and the cardiovascular workload at work in firefighters. The present study investigated the relationship between leisure-time physical activity, cardiopulmonary fitness, cardiovascular disease risk factors, and cardiovascular workload at work in firefighters in Hong Kong...
September 2015: Safety and Health At Work
Simon Rauch, Kai Schenk, Bernhard Rainer, Giacomo Strapazzon, Peter Paal, Hermann Brugger
Rescue operations in mountain and remote areas pose special challenges for the rescue team and often differ substantially from rescue missions in the urban environment. Given the growing sports and leisure activities in mountains, incidence of alpine emergencies is expected to rise further. The following article describes the treatment of haemorrhagic shock, analgesic therapy and airway management in mountain rescue.
January 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Robert J Koester, Ian Greatbatch
BACKGROUND: Few studies have examined the spatial characteristics of missing aircraft in actual distress. No previous studies have looked at the distance from the last radar plot to the crash site. The purpose of this study was to characterize this distance and then identify environmental and flight characteristics that might be used to predict the spatial relationship and, therefore, aid search and rescue planners. METHODS: Detailed records were obtained from the U...
February 2016: Aerospace Medicine and Human Performance
Gwynn M Curran-Sills, Amalia Karahalios
OBJECTIVE: To provide a descriptive review of the epidemiology of search and rescue (SAR) incidents across Canada as documented in the Alpine Club of Canada (ACC) database. METHODS: A retrospective, cross-sectional review of SAR reports collected by the ACC with incidents dating from January 1, 1970 to June 12, 2005, was analyzed. RESULTS: The ACC database contained 1088 incidents with 1377 casualties. Casualties had 944 (68.6%; 95% CI, 64...
December 2015: Wilderness & Environmental Medicine
Pete Matthews
Pete Matthews works in mixed practice at Galedin Veterinary in the Scottish Borders. He has been a member of the Tweed Valley Mountain Rescue Team for eight years and last year took on the role of team leader for a three-year term.
November 14, 2015: Veterinary Record
Chris R Welter, J Matthew Sholl, Tania D Strout, Ben Woodard
OBJECTIVE: The purpose of this study was to determine the epidemiology of injury in Baxter State Park, Maine, and to better tailor search and rescue (SAR) resources, personnel, and training to acute needs in the park. METHODS: We conducted a retrospective review of all SAR incident reports in Baxter State Park from July 1992 through June 2014. For each event, demographics, location, time, activity before the incident, incident details, and evacuation means were recorded and analyzed...
December 2015: Wilderness & Environmental Medicine
Tomasz Darocha, Sylweriusz Kosinski, Maciej Moskwa, Anna Jarosz, Dorota Sobczyk, Robert Galazkowski, Marcin Slowik, Rafal Drwila
We present a description of emergency medical rescue procedures in a patient suffering from severe hypothermia who was found in the Babia Gora mountain range (Poland). After diagnosing the symptoms of II/III stage hypothermia according to the Swiss Staging System, the Mountain Rescue Service notified the coordinator from the Severe Accidental Hypothermia Center (CLHG) Coordinator in Krakow and then kept in constant touch with him. In accordance with the protocol for managing such situations, the coordinator started the procedure for patients in severe hypothermia with the option of extracorporeal warming and secured access to a device for continuous mechanical chest compression...
December 2015: High Altitude Medicine & Biology
Vincent S F T Merckx, Kasper P Hendriks, Kevin K Beentjes, Constantijn B Mennes, Leontine E Becking, Katja T C A Peijnenburg, Aqilah Afendy, Nivaarani Arumugam, Hugo de Boer, Alim Biun, Matsain M Buang, Ping-Ping Chen, Arthur Y C Chung, Rory Dow, Frida A A Feijen, Hans Feijen, Cobi Feijen-van Soest, József Geml, René Geurts, Barbara Gravendeel, Peter Hovenkamp, Paul Imbun, Isa Ipor, Steven B Janssens, Merlijn Jocqué, Heike Kappes, Eyen Khoo, Peter Koomen, Frederic Lens, Richard J Majapun, Luis N Morgado, Suman Neupane, Nico Nieser, Joan T Pereira, Homathevi Rahman, Suzana Sabran, Anati Sawang, Rachel M Schwallier, Phyau-Soon Shim, Harry Smit, Nicolien Sol, Maipul Spait, Michael Stech, Frank Stokvis, John B Sugau, Monica Suleiman, Sukaibin Sumail, Daniel C Thomas, Jan van Tol, Fred Y Y Tuh, Bakhtiar E Yahya, Jamili Nais, Rimi Repin, Maklarin Lakim, Menno Schilthuizen
Tropical mountains are hot spots of biodiversity and endemism, but the evolutionary origins of their unique biotas are poorly understood. In varying degrees, local and regional extinction, long-distance colonization, and local recruitment may all contribute to the exceptional character of these communities. Also, it is debated whether mountain endemics mostly originate from local lowland taxa, or from lineages that reach the mountain by long-range dispersal from cool localities elsewhere. Here we investigate the evolutionary routes to endemism by sampling an entire tropical mountain biota on the 4,095-metre-high Mount Kinabalu in Sabah, East Malaysia...
August 20, 2015: Nature
Daniel K Kornhall, Julie Martens-Nielsen
Avalanche accidents are frequently lethal events with an overall mortality of 23%. Mortality increases dramatically to 50% in instances of complete burial. With modern day dense networks of ambulance services and rescue helicopters, health workers often become involved during the early stages of avalanche rescue. Historically, some of the most devastating avalanche accidents have involved military personnel. Armed forces are frequently deployed to mountain regions in order to train for mountain warfare or as part of ongoing conflicts...
June 19, 2015: Journal of the Royal Army Medical Corps
Håkon B Abrahamsen
BACKGROUND: Major incidents are complex, dynamic and bewildering task environments characterised by simultaneous, rapidly changing events, uncertainty and ill-structured problems. Efficient management, communication, decision-making and allocation of scarce medical resources at the chaotic scene of a major incident is challenging and often relies on sparse information and data. Communication and information sharing is primarily voice-to-voice through phone or radio on specified radio frequencies...
2015: BMC Emergency Medicine
Pearlly Ng, William R Smith, Albert Wheeler, Scott E McIntosh
OBJECTIVE: Backcountry travelers should carry a standard set of safety gear (transceiver, shovel, and probe) to improve rescue chances and reduce mortality risk. Many backcountry enthusiasts are using other advanced equipment such as an artificial air pocket (eg, the AvaLung) or an avalanche air bag. Our goal was to determine the numbers of backcountry users carrying advanced equipment and their perceptions of mortality and morbidity benefit while carrying this gear. METHODS: A convenience sample of backcountry skiers, snowboarders, snowshoers, and snowmobilers was surveyed between February and April 2014...
September 2015: Wilderness & Environmental Medicine
M Tesnière, A Matonnier, G Courtiol, G Désormais, I Wroblewski, A-P Michard-Lenoir, D Venchiarutti, I Pruvost-Dussart, M Hallain, H Mampe-Armstrong, L Belle, J Griffet
INTRODUCTION: The northern French Alps emergency network (RENAU) manages emergent care and patient treatment pathways in a three-county area in the French Alps. The aim of the study was to describe the pediatric activity in mobile intensive care units (MICUs). METHOD: This retrospective observational study was conducted from 1 January to 31 December 2012. Data were obtained from patients' medical records in seven representative MICUs of the RENAU. Consecutive patients between 1 month and 18 years of age were enrolled...
June 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Hannah Browne, Linda Dykes
BACKGROUND: Mountain Rescue Teams in Snowdonia endeavour to use pelvic splints as per JRCALC guidelines. However, mountain casualties with major mechanisms of injury are often found in precarious locations where application of splints is challenging. We wondered whether the pelvic fractures seen in mountain casualties are of the type likely to benefit from splintage. METHOD: The Bangor Mountain Medicine database (all casualties brought to Ysbyty Gwynedd following contact with MRT and/or RAF SAR helicopter) Jan 2004-October 2012 was interrogated and pelvic fracture cases identified...
May 2015: Emergency Medicine Journal: EMJ
Justin T Pitman, Ghan B Thapa, N Stuart Harris
OBJECTIVE: To investigate whether ultrasonography can be used for field volume status assessment and to determine whether a detectable difference in intravascular volume exists in individuals with acute mountain sickness (AMS) compared with those without. METHODS: Study was performed at the Himalayan Rescue Association Clinic in Manang, Nepal, located on the Annapurna trekking circuit at an altitude of 3519 m (11545 feet). A convenience sample was taken from individuals trekking over 5 to 8 days from 760 m (2490 feet) to 3519 m (11,545 feet), comparing asymptomatic trekkers vs those who experienced AMS...
September 2015: Wilderness & Environmental Medicine
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