Equipment of Medical Backpacks in Mountain Rescue

Elsensohn, Fidel; Soteras, Íñigo; Resiten, Oliver; Ellerton, John; Brugger, Hermann; Paal, Peter

doi:10.1089/ham.2010.1048

Cited by 34 publications

(21 citation statements)

References 18 publications

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“…A range of drugs and delivery methods will be needed. Thus an 'analgesic module', reflecting its users and the environment should be developed either by the organization or the individual (Elsensohn et al, 2011). The number of drugs carried should be reduced to a minimum by careful selection and, where possible, utilizing drugs with multiple delivery options.…”

Section: Recommendationsmentioning

confidence: 99%

Managing Moderate and Severe Pain in Mountain Rescue

Ellerton¹,

Milani

Blancher

et al. 2014

High Altitude Medicine & Biology

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Many health care providers fail to recognize, assess, and treat pain adequately. Assessment scales and treatment protocols should be implemented in mountain rescue services to encourage better management of pain. Specific training in assessing and managing pain is essential for all mountain rescuers. Persons administrating analgesics should receive appropriate detailed training. There is no ideal analgesic that will accomplish all that is expected in every situation. A range of drugs and delivery methods will be needed. Thus, an 'analgesic module' reflecting its users and the environment should be developed. The number of drugs carried should be reduced to a minimum by careful selection and, where possible, utilizing drugs with multiple delivery options. A strong opioid is recommended as the core drug for managing moderate or severe pain; a multimodal approach may provide additional benefits.

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Section: Recommendationsmentioning

confidence: 99%

Managing Moderate and Severe Pain in Mountain Rescue

Ellerton¹,

Milani

Blancher

et al. 2014

High Altitude Medicine & Biology

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“…This should be packaged in ergonomic and compartmentalized medical rucksacks. Martin has published an extensive list of suggested medical equipment (Martin, 2006) and Elsensohn et al (2011) a survey of medical equipment carried by mountain rescuers and physicians should readers require detailed guidance. Specialist medical equipment and drugs to manage specific mountain-related emergencies such as hypothermia, altitude illness, or snakebite may be appropriate (Boyd et al, 2007;Durrer, 2003;Gallagher and Hackett, 2004;Plant and ArefAdib, 2008).…”

Section: Medical Equipmentmentioning

confidence: 99%

Medical Standards for Mountain Rescue Operations Using Helicopters: Official Consensus Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Tomazin

Ellerton

Reisten

et al. 2011

High Altitude Medicine & Biology

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The purpose of this article is to establish medical recommendations for safe and effective Helicopter Emergency Medical Systems (HEMS) in countries with a dedicated mountain rescue service. A nonsystematic search was undertaken and a consensus among members of International Commission for Mountain Emergency Medicine (ICAR Medcom) was reached. For the severely injured or ill patient, survival depends on approach time and quality of medical treatment by high-level providers. Helicopters can provide significant shortening of the times involved in mountain rescue. Safety is of utmost importance and everything possible should be done to minimize risk. Even in the mountainous environment, the patient should be reached as quickly as possible (optimally<20 min) and provided with on-site and en-route medical treatment according to international standards. The HEMS unit should be integrated into the Emergency Medical System of the region. All dispatchers should be aware of the specific problems encountered in mountainous areas. The nearest qualified HEMS team to the incident site, regardless of administrative boundaries, should be dispatched. The 'air rescue optimal crew' concept with its flexibility and adaptability of crewmembers ensures that all HEMS tasks can be performed. The helicopter and all equipment should be appropriate for the conditions and specific for mountain related emergencies. These recommendations, agreed by ICAR Medcom, establish recommendations for safe and effective HEMS in mountain rescue.

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“…Kits should reflect the likely illness and injury patterns of the planned activities and to some extent, the level and skills of the expedition medic. Published surveys suggest that first responder medical kits tend to be well equipped to support trauma but less well equipped for medical emergencies [ 15 ]. It should also be remembered that the majority of medical presentations on expeditions are not high-level trauma or medical emergencies and medical kits should reflect this by including medications and equipment for treating simple illness and injuries.…”

Section: Medical Kitmentioning

confidence: 99%

Faculty of Prehospital Care, Royal College of Surgeons Edinburgh guidance for medical provision for wilderness medicine

et al. 2015

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To support leaders and those involved in providing medical care on expeditions in wilderness environments, the Faculty of Pre-Hospital Care (FPHC) of The Royal College of Surgeons of Edinburgh convened an expert panel of leading healthcare professionals and expedition providers. The aims of this panel were to: (1) provide guidance to ensure the best possible medical care for patients within the geographical, logistical and human factor constraints of an expedition environment. (2) Give aspiring and established expedition medics a ‘benchmark’ of skills they should meet. (3) Facilitate expedition organisers in selecting the most appropriate medical cover and provider for their planned activity. A system of medical planning is suggested to enable expedition leaders to identify the potential medical risks and their mitigation. It was recognised that the scope of practice for wilderness medicine covers elements of primary healthcare, pre-hospital emergency medicine and preventative medicine. Some unique competencies were also identified. Further to this, the panel recommends the use of a matrix and advisory expedition medic competencies relating to the remoteness and medical threat of the expedition. This advice is aimed at all levels of expedition medic, leader and organiser who may be responsible for delivering or managing the delivery of remote medical care for participants. The expedition medic should be someone equipped with the appropriate medical competencies, scope of practice and capabilities in the expedition environment and need not necessarily be a qualified doctor. In addition to providing guidance regarding the clinical competencies required of the expedition medic, the document provides generic guidance and signposting to the more pertinent aspects of the role of expedition medic.Electronic supplementary materialThe online version of this article (doi:10.1186/s13728-015-0041-x) contains supplementary material, which is available to authorized users.

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Equipment of Medical Backpacks in Mountain Rescue

Cited by 34 publications

References 18 publications

Managing Moderate and Severe Pain in Mountain Rescue

Managing Moderate and Severe Pain in Mountain Rescue

Medical Standards for Mountain Rescue Operations Using Helicopters: Official Consensus Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Faculty of Prehospital Care, Royal College of Surgeons Edinburgh guidance for medical provision for wilderness medicine

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