Medical and logistical challenges of trauma care in a 12-day cave rescue: A case report

Schneider, Thomas-Michael; Bregani, Rino; Stopar, Rok; Krammer, Jacob; Göksu, Martin; Müller, Natalie; Petermeyer, Michael; Schiffer, Johannes; Strapazzon, Giacomo

doi:10.1016/j.injury.2015.09.005

Cited by 11 publications

(13 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, given the particular mix of environmental conditions in the underground world, this knowledge cannot be transferred to exercise during cave exploration in a straightforward manner. As for caves, indeed, most of the available biomedical scientific literature deals with human circadian systems in caves [10] and with caving injuries [11–13], probably not surprisingly if one considers the medical and logistical challenges associated with cave rescue operations. Some specific studies have focused on very peculiar cases, such as the analysis of the cardio-vascular, neurological and metabolic physiological activities of cavers in the Naica Caves, Mexico, where temperature exceeds 45° C and humidity is well over 90% [14].…”

Section: Introductionmentioning

confidence: 99%

Energy expenditure in caving

et al. 2017

View full text Add to dashboard Cite

The aim of this study was to determine the energy expenditure of a group of cavers of both genders and different ages and experience during a 10 hour subterranean exploration, using portable metabolimeters. The impact of caving activity on body composition and hydration were also assessed through bioelectrical impedance, and nutritional habits of cavers surveyed. During cave activity, measured total energy expenditure (TEE) was in the range 225–287 kcal/h for women-men (MET = 4.1), respectively; subjects had an energy intake from food in the range 1000–1200 kcal, thus inadequate to restore lost calories. Bayesian statistical analysis estimated the effect of predictive variables on TEE, revealing that experienced subjects had a 5% lower TEE than the less skilled ones and that women required a comparatively larger energy expenditure than men to perform the same task. BIVA (bioelectrical impedance vector analysis) showed that subjects were within the range of normal hydration before and after cave activity, but bioelectrical changes indicated a reduction of extracellular water in men, which might result in hypo-osmolal dehydration in the case of prolonged underground exercise. All these facts should be considered when planning cave explorations, preparing training programs for subjects practising caving, and optimizing a diet for cavers. Further, information gathered through this study could be of value to reduce accidents in caves related to increase in fatigue.

show abstract

Section: Introductionmentioning

confidence: 99%

Energy expenditure in caving

et al. 2017

View full text Add to dashboard Cite

show abstract

“…They provide a heterogeneous mix of people, and complex, challenging environments (e.g., ice caves, very deep caves, very long expeditions). Finally, rescue organizations regularly train underground in simulated rescue interventions, and could offer a unique opportunity for neuroscientists particularly to study teamwork and decision-making processes in large groups under stressful conditions, as they can engage hundreds of personnel for several days (Schneider et al, 2016 ).…”

Section: Connection To In-field Study Experts and Cave Communitymentioning

confidence: 99%

Expedition Cognition: A Review and Prospective of Subterranean Neuroscience With Spaceflight Applications

Mogilever

Zuccarelli

Burles

et al. 2018

Front. Hum. Neurosci.

Self Cite

View full text Add to dashboard Cite

Renewed interest in human space exploration has highlighted the gaps in knowledge needed for successful long-duration missions outside low-Earth orbit. Although the technical challenges of such missions are being systematically overcome, many of the unknowns in predicting mission success depend on human behavior and performance, knowledge of which must be either obtained through space research or extrapolated from human experience on Earth. Particularly in human neuroscience, laboratory-based research efforts are not closely connected to real environments such as human space exploration. As caves share several of the physical and psychological challenges of spaceflight, underground expeditions have recently been developed as a spaceflight analog for astronaut training purposes, suggesting that they might also be suitable for studying aspects of behavior and cognition that cannot be fully examined under laboratory conditions. Our objective is to foster a bi-directional exchange between cognitive neuroscientists and expedition experts by (1) describing the cave environment as a worthy space analog for human research, (2) reviewing work conducted on human neuroscience and cognition within caves, (3) exploring the range of topics for which the unique environment may prove valuable as well as obstacles and limitations, (4) outlining technologies and methods appropriate for cave use, and (5) suggesting how researchers might establish contact with potential expedition collaborators. We believe that cave expeditions, as well as other sorts of expeditions, offer unique possibilities for cognitive neuroscience that will complement laboratory work and help to improve human performance and safety in operational environments, both on Earth and in space.

show abstract

“…dramatische Ereignisse bei alpinen Extremsportveranstaltungen immer wieder das Medieninteresse an der Arbeit der Bergwacht in Deutschland [13]. Exemplarisch sei hier auf den mehrtägigen spektakulären Einsatz der Bergwacht Bayern im Rahmen des Höhlenunfalls in der Riesending-Schachthöhle 2014 verwiesen [29,30].…”

Section: Gegenwart In Der Bergrettung In Deutschlandunclassified

Bergrettung im Wandel der Zeit – 100 Jahre Bergwacht in Deutschland

et al. 2020

Self Cite

View full text Add to dashboard Cite

ZusammenfassungZu Beginn des letzten Jahrhunderts haben die Freizeitaktivitäten im deutschen Alpenraum und in den Mittelgebirgen rapide zugenommen. Seit der Gründung am 14.06.1920 in München versieht die Bergwacht in Deutschland den Naturschutz- und Rettungsdienst abseits der Straße in unwegsamem Gelände im Gebirge. In diesen Regionen überwiegen traumatologische Not- und Todesfälle gegenüber medizinischen. Die Entwicklung neuer Trendsportarten hat auch die Entwicklung alpiner Rettungstechniken und -gerätschaften geprägt. Moderne Rettungs-/Einsatzhubschrauber mit Rettungswinde oder Fixtau ermöglichen bei Sichtflugbedingungen eine schnelle Zuführung rettungstechnisch und notfallmedizinisch qualifizierter Bergretter und Bergwachtnotärzte sowie einen schnellen Abtransport der notfallmedizinisch versorgten Patienten. Trotz moderner Rettungshubschrauber müssen bodengebundene Rettungsverfahren bei der Bergwacht weiterhin ausgebildet und bei schlechter Sicht, starken Niederschlägen bzw. teilweise auch bei Nacht jederzeit durchgeführt werden können. Moderne Ausbildungs- und Trainingseinrichtungen der Bergwacht ermöglichen eine situationsgerechte Aus- und Weiterbildung der Bergretter. Die Bergwacht im Deutschen Roten Kreuz versieht zusammen mit der Bergwacht Bayern im Bayerischen Roten Kreuz und der Bergwacht Schwarzwald e. V. die satzungsgemäßen Aufgaben sowie die Anforderungen des „Komplexen Hilfeleistungssystems“ des Deutschen Roten Kreuzes als integraler Bestandteil der präklinischen Notfallrettung abseits der Straße in unwegsamem Gelände seit nunmehr 100 Jahren.

show abstract

Medical and logistical challenges of trauma care in a 12-day cave rescue: A case report

Cited by 11 publications

References 3 publications

Energy expenditure in caving

Energy expenditure in caving

Expedition Cognition: A Review and Prospective of Subterranean Neuroscience With Spaceflight Applications

Bergrettung im Wandel der Zeit – 100 Jahre Bergwacht in Deutschland

Contact Info

Product

Resources

About