UK mountain rescue casualties: 2002-2006

Mort, Alasdair; Godden, D. J.

doi:10.1136/emj.2008.067082

Cited by 13 publications

(13 citation statements)

References 11 publications

(6 reference statements)

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“…Within the United Kingdom (UK), voluntary teams provide organized mountain rescue services [1,2]. Data from England and Wales for 2017 records 2,115 mountain rescue deployments with 73 fatalities [3]; of these, Edale mountain rescue team responded to 107 incidents including 1 fatality.…”

Section: Introductionmentioning

confidence: 99%

“…The course assessment comprises 60 single best answer questions requiring a pass mark of 70% and two practical scenarios (one medical and one trauma) requiring a pass grade of at least 20/30. Holders of the nationally recognized casualty care qualification can perform various extended care skills (Table 1) and administer certain prescription medications, including opioid analgesia, not usually associated with standard first aid courses (Table 2; [2,4]). Remote incidents often present mountain rescue teams with context-specific challenges including difficulties accessing patients, limited resources and inclement conditions.…”

Section: Introductionmentioning

confidence: 99%

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Mountain Rescue Casualty Care and the Undergraduate Medical Elective

Larsen

Blagnys

Cooper

et al. 2019

Wilderness & Environmental Medicine

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mountain Rescue Casualty Care and the Undergraduate Medical Elective

Larsen

Blagnys

Cooper

et al. 2019

Wilderness & Environmental Medicine

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“…Operational and strategic challenges exist by virtue of its voluntary nature, multiple teams and the varying skills of the casualty carers who may arrive on scene at different times. In England and Wales, MR responds to an average of 980 incidents per year during which 511 injured or ill casualties are managed 1. Whilst most MR casualties will have traumatic injuries (78.4%), the service also responds to a wide spectrum of illness 2.…”

Section: Introductionmentioning

confidence: 99%

The use of analgesia in mountain rescue casualties with moderate or severe pain

2013

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Objectives To assess the effectiveness of analgesia used in mountain rescue (MR) in casualties with moderate or severe pain. To determine if a verbal numeric pain score is practical in this environment. To describe the analgesic strategies used by MR. Design Prospective, descriptive study. Setting Fifty-one MR teams in England and Wales. The study period was 1 September 2008 to 31 August 2010. Participants 92 MR casualties with a pain scoreof 4/10 or greater. Main outcome 38% of casualties achieved a pain reduction of 50% or greater in their initial score at 15 min and 60.2% had achieved this at handover. Results The initial pain score was 8 (median), reducing to 5 at 15 min and 3 at handover. The mean pain reduction was 2.5±2.4 at 15 min and 3.9±2.5 at handover. 80 casualties (87%) were treated with an opioid and seven had two different opioids administered. Seven main strategies were identified in which the principal agent was entonox, intramuscular opioid, oral analgesia, fentanyl lozenge, intranasal or intravenous opioid. The choice of strategy varied with the skills of the casualty carer. Conclusions Pain should be assessed using a pain score. When possible, intravenous opioid is the gold standard to achieve early and continuing pain control in patients with moderate or severe pain. Entonox and oral analgesics, as sole agents, have limited use in moderate or severe pain. Intranasal opioid and fentanyl lozenge are effective, and appropriate in MR. Research priorities include bioavailability in different environmental conditions and patient's satisfaction with their pain management.

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“…The most common causes of death are head trauma, cardiac arrest (males >55 years old), drowning, hypothermia, hyperthermia, and suicide. [5,6,10,[99][100][101][102][103][104][105][106] These data are important for general educational programs, risk mitigation, trip planning, and medical kit stocking. [7] Search and rescue Search and rescue operations are conducted under many organizational structures, typically citizen volunteer groups, law enforcement agencies, or, in many localities, a blend of the two.…”

Section: Epidemiologymentioning

confidence: 99%