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Mountain emergency medicine

N Hool, G Schüpbach-Regula, B Thomann
For a long time there has been a debate in Switzerland as to whether the veterinary farm animal service is still sufficiently guaranteed. The purpose of this study was to evaluate the supply and demand of veterinary services for cattle and pigs through a representative survey of veterinarians and farmers. The results revealed that the veterinary farm animal service was rated by the majority of both, farmers and veterinarians, to be good or very good. Veterinary service shortages exist partly in mountain and peripheral regions, in small areas in otherwise well-served regions and in the canton of Ticino...
January 2019: Schweizer Archiv Für Tierheilkunde
Giacomo Strapazzon, Hermann Brugger
The number of avalanche accidents involving winter recreationists has notably increased in recent decades due to the increasing popularity of outdoor winter activities. The International Liaison Committee on Cardiopulmonary Resuscitation, the International Commission for Mountain Emergency Medicine (ICAR Medcom), and the Wilderness Medical Society have recently published evidenced-based recommendations for the on-site treatment of snow avalanche victims. Despite these recommendations, recent studies found poor knowledge and compliance by both healthcare providers and laypersons...
December 2018: High Altitude Medicine & Biology
Urs Pietsch, Jürgen Knapp, Oliver Kreuzer, Ludwig Ney, Giacomo Strapazzon, Volker Lischke, Roland Albrecht, Patrick Phillips, Simon Rauch
BACKGROUND: Providing sufficient oxygenation and ventilation is of paramount importance for the survival of emergency patients. Therefore, advanced airway management is one of the core tasks for every rescue team. Endotracheal intubation is the gold standard to secure the airway in the prehospital setting. This review aims to highlight special considerations for advanced airway management preceding human external cargo (HEC) evacuations. METHODS: We systematically searched MEDLINE, EMBASE, and PubMed in August 2017 for articles on airway management and ventilation in patients before hoist or longline operation in HEMS...
April 3, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Marc Blancher, François Albasini, Fidel Elsensohn, Ken Zafren, Natalie Hölzl, Kyle McLaughlin, Albert R Wheeler, Steven Roy, Hermann Brugger, Mike Greene, Peter Paal
Blancher, Marc, François Albasini, Fidel Elsensohn, Ken Zafren, Natalie Hölzl, Kyle McLaughlin, Albert R. Wheeler III, Steven Roy, Hermann Brugger, Mike Greene, and Peter Paal. Management of multi-casualty incidents in mountain rescue: Evidence-based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). High Alt Med Biol. 19:131-140, 2018. INTRODUCTION: Multi-Casualty Incidents (MCI) occur in mountain areas. Little is known about the incidence and character of such events, and the kind of rescue response...
June 2018: High Altitude Medicine & Biology
Giacomo Strapazzon, Oliver Reisten, Fabien Argenone, Ken Zafren, Greg Zen-Ruffinen, Gordon L Larsen, Inigo Soteras
Canyoning is a recreational activity that has increased in popularity in the last decade in Europe and North America, resulting in up to 40% of the total search and rescue costs in some geographic locations. The International Commission for Mountain Emergency Medicine convened an expert panel to develop recommendations for on-site management and transport of patients in canyoning incidents. The goal of the current review is to provide guidance to healthcare providers and canyoning rescue professionals about best practices for rescue and medical treatment through the evaluation of the existing best evidence, focusing on the unique combination of remoteness, water exposure, limited on-site patient management options, and technically challenging terrain...
June 2018: Wilderness & Environmental Medicine
Hermann Brugger, Matiram Pun, Erik R Swenson, Markus Falk
No abstract text is available yet for this article.
March 2018: High Altitude Medicine & Biology
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
Peter Paal, Les Gordon, Giacomo Strapazzon, Monika Brodmann Maeder, Gabriel Putzer, Beat Walpoth, Michael Wanscher, Doug Brown, Michael Holzer, Gregor Broessner, Hermann Brugger
BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review. RESULTS: The hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients...
September 15, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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
Samet Karahan, Abdulsamet Erden, Ali Cetinkaya, Deniz Avci, Adile Irfan Ortakoyluoglu, Hatice Karagoz, Kadir Bulut, Mustafa Basak
Of the more than 5000 species of mushrooms known, 100 types are toxic and approximately 10% of these toxic types can cause fatal toxicity. A type of mushroom called Amanita phalloides is responsible for 95% of toxic mushroom poisonings. In this article, we report 2 cases of mushroom poisonings caused by Lactarius volemus, known as Tirmit by the local people. The patient and his wife were admitted to the emergency room with abdominal pain, nausea, and vomiting 20 hours after consuming Lactarius volemus, an edible type of mushroom...
January 2016: Journal of Investigative Medicine High Impact Case Reports
Samir T Mukherjee
BACKGROUND: Stroke is a decidedly devastating event for any patient, but particularly for a military aviator in a single-seat aircraft. Incidence of acute ischemic infarct in men ages 25 to 29 ranges from 3.4 to 5.6/100,000. The neurological sequelae of stroke can have a lasting and profound impact on an aviator's career. Literature review revealed a relatively small number of cases where stroke was attributable to cervical manipulation. CASE REPORT: A 29-yr-old male jet pilot with a 2-wk history of cervicalgia following a mountain bike ride performed self-manipulation of his neck at home following a visit to a chiropractor...
December 2015: Aerospace Medicine and Human Performance
Jeremiah M Kinsman, Bernard M Jaffe
BACKGROUND: Prehospital emergency care training programs are effective in reducing mortality and disability in low-income countries. Implementation of a specifically designed program in the mountainous regions of Nepal has the potential to benefit local populations, trekking and mountaineering guides, and adventure tourists. OBJECTIVE: Our aims were to survey Nepal Mountaineering Association (NMA) members' past experiences with emergencies and medical training, characterize a geographic-specific prehospital emergency care training program, and evaluate the effectiveness and outcome of the program...
December 2015: Journal of Emergency Medicine
Andrew C W Baldwin, Hari R Mallidi, John C Baldwin, Elena Sandoval, William E Cohn, O H Frazier, Steve K Singh
INTRODUCTION: In the setting of increasingly complex medical therapies and limited physician resources, the recent emergence of 'smart' technology offers tremendous potential for improved logistics, efficiency, and communication between medical team members. In an effort to harness these capabilities, we sought to evaluate the utility of this technology in surgical practice through the employment of a wearable camera device during cardiothoracic organ recovery. METHODS: A single procurement surgeon was trained for use of an Explorer Edition Google Glass (Google Inc...
January 2016: World Journal of Surgery
Neal S Gerstein, Lev B Deriy
A previously well 40-year-old man was riding a mountain bike off-road when he fell and impaled his neck on a branch that was 2 cm in diameter. The patient did not attempt to remove the branch, and he transported himself to our emergency department. A computed tomographic angiogram showed the..
July 23, 2015: New England Journal of Medicine
James Le Fevre, Michael Ardagh, David Mountain, Tim Parke, Gary Geelhoed
No abstract text is available yet for this article.
August 2015: Emergency Medicine Australasia: EMA
Suzy Stokes, Pranawa Koirala, Sophie Wallace, Sanjeeb Bhandari
No abstract text is available yet for this article.
May 2015: Emergency Medicine Journal: EMJ
Emily Procter, Giacomo Strapazzon, Karla Balkenhol, Ernst Fop, Alessandro Faggionato, Karl Mayr, Markus Falk, Hermann Brugger
OBJECTIVE: To describe the prehospital management and safety of search and rescue (SAR) teams involved in a large-scale rockfall disaster and monitor the acute and chronic health effects on personnel with severe dolomitic dust exposure. METHODS: SAR personnel underwent on-site medical screening and lung function testing 3 months and 3 years after the event. RESULTS: The emergency dispatch center was responsible for central coordination of resources...
March 2015: Wilderness & Environmental Medicine
Mária Némethy, Andrew B Pressman, Luanne Freer, Scott E McIntosh
OBJECTIVES: As the highest peak on the planet, Mt Everest provides a truly austere environment in which to practice medicine. We examined records of all visits to the Everest Base Camp Medical Clinic (Everest ER) to characterize the medical problems that occur in these patients. METHODS: A retrospective analysis of medical records from the first 10 years of operation (2003 to 2012) was performed. RESULTS: Medical reasons accounted for 85.3% (3045) of diagnoses, whereas 14...
March 2015: Wilderness & Environmental Medicine
Susanne J Spano, Danielle Campagne, Geoff Stroh, Marc Shalit
Multiple casualty incidents (MCIs) are uncommon in remote wilderness settings. This is a case report of a lightning strike on a Boy Scout troop hiking through Sequoia and Kings Canyon National Parks (SEKI), in which the lightning storm hindered rescue efforts. The purpose of this study was to review the response to a lightning-caused MCI in a wilderness setting, address lightning injury as it relates to field management, and discuss evacuation options in inclement weather incidents occurring in remote locations...
March 2015: Wilderness & Environmental Medicine
Suzanne Mason, Gail Mountain, Janette Turner, Mubashir Arain, Eric Revue, Ellen J Weber
Emergency Department demand continues to rise in almost all high-income countries, including those with universal coverage and a strong primary care network. Many of these countries have been experimenting with innovative methods to stem demand for acute care, while at the same time providing much needed services that can prevent Emergency Department attendance and later hospital admissions. A large proportion of patients comprise of those with minor illnesses that could potentially be seen by a health care provider in a primary care setting...
September 11, 2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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