Accidentologic aspects of helicopter rescue missions involving winching of a physician

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ID Serval
serval:BIB_C323140F6C7E
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Titre
Accidentologic aspects of helicopter rescue missions involving winching of a physician
Titre de la conférence
Gemeinsame Jahrestagung Schweizerische Gesellschaft für Intensivmedizin Schweizerische Gesellschaft für Pulmonale Hypertonie Gesellschaft für klinische Ernährung der Schweiz Schweizerische Gesellschaft für Notfall- und Rettungsmedizin Schweizerische Interessengemeinschaft für Intensivpflege Gast: Schweizerische Interessengemeinschaft Notfallpflege
Auteur(s)
Pasquier M., Geiser V., Carron P.N., Richon J.
Adresse
Interlaken, Schweiz, 8.-10. September 2011
ISBN
1424-4985
ISSN-L
1424-4977
Statut éditorial
Publié
Date de publication
2011
Volume
11
Série
Swiss Medical Forum
Pages
16S
Langue
anglais
Résumé
Introduction: Medical helicopter services provide several advantages,like the ability to perform air searches for lost victims, a rapid method ofshuttling rescue personnel and equipment to the victim, and the deliveryof early on-site advance medical care. When landing is not possible, therescuers can also be directly winched to the victim. As outdoor activitiesare increasing, few data are available about the type of accidentsleading to a rescue operation involving the use of the winch. We soughtto study the epidemiology and accidentology of such rescues.Methods: We retrospectively reviewed the medical reports of a singlehelicopter-based emergency medical service. Data from 1 January 2003to 31 December 2008 were analyzed. Cases with emergency callindicating that the victim was deceased were excluded. Data includedthe age and gender of the patients, the type of patients activitypreceeding the injury, the mecanism of injury, and the type of lesions(main diagnosis).Results: 9879 rescue missions were conducted between 1 January2003 and 31 December 2008. The 921 (9.3%) missions involvingwinching of the emergency physician were analysed. The male:femaleratio of the patients was 2:1. There were 56 (6%) patients aged 15 orunder. Most of the patients, while injured, were practising winter sportsor mountain-related activities in the summer (table 1). Falls accountedfor the great majority of the trauma events (700 patients or 76%),followed by illnesses (81 patients or 9 %). Of the 921 missions in whichthe physician was winched in the field, 28 (3%) were avalanche rescuesand 13 (1%) were glacier crevasse rescues. Trauma to the upper andlower extremities accounted for 429 (47%) of all injuries, followed by175 (19%) head injuries and 108 (12%) spinal lesions. Hypothermia,frostbite and altitude illnesses were diagnosed in 11 (1%) cases.In 128(14%) cases two different diagnoses were made, and in 69 (7%) threeor more diagnoses.Conclusions: In our helicopter emergency base, between 2003 and2008, 921 rescue missions (9.3%) involved winching of the emergencydoctor. Patients rescued using the winch usually practice outdoorsports, and are predominantly male. The mechanism of the injury isusually a fall, and extremities and head injuries account for more than50% of the main diagnosis made on the field.
Création de la notice
19/01/2012 12:15
Dernière modification de la notice
03/03/2018 21:11
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