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

被引：9

作者：

Schneider, Thomas-Michael ^{[1
]}

Bregani, Rino ^{[2
,3
]}

Stopar, Rok ^{[4
]}

Krammer, Jacob ^{[5
]}

Goeksu, Martin ^{[5
]}

Mueller, Natalie ^{[6
]}

Petermeyer, Michael ^{[6
]}

Schiffer, Johannes ^{[6
]}

Strapazzon, Giacomo ^{[3
,7
]}

机构：

[1] Krankenhaus Barmherzige Bruder, Intens Med, Munich, Germany

[2] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Emergency Dept, Milan, Italy

[3] CNSAS Italian Mt & Cave Rescue Serv, Milan, Italy

[4] Mt Rescue Assoc Slovenia, Kranj, Slovenia

[5] OHR Austrian Cave Rescue Serv, Salzburg, Austria

[6] Bergwacht Bayern Bavarian Mt Rescue, Bad Tolz, Germany

[7] EURAC Inst Mt Emergency Med, I-39100 Bolzano, Italy

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2016年 / 47卷 / 01期

关键词：

Head trauma; Caving; Emergency medical services; Search and rescue; Mountain medicine; Trauma care; INJURIES;

D O I：

10.1016/j.injury.2015.09.005

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Aim: To describe the case of a patient with a severe head injury at a depth of about 1000 m from the cave entrance in Bavaria, Germany, who received pre-hospital trauma care for 12 days until evacuation. Results: Search and rescue (SAR) operation involved 728 rescuers, 202 working directly in the cave (for a total of 9239 h) and 7 physicians from five countries. At 6-month follow-up, the patient had recovered completely and resumed his job. Conclusion: This case highlights several pitfalls of trauma care in complex SAR operations, which often rely on expert knowledge and are not yet evidence-based practice. (C) 2015 Elsevier Ltd. All rights reserved.

引用

页码：280 / 283

页数：4

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