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A.T.L.S. on the ski slopes--a steamboat experience
D A Wilkinson1, E E Moore, P D Wither
1Department of Emergency Medicine, Routt Memorial Hospital, Denver, CO.
The Journal of Trauma
|April 1, 1992
Summary
The Steamboat Mountain Ski Patrol uses emergency physicians and a trauma surgeon for severe mountain incidents. This enhanced response proved vital in a case of tension pneumothorax and overall major trauma survival.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Mountain Rescue
Background:
- The Steamboat Mountain Ski Patrol implemented a tiered response system for critical incidents.
- This system includes local emergency physicians and a visiting trauma surgeon for advanced care.
- The objective was to improve outcomes for life-threatening mountain events.
Observation:
- A 48-year-old male sustained a potentially lethal post-injury tension pneumothorax.
- The 1989-1990 ski season data on major trauma at Steamboat Mountain was reviewed.
- The ski patrol's advanced response was evaluated in the context of these events.
Findings:
- The patient with tension pneumothorax survived due to the advanced medical intervention.
- The review of major trauma cases highlighted the effectiveness of the second-tier response.
- The integration of specialized medical personnel significantly contributed to positive outcomes.
Implications:
- The findings underscore the value of incorporating emergency physicians and trauma surgeons in ski patrol operations.
- This model enhances the capacity for managing severe traumatic injuries in remote mountain environments.
- Implementing similar advanced medical response systems could improve patient survival rates in ski resorts and other challenging terrains.