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Severe Hypothermia Management in Mountain Rescue: A Survey Study
Paweł Podsiadło1,2, Tomasz Darocha2,3, Sylweriusz Kosiński4,5
11 Polish Society for Mountain Medicine and Rescue , Szczyrk, Poland .
High Altitude Medicine & Biology
|October 3, 2017
Summary
Mountain rescue teams receive regular training in severe hypothermia management and provide advanced life support. However, most teams lack equipment for advanced procedures, particularly for patients in cardiac arrest.
Area of Science:
- Emergency Medicine
- Wilderness Medicine
- Mountain Rescue
Background:
- Severe hypothermia presents a significant challenge in mountain rescue operations.
- Effective management is crucial for improving survival rates and neurological outcomes.
Purpose of the Study:
- To evaluate the preparedness of mountain rescue teams (MRTs) in managing severe hypothermia.
- Assessed MRTs' equipment and adherence to established treatment guidelines.
Main Methods:
- An online survey was distributed to 123 MRTs across 27 countries.
- The survey comprised 24 questions focusing on equipment and procedures for hypothermia management.
Main Results:
- A response rate of 23% (28 MRTs from 10 countries) was achieved.
- 75% of responding MRTs provide advanced life support (ALS), and 89% receive regular hypothermia training.
- Significant gaps exist in equipment for advanced care, including transport of cardiac arrest patients and on-site monitoring of core body temperature and serum potassium.
Conclusions:
- While MRTs are trained in hypothermia management and provide ALS, many are not equipped to follow standard guidelines for severe cases, especially those in cardiac arrest.
- The low survey response rate may introduce bias into the findings.
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