Checklist for Mountain First Responders: Initial Proposal of a Cognitive Tool

Area of Science:

• Wilderness Medicine
• Emergency Medical Services
• Trauma Care

Background:

• Mountain accidents are increasing due to rising recreational activities.
• Remote locations and limited access complicate rescue operations and patient outcomes.
• Cognitive overload in high-stress situations can impair decision-making during emergencies.

Purpose of the Study:

• To develop a practical checklist for laypersons in mountain accident management.
• To enhance initial patient stabilization and clinical progression.
• To reduce the burden on healthcare systems through improved prehospital care.

Main Methods:

• Conceptual design of a cognitive aid for mountain emergencies.
• Narrative literature review of prehospital trauma care and wilderness first aid guidelines.
• Informed checklist structure and content based on scientific literature and official guidelines.

Main Results:

• A 71-item checklist was developed.
• The checklist is organized into 6 categories: scene assessment, alert, primary survey, secondary survey, reassessment, and preliminary advice.
• It covers safety, emergency activation, and critical interventions for mountain accident victims.

Conclusions:

• The checklist provides a structured approach for laypersons managing mountain accident victims.
• It aims to improve immediate care in remote and challenging environments.
• The tool supports effective response actions and early interventions, potentially improving patient outcomes.