Complex alpine extrication: case report of mountain and speleological rescue cooperation

Wilderness & Environmental Medicine
Piersandro SetteStefano Tardivo

Abstract

Mountain sporting activities are an increasingly popular practice that exposes mountaineers to a high risk of adverse events. This report describes a unique case of recovery in an austere environment that involved explosives. In June 2012, a 52-year-old man ascended a cliff tower in the Eastern Alps, Italy. A landslide occurred, and a boulder crushed the climber against a large stone located farther down the cliff, causing compression of the lower limbs and the pelvis with consequent severe musculoskeletal trauma. The National Alpine and Cave Rescue Unit (NACRU) arrived and proceeded with stabilization of the injured climber, which took 6 hours and involved a difficult extrication supported by the Cave Rescue division of NACRU. Unfortunately, during transport to the trauma center of Borgo Trento, Verona, the patient exhibited signs of progressive traumatic shock because of crush syndrome, hypovolemia, and acidosis, which led to cardiac arrest and death. Based on an extensive literature review, this report was determined to be the only one of a mountain rescue using explosives for the extrication of a victim in the Northeast Italian Alps. This case describes how a rescue in austere environments can represent a high-risk situatio...Continue Reading

References

May 4, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·D Braude, M Shalit
Jul 3, 2002·Wilderness & Environmental Medicine·Brian R Irwin
Sep 30, 2004·The British Journal of Surgery·S P G FrankemaA B van Vugt
Mar 10, 2006·The New England Journal of Medicine·Mehmet Sukru SeverNorbert Lameire
Nov 16, 2007·Critical Care : the Official Journal of the Critical Care Forum·Claudio Ronco
Dec 11, 2007·British Journal of Sports Medicine·G JonesD J Llewellyn
Jul 17, 2010·Sports Medicine·Volker SchöfflThomas Küpper
Oct 30, 2012·The Journal of Emergency Medicine·Jonathan G HillRichard F Edlich
Feb 15, 2013·The American Journal of Emergency Medicine·Yue ChengDongyang Guo
Nov 10, 2013·The Journal of Emergency Medicine·Alissa Genthon, Susan R Wilcox

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