Wilderness emergency medical services: the experiences at Sequoia and Kings Canyon National Parks

The American Journal of Emergency Medicine
J JohnsonR A Lowe


This article describes the National Park Service wilderness emergency medical services (EMS) system, as implemented at Sequoia-Kings Canyon National Park. EMS records on all 434 patients in the period from August 1, 1986, to July 31, 1987, were reviewed. Most patients had minor problems. Overall, 77% of patients contacting the EMS system were released at the scene, and base hospital contact was made in only 28% of cases. However, there were three deaths, 44 (10%) patients who received advanced life support, and 292 (67%) patients who received basic life support. Seven patients who received advanced life support were released without transport. Decisions regarding scope of practice in a low-volume, wilderness EMS system are complicated by long transport times and problems with skills maintenance. Differences between the times and problems with skills maintenance. Differences between the patients treated by a wilderness system and those seen in most urban systems may make it appropriate to release a greater portion of patients without ambulance transport. In a system with long response and transport times, use of personnel with different training than in the urban setting becomes necessary.


May 1, 1990·Annals of Emergency Medicine·O BraunJ Fazackerley
Aug 22, 1986·JAMA : the Journal of the American Medical Association·B R HolroydG Kallsen
Dec 1, 1986·Annals of Emergency Medicine·P E PepeM K Copass
Mar 1, 1987·Annals of Emergency Medicine·A Tsai, G Kallsen
Dec 17, 1973·JAMA : the Journal of the American Medical Association·J A Waller
Mar 1, 1966·American Journal of Public Health and the Nation's Health·J A WallerR Lawrence
Jan 26, 1984·The New England Journal of Medicine·K R StultsJ A Bean
Oct 1, 1984·Annals of Emergency Medicine·M J KrobS Airola
Mar 1, 1980·American Journal of Public Health·M S EisenbergT Hearne
Dec 1, 1982·The Journal of Trauma·J R HedgesH R Champion
Jan 1, 1982·Journal of Community Health·B J Kay, J A Myrick
Nov 1, 1981·Annals of Emergency Medicine·M SzczygielM S Holcomb
Mar 1, 1981·Annals of Emergency Medicine·T I KaufmanT Webster

❮ Previous
Next ❯


Feb 13, 2007·Travel Medicine and Infectious Disease·Timothy E Burdick
Oct 31, 2003·The Journal of Emergency Medicine·Christopher HoMark Stinson
Aug 22, 2008·Wilderness & Environmental Medicine·Travis W Heggie, Tracey M Heggie
Dec 19, 2012·Wilderness & Environmental Medicine·Stacy M Boore, Dov Bock
Aug 26, 1998·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M J PollockK A Dunn
Mar 1, 1994·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·B A ZlotnickP S Auerbach
Oct 20, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M KamperJ Peterson
Sep 13, 2014·World Journal of Emergency Medicine·Douglas G Sward, Brad L Bennett

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Related Papers

Annals of Emergency Medicine
D A GentileP S Auerbach
Wilderness & Environmental Medicine
Timothy S TalbotIan S Wedmore
Wilderness & Environmental Medicine
Timothy E Burdick, Reed Brozen
© 2021 Meta ULC. All rights reserved