Gro?unfall im alpinen Gel?nde

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• 作者：Dr. M. Wildner ; P. Paal
• 关键词：Massenunfall ; Notf?lle ; Rettungsma?nahmen ; Erste Hilfe ; Pr?ventivma?nahmen ; Mass casualty incidents ; Emergencies ; Rescue measures ; First aid ; Preventive measures
• 刊名：Medizinische Klinik
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：110
• 期：1
• 页码：21-26
• 全文大小：604 KB
• 参考文献：1. Bummelzug stürzt ab -drei Schwerverletzte! Heute.at, 2012. http://www.meinbezirk.at/matrei-am-brenner/chronik/bummelzug-stuerzte-ab-d188364.html. Zugegriffen: 29. Oktober 2014
  2. Neun deutsche Urlauber sterben in S?lden. Süddeutsche Zeitung, 2010. http://www.sueddeutsche.de/panorama/seilbahnunglueck-in-tirol-neun-deutsche-urlauber-sterben-in-soelden-1.859058. Zugegriffen: 28. Oktober 2014
  3. Fünf Schwerverletzte bei Bahnunfall in Graubünden. 2014. http://www.nzz.ch/panorama/wagen-von-rhb-zug-20-meter-in-die-tiefe-gestuerzt-sieben-verletzte-1.18362165. Zugegriffen: 29. Oktober 2014
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  6. Tote bei Zugspitz-Extremlauf: Staatsanwaltschaft prüft Einleitung von Ermittlungsverfahren. Spiegel Online, 2008. http://www.spiegel.de/panorama/tote-bei-zugspitz-extremlauf-staatsanwaltschaft-prueft-einleitung-von-ermittlungsverfahren-a-565663.html. Zugegriffen: 30. Oktober 2014
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  9. Internationale Sellraintaler Wildsaustaffel in Praxmar. Sportverein Sellrain, 2014. http://www.sportverein-sellrain.at/index.php/wildsaustaffel. Zugegriffen: 29. Oktober 2014
  10. Brown DJ, Brugger H, Boyd J, Paal P (2012) Accidental hypothermia. N Engl J Med 367:1930-938 CrossRef
  11. Brugger H, Durrer B, Elsensohn F et al (2013) Resuscitation of avalanche victims: evidence-based guidelines of the international commission for mountain emergency medicine (ICAR MEDCOM): intended for physicians and other advanced life support personnel. Resuscitation 84:539-46 CrossRef
  12. Paal P, Milani M, Brown D et al (2012) Termination of cardiopulmonary resuscitation in mountain rescue. High Alt Med Biol 13:200-08 CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Internal Medicine
  Medicine/Public Health, general
  
• 出版者：Urban & Vogel
• ISSN：1615-6722

文摘

Background Due to the geographical conditions, large-scale accidents amounting to mass casualty incidents (MCI) in Alpine terrain regularly present rescue teams with huge challenges. Using an example incident, specific conditions and typical problems associated with such a situation are presented. Discussion The first rescue team members to arrive have the elementary tasks of qualified triage and communication to the control room, which is required to dispatch the necessary additional support. Only with a clear “concept- to which all have to adhere, can the subsequent chaos phase be limited. In this respect, a time factor confounded by adverse weather conditions or darkness represents enormous pressure. Additional hazards are frostbite and hypothermia. If priorities can be established in terms of urgency, then treatment and procedure algorithms have proven successful. For evacuation of causalities, a helicopter should be strived for. Due to the low density of hospitals in Alpine regions, it is often necessary to distribute the patients over a wide area. Conclusion Rescue operations in Alpine terrain have to be performed according to the particular conditions and require rescue teams to have specific knowledge and expertise. The possibility of a large-scale accident should be considered when planning events. With respect to optimization of rescue measures, regular training and exercises are rational, as is the analysis of previous large-scale Alpine accidents.