DISASTER MEDICINE No.4 •2022

https://doi.org/10.33266/2070-1004-2022-4

Review article

Provision of First Aid and Medical Assistance to Injured and Sick at Ski Resorts

Baranova N.N.1,2, Starkov A.S.1

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1 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

2 Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation

UDC 614.88:616-001

Pp. 39-43

Summary. The aim of the study is to analyze causes, level and structure of traumatism and exacerbation of diseases among tourists at ski resorts in Russia and abroad; to consider problems of providing first and medical aid to injured and sick people and of conducting their medical evacuation at ski resorts in Russia.

Materials and research methods. Normative and empirical base of the scientific research consisted of analytical materials of Russian and foreign scientists, devoted to traumatism and non-traumatic accidents in tourists, as well as of materials on the organization of first and medical care to the injured and sick at ski resorts. In addition, normative legal acts on rendering first and medical aid to the injured and sick, contained in two departmental orders, were analyzed.

Research methods: literary-analytical and statistical methods, method of direct observation. Their use allowed a comprehensive analysis of the subject of research, also it allowed to make theoretical generalizations and to formulate conclusions.

Results of the study and their analysis. The results of the study have shown the need for further study of the specific conditions of first aid and medical assistance to injured and sick in the conditions of ski resorts, as well as the need to improve organizational measures to provide injured and sick with first aid and medical evacuation.

Keywords: first aid, “golden hour”, injured, medical care, patients, ski resorts, ski tourism, traumatism

For citation: Baranova N.N., Starkov A.S. Provision of First Aid and Medical Assistance to Injured and Sick at Ski Resorts. Meditsina Katastrof = Disaster Medicine. 2022;4:39-43 (In Russ.). https://doi.org/10.33266/2070-1004-2022-4-39-43

 

REFERENCES

  1. Ishimaru D., Ogawa H., et al. Hip Pads Reduce the Overall Risk of Injuries in Recreational Snowboarders. British Journal of Sports Medicine. 2012;46;15:1055–1058. DOI: 10.1136/bjsports-2012-091204.
  2. Bailly N., Afquir S., et al. Analysis of Injury Mechanisms in Head Injuries in Skiers and Snowboarders. Medicine & Science in Sports & Exercise. 2017;49;1:1–10. DOI: 10.1249/MSS.0000000000001078.
  3. Makolkin V.I. Metodicheskiye Rekomendatsii po Okazaniyu Neotlozhnoy Meditsinskoy Pomoshchi na Zimnikh Turisticheskikh Bazakh = Guidelines for the Provision of Emergency Medical Care at Winter Camps. Moscow Publ., 1984 (In Russ.).
  4. Curran-Sills G.M., Karahalios A. Epidemiological Trends in Search and Rescue Incidents Documented by the Alpine Club of Canada from 1970 to 2005. Wilderness Environ Med. 2015;26;4:536-543. doi: 10.1016/j.wem.2015.07.001.
  5. Ruedl G., Pocecco E., Kopp M., Burtscher M. Frequencies of Injuries and Causes of Accidents During Ski Touring on Ski Slopes – a Pilot Study. Sportverletz Sportschaden. 2015;29;1:46-50.
  6. URL: https://novokuznetsk.su/news/city/1483847968 (Date of Access: 10.08.2022) (In Russ.).
  7. Umryukhin Ye.A., Umryukhin P.Ye., Umryukhin A.Ye. Travmatizm i Osnovy Bezopasnogo Povedeniya na Sklone pri Katanii na Gornykh Lyzhakh i Snouborde = Injuries and the Basics of Safe Behavior on the Slope when Skiing and Snowboarding. URL: http://www.ski-school.ru/articles/health/umr.html (Date of Access: 10.08.2022) (In Russ.).
  8. Filatov A.O., et al. Injuries in Alpine Skiing. Naukosfera. Meditsinskiye nauki. 2020;12-1:54-57 (In Russ.).
  9. Karant O.E. Medical Support of Tourists in Mountainous Areas of Republic of Adygeya in Winter Season. Meditsina Katastrof = Disaster Medicine. 2015;3:54-55 (In Russ.).
  10. Corra S., Girardi P., et al. Severe and Polytraumatic Injuries Among Recreational Skiers and Snowboarders: Incidence, Demographics and Injury Patterns in South Tyrol. European Journal of Emergency Medicine. 2012;19;2:69–72. DOI: 10.1097/MEJ.0b013e328347c1e9.
  11. Bailly N., Afquir S., et al. Analysis of Injury Mechanisms in Head Injuries in Skiers and Snowboarders. Medicine & Science in Sports & Exercise. 2017;49;1:1–10. DOI: 10.1249/MSS.0000000000001078.
  12. Krylov V.V. Head Injury at Downhill Skiers. Neyrokhirurgiya = Russian Journal of Neurosurgery. 2015;4:3-7 (In Russ.).
  13. Ishimaru D., Matsumoto K., et al. Characteristics and Risk Factors of Spinal Fractures in Recreational Snowboarders Attending an Emergency Department in Japan. Clinical Journal of Sport Medicine. 2016;26;5:405–410. DOI: 10.1097/JSM.0000000000000267.
  14. NSAA Fact Sheet. URL: https://www.nsaa.org/NSAA/Resources/Industry_Stats/NSAA/Media/Industry_Stats.aspx?hkey=8247ed3b-e20e-46d2-9c5d-36b92782c297 (Date of Access: 10.08.2022).
  15. Athanasios N. Zacharopoulos, Anastasios Smyrnis, Iakovos Vlastos, Christos Zafeiriou. Skiing Injuries in Greece: A Six Years Case-Control Study (2007–2013). ASTM International. Skiing Trauma and Safety. 2014;20.
  16. Ruedl G., Philippe M., Sommersacher R., Dünnwald T., Kopp M., Burtscher M. Current Incidence of Accidents on Austrian Ski Slopes. Sportverletz Sportschaden. 2014;28;4:183-187.
  17. Urabe Y., Moriyama N., Maeda N. Injury Trends in the Past 5 Years at a Skiing Area in Western Japan. ASTM International. Skiing Trauma and Safety. 2014;20.
  18. Lienhart H., Knauer M., Bach D., Wenzel V. Successful Resuscitation after Rapid Defibrillation by Ski Slope Maintenance Personnel. A Case Report. Anaesthesist. 2006;55;1:41-44.
  19. Viglino D., Maignan M., Michalon A., Turk J., Buse SK., Blancher M., Aufderheide TP., Belle L., Savary D., Ageron F.X., Debaty G. Survival of Cardiac Arrest Patients on Ski Slopes: A 10-Year Analysis of the Northern French Alps Emergency Network. Resuscitation. 2017;119:43–47.
  20. Strambo D., Sirimarco G., Inácio N., Eskandari A., Michel P. Skiing Associated Stroke: Causes, Treatment, and Outcome. J. Stroke Cerebrovasc Dis. 2019;28;2:288-294. doi: 10.1016/j.jstrokecerebrovasdis.2018.09.049.
  21. Kim V.S. Organizatsiya Pervoy Vrachebnoy Pomoshchi na Dogospitalnom Etape pri Gornolyzhnoy Travme = Organization of First Aid at the Pre-Hospital Stage in Case of Ski Injury. Moscow Publ., 2010 (In Russ.).
  22. Smith W., Williams A., Agudelo J., Shannon M., Morgan S., Stahel P., et al. Early Predictors of Mortality in Hemodynamically Unstable Pelvis Fractures. J. Orthop Trauma. 2007;21;1:31–37.
  23. Martin M., Oh J., Currier H., Tai N., Beekley A., Eckert M., et al. An Analysis of in-Hospital Deaths at a Modern Combat Support Hospital. J. Trauma. 2009;66;4 Suppl:S51–60.
  24. Rukovodstvo po Skoroy Meditsinskoy Pomoshchi = Emergency Medical Guide. Moscow, GEOTAR-MEDIA Publ., 2007 (In Russ.).
  25. Volkova N.V. Algorithms of Life. Grazhdanskaya Zashchita. 2019;10:40-42 (In Russ.).
  26. Stankevich V.R. Organizatsiya Sistemy Rasprostraneniya Navykov Okazaniya Pervoy Pomoshchi Sredi Naseleniya = Organization of a System for Disseminating First Aid Skills among the Population. Doctor’s thesis in Medicine. Moscow Publ., 2014 (In Russ.).

 

The material was received 24.11.22; the article after peer review procedure 01.12.22; the Editorial Board accepted the article for publication 23.12.22