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Helicopter rescue operations in the mountains or at high altitude are well-known as strenuous tasks often associated with some risk. However, there is no standardized procedure for preventive checkups of rescue personnel by occupational care professionals. Therefore, the Medical Commission of the International Climbing and Mountaineering Federation (UIAA MedCom) suggests the procedure presented in this study. This comprehensive recommendation is based on more than 2 decades of research of MedCom members and extensive literature search. A total of 248 references were selected by the committee as relevant for the topic. To keep the recommendation handy, the complete list is available as supplemental material (see online Supplemental Material). This article recommends standardized procedures for occupational screening and better health of search and rescue personnel.
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http://dx.doi.org/10.1016/j.wem.2023.07.003 | DOI Listing |
High Alt Med Biol
September 2025
Mountain Medicine Society of Nepal, Kathmandu, Nepal.
Shrestha, Suraj, Sanjeev Kharel, Suman Acharya, Gobi Basyal, and Sanjeeb S. Bhandari. A Retrospective Analysis of Altitude Illness at the Himalayan Rescue Association Aid Post Manang (2018-2023).
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August 2025
School of Engineering, University of Liverpool, Liverpool, United Kingdom.
Objective: To demonstrate how piloted flight simulation can be used to replicate rescue helicopter missions in mountainous terrain. To meet this objective, a piloted flight simulation environment has been created in which a helicopter pilot can "fly" over a mountain terrain and through realistic turbulent air flow.
Methods: A solid model, 550 metres across, of a mountainous island has been created and which contains topographic features such as a bowl, pinnacle, ridge, canyon, and cliff.
Eur J Anaesthesiol
August 2025
From the Division of Perioperative Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland (UP, JK, RA), Swiss Air-Rescue, Schweizerische Rettungsflugwacht Rega, Zurich, Switzerland (UP, RA, AF), Department of Emergency Medicine, Inselspital, Bern University Hospital, Universi
Background: Prehospital tracheal intubation intends to provide respiratory support and protect the airway from possible pulmonary aspiration. Trauma guidelines recommend tracheal intubation in patients with a Glasgow Coma Scale (GCS) score of <9.
Objectives: We hypothesised that in clinical practice, GCS scores before prehospital tracheal intubation are lower in trauma and medical patients.
Emerg Med Australas
August 2025
Northern Rescue Helicopter Limited, Auckland, New Zealand.
Objective: Low job satisfaction amongst emergency physicians is a significant risk to career sustainability. Anecdotal evidence suggests that prehospital and retrieval medicine (PHARM) physicians experience relatively high job satisfaction. The objective of this qualitative study was to explore the research question: 'What influences job satisfaction and sustainability for emergency physicians who maintain dual roles in PHARM and the emergency department?'
Methods: Eligible emergency physicians from Australia and New Zealand were interviewed in-depth about their experiences and perceptions of job satisfaction and sustainability.
Wilderness Environ Med
August 2025
Yukon Surgical Clinic, Whitehorse, Yukon, Department of Surgery University of Calgary, Alberta, Calgary, Canada.
This case report describes iloprost infusion initiated in the prehospital setting to treat frostbite. Two cases were managed under a structured helicopter emergency medical services (HEMS) protocol during an extreme cold weather endurance race in the Yukon Territory in northern Canada. These cases demonstrate that intravenous iloprost delivery is operationally feasible in the prehospital setting.
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