Rescue on expeditions - some ideas

摘要

Many expeditions have no medical problems. However, when a rescue at high altitude is required the situation often becomes quite dramatic. In most expedition locations rapid helicopter rescue is difficult to organise since pilots will not normally fly higher than the base camp. Therefore, rescue must be performed by the expedition team itself. To avoid disasters, rescue strategies and procedures should be developed and trained for before the expedition. For the expedition doctor, prevention and training includes the following: choice of first aid equipment, including a hyperbaric chamber and/or oxygen supply, learning about improvised transportation and splinting devices and correct application of ventilation material. Furthermore, he should be aware of the rescue facilities in the region and the organization of cooperation between the members of the team and the local organisation. During the first days of the expedition, the whole team should be trained to recognize and give emergency treatment for high altitude illnesses, cold injuries, fractures and dislocations and wounds. Team members should be familiar with improvised transportation options and the use of drugs in emergency situations.