Evidence map›Paper›PMID 29446647›Full record

ArticleHigh altitude medicine & biology2018

Management of Multi-Casualty Incidents in Mountain Rescue: Evidence-Based Guidelines of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).

Marc Blancher, François Albasini, Fidel Elsensohn, Ken Zafren, Natalie Hölzl, Kyle McLaughlin, Albert R Wheeler, Steven Roy, Hermann Brugger, Mike Greene and 1 more

Abstract read
In one paragraph

Article in High altitude medicine & biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Emergency care for avalanche buried patients - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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  12. Lightning accidents in the Austrian alps - a 10-year retrospective nationwide analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marc Blancher1 Department of Emergency Medicine, University Hospital of Grenoble-Alps , Grenoble, France .
François Albasini2 The French Mountain Rescue Association (ANMSM) , Grenoble, France .
Fidel Elsensohn4 ICAR MedCom , Roethis, Austria .
Ken Zafren4 ICAR MedCom , Roethis, Austria .
Natalie Hölzl7 Department of Anesthesiology and Intensive Care Medicine, Klinikum Kempten, Germany .
Kyle McLaughlin8 Department of Emergency Medicine, Canmore, Canada .
Albert R Wheeler10 Department of Emergency Medicine, St John's Medical Center , Jackson, Wyoming.
Steven Roy12 Quebec Secours SAR, Resident Physician Elective in Wilderness Medicine, McGill University , Montreal, Canada .
Hermann Brugger13 Institute of Mountain Emergency Medicine , EURAC Research, Bolzano, Italy .
Mike Greene14 Emergency Medicine Physician, Medical Officer Mountain Rescue England and Wales , Whitehaven, England.
Peter Paal15 Department of Anesthesiology and Intensive Care, Hospitallers Brothers Hospital, Paracelsus Medical University , Salzburg, Austria .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blancher, Marc, François Albasini, Fidel Elsensohn, Ken Zafren, Natalie Hölzl, Kyle McLaughlin, Albert R. Wheeler III, Steven Roy, Hermann Brugger, Mike Greene, and Peter Paal. Management of multi-casualty incidents in mountain rescue: Evidence-based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). High Alt Med Biol. 19:131-140, 2018.

introductionMulti-Casualty Incidents (MCI) occur in mountain areas. Little is known about the incidence and character of such events, and the kind of rescue response. Therefore, the International Commission for Mountain Emergency Medicine (ICAR MEDCOM) set out to provide recommendations for the management of MCI in mountain areas. MATERIALS AND

methodsDetails of MCI occurring in mountain areas related to mountaineering activities and involving organized mountain rescue were collected. A literature search using (1) PubMed, (2) national mountain rescue registries, and (3) lay press articles on the internet was performed. The results were analyzed with respect to specific aspects of mountain rescue.

resultsWe identified 198 MCIs that have occurred in mountain areas since 1956: 137 avalanches, 38 ski lift accidents, and 23 other events, including lightning injuries, landslides, volcanic eruptions, lost groups of people, and water-related accidents. DISCUSSION: General knowledge on MCI management is required. Due to specific aspects of triage and management, the approach to MCIs may differ between those in mountain areas and those in urban settings.

conclusionsMountain rescue teams should be prepared to manage MCIs. Knowledge should be reviewed and training performed regularly. Cooperation between terrestrial rescue services, avalanche safety authorities, and helicopter crews is critical to successful management of MCIs in mountain areas.

Indexed as

AltitudeMass Casualty IncidentsAir AmbulancesAvalanchesEmergency Medical ServicesHumansMountaineeringPractice Guidelines as TopicRescue Workavalancheemergency medicinelightningmountain rescuemulti-casualty incidentswilderness medicine

Identifiers

PMID29446647
PMCPMC6014052

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.