ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019
Challenges of helicopter mountain rescue missions by human external cargo: need for physicians onsite and comprehensive training.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04138446 (Effects of Acute Hypobaric Hypoxia Exposure on Neurocognitive Performance of Pre-hospital Emergency Service Providers), which is not on this map. Cited by 14 papers.
What it found
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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.
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.
Effects of Acute Hypobaric Hypoxia Exposure on Neurocognitive Performance of Pre-hospital Emergency Service Providers
Who cites it
14 citing papers in PubMed, 42 citations in OpenAlex.
- Effect of cold environments on technical performance and perceived workload and stress during advanced medical procedures: a randomized controlled simulation study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Trial
- Prophylaxis of opioid-induced nausea in helicopter emergency medical service: a prospective quasi-experimental study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- The epidemiology of canyoning rescue operations in Italy: a retrospective 15-year database study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- From injury events to rescue burden: accident patterns, health outcomes, and prevention in mountain outdoor physical activities-a scoping review.Frontiers in public health · 2026Article
- High-altitude HEMS missions-a retrospective analysis of 3,564 air rescue missions conducted between 2011 and 2021.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Helicopter hoist operations in German mid-range mountains retrospective analysis of incidence, medical characteristics, and mission tactics.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Characteristics of helicopter hoist operations with intubated patients: a retrospective analysis of a Norwegian physician staffed SAR helicopter service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- The forgotten cohort-lessons learned from prehospital trauma death: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
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- Airway management in a Helicopter Emergency Medical Service (HEMS): a retrospective observational study of 365 out-of-hospital intubations.BMC emergency medicine · 2022Observational
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- Incidence and challenges of helicopter emergency medical service (HEMS) rescue missions with helicopter hoist operations: analysis of 11,228 daytime and nighttime missions in Switzerland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- [In-cabin rapid sequence induction : Experience from alpine air rescue on reduction of the prehospital time].Der Anaesthesist · 2021Review
- Severe traumatic brain injury and hypotension is a frequent and lethal combination in multiple trauma patients in mountain areas - an analysis of the prospective international Alpine Trauma Registry.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHuman external cargo (HEC) extrication during helicopter rescue missions is commonly used in mountain emergency medical services. Furthermore, longline or winch operations offer the opportunity to deliver professional medical care onsite. As the safety and quality of emergency medical care depends on training and experience, we aimed to investigate characteristics of mountain rescue missions with HEC.
methodsWe retrospectively reviewed all rescue missions conducted by Air Zermatt (a commercial rescue service in the high-alpine region of Switzerland) from January 2010 to September 2016.
resultsOut of 11,078 rescue missions 1137 (10%) required a HEC rescue. In 3% (n = 29) rapid sequence induction and endotracheal intubation, in 2% (n = 14) cardiopulmonary resuscitation, and in 0.4% (n = 3) a chest tube insertion had to be performed onsite prior to HEC extraction. The most common medical intervention onsite is analgesia or analgosedation, in 17% (n = 142) fentanyl or ketamine was used in doses of ≥ 0.2 mg or ≥ 50 mg, respectively.
conclusionsAs these interventions have to be performed in challenging terrain, with reduced personnel resources, and limited monitoring, our results point out the need for physicians onsite who are clinically experienced in these procedures and specially and intensively trained for the specific characteristics and challenges of HEC rescue missions.
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Registered trials
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.