ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020
Multiple trauma management in mountain environments - a scoping review : Evidence based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Intended for physicians and other advanced life support personnel.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The trial behind it
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Who cites it
20 citing papers in PubMed, 61 citations in OpenAlex.
- Vital parameter monitoring in harsh environment by the MedSENS in-ear multisensor device.Scientific reports · 2024Trial
- Evaluation of the impact of high altitude on pre-hospital anaesthetic administration: a scoping review.BJA open · 2026Review
- Article
- "We are not allowed to give any pain relief" - Swedish mountain-rescue operations from the perspective of mountain-rescue personnel: an interview study.BMC emergency medicine · 2026Article
- Emergency care for avalanche buried patients - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Review
- Effectiveness and safety of techniques for cervical spine immobilization in mountain rescue.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
- Point-of-care ultrasonography supports for decision-making during a complex mountain rescue operation of 10 h of a trauma patient complicated by multiple cardiac arrests: a case report.Resuscitation plus · 2025Article
- [Avalanche rescue 2024-Current recommendations].Die Anaesthesiologie · 2025Review
- Development and clinical application of an automated machine learning-based delirium risk prediction model for emergency polytrauma patients.Frontiers in physiology · 2025Article
- Impact of transdermal buprenorphine patch combined with celecoxib on improving shoulder pain and function of patients with primary adhesive shoulder capsulitis.BMC musculoskeletal disorders · 2024Observational
- Application value of machine learning models in predicting intraoperative hypothermia in laparoscopic surgery for polytrauma patients.World journal of clinical cases · 2024Article
- Health Service Impacts and Risk Factors for Severe Trauma in Mountain Biking: A Narrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Suspension syndrome: a scoping review and recommendations from the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Pain Management with Inhalation of Methoxyflurane Administrated by Non-Medical Ski Patrol: A Quality Assessment Study.Pain and therapy · 2023Article
- Evaluation of free-floating tracheal intubation in weightlessness via ice-pick position with a direct laryngoscopy and classic approach with indirect videolaryngoscopy.NPJ microgravity · 2023Article
- Article
- On-Site Medical Management of Avalanche Victims-A Narrative Review.International journal of environmental research and public health · 2021Review
- Hypothermia in Trauma.International journal of environmental research and public health · 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
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Authors and funding
15 authors at 14 institutions in 11 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiple trauma in mountain environments may be associated with increased morbidity and mortality compared to urban environments.
objectiveTo provide evidence based guidance to assist rescuers in multiple trauma management in mountain environments. ELIGIBILITY CRITERIA: All articles published on or before September 30th 2019, in all languages, were included. Articles were searched with predefined search terms. SOURCES OF EVIDENCE: PubMed, Cochrane Database of Systematic Reviews and hand searching of relevant studies from the reference list of included articles. CHARTING
methodsEvidence was searched according to clinically relevant topics and PICO questions.
resultsTwo-hundred forty-seven articles met the inclusion criteria. Recommendations were developed and graded according to the evidence-grading system of the American College of Chest Physicians. The manuscript was initially written and discussed by the coauthors. Then it was presented to ICAR MedCom in draft and again in final form for discussion and internal peer review. Finally, in a face-to-face discussion within ICAR MedCom consensus was reached on October 11th 2019, at the ICAR fall meeting in Zakopane, Poland.
conclusionsMultiple trauma management in mountain environments can be demanding. Safety of the rescuers and the victim has priority. A crABCDE approach, with haemorrhage control first, is central, followed by basic first aid, splinting, immobilisation, analgesia, and insulation. Time for on-site medical treatment must be balanced against the need for rapid transfer to a trauma centre and should be as short as possible. Reduced on-scene times may be achieved with helicopter rescue. Advanced diagnostics (e.g. ultrasound) may be used and treatment continued during transport.
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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.