ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025
High-altitude HEMS missions-a retrospective analysis of 3,564 air rescue missions conducted between 2011 and 2021.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Epidemiology and severity of mountain rescue missions in Poland: a retrospective study of 9,477 patients rescued by the Tatra Mountain Rescue Service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
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7 authors.
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Abstract
backgroundMountain sport activities are being practiced by an increasing number of people: The number of tourists visiting altitudes greater than 2,500 m above sea level in the Alps has been estimated at around 40 million people per year. For this reason, however, the number of emergencies in remote areas, which can be reached most rapidly by helicopter, has also increased.
methodsWe retrospectively reviewed all rescue missions conducted by the Swiss Air Ambulance (Rega) in the period 2011-2021 that were carried out at an altitude of more than 2,500 m above sea level. Demographic and epidemiological data, medical measures implemented on scene, and the on-scene time were then analyzed for both trauma and non-trauma patients. Patients were categorized based on the National Advisory Committee for Aeronautics (NACA) score into non-injured (NACA 0), minor injured (NACA 0-3), seriously injured (NACA 4-6), deceased during mission (NACA 7), and already deceased on arrival of the HEMS team.
resultsA total of 3,564 rescue missions were analyzed. Of the patients, 66.8% were male and the vast majority (88.4%) were adults. In terms of injury level, 88.1% of the patients were minor injured, with an NACA score of 0-3, while 9.4% were seriously injured, with a score of 4-6. Patients who died in scene (NACA 7) accounted for 2.5% of cases. We observed a significant increase in the number of minor injured patients with traumatic injuries over the period of observation. Factors that significantly influenced the on-scene time included the NACA score, hoist missions, and traumatic injuries in summer.
conclusionOver the last ten years, the number of HEMS missions conducted at more than 2,500 m above sea level with non-injured and slightly injured patients has increased. The large number of HEMS missions with uninjured patients are of a preventive nature. Only around 9% of all rescue missions involved the medical treatment and rescue of seriously injured patients who required advanced medical interventions.
trial registrationEthics approval and consent to participate BASEC Nr. Req202200189.
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