Triaging Multiple Victims in an Avalanche Setting: The Avalanche Survival Optimizing Rescue Triage Algorithmic Approach

Wilderness and Environmental Medicine

Volumn 21, Issue 1, 2010, Pages 28-34

  Bogle, Lee B ^a   Boyd, Jeff J ^b   McLaughlin, Kyle A ^a  

^a UNIVERSITY OF CALGARY   (Canada)

^b Banff Mineral Springs Hospital   (Canada)

Author keywords

avalanche; AvSORT; mass casualty incident; mountain rescue; triage

Indexed keywords

ALGORITHM; ARTICLE; ASPHYXIA; AVALANCHE; EMERGENCY HEALTH SERVICE; HUMAN; HYPOTHERMIA; MASS DISASTER; MORTALITY; MOUNTAINEERING; ORGANIZATION AND MANAGEMENT; RESCUE WORK;

ALGORITHMS; ASPHYXIA; AVALANCHES; HUMANS; HYPOTHERMIA; MASS CASUALTY INCIDENTS; MOUNTAINEERING; RESCUE WORK; TRIAGE;

EID: 77950144572     PISSN: 10806032     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.wem.2009.12.002     Document Type: Article

References (33)

1. Avalanche.org. Avalanche accidents database. http://avalanche.org/accidents.php Accessed May 13, 2009
2. Page C., Atkins D., Shockley L., and Yaron M. Avalanche deaths in the United States: a 45-year analysis. Wilderness Environ Med 10 (1999) 145-151
3. Van Tilburg C. In-area and backcountry snowboarding: medical and safety aspects. Wilderness Environ Med 11 (2000) 102-108
4. Hohlrieder M., Brugger H., Schubert H.M., Palvic M., Ellerton J., and Mair P. Pattern and severity of injury in avalanche victims. High Alt Med Biol 8 (2007) 56-61
5. Brugger H., Durrer B., Adler-Kastner L., Falk M., and Tschirky F. Field management of avalanche victims. Resuscitation 51 (2001) 7-15
6. Sasser S. Field triage in disasters. Prehosp Emerg Care 10 (2006) 322-323
7. Genswein M., Thorvaldsdottir S., and Zweifel B. Remote reverse triage in avalanche rescue. Proceedings of the International Snow Science Workshop. September 21-27, 2008; Whistler, BC, Canada; Avalanche-Research.com, Olympic Valley, CA; 2008. http://avalanche-research.com/site/dynamic_library.asp?flv=8/issw_sep22_2008_1340library.flv&logID=148 Accessed April 14, 2009
8. Stethem C., and Piche M. Winter 2003 in Southern BC - perspective, recognition, management. Proceedings of the International Snow Science Workshop. September 19-24, 2004; Jackson Hole, WY; International Snow Science Workshop American Avalanche Institute, Wilson, WY (2004). www.avalanche.org/∼issw2004/issw_previous/2006/proceedings/data/papers/117.pdf Accessed August 18, 2009
9. Penniman D., and Baumann F. The SME avalanche tragedy of January 20, 2003: a summary of the data. Proceedings of the International Snow Science Workshop. Jackson Hole, WY (September 19-24, 2004) 2004
10. Boyd J., and Wylie K. Avalanche triage. Avalanche Canada. (Revelstoke). Canadian Avalanche Association 83 (2008) 64-67
11. Garner A., Lee A., Harrison K., and Schultz C. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med 38 (2001) 541-548
12. Waeckerle J.F. Disaster planning and response. N Engl J Med 324 (1991) 815-821
13. Kennedy K., Aghababian R.V., Gans L., and Lewis C.P. Triage: techniques and applications in decision making. Ann Emerg Med 28 (1996) 136-144
14. Sampalis J.S., Denis R., Frechette P., Brown R., Fleiszer D., and Mulder D. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. J Trauma 43 (1997) 288-295
15. Arnold T., Cleary V., Groth S., Hook R., Jones D., and Super G. START (1994), Newport Beach Fire and Marine Department, Newport Beach, CA
16. In: Hodgetts T.J., and Porter C. (Eds). Major Incident Medical Management and Support: The Practical Approach. 2nd ed. (2002), BMJ Publishing Group, London, UK
17. Benson M., Koenig K.L., and Schultz C.H. Disaster triage: START, then SAVE-a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med 11 (1996) 117-124
18. Tomm I. eTraining for Mountain Operations. Avalanche Canada. (Revelstoke). Canadian Avalanche Association 80 (2007) 14-16
19. MacKersie R.C. Field triage, and the fragile supply of 'optimal resources' for the care of the injured patient. Prehosp Emerg Care 10 (2006) 347-350
20. American College of Surgeons Committee on Trauma. Advanced Trauma Life Support for Doctors: Student Course Manual. 8th ed. (2002), American College of Surgeons, Chicago, IL
21. Brugger H., and Durrer B. On-site treatment of avalanche victims ICAR-MEDCOM-recommendation. High Alt Med Biol 4 (2002) 421-424
22. Berghold F. Death in an avalanche-emergency medicine gleanings of the avalanche catastrophe on 28 March 2000 in the "Hohe Tauern". [in German]. Der Notarzt 17 (2001) 182-185
23. Johnson S.M., Johnson A.C., and Barton R. Avalanche trauma and closed head injury: adding insult to injury. Wilderness Environ Med 12 (2001) 244-247
24. Jamieson B., and Geldsetzer T. Trends and patterns in avalanche accidents. Avalanche Accidents in Canada Volume 4 1984-1996 (1996), Canadian Avalanche Association, Revelstoke, BC, Canada 7-20
25. Grossman M.D., Saffle J.R., Thomas F., and Tremper B. Avalanche trauma. J Trauma 29 (1989) 1705-1709
26. McIntosh S.E., Grissom C.K., Olivares C.R., Kim H.S., and Trember B. Cause of death in avalanche fatalities. Wilderness Environ Med 18 (2007) 293-297
27. Stalsberg H., Albretsen C., Gilbert M., et al. Mechanism of death in avalanche victims. Virchows Arch A Pathol Anat Histopathol 414 (1989) 415-422
28. Brugger H., Sumann G., Meister R., et al. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival. Resuscitation 58 (2003) 81-88
29. Falk M., Brugger H., and Adler-Kastner L. Avalanche survival chances. Nature 368 (1994) 21
30. Anderson B., Kelly A.M., Kerr D., Clooney M., and Jolley D. Impact of patient and environmental factors on capillary refill time in adults. Am J Emerg Med 26 (2008) 62-65
31. MacKenzie E., Rivara F., Jurkovich G.J., et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 354 (2006) 366-378
32. Kristensen K., Genswein M., and Atkins D. Risk and avalanche rescue. Proceedings of the International Snow Science Workshop. September 21-27, 2008; Whistler, BC, Canada; Avalanche-Research.com, Olympic Valley, CA; 2008 (2008). http://avalanche-research.com/site/dynamic_library.asp?flv=8/issw_sep26_2008_1655library.flv&logID=195 Accessed April 14, 2009
33. Hohlrieder M., Thaler S., Wuertl W., et al. Rescue missions for totally buried avalanche victims: conclusions from twelve years of experience. High Alt Med Biol 9 (2008) 229-233