@article{ref1,
title="Helicopter rescue involving the winching of a physician",
journal="Air Medical Journal",
year="2012",
author="Corniche, Jocelyn and Pasquier, Mathieu and Yersin, Bertrand and Kern, Christian and Schoettker, Patrick",
volume="31",
number="2",
pages="87-91",
abstract="INTRODUCTION: We sought to study the operational and medical aspects of helicopter rescue missions involving the use of a winch. SETTING: A single helicopter-based medical service of a pre-alpine region of Switzerland. METHODS: We prospectively studied consecutive primary rescue interventions involving winching of a physician, from October 1, 1998 to October 1, 2002. Demographic, medical and operational aspects as well as outcome at 48 hours were analyzed. RESULTS: We included 133 patients. Most (74%) were male, with traumatic injuries (77%). The median scene time of the nine severely injured patients (Injury Severity Scale [ISS] > 15) was significantly longer compared with the other patients (54 vs 37 minutes; P < .05). The main medical procedures performed were orotracheal intubation (n = 5), fracture reductions (n = 5), major analgesia with sedation (n = 4), and intravenous fluid administration of more than 1,500 mL (n = 4). Fourteen (10%) patients suffering from minor injuries were triaged by the physician and not airlifted to the hospital. All 133 patients were alive at 48 hours. Sixty-nine (52%) were still hospitalized. No secondary interhospital transfer was required. CONCLUSION: Our study provides a better knowledge of injury profile, medical aspects, and outcomes of patients rescued necessitating a winching procedure.<p /> <p>Language: en</p>",
language="en",
issn="1067-991X",
doi="10.1016/j.amj.2011.08.003",
url="http://dx.doi.org/10.1016/j.amj.2011.08.003"
}