Qualified Rescue by Ski Patrols - Safety for the Skier

Küpper, Thomas; Steffgen, Jürgen; Gore, Christopher J.; Perren, B.; Zahnd, P.; Gore, Rajeshwari

doi:10.1055/s-2002-35071

Cited by 17 publications

(15 citation statements)

References 7 publications

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“…Küpper et al 13 found that 89.5% of Swiss ski patrol injury diagnoses were at least "mostly correct." The accuracy of ski patrollers' injury assessments is not well established.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Injuries Sustained by Snowboarders in a Terrain Park

Russell¹,

Meeuwisse

Nettel-Aguirre³

et al. 2013

Clinical Journal of Sport Medicine

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“…Küpper et al 13 found that 89.5% of Swiss ski patrol injury diagnoses were at least "mostly correct." The accuracy of ski patrollers' injury assessments is not well established.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Injuries Sustained by Snowboarders in a Terrain Park

Russell¹,

Meeuwisse

Nettel-Aguirre³

et al. 2013

Clinical Journal of Sport Medicine

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“…9 Similarly, a recent study that examined the accuracy of injuries reported by ski patrols compared with doctors' diagnoses confirmed that the data from ski patrols were correct or mainly correct in 89.5% of all cases. 10 To our knowledge, no assessment has been made of the reliability of information on risk factors recorded by ski patrols. Therefore, the purpose of this study was to document the consistency of reporting of information on risk factors between a standard accident report form used by ski patrols and a follow up mail questionnaire or telephone interview.…”

mentioning

confidence: 99%

Quality of information on risk factors reported by ski patrols

Hagel

Pless²,

Goulet³

et al. 2004

Inj Prev

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Objective: To determine the reliability of reporting of information on risk factors from a standard accident report form used by ski patrols and a follow up mail questionnaire or telephone interview among injured skiers and snowboarders. Setting: 19 ski areas in the Canadian province of Quebec between November 2001 and April 2002. Participants: 4377 injured skiers and snowboarders seen by the ski patrol, who completed a follow up mail questionnaire or telephone interview. Main outcome measures: k and weighted k statistics were used to measure the chance corrected agreement for self reported ability, age, skiing time on day of injury, lessons, type of practice, use of helmet at time of injury, and hill difficulty. Results: The k value for helmet use at the time of injury was 0.88 (95% confidence interval 0.87 to 0.90) and for other risk factors ranged from 0.45 (skiing time on day of injury) to 0.98 (age). Few differences were seen in reporting by body region of injury. Reporting consistency was lower for respondents who completed telephone interviews compared with those who completed mail questionnaires and those who responded more than four months after the injury. Conclusions: Moderate to almost perfect agreement, depending on the risk factor, exists between ski patrols' accident report forms and follow up information. Ski patrol reports can be a reliable and readily available source of information on risk factors for skiing and snowboarding.

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“…In this context, Küpper et al emphasized the significance of on-scene suspicion of multiple injuries, which was the most frequent underdiagnosed injury category in a study sample considered representative for Swiss ski regions [19]. Almost all current prehospital and early in-hospital care algorithms contain triage-like primary assessments.…”

Section: Discussionmentioning

confidence: 99%

“…In general, standardized algorithms in prehospital and in-hospital care of the injured are discussed controversial [13-21]. Absence of dedicated standardized algorithms was previously associated with inadequate transfer patterns, increased morbidity, and transfer costs [19-21]. Nevertheless and to the best knowledge of the authors, dedicated on-slope triage protocols do not exist and evidence for the effectiveness and efficiency of comparable algorithms is missing.…”

Section: Introductionmentioning

confidence: 99%

Improving prehospital trauma management for skiers and snowboarders - need for on-slope triage?

Hasler

Schmucker

Evangelopoulos

et al. 2011

J Trauma Manage Outcomes

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BackgroundInjuries from skiing and snowboarding became a major challenge for emergency care providers in Switzerland. In the alpine setting, early assessment of injury and health status is essential for the initiation of adequate means of care and transport. Nevertheless, validated standardized protocols for on-slope triage are missing. This article can assist in understanding the characteristics of injured winter sportsmen and exigencies for future on-slope triage protocols.MethodsSix-year review of trauma cases in a tertiary trauma centre. Consecutive inclusion of all injured skiers and snowboarders aged >15 (total sample) years with predefined, severe injury to the head, spine, chest, pelvis or abdomen (study sample) presenting at or being transferred to the study hospital. Descriptive analysis of age, gender and injury pattern.ResultsAmongst 729 subjects (total sample) injured from skiing or snowboarding, 401 (55%, 54% of skiers and 58% of snowboarders) suffered from isolated limb injury. Amongst the remaining 328 subjects (study sample), the majority (78%) presented with monotrauma. In the study sample, injury to the head (52%) and spine (43%) was more frequent than injury to the chest (21%), pelvis (8%), and abdomen (5%). The three most frequent injury combinations were head/spine (10% of study sample), head/thorax (9%), and spine/thorax (6%). Fisher's exact test demonstrated an association for injury combinations of head/thorax (p < 0.001), head/abdomen (p = 0.019), and thorax/abdomen (p < 0.001).ConclusionThe data presented and the findings from previous investigations indicate the need for development of dedicated on-slope triage protocols. Future research must address the validity and practicality of diagnostic on-slope tests for rapid decision making by both professional and lay first responders. Thus, large-scale and detailed injury surveillance is the future research priority.

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Qualified Rescue by Ski Patrols - Safety for the Skier

Cited by 17 publications

References 7 publications

Characteristics of Injuries Sustained by Snowboarders in a Terrain Park

Characteristics of Injuries Sustained by Snowboarders in a Terrain Park

Quality of information on risk factors reported by ski patrols

Improving prehospital trauma management for skiers and snowboarders - need for on-slope triage?

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