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峡谷探险者的损伤模式与急救培训

Injury patterns and first aid training among canyoneers.

作者信息

Stephanides Steven L, Vohra Taher

机构信息

Eisenhower Medical Center, Department of Emergency Medicine, 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221, USA.

出版信息

Wilderness Environ Med. 2007 Spring;18(1):16-9. doi: 10.1580/1080-6032(2007)18[16:ipafat]2.0.co;2.

Abstract

OBJECTIVE

To identify injury patterns in canyoneering and develop a sense of their frequency.

METHODS

A web-based survey of canyoneers was developed. Questions regarding injuries experienced or treated, first aid training, and first aid supplies carried were included.

RESULTS

A total of 38 responses were received. Cutaneous injuries were very common (average 2 per person per year), but of apparently low morbidity (no evacuations required). Orthopedic injuries were also common (1 sprain/strain per person every 3 years on average, and major injuries happening to 1 in 2 canyoneers during their career), as were environmental injuries. First aid preparedness, in terms of training and kits, varied quite widely, but there was significant interest in further training.

CONCLUSIONS

Minor cutaneous and orthopedic injuries are common, but fortunately do not often require outside assistance. More significant injuries are less common and usually involve orthopedic trauma or environmental exposure. A first aid curriculum for canyoneering should cover stabilization of fractures, analgesia and evacuation techniques as well as minor wound care.

摘要

目的

确定峡谷探险中的损伤模式并了解其发生频率。

方法

开展了一项针对峡谷探险者的网络调查。问题包括所经历或接受治疗的损伤情况、急救培训以及所携带的急救用品。

结果

共收到38份回复。皮肤损伤非常常见(平均每人每年2次),但发病率明显较低(无需后送)。骨科损伤也很常见(平均每人每3年发生1次扭伤/拉伤,2名峡谷探险者中有1人在其职业生涯中发生重伤),环境损伤同样如此。在培训和急救包方面,急救准备情况差异很大,但对进一步培训有浓厚兴趣。

结论

轻微的皮肤和骨科损伤很常见,但幸运的是通常不需要外部援助。更严重的损伤不太常见,通常涉及骨科创伤或环境暴露。峡谷探险的急救课程应涵盖骨折固定、镇痛和后送技术以及小伤口护理。

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