Sette Piersandro, Carlini Mauro, Berti Damiano, Rucci Igor, Marchiori Francesco, Toffali Fausto, Schonsberg Alberto, Ricci Giorgio, Tardivo Stefano
Intensive Care Unit (Dr Sette).
Department of Emergency and Intensive Care Unit, Azienda Ospedaliera Universitaria Integrata (Dr Carlini).
Wilderness Environ Med. 2015 Jun;26(2):180-4. doi: 10.1016/j.wem.2014.10.005. Epub 2015 Mar 4.
Mountain sporting activities are an increasingly popular practice that exposes mountaineers to a high risk of adverse events. This report describes a unique case of recovery in an austere environment that involved explosives. In June 2012, a 52-year-old man ascended a cliff tower in the Eastern Alps, Italy. A landslide occurred, and a boulder crushed the climber against a large stone located farther down the cliff, causing compression of the lower limbs and the pelvis with consequent severe musculoskeletal trauma. The National Alpine and Cave Rescue Unit (NACRU) arrived and proceeded with stabilization of the injured climber, which took 6 hours and involved a difficult extrication supported by the Cave Rescue division of NACRU. Unfortunately, during transport to the trauma center of Borgo Trento, Verona, the patient exhibited signs of progressive traumatic shock because of crush syndrome, hypovolemia, and acidosis, which led to cardiac arrest and death. Based on an extensive literature review, this report was determined to be the only one of a mountain rescue using explosives for the extrication of a victim in the Northeast Italian Alps. This case describes how a rescue in austere environments can represent a high-risk situation, and it shows how improvisation and cooperation between rescue teams are crucial for a successful recovery.
山地体育活动越来越受欢迎，但这使登山者面临发生不良事件的高风险。本报告描述了在一个涉及爆炸物的严峻环境中的一次独特救援案例。2012年6月，一名52岁男子攀登了意大利东阿尔卑斯山的一座悬崖塔。发生了山体滑坡，一块巨石将攀登者挤压在悬崖下方更远位置的一块大石头上，导致下肢和骨盆受压，从而造成严重的肌肉骨骼创伤。国家高山与洞穴救援部队（NACRU）抵达并对受伤的攀登者进行了固定，这一过程耗时6小时，且在NACRU洞穴救援部门的支持下进行了艰难的解救。不幸的是，在转运至维罗纳的博尔戈·特伦托创伤中心的途中，由于挤压综合征、低血容量和酸中毒，患者出现了进行性创伤性休克的迹象，最终导致心脏骤停和死亡。基于广泛的文献综述，本报告被认定为意大利东北部阿尔卑斯山唯一一例使用爆炸物解救受害者的山地救援案例。该案例描述了在严峻环境中的救援如何可能成为高风险情况，并且展示了救援团队之间的即兴发挥与合作对于成功救援的关键作用。
