Strapazzon Giacomo, Migliaccio Daniel, Fontana Diego, Stawinoga Agnieszka Elzbieta, Milani Mario, Brugger Hermann
Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy (Drs Strapazzon and Brugger and Ms. Stawinoga); Corpo Nazionale Soccorso Alpino e Speleologico, National Medical School (CNSAS SNaMed), Milan, Italy (Drs Strapazzon and Milani); International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Kloten, Switzerland (Drs Strapazzon, Milani, and Brugger).
Department of Emergency Medicine, Stanford University, Stanford, CA (Dr Migliaccio).
Wilderness Environ Med. 2018 Mar;29(1):56-60. doi: 10.1016/j.wem.2017.08.007. Epub 2017 Oct 23.
To explore baseline knowledge about avalanche guidelines and the Avalanche Victim Resuscitation Checklist (AVReCh) in Italy and the knowledge acquisition from a standardized lecture.
Standardized lecture material discussing AVReCh was presented during 8 mountain medicine courses from November 2014 to April 2016 in different regions of Italy. To determine the knowledge acquisition from the lecture, a pre- and postlecture survey was utilized.
A total of 193 surveys were analyzed. More than 50% of the participants had never participated in lectures/courses on avalanche guidelines, and less than 50% of the participants knew about the AVReCh before the lecture. The correct temporal sequence of reportable information in the basic life support section of the AVReCh was selected by 40% of the participants before the lecture and by 75% after the lecture (P<0.001). Within subgroups analysis, most groups saw significant improvement in performance (P<0.05). The selection of the correct burial time increased from 36 to 84% (P<0.05).
Health care providers and mountain rescue personnel are not widely aware of avalanche guidelines. The standardized lecture significantly improved knowledge of the principles of avalanche management related to core AVReCh elements. However, the effect that this knowledge acquisition has on avalanche victim survival or adherence to the AVReCh in the field is yet to be determined.
