Seattle Mountain Rescue, Seattle, WA; Department of Emergency Medicine, University of California San Francisco, Fresno, CA.
Seattle Mountain Rescue, Seattle, WA; Department of Emergency Medicine, Creighton University, Maricopa Medical Center, Phoenix, AZ.
Wilderness Environ Med. 2020 Dec;31(4):431-436. doi: 10.1016/j.wem.2020.06.005. Epub 2020 Nov 23.
Seattle Mountain Rescue (SMR) is a nonprofit, volunteer organization that provides mountain rescue services in King County, Washington. This study analyzed the medical care provided by SMR over 14 y to understand the challenges in patient care in the region and to perform data collection and monitoring.
A retrospective review of mission reports submitted from 2004 to 2017 was conducted. Date, location, demographics, activity, callout reason, chief complaint, treatments provided, extraction means, and helicopter utilization were analyzed. Data are presented as mean±SD, with range as appropriate, unless otherwise noted. Linear regression was used to estimate changes in mission volume over time.
There were 552 missions involving 756 subjects during the study period. Mission totals increased by 4 (95% CI 2-6, P<0.001) per year. Four locations accounted for 38% of mission volume. Subject age was 36±18 y, and 59% of subjects were male. The most common activity leading to rescue was hiking (80%). Injuries or illness precipitated 58% of callouts, whereas lost, stranded, or overdue subjects comprised 40%. For subjects requiring medical treatment, 81% involved a traumatic injury, 64% were packaged in a litter, and 35% required splinting.
The frequency of mountain rescue missions in King County, Washington, has increased in the past 14 y, with traumatic injuries most frequently requiring medical care. Missing data were common in most categories, and nonstandardized reports challenged research efforts. This study provides a baseline for future research and data collection and adds to the literature regarding the medical care provided during mountain rescue incidents.
西雅图山地救援队（SMR）是一个非营利性的志愿者组织，在华盛顿州金县提供山地救援服务。本研究分析了 SMR 在过去 14 年中提供的医疗服务，以了解该地区患者护理的挑战，并进行数据收集和监测。
对 2004 年至 2017 年提交的任务报告进行回顾性审查。分析日期、地点、人口统计学、活动、出动原因、主要投诉、提供的治疗、提取方式和直升机使用情况。数据以平均值±标准差表示，并适当给出范围，除非另有说明。使用线性回归估计任务量随时间的变化。
在研究期间，有 552 次任务涉及 756 名患者。任务总数每年增加 4 次（95%CI 2-6，P<0.001）。四个地点占任务量的 38%。患者年龄为 36±18 岁，其中 59%为男性。导致救援的最常见活动是徒步旅行（80%）。受伤或生病引发了 58%的出动，而迷路、被困或逾期的患者占 40%。对于需要医疗治疗的患者，81%涉及创伤性损伤，64%用担架包装，35%需要夹板固定。
在过去的 14 年中，华盛顿州金县的山地救援任务频率有所增加，创伤性损伤最常需要医疗护理。大多数类别中都存在数据缺失的情况，非标准化的报告给研究工作带来了挑战。本研究为未来的研究和数据收集提供了基线，并为山地救援事件中的医疗护理提供了文献补充。
