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Pesquisa : G01.311.085 [Categoria DeCS]
Referências encontradas : 99 [refinar]
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[PMID]:27912037
[Au] Autor:Pasquier M; Hugli O; Kottmann A; Techel F
[Ad] Endereço:1 Emergency Service, University Hospital Center , Lausanne, Switzerland .
[Ti] Título:Avalanche Accidents Causing Fatalities: Are They Any Different in the Summer?
[So] Source:High Alt Med Biol;18(1):67-72, 2017 Mar.
[Is] ISSN:1557-8682
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pasquier, Mathieu, Olivier Hugli, Alexandre Kottmann, and Frank Techel. Avalanche accidents causing fatalities: are they any different in the summer? High Alt Med Biol. 18:67-72, 2017. AIMS: This retrospective study investigated the epidemiology of summer avalanche accidents that occurred in Switzerland and caused at least one fatality between 1984 and 2014. Summer avalanche accidents were defined as those that occurred between June 1st and October 31st. RESULTS: Summer avalanches caused 21 (4%) of the 482 avalanches with at least one fatality occurring during the study period, and 40 (6%) of the 655 fatalities. The number of completely buried victims per avalanche and the proportion of complete burials among trapped people were lower in summer than in winter. Nevertheless, the mean number of fatalities per avalanche was higher in summer than in winter: 1.9 ± 1.2 (standard deviation; range 1-6) versus 1.3 ± 0.9 (range 1-7; p < 0.001). Trauma was the presumed cause of death in 94% (33 of 35) in summer avalanche accidents. Sixty-five percent of fully buried were found due to visual clues at the snow surface. CONCLUSIONS: Fatal summer avalanche accidents caused a higher mean number of fatalities per avalanche than winter avalanches, and those deaths resulted mostly from trauma. Rescue teams should anticipate managing polytrauma for victims in summer avalanche accidents rather than hypothermia or asphyxia; they should be trained in prehospital trauma life support and equipped accordingly to ensure efficient patient care.
[Mh] Termos MeSH primário: Acidentes/mortalidade
Avalanches/mortalidade
Desastres/estatística & dados numéricos
Montanhismo/estatística & dados numéricos
Estações do Ano
[Mh] Termos MeSH secundário: Causas de Morte
Seres Humanos
Estudos Retrospectivos
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:161203
[St] Status:MEDLINE
[do] DOI:10.1089/ham.2016.0065


  2 / 99 MEDLINE  
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[PMID]:28155986
[Au] Autor:Kobek M; Skowronek R; Jablonski C; Jankowski Z; Palasz A
[Ad] Endereço:Department of Forensic Medicine and Forensic Toxicology, School of Medicine, Medical University of Silesia in Katowice, Poland.
[Ti] Título:Histopathological changes in lungs of the mountain snow avalanche victims and its potential usefulness in determination of cause and mechanism of death
[Ti] Título:Zmiany histopatologiczne w plucach u ofiar lawiny snieznej w górach i ich przydatnosc w ustaleniu przyczyny i mechanizmu smierci..
[So] Source:Arch Med Sadowej Kryminol;66(1):23-31, 2016.
[Is] ISSN:0324-8267
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:On 28 January 2003 snow avalanche in the Polish Tatras happened, in which 8 people died and 5 were injured. We tried to determine cause and manner of death in 6 fatal victims instead of advanced late post mortem changes in internal organs. Taking into consideration the circumstances of death, we paid special attention to histopathological examination of lungs, extended by Gomori's and AZAN staining. Pattern of the changes was similar to those observed in forensic medicine in cases of asphyxia due to airway obstruction and/or immobilization of chest and abdomen (Perthes' syndrome). Histopathological study with the use of more specific staining methods has a significant diagnostic value during establishing the cause and mechanism of death of the deceased snow avalanche victims with advanced post mortem changes.
[Mh] Termos MeSH primário: Asfixia/patologia
Avalanches
Medicina Legal/métodos
Pulmão/patologia
[Mh] Termos MeSH secundário: Acidentes
Causas de Morte
Feminino
Seres Humanos
Masculino
Polônia
Neve
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE


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[PMID]:27825509
[Au] Autor:Glisenti P; Rakusa J; Albrecht R; Luedi MM
[Ad] Endereço:Swiss Air Rescue Rega, Helicopter Base 9, Samedan, Switzerland. Electronic address: paolo.glisenti@rega.ch.
[Ti] Título:Negative pressure pulmonary oedema with haemorrhage after 5-minute avalanche burial.
[So] Source:Lancet;388(10057):2321-2322, 2016 11 05.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/etiologia
Avalanches
Hemorragia/etiologia
Edema Pulmonar/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Hemoptise
Hemorragia/terapia
Seres Humanos
Masculino
Respiração com Pressão Positiva
Edema Pulmonar/diagnóstico por imagem
Edema Pulmonar/etiologia
Edema Pulmonar/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE


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[PMID]:27567455
[Au] Autor:Pasquier M; Gnaegi A; Hugli O
[Ad] Endereço:Emergency Service, Lausanne University Hospital, Lausanne, Switzerland; Air-Glaciers SA and GRIMM, Maison FXB du Sauvetage, Sion, Switzerland.
[Ti] Título:In Response to RECCO in Avalanche Rescue by Grasegger et al.
[So] Source:Wilderness Environ Med;27(4):533-534, 2016 12.
[Is] ISSN:1545-1534
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avalanches
Trabalho de Resgate
[Mh] Termos MeSH secundário: Desastres
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171115
[Lr] Data última revisão:
171115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160828
[St] Status:MEDLINE


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[PMID]:27397526
[Au] Autor:Schrimpf P
[Ad] Endereço:Vancouver School of Economics, The University of British Columbia, Vancouver, BC, Canada.
[Ti] Título:Response to Risk of Avalanche Involvement in Winter Backcountry Recreation: The Advantage of Small Groups by Zweifel et al.
[So] Source:Wilderness Environ Med;27(3):440-1, 2016 09.
[Is] ISSN:1545-1534
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avalanches
Recreação
[Mh] Termos MeSH secundário: Seres Humanos
Risco
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171115
[Lr] Data última revisão:
171115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160712
[St] Status:MEDLINE


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[PMID]:27198905
[Au] Autor:Blancher M; Boussat B; Bouzat P
[Ad] Endereço:Pôle Urgence-Médecine Aiguë, Centre Hospitalier Universitaire de Grenoble, CS, 10217, F-38043 Grenoble, France.
[Ti] Título:Blood potassium after avalanche-induced cardiac arrest: sampling method and interpretation.
[So] Source:Am J Emerg Med;34(7):1317-8, 2016 07.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avalanches
Potássio/sangue
[Mh] Termos MeSH secundário: Parada Cardíaca/sangue
Parada Cardíaca Induzida
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
RWP5GA015D (Potassium)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160521
[St] Status:MEDLINE


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[PMID]:27198903
[Au] Autor:Monneret D
[Ad] Endereço:Department of Metabolic Biochemistry, La Pitié Salpêtrière-Charles Foix University Hospital (AP-HP), Paris, France. Electronic address: dmonneret2@gmail.com.
[Ti] Título:Potassium as a potential predictive biomarker of brain hypoxia in avalanche victims: preanalytical recommendations.
[So] Source:Am J Emerg Med;34(7):1315-6, 2016 Jul.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avalanches
Hipóxia Encefálica/diagnóstico
Potássio/sangue
[Mh] Termos MeSH secundário: Biomarcadores/sangue
Seres Humanos
Hipóxia Encefálica/sangue
Hipóxia Encefálica/etiologia
[Pt] Tipo de publicação:LETTER
[Nm] Nome de substância:
0 (Biomarkers); RWP5GA015D (Potassium)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160521
[St] Status:MEDLINE


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[PMID]:27179715
[Au] Autor:Strapazzon G; Falk M; Paal P; Brugger H
[Ad] Endereço:EURAC Institute of Mountain Emergency Medicine, Bolzano, Italy. Electronic address: giacomo.strapazzon@eurac.edu.
[Ti] Título:The challenge of establishing a correct serum potassium cutoff for inhospital triage after avalanche-induced cardiac arrest.
[So] Source:Am J Emerg Med;34(7):1317, 2016 07.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avalanches
Triagem
[Mh] Termos MeSH secundário: Parada Cardíaca/sangue
Parada Cardíaca Induzida
Seres Humanos
Potássio/sangue
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
RWP5GA015D (Potassium)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160516
[St] Status:MEDLINE


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[PMID]:27174611
[Au] Autor:Diverio S; Barbato O; Cavallina R; Guelfi G; Iaboni M; Zasso R; Di Mari W; Santoro MM; Knowles TG
[Ad] Endereço:LEBA (Laboratory of Ethology and Animal Welfare), Department of Veterinary Medicine, University of Perugia, Perugia, Italy. Electronic address: silvana.diverio@unipg.it.
[Ti] Título:A simulated avalanche search and rescue mission induces temporary physiological and behavioural changes in military dogs.
[So] Source:Physiol Behav;163:193-202, 2016 Sep 01.
[Is] ISSN:1873-507X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Saving human lives is of paramount importance in avalanche rescue missions. Avalanche military dogs represent an invaluable resource in these operations. However, their performance can be influenced by several environmental, social and transport challenges. If too severe, these are likely to activate a range of responses to stress, which might put at risk the dogs' welfare. The aim of this study was to assess the physiological and behavioural responses of a group of military dogs to a Simulated Avalanche Search and Rescue mission (SASR). Seventeen avalanche dogs from the Italian Military Force Guardia di Finanza (SAGF dogs) were monitored during a simulated search for a buried operator in an artificial avalanche area (SASR). Heart rate (HR), body temperature (RBT) and blood samples were collected at rest the day before the trial (T0), immediately after helicopter transport at the onset of the SASR (T1), after the discovery of the buried operator (T2) and 2h later (T3). Heart rate (HR), rectal body temperature (RBT), cortisol, aspartate aminotransferase (AST), creatine kinase (CK), non-esterified fatty acids (NEFA) and lactate dehydrogenase (LDH) were measured. During the search mission the behaviour of each SAGF dog was measured by focal animal sampling and qualitatively assessed by its handler and two observers. Inter-rater agreement was evaluated. Snow and environmental variables were also measured. All dogs successfully completed their search for the buried, simulated victim within 10min. The SASR was shown to exert significant increases on RBT, NEFA and cortisol (P<0.001), CK and HR (P<0.01), AST and LDH (P<0.05). These indicate the activation of a response to stress probably induced by the addition of factors such as helicopter transport, disembarking, and the search and rescue exercise. However, changes were moderate and limited over time, progressively decreasing with complete recovery at T3 except for sera cortisol that showed a slightly slower decline. More time walking within the search was related to lower RBT, conversely to walking. Standing still with head up and exploring with head-up were inversely related with HR. Agreement between handler and observers' opinions on a dog's search mission ability was found only for motivation, signalling behaviour, signs of stress and possessive reward playing. More time signalling was related to shorter search time. In conclusion, despite extreme environmental and training conditions only temporary physiological and behavioural changes were recorded in the avalanche dogs. Their excellent performance in successful simulated SASR may be attributable to extensive training and good dog-handler relationships. Simulated SASR did not seem to impair SAGF dogs' performance or welfare.
[Mh] Termos MeSH primário: Avalanches
Cães/fisiologia
Trabalho de Resgate
Comportamento de Redução do Risco
[Mh] Termos MeSH secundário: Animais
Aspartato Aminotransferases/sangue
Comportamento Animal/fisiologia
Pressão Sanguínea/fisiologia
Creatina Quinase/sangue
Ácidos Graxos não Esterificados/sangue
Feminino
Frequência Cardíaca/fisiologia
Hidrocortisona/sangue
L-Lactato Desidrogenase/sangue
Masculino
Militares
Radioimunoensaio
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fatty Acids, Nonesterified); EC 1.1.1.27 (L-Lactate Dehydrogenase); EC 2.6.1.1 (Aspartate Aminotransferases); EC 2.7.3.2 (Creatine Kinase); WI4X0X7BPJ (Hydrocortisone)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160514
[St] Status:MEDLINE


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[PMID]:27140319
[Au] Autor:Kornhall DK; Logan S; Dolven T
[Ad] Endereço:Nordland Hospital Lofoten, Lofoten Islands, Norway; East Anglian Air Ambulance, Cambridge, UK. Electronic address: danielkornhall@me.com.
[Ti] Título:Body Positioning of Buried Avalanche Victims.
[So] Source:Wilderness Environ Med;27(2):321-5, 2016 Jun.
[Is] ISSN:1545-1534
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The immediate medical management of buried avalanche victims will to some extent be dictated by the victim's body positioning in the snow. Medical personnel are trained to assess and manage victims in a supine body position. Furthermore, avalanche first responders are trained to handle extricated avalanche victims carefully out of concerns for causing hemodynamic instability or for aggravating spinal injury. Thus, locating and extricating avalanche victims in positions other than supine has the potential to complicate immediate medical management. To our knowledge, the current medical literature does not detail the body positioning of buried victims. METHODS: In order to ascertain the most common body positioning of buried avalanche victims we reviewed the avalanche incident database of the Colorado Avalanche Information Center (CAIC). This comprehensive database strives to track over 160 fields of information for each avalanche victim, including the body and head positioning of buried victims. RESULTS: Head positioning was recorded for 159 buried victims. We found that 65% of buried avalanche victims were found with their heads in a downhill position, 23% with their heads uphill and 11% with their heads in the same level as the rest of their bodies. Body positioning was recorded in 253 victims. 45% of victims were found lying prone, 24% supine, 16% were sitting or standing and 15% were found lying on their sides. We identified 135 victims where both head and body position was registered. 40% of victims were found prone with their heads in a downhill position CONCLUSIONS: The majority of victims will be extricated with their heads in a downhill position. Moreover, almost half of victims will be found prone. We believe this will have significant impact on the immediate medical management. We believe current training in avalanche medical rescue should emphasize managing victims in non-supine positions. Finally, our findings may represent another benefit of modern extrication techniques.
[Mh] Termos MeSH primário: Avalanches
Posicionamento do Paciente
Trabalho de Resgate
[Mh] Termos MeSH secundário: Acidentes
Avalanches/estatística & dados numéricos
Colorado
Bases de Dados Factuais
Seres Humanos
Esqui
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160504
[St] Status:MEDLINE



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