Positive Health Online
Your Country
![[Image: http://www.abundanceandhealth.co.uk]](/img/original/BannerAvatar/2836.df7d2315253110ff5b3a566f94871f99.jpg "http://www.abundanceandhealth.co.uk")
![[Image: https://www.water-for-health.co.uk/]](/img/original/BannerAvatar/4046.12831f50177f8848ee87b8e94411d6b3.jpg "https://www.water-for-health.co.uk/")
![[Image: http://www.balens.co.uk]](/img/original/BannerAvatar/2148.50367fa908013fae0a7f1a171543ef92.jpg "http://www.balens.co.uk")
![[Image: http://www.drsgoodman.com/books-goodman/52-nutrition-and-cancer]](/img/original/BannerAvatar/1859.1296090fd8385e7ceff51c8011559097.jpg "http://www.drsgoodman.com/books-goodman/52-nutrition-and-cancer")
Research: PETRUCCI and COLLEAGUES,
Listed in Issue 303
Abstract
PETRUCCI and COLLEAGUES, 1 Department of Anaesthesia and Intensive Care Unit, SS Filippo e Nicola Academic Hospital of Avezzano, L'Aquila, Italy. petrucciemiliano@gmail.com . 2 Department of Anaesthesia and Intensive Care Unit, SS Filippo e Nicola Academic Hospital of Avezzano, L'Aquila, Italy; 3 Department of Anaesthesia, Analgesia and Perioperative Medicine, ASST of Cremona, Cremona, Italy; 4 Italian Corpo Nazionale Soccorso Alpino e Speleologico (CNSAS), Milan, Italy; 5 Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy; 6 Department of Anaesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy describe an advanced medical rescue using focused assessment with sonography for trauma and an ultrasound-guided adductor canal block performed on a patient with a knee distortion directly in cave.
Background
Trauma care in cave rescue is a unique situation that requires an advanced and organized approach with medical and technical assistance because of the extreme environmental conditions and logistical factors. In caving accidents, the most common injuries involve lower limbs.
Methodology
The authors describe an advanced medical rescue performed by the Italian Corpo Nazionale del Soccorso Alpino e Speleologico, in which extended focused assessment with sonography for trauma and an ultrasound-guided adductor canal block were performed on a patient with a knee distortion directly in the cave.
Results
The rescue team inside the cave shared data on patient monitoring and the ultrasound scanning in real time with rescuers at the entrance, using a video conference powered by the new Ermes system.
Conclusion
The use of handheld, battery-powered, low-weight, multi-parametric monitors, ultrasound machines, and digital data transmission systems could ensure complete medical assistance in harsh environmental conditions such as those found in a cave.
References
Emiliano Petrucci 1 , Barbara Pizzi 2 , Paolo Scimia 3 , Giuseppe Conti 4 , Stefano Di Carlo 5 , Antonella Santini 4 , Pierfrancesco Fusco 6. Wireless and Low-Weight Technologies: Advanced Medical Assistance During a Cave Rescue: A Case Report Wilderness Environ Med;29(2):248-251. doi: 10.1016/j.wem.2018.02.001. Jun 2018.
