Multiple trauma management in mountain environments - a scoping review
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REVIEW
Open Access
Multiple trauma management in mountain environments - a scoping review Evidence based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Intended for physicians and other advanced life support personnel G. Sumann1, D. Moens2, B. Brink3, M. Brodmann Maeder4, M. Greene5, M. Jacob6, P. Koirala7, K. Zafren8,9, M. Ayala10, M. Musi11, K. Oshiro12, A. Sheets13, G. Strapazzon14,15, D. Macias16 and P. Paal17*
Abstract Background: Multiple trauma in mountain environments may be associated with increased morbidity and mortality compared to urban environments. Objective: To provide evidence based guidance to assist rescuers in multiple trauma management in mountain environments. Eligibility criteria: All articles published on or before September 30th 2019, in all languages, were included. Articles were searched with predefined search terms. Sources of evidence: PubMed, Cochrane Database of Systematic Reviews and hand searching of relevant studies from the reference list of included articles. Charting methods: Evidence was searched according to clinically relevant topics and PICO questions. Results: Two-hundred forty-seven articles met the inclusion criteria. Recommendations were developed and graded according to the evidence-grading system of the American College of Chest Physicians. The manuscript was initially written and discussed by the coauthors. Then it was presented to ICAR MedCom in draft and again in final form for discussion and internal peer review. Finally, in a face-to-face discussion within ICAR MedCom consensus was reached on October 11th 2019, at the ICAR fall meeting in Zakopane, Poland. (Continued on next page)
* Correspondence: [email protected] 17 Department of Anaesthesiology and Intensive Care Medicine, St. John of God Hospital, Paracelsus Medical University, Salzburg, Austria Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Sumann et al. Scandinavian Jo
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