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Emergency Service Assistance for Injuries on Alpine Ski Slopes: A Cross-Sectional Study

Published online by Cambridge University Press:  06 October 2022

Moritz Wagner*
Affiliation:
Orthopedics and Traumatology BKH St. Johann in Tirol, Bahnhofstrasse 14, 6380 St. Johann in Tirol, Austria
Simon Pfurtscheller
Affiliation:
Innsbruck Medical University, Anichstrasse 42, 6020 Innsbruck, Austria
Dietmar Dammerer
Affiliation:
Dr.-Karl-Dorrek-Straße 30, 3500 Krems an der Donau, Austria
Paul Nardelli
Affiliation:
Clinic for Trauma Surgery, Anichstrasse 42, 6020 Innsbruck, Austria
Gerhard Kaufmann
Affiliation:
OFZ Innsbruck, Innrain 2, 6020 Innsbruck, Austria
Alexander Brunner
Affiliation:
Orthopedics and Traumatology BKH St. Johann in Tirol, Bahnhofstrasse 14, 6380 St. Johann in Tirol, Austria
*
Correspondence: Moritz Wagner, MD, BKH St. Johann, Department of Orthopedics and Traumatology, Bahnhofstrasse 14, 6380 St. Johann in Tirol, Austria, E-mail: [email protected]

Abstract

Objectives:

Injuries on alpine ski slopes have been described in cohorts of a reasonable sample size, but constant improvements in safety gear, increased use of airborne rescue, and safety measures during the coronavirus disease 2019 (COVID-19) pandemic mandate re-evaluation. Therefore, the purpose of this study was to evaluate skiing and snowboarding injuries, effectiveness of airborne rescue, and impact of the COVID-19 pandemic on a large sample size.

Methods:

Data on alpine injuries were prospectively collected from the state emergency services dispatch center in the state of Tyrol (Austria). A total of 10,143 patients were identified, with an average age of 33.5 years (SD = 20.36). The ski patrol was involved in 8,606 cases (84.9%) and some patients (n = 1,536; 15.1%) required helicopter rescue.

Results:

A total of 10,143 patients were identified from the dataset of the emergency dispatch center. The most frequently injured region was the knee (30.2%), and it was followed by the shoulder (12.9%), the lower leg (9.5%), and the head/skull (9.5%).

Conclusion:

The present findings indicate that the most frequent site of injuries on alpine slopes is the knee, and life-threatening injuries are rare. Airborne rescue is very time-effective, however clinical studies with patient follow-up should be emphasized to determine the impact of airborne rescue on patient outcome. The present findings indicate that the duration of all rescue operations has been prolonged as a result of the introduction of safety measures during the COVID-19 pandemic.

Type
Original Research
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Stenroos, A, Handolin, L. Incidence of recreational alpine skiing and snowboarding injuries: six-year experience in the largest ski resort in Finland. Scand J Surg. 2015;104(2):127131.Google Scholar
Kim, S, Endres, NK, Johnson, RJ, et al. Snowboarding injuries: trends over time and comparisons with alpine skiing injuries. Am J Sports Med. 2012;40(4):770776.CrossRefGoogle ScholarPubMed
Costa-Scorse, BA, Hopkins, WG, Cronin, J, et al. New Zealand Snow Sports Injury Trends Over Five Winter Seasons 2010-2014. Snow Sports Trauma and Safety. Berlin, Germany: Springer International Publishing; 2017: pp1728.Google Scholar
Coury, T, Napoli, AM, Wilson, M, et al. Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic. Wilderness Environ Med. 2013;24(4):417421.Google Scholar
McBeth, PB, Ball, CG, Mulloy, RH, et al. Alpine ski and snowboarding traumatic injuries: incidence, injury patterns, and risk factors for 10 years. Am J Surg. 2009;197(5):560564.CrossRefGoogle ScholarPubMed
Niedermeier, M, Gatterer, H, Pocecco, E, et al. Mortality in different mountain sports activities primarily practiced in the winter season—a narrative review. Int J Environ Res Public Health. 2019;17(1):259.Google ScholarPubMed
Goulet, C, Hagel, BE, Hamel, D, et al. Self-reported skill level and injury severity in skiers and snowboarders. J Sci Med Sport. 2010;13(1):3941.CrossRefGoogle ScholarPubMed
Ekeland, A, Rødven, A, Heir, S. Injuries among children and adults in alpine skiing and snowboarding. J Sci Med Sport. 2019;22:S3S6.Google ScholarPubMed
Telgheder, ZL, Kistler, BJ. Ski and snowboard - related orthopedic injuries. Orthopedic Clinics of North America. 2020;51(4):461469.CrossRefGoogle ScholarPubMed
Tarka, MC, Davey, A, Lonza, GC, et al. Alpine ski racing injuries. Sports Health. 2019;11(3):265271.Google ScholarPubMed
Davey, A, Endres, NK, Johnson, RJ, et al. Alpine skiing injuries. Sports Health. 2019;11(1):1826.CrossRefGoogle ScholarPubMed
Burtscher, M, Gatterer, H, Flatz, M, et al. Effects of modern ski equipment on the overall injury rate and the pattern of injury location in Alpine skiing. Clin J Sport Med. 2008;18(4):355357.Google ScholarPubMed
Posch, M, Burtscher, M, Schranz, A, et al. Impact of lowering ski binding settings on the outcome of the self-release test of ski bindings among female recreational skiers. Open Access Journal of Sports Medicine. 2017;8:267272.Google ScholarPubMed
Hildebrandt, C, Mildner, E, Hotter, B, et al. Accident prevention on ski slopes - perceptions of safety and knowledge of existing rules. Accid Anal Prev. 2011;43(4):14211426.CrossRefGoogle ScholarPubMed
Bailly, N, Laporte, JD, Afquir, S, et al. Effect of helmet use on traumatic brain injuries and other head injuries in alpine sport. Wilderness Environ Med. 2018;29(2):151158.CrossRefGoogle ScholarPubMed
Ruedl, G, Pocecco, E, Brunner, F, et al. Factors associated with safety knowledge on alpine ski slopes. Sportverletzung-Sportschaden. 2018;32(4):227232.Google ScholarPubMed
Mansournia, MA, Collins, GS, Nielsen, RO, et al. A CHecklist for statistical Assessment of Medical Papers (the CHAMP statement): explanation and elaboration. Br J Sports Med. 2021;55(18):10091017.CrossRefGoogle ScholarPubMed
Aschauer, E, Ritter, E, Resch, H, et al. Injuries and injury risk in skiing and snowboarding. Unfallchirurg. 2007;110(4):301306.Google ScholarPubMed
Polites, SF, Mao, SA, Glasgow, AE, et al. Safety on the slopes: ski versus snowboard injuries in children treated at United States trauma centers. J Pediatr Surg. 2018;53(5):10241027.CrossRefGoogle ScholarPubMed
Xiang, H, Kelleher, K, Shields, BJ, et al. Skiing- and snowboarding-related injuries treated in US emergency departments, 2002. J Trauma. 2005;58(1):112118.CrossRefGoogle ScholarPubMed
Langran, M, Selvaraj, S. Increased injury risk among first-day skiers, snowboarders, and skiboarders. Am J Sports Med. 2004;32(1):96103.Google ScholarPubMed
Burtscher, M, Philadelphy, M. Skiing Collision Accidents: Frequency and Types of Injuries. ASTM Special Technical Publication. West Conshohocken, Pennsylvania USA: ASTM; 1996: pp7376.Google Scholar
Koehle, MS, Lloyd-Smith, R, Taunton, JE. Alpine ski injuries and their prevention. Sports Medicine. 2002;32(12):785793.Google ScholarPubMed
Posch, M, Schranz, A, Lener, M, et al. Incidences of fatalities on Austrian ski slopes: a 10-year analysis. Int J Environ Res Public Health. 2020;17(8):2916.Google ScholarPubMed
Hagel, BE, Meeuwisse, WH, Mohtadi, NGH, et al. Skiing and snowboarding injuries in the children and adolescents of Southern Alberta. Clin J Sport Med. 1999;9(1):917.CrossRefGoogle ScholarPubMed
Davidson, TM, Laliotis, AT. Alpine skiing injuries. A nine-year study. West J Med. 1996;164(4):310314.Google ScholarPubMed
Ruedl, G, Bilek, H, Ebner, H, et al. Fatalities on Austrian ski slopes during a 5-year period. Wilderness Environ Med. 2011;22(4):326328.CrossRefGoogle ScholarPubMed
Werner, S, Willis, K. Self-release of ski-binding. Int J Sports Med. 2002;23(7):530535.CrossRefGoogle ScholarPubMed
Ruedl, G, Helle, K, Tecklenburg, K, et al. Factors associated with self-reported failure of binding release among ACL injured male and female recreational skiers: a catalyst to change ISO binding standards? Br J Sports Med. 2016;50(1):3740.CrossRefGoogle ScholarPubMed
Gaudio, RM, Barbieri, S, Feltracco, P, et al. Impact of alcohol consumption on winter sports-related injuries. Med Sci Law. 2010;50(3):122125.CrossRefGoogle ScholarPubMed
Blancher, M, Albasini, F, Elsensohn, F, et al. Management of multi-casualty incidents in mountain rescue: evidence-based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). High Altitude Medicine and Biology. 2018;19(2):131140.Google ScholarPubMed
De Roulet, A, Inaba, K, Strumwasser, A, et al. Severe injuries associated with skiing and snowboarding: a national trauma data bank study. J Trauma Acute Care Surg. 2017;82(4):781786.Google ScholarPubMed