Wilderness emergency medical services: The experiences at Sequoia and Kings Canyon National Parks

Jeffrey Johnson, Mark Maertins, Marc Shalit, Tucker J. Bierbaum, Douglas E. Goldman, Robert (Bob) Lowe

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

This article describes the National Park Service wilderness emergency medical services (EMS) system, as implemented at Sequola-Kings Canyon National Park. EMS records on all 434 patients in the period from August 1, 1986, to July 31, 1987, were reviewed. Most patients had minor problems. Overall, 77% of patients contacting the EMS system were released at the scene, and base hospital contact was made in only 28% of cases. However, there were three deaths, 44 (10%) patients who received advanced life support, and 292 (67%) patients who received basic life support. Seven patients who received advanced life support were released without transport. Decisions regarding scope of practice in a low-volume, wilderness EMS system are complicated by long transport times and problems with skills maintenance. Differences between the patients treated by a wilderness system and those seen in most urban systems may make it appropriate to release a greater portion of patients without ambulance transport. In a system with long response and transport times, use of personnel with different training than in the urban setting becomes necessary.

Original languageEnglish (US)
Pages (from-to)211-216
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume9
Issue number3
DOIs
StatePublished - 1991
Externally publishedYes

Fingerprint

Sequoia
Wilderness
Emergency Medical Services
Ambulances
Recreational Parks
Medical Records
Maintenance

Keywords

  • Emergency medical services
  • emergency medical technicians
  • rural health
  • wilderness

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Wilderness emergency medical services : The experiences at Sequoia and Kings Canyon National Parks. / Johnson, Jeffrey; Maertins, Mark; Shalit, Marc; Bierbaum, Tucker J.; Goldman, Douglas E.; Lowe, Robert (Bob).

In: American Journal of Emergency Medicine, Vol. 9, No. 3, 1991, p. 211-216.

Research output: Contribution to journalArticle

Johnson, Jeffrey ; Maertins, Mark ; Shalit, Marc ; Bierbaum, Tucker J. ; Goldman, Douglas E. ; Lowe, Robert (Bob). / Wilderness emergency medical services : The experiences at Sequoia and Kings Canyon National Parks. In: American Journal of Emergency Medicine. 1991 ; Vol. 9, No. 3. pp. 211-216.
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