In the last seasons an average of 4000 injured skiers or snowboarders are seen in Pas de la Casa's and Grau Roig's medical centers in Grandvalira Ski Area – Andorra Around 95% of the patients are treated in this centers, without need of further immediate investigations or treatment, meanwhile the other 5% have to be transfered to the area hospital for more exams, observation or specialized hospital treatment. The goal of the study was to analyze the different reasons that lead to hospital transfer, the accuracy of the initial diagnostic, the outcome...

1. 4th tto 10tth Augustt 2013
BARIILOCHE ­­ARGENTIINA

2. Snow sportts iinjjuriies demandiing
hospiittall mediicall attttenttiion iin an
andorran skii area..
Observattionall sttudy over 7 seasons
Escoda Alegret B., Escoda Sales J., Alduncin Gutierrez I., Castro Digon I.,
Gonzalez Carranza S., Guirro Castellnou P., Pereira Brito D., Toshev P.
Centre Mèèdic Pas de la Casa­­Grau
Roig. Grandvalira Ski Area.
ANDORRA www.cmpas.com info@cmpas.com

3. Frrom ttiime tto ttiime mediia ttallk aboutt
ssnowssporrttss iinjjurriiess,, ussualllly when deatth orr
sseverre iinjjurriiess occurr butt......
tthe majjorriitty off ssnowssporrttss iinjjurriiess sseen iin a
rressorrtt mediicall centterr arre miilld orr moderratte
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

4. tthe sseverriitty off iinjjurriiess iiss ssttablle allong tthe
yearrss
­­AIIS
sscorre (97 % off iinjjurred arre grrade II orr IIII)
­­ttiime
tto heall (75% llessss tthan 1 montth tto heall)
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

5. Medical Center iin Pass de lla Cassa­­Grrau
Roiig
hass attttended durriing 7 sseassonss (2005­­2006
tto 2011­­2012)
23426 ssnowssporrttss iinjjurriiess
(avg 3347/sseasson)
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

6. the average injury rratte overr tthiiss perriiod iiss 5,,86
iinjj/1000 sskiierr day
off wiittch 4% (937) werre ttrranssfferred tto tthe
nearresstt hosspiittall
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

7. even iiff tthe ffrrequency off sseverre iinjjurriiess iiss llow,,
iittss iimporrttantt tto conssiiderr tthiiss iinjjurriiess ass
tthey arre a challllenge iin ourr daiilly prracttiice
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

8. Takiing tthiiss 7 sseassonss mediicall rrecorrdss we
llooked cllosserr att tthe paciienttss neadiing
hosspiittall ttrreattmentt,, conssiiderriing diifferrentt
iittemss
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

9. Type off iinjjury::
32% arre head iinjjurriiess,, maiinlly concussssiionss
35% iinjjurriiess off tthe lliimbss
33% iinjjurriiess off tthe tthorrax,, abdomen,, sspiine,,
pellviiss and femurr
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

10. Type off ttransportt
90% ambullance
7% mediicalliized ambullance
3% helliicoptterr
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

11. Becomiing
60% quiitt tthe hospiittall beffore tthe 6tth hour
30% sttay iin hospiittall
10% onlly are ttransffered tto otther hospiittalls
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

12. An equiped medical center in a ski resort
clears and treats and important amount of
injuries
But some patients need:
observation
further investigations
specialized treatment
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

13. Whatt can be done iin tthiiss mediicall centterr wiillll
depend on::
EQUIIPMENT::
Drrugss,, perrffussiion,, fflluiidss,, orrottrracheall
iinttubattiion,, oxygen, cardiac monitor / DF
X RAY ......
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

14. And whatt''ss morre iimporrttantt::
STAFF
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

15. o Part off tthe pattiienttss ssentt tto tthe hosspiittall coulld
prrobablly be managed iin tthe sskii rressorrtt
mediicall centterr
Ex::
Concussssiionss coulld be keptt iin obsserrvattiion butt
tthatt meanss a proper space and maybe a
biiggerr ssttaffff
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

16. Part of the patients ssentt tto tthe hosspiittall coulld
prrobablly be managed iin tthe sskii rressorrtt
mediicall centterr
Ex::
Ecogrraffy woulld be hellpffullll iin an abdomen
ttrrauma butt you musstt rrelly on yourr sskiillllss,,
and...... won''tt you need a bllood anallyssiiss......
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

17. In our case tthe nearresstt hosspiittall iiss jjusstt 32km
away,, prrobably the transferts rate is the
rriightt one,, tthe efffforrttss we coulld made iin
orrderr tto rreduce iitt arre nott jjussttiiffiied..
The efffforrtt musstt prrobablly be made iin tthe
communiicattiion wiitth tthe hosspiittall,,
essttablliisshiing common prrottocols.
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

18. Improving tthe managementt off tthiiss iinjjurriiess
demandss morre coorrdiinattiion..
20th congress of the International Society for Skiing Safety in association with SITEMSH
Bariloche August 4th to 10th 2013

19. GRACIIAS !!!!!!!!!!
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