Emergency Medical Services and Remote Medical Oversight in Sequoia and Kings Canyon National Parks, 2011–2013 Megann Young, MD, Thomas Kim, MD, Eli Lessard,

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Presentation transcript:

Emergency Medical Services and Remote Medical Oversight in Sequoia and Kings Canyon National Parks, 2011–2013 Megann Young, MD, Thomas Kim, MD, Eli Lessard, MD, Danielle Campagne, MD, Susanne Spano, MD, Leyla Farshidpour, Geoff Stroh, MD Wilderness & Environmental Medicine Volume 29, Issue 4, Pages 453-462 (December 2018) DOI: 10.1016/j.wem.2018.06.009 Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 1 Monthly distribution of emergency medical services (EMS) cases in Sequoia and Kings Canyon National Parks over 3 y (n=704). Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 2 Chief complaint by percent for all patients (n=704). AMS, altered mental status; NVD, nausea/vomiting/diarrhea; LOC, loss of consciousness. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 3 Medication administration by percent of all patients (n=704). Percentages total more than 100% because some patients received multiple medications. IV, intravenous. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 4 Emergency medical services provider intervention by percentage for all patients (n=704). Percentages total more than 100% because some patients received multiple interventions. ACLS, advanced cardiac life support; ALS, advanced life support; BLS, basic life support; IV, intravenous. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 5 Patient disposition by percentage of all patients (n=704). Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 6 Chief complaint in base hospital subgroup (n=268) and entire study group (n=704), by percentage. AMS, altered mental status; LOC, loss of consciousness; NVD, nausea/vomiting/diarrhea. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 7 Reason for contacting base hospital (n=268), by percentage. Percentages total more than 100% because some calls requested multiple types of advice. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 8 Chief complaint for backcountry (n=100) and frontcountry (n=570) subgroups and entire study group (n=704), by percentage. AMS, altered mental status; LOC, loss of consciousness; NVD, nausea/vomiting/diarrhea. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 9 Medications administered for backcountry (n=100) and frontcountry (n=570) subgroups, as well as entire study group (n=704), by percentage. IV, intravenous. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions

Figure 10 Patient disposition for backcountry (n=100) and frontcountry (n=570) subgroups as well as entire study group (n=704), by percentage. Wilderness & Environmental Medicine 2018 29, 453-462DOI: (10.1016/j.wem.2018.06.009) Copyright © 2018 Wilderness Medical Society Terms and Conditions