The EMS system in a Colorado mountain community was tested by the fall of a ski lift injuring 49 people. The response was complicated by the remote location of the accident and the number of injuries. Use of a preconceived disaster plan reduced morbidity and mortality. Patients were stabilized and triaged at the disaster site, and transported to the Snake River Health Services, Inc., where a second level of triage occurred. ATLS was provided at the Snake River Health Services and patients were transported to various surgical facilities throughout Colorado. Because a disaster in a remote or rural area can more easily overwhelm available resources, physicians should ensure that a good disaster plan is in place, should be able to provide initial evaluation and stabilization of patients, and arrange transport to the nearest appropriate facility.
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The authors present the case of a fatal accident of a 16-year-old skier who crashed into a tree during a downhill skiing lesson at school. Although the skier was wearing a protective helmet at the time of the accident and his condition did not appear to be too serious immediately after the accident, he later died in hospital as a result of a craniocerebral injury with cerebral contusion and intracranial haemorrhage. His life could not be saved even by immediate neurosurgery, during which fragments of the broken protective helmet were removed from his cranial cavity.
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