Abstract: "In companion rescue as well as in the start-up phase of organised rescue, shortage of rescue resources are very likely if multiple buried subjects / patients are present. Therefore, not everyone can be excavated or medically taken care of simultaneously. Triage strategies give advice on the most survival change optimised sequence of actions in order to provide “greatest good for the greatest number”. The remote reverse triage criteria give guidance on most likely areas of survival and the sequence of excavation. The now proposed AvaLife strategy supports the rescuers concerning remote and local triage, in particular the critical phase when some patients are already excavated while others are still fully buried. The last phase of rescue and excavation in immediate vicinity of the buried subject is often the most time consuming part of the entire rescue effort. The combination of close proximity and the general urgency of the situation may lead rescuers to overlook the potential for unnecessary stress for the buried subject. During the excavation of a buried subject, mechanical impact to the body of the buried person may lead to injuries, compromise a potential respiratory cavity, compromise breathing by inhibiting thorax motion/decompression etc. Whereas the likelihood for the imposed impact to lead to fatal consequences is marginal, precautions to limit the chance and extent of impact should be taken as long as they do not compromise the goal of saving the life of the buried subject in a single burial accident or saving as many lives as possible in a multiple burial event. This comprehensive summary outlines the considerations to be taken into account for a wide range of influence factors such as burial time, burial depth, snow hardness, availability of rescue resources as well as the interface to the first medical assessment"
|Avalife Basic Triage|
I like the reminder that in organised rescue its good to have multiple probes in place so that you have a profile of the victim to dig towards.
These are just two of very many papers from ISSW 2014 which have been collated by Montana State University. Many are hard avalanche science but the above are a couple of the more practical ones. Some of it seems self evident but its always good to see another opinion and take on the subject.