Die Rolle des (Not-)Arztes bei der Beratung und Begleitung privater und kommerzieller Expeditionen

Zusammenfassung

Die zunehmende Anzahl von Expeditionen und Reisen in entfernte Länder und Gebiete stellt neue Herausforderungen an Arzt und Technik. Eine gründliche Vorbereitung ist unabdingbar und oft lebensrettend.

Abstract

An increasing number of expeditions and treks are exploring Europe and the rest of the world. The welfare of the travellers is often in the hands of an advising or accompanying doctor. Sufficient preparation and risk assessment is necessary and often lifesaving.

Reise - Expedition - Arzt - Recht - Ausbildung

Travel - Expedition - Physician - Medico legal - Training

Literatur

• 1 Durrer B. Characteristics of emergency therapy in mountain accidents. Besonderheiten der Notfalltherapie bei Bergunfällen.  Ther Umsch. 1993;  50 228-33
• 2 Malacrida R L, Anselmi L C, Genoni M, Bogen M, Suter P M. Helicopter mountain rescue of patients with head injury and/or multiple injuries in southern Switzerland 1980 - 1990.  Injury. 1993;  24 451-453
• 3 Moeschler O, Refondini S, Hofliger C, Freeman J. Difficult aeromedical rescue situations: experience of a Swiss pre-alpine helicopter base.  J Trauma. 1992;  33 754-759
• 4 Helleberg L. Expert physicians in the Swiss mountain rescue service. Specialutbildade lakare i den schweiziska fjallraddningen.  Lakartidningen. 1992;  89 1172-1173
• 5 Tek D. Medical planning for expeditions.  Emerg Med Clin North Am. 1992;  10 449-466
• 6 Demartines N, Meyer C, Scheidegger D, Harder F. Helicopter and emergency physician at the accident site. Medical comparison between altitude and flat land emergency care. Helikopter und Notarzt an der Unfallstelle. Medizinischer Vergleich zwischen Bergrettung und Flachlandrettung.  Helv Chir Acta. 1991;  58 223-237
• 7 Freedman D O. Keeping current. Travel medicine resources available on the Internet.  Infect Dis Clin North Am. 1998;  12 543-547
• 8 Houston S. From Livingstone to ecotourism. What's new in travel medicine?.  Can Fam Physician. 2000;  46 121-128
• 9 Lechky O. Resources available to help family physicians provide advice to travellers.  CMAJ. 1995;  153 996-998
• 10 Leggat P A, Heydon J L, Menon A. Resources used by general practitioners for advising travelers from New Zealand.  J Travel Med. 2000;  7 55-58
• 11 Shlim D R, Gallie J. The causes of death among trekkers in Nepal.  Int J Sports Med. 1992;  13, Suppl 1 S74-S76
• 12 Shlim D R, Houston R. Helicopter rescues and deaths among trekkers in Nepal (see comments).  JAMA. 1989;  261 1017-1019
• 13 Task H L, Griffin L L. PAVE LOW III: interior lighting reconfiguration for night lighting and night vision goggle compatibility.  Aviat Space Environ Med. 1982;  53 1162-1165
• 14 Townsend M. Medicolegal aspects of expeditions.  Travel Medicine Int. 1999;  17 (4) 93-95