ABSTRACT
Objetivo: Analizar la influencia del uso de un dron con cámara térmica en la localización y triaje de las víctimas en una situación de catástrofe. Método: Se ha llevado a cabo un estudio analítico, experimental, prospectivo y transversal, donde se realizaron 6 simulacros de búsqueda de víctimas y triaje (cada uno de ellos con 25 víctimas). De manera aleatoria se hicieron dos grupos: Grupo Control (GC) y Grupo Dron (GD). Los profesionales del GD pudieron disponer de las imágenes de la cámara térmica instalada en un dron 10 minutos antes de comenzar el ejercicio. Resultados: La distancia media recorrida por el GC fue de 1091,11 (DE: 146,41) metros, significativamente mayor (p = 0,0031) que la del GD 920 (DE: 71,93) metros. El porcentaje medio de víctimas encontradas por cada uno de los profesionales del GC fue del 66,7%, significativamente menor (p = 0,0001) que las encontradas por cada uno de los profesionales del GD, que ascendió al 92%. En la calidad del triaje (infra y supratriaje), apertura de la vía aérea y control de hemorragias no se encontraron diferencias entre los dos grupos analizados. Conclusión: El uso de drones con cámaras térmicas, en condiciones experimentales, es útil en la búsqueda y localización de víctimas en catástrofes, aunque no tiene impacto sobre la calidad del triaje realizado por los profesionales participantes en el estudio (AU)
Objective: To analyze the influence of drones equipped with thermal cameras for finding victims and aiding triage during disasters. Methods: We carried out a prospective, cross-sectional analysis and 6 experimental simulations, each with 25 victims to locate and triage. Nurses were randomized to a control group or a drone group. Drone-group nurses were given access to images from the thermal cameras 10 minutes before the exercise started. Results: The mean (SD) distance the nurses searched in the control group (1091.11 [146.41] m) was significantly greater than the distance searched by nurses in the drone group (920 [ 71.93] m (P = .0031). The control group found a mean of 66.7% of the victims, a significantly smaller percentage than the drone groups mean of 92% (P = .0001). Triage quality (undertriage and overtriage) was similar in the 2 groups as shown by maneuvers undertaken to open airways and control bleeding. Conclusion: Drones with thermal cameras were useful in searching for victims of simulated disasters in this study, although they had no impact on the quality of the nurses triage (AU)
Subject(s)
Humans , Rescue in Confined Spaces , Robotics/methods , Prehospital Care/methods , Emergency Medical Services/methods , Emergency Treatment/methods , Triage/methods , Disaster VictimsABSTRACT
Los rescates en lugares remotos y la medicina agreste son áreas que se encuentran en desarrollo desde fines de la década de los sesenta en Estados Unidos. Nuestro país también posee un sistema de rescate en zonas apartadas, el cual se enfrenta a una creciente demanda. Presentamos el ejemplo de una unidad de rescate norteamericana, con el fin de reflexionar acerca de cómo se resuelven estas situaciones en otros países.
Rescue in remote areas and wilderness medicine have been under development in the US since the late 60´s. Chile has also developed a rescue system for remote areas which is currently facing a growing demand. We present the example of an alpine rescue team from the US, so we can reflect upon how other countries face this problems.
Subject(s)
Humans , Rescue in Confined Spaces , Search and Rescue , Rescue Work , United StatesSubject(s)
Search and Rescue , Rescue in Confined Spaces , Dogs , Construction Wastes , Rescue Personnel , Rescue Personnel , Disaster PlanningABSTRACT
Wilderness medicine has been widely practiced for a relatively long period of time and is an established and familiar entity, particularly within search and rescue communities such as NASAR. Urban Search & Rescue and confined space medicine, on the other hand, is new and therefore much less understood. Comparing and contrasting the two medical entities may assist in understanding the uniqueness of each practice. Both require additional training and expertise beyond the usual emergency medicine and paramedicine training. This includes learning about the somewhat unique medical problems involved in each discipline, learning to adapt patient assessment and medical care as necessary, and learning to function safely and effectively in the environment in which one must operate
