SECTION III
On the operation of the teams
Medical Teams
1) Life Support Team I (Ramp)
Formed by two mobile units:
- First Mobile Unit: Private ambulance for the transport of patients. Inside contains oxygen and medical material necessary for life support. Will stay at the flight ramp daily during the whole competition (stage).
Medical Team: made up of a trauma surgeon and nurse.
- Second Mobile Unit: intensive therapy mobile unit. Inside contains all the equipment necessary for intensive treatment of seriously injured patients, such as heart monitor, mechanical ventilator, infusion liquids, defibrillator, surgical material, etc. It will remain ready at the Unimed (Private Health Insurance) Ambulance Station for more serious cases.
Medical Team: intensive doctor and standard nurse.
Responsibility of Life-Support Team I:
1) Attend all flight accidents that ocurr in the vicinity of the ramp.
2) Take care of the public present at the event.
3) Give life support to the injured person until the hospital unit.
2) Life-Support Team II (Satellite)
Composed of the following mobile units:
- First Mobile Unit: motorcycle of the trail bike type (equipped for motorcross competition).
- Second Mobile Unit: motorcycle of the trail bike type (equipped for motorcross competition).
- Third Mobile Unit: motorcycle of the trail bike type (equipped for motorcross competition).
- Fourth Mobile Unit: intensive therapy unit of the Fire-Service. Vehicle equipped for the removal of seriously injured patients. Inside contains: mechanical ventilator, heart monitor, defibrilator, infusion liquids, injectable drugs, etc.
- Fifth Mobile Unit: Military Police helicopter equipped with material for the transport of a doctor to areas of difficult access and the removal of the victim.
Responsability of the Life-Support Team II (Satellite Team):
1) To give life-support to injured pilots in distant areas of access.
2) To give life-support to injured pilots in inhospitable areas.
3) To provide life support for injured pilots during their removal to the hospital emergency unit.
4) Communicate the accident to the hospital unit ind advance of the serious ness of the patients injuries and the hospital care necessary (blood type, transfusion, operation, intensive therapy unit) via cell phone.
Medical Team
- Emergency doctor with experience in ATLS (Advanced Trauma Life Support) and General Surgery along with specific skills (training in GPS, Alpinism, Rapel, etc).
- Orthopedist doctor and traumatologist with a formation in ATLS, General Surgery, Emergency Surgery and Surgery / Trauma of the spinal column.
- Standard Nurse with a training in medical emergencies.
Support Teams
- Motorcross team. Motorcycle riders specialised in driving over difficult terrain.
- Fire-Service. Intensive care unit driver and stretcher-bearers trained in the immobilisation and correct transportation of the injured.
- Military Police. Helicopter pilots and persons with rescue training.
Team Officiation
Medical Team:
Should be the first to arrive at the accident locale. It's activity should be rapid and precise and sub-divided in four phases:
1st Phase: Interventionist
The action of the medics of this team, being the first to attend the victim are vital. The ABCDE of life is involved in this phase and all of the procedures necessary to save and preserve life in accordance with the ATLS (Advanced Trauma Life Support) protocol.
2nd Phase: Intensivist Satellite (ITU-man)
A concept created by us (ITU-man) which means the use of resources and procedures of intensive medicine (oxymetry, oxygentherapy, portable digital-instrumental monitering, etc) at the site of the accident and during the whole period of waiting and transport of the patient until arrival at the intensive care mobile unit.
3rd Phase: Intensivist Mobile (Removal in I.T.U. Mobile)
With the accident victim already installed in the intensive care mobile unit and clinically stable the medic enters into contact via cell phone with the duty team at the hospital. At this moment the team are solicited to stand by an operating room (is reserved), blood transfusions and / or a vacancy in intensive care. Specific data on the trauma, a necessity or not for a blood transfusion and basic patient information (blood type, allergies, drugs, etc) are passed to the medical team.
4th Phase: Hospital Support
Once admitted to hospital the patient will be conducted to the necessary sector (radiology, orthopaedics, general surgery, ITU, etc) accompanied by the medical team responsible for covering all procedures, even assisting surgical operations if necessary. The family and the organisation of the championship are informed and orientated on the condition of the patient.
Support Teams
The support teams basically function to transport the medical team as quickly as possible to the accident site (motorcycles / helicopter) and facilitate the removal of the patient while he is assisted by the life-support team.
The Function Of The Doctor
The doctor of the satellite team (Dr. Joselito Fonseca Corrêa) should carry with him all the necessary material for the care of the victim. The backpack carried by him will contain:
§ Material to maintain the airways free (Tubing material, guedel cannulas, larynxscope, orotraquesis canullas, cricotireostomia material).
§ Material for hemostasis (gauzes, crepon bandages, surgical sheets, suture material, adhesive tape, etc)
§ Material for intravenous liquids replacement, (ringer lactate, fisiological serum, plamatic expansor, equipo, gelco, aluminium support with telescopic bases to put flasks of serum).
§ Medical drugs with injectable use (Decadronâ, Keflinâ, Rocefinâ, etc).
§ Material for oxygentherapy (aluminium portable cylinder with medicinal oxygen, masks, valves for forced breathing).
§ Material for general use (scissors, probes, torch, etc)
§ Thermos flask containing warm water: used for warming intravenous solutions at the accident site, to prevent hypothermia.
§ Cervical corset.
§ Small polystyrene box containing ice and plastic bag with thermic seal for the adaption of organs (fingers, members, etc).
A pocket bag attached to the waist of the doctor should hold the electronic instruments for vital monitoring, to know:
- Oxymetry of the pulse (pulse oxymetre)
- Digital sphygmometre with automatic / electronic insufflator
- Cardiac / Arterial pulse monitor.
- Glycosemeter / Hematimeter
The medical team will also take with them other instruments to know:
- GPS (Global Positioning System), binoculars, whistle, signalling rockets, radio and cell phones for rapid localisation of the site of the injured pilot.
- Notebook containing
§ Medical record of all the pilots
§ Maps of the entire terrain with asphalt roads, dirt roads, off road tracks, paths and geographical faults for the evaluation of the shortest and quickest route and helicopter landing sites.
§ General map connected to GPS (Global Positioning System) to orientate the team on the localisation and possibilities of return.
3) The Hospital Teams I
After the removal of the injured person to the hospital of reference in the Municipality of Governador Valadares (Regional Hospital) he will be attended by the team in whatever way is necessary (General Surgery, Orthopoedics, etc). The activity realised by each team will be in accordance with routine medical care in use in this hospital unit.
4) The Hospital Teams II
In the case of accidents outside the Municipality of Governador Valadares we will count on the support team in each neighbouring town in a radius of apporximately 150 kilometers (towns of Ipatinga, Caratinga, Dom Cavati, Conselheiro Pena, Frei Inocêncio) and the on duty medical teams in their principal hospitals. The Military Police will also be called on in case of necessity.
Rescue Teams
1) Ground Teams
Will work in accordance with normal routines in use by the Fire-Service.
2) Aerial Team
Will work in accordance with normal routines in use by the Military Police.
3) Mountain Team
The rescue teams will have Cemig cell phones to effect a shut down of high tension networks in case of accidents.
Mountain Rescue Team Activity in Paragliding Objectives:
Mountain rescue team are used in moutainous or forested areas in which the victim is found in areas of difficult access. The team is formed by people specialised in specific tecniques of removal from the accident site, in this specific case for paraglider pilots.
The Team:
The team should be formed by a minimum of 6 integrants, with the following requirements:
5 with a background in alpinism, high altitude tecniques, first aid and knowledge of movement in forested areas.
1 doctor or para-medic with basic training in heights and movement in forested areas.
CURRICULUM VITAE
Fernando Matzner 45 years old
Qualifications:
§ Professional Alpinist for more than 20 years, with various courses attended in the Swiss, German and Austrian Alps that are summarised in climbing tecniques on rock and ice, rescue techniques, logistics, expeditions, environment and ecology.
§ Small businessman: equipment shop, courses and eco-tourism.
§ Instructor in alpine activities, speleology, paragliding, rescue and transport of injured in caves, mountains and forests.
§ Lectorer in environmental education, mountain and forest walking.
§ Training for fire-men and civil construction companies in safety equipment used at altitude.
§ Participation in the technical direction and one of the founders of the APP (Paulista Association of Paragliding).
§ Rendered service in work on altitude safety equipment and leading, assessor and furnisher of such for tv and magazine commercials.
§ Various climbs realised of which the more important are the conquest of the Peak of the Pedra de Baú (Campos de Jordão), Aconcaguá (Argentina), Mont Blanc (France, Switzerland), Matterhorn, Switzerland and others in Italy, Austria and Germany.
§ Participation in National One World Paragliding championships always finishing among the favorites.
§ Alpine instructor since 1975.
§ Flight experience in paragliding best distances.
1995 Governador Valadares 80 km distance cross-country.
1996 Andradas / Socorro 72 km distance cross-country.
1996 Andradas / Mogi-Guaçu 60 km distance cross-country.
1996 Andradas / Poços de Caldas, triangulation in Santa Rita de Caldas.
Total distance covered 73 km.
Besides a further 7 flown beyond 45 km between 1990 and 1997 participation in almost all national events and championships with stage a places for third, fifth and seventh place in paulista and brazilian championships and always among the favorites. At present flying for leisure with average distances of 80 km cross-country.
Fernando Matzner
Grande Millan, o idealizador e editor do Guia4Ventos que nos estimulou a escrever nossa primeira matéria sobre medicina do vôo livre. Sempre presente nos campeonatos dando aquela força para nós da DOC.
