Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
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To investigate the effect of adding a ground critical care ambulance service on the utilization of the pre-existing helicopter air ambulance. ⋯ The attempt to decrease the demand for a helicopter air ambulance by initiating a parallel ground ambulance service was not successful. Programs adding a ground critical care ambulance to existing helicopter services should not expect a decrease in utilization of the helicopter. These services should be viewed as complementary but not interchangeable.
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The authors describe the 53-hour rescue of a 6-foot, 1-inch tall, 250-pound hiker in the face of harsh environmental conditions in Sequoia National Park. This 43-year-old man fell 25 feet, injured his leg, and was noted to be hypothermic and hypovolemic. ⋯ On arrival, the patient was determined to have a comminuted subtrochanteric right femur fracture, which was ultimately repaired surgically. The authors also discuss some of the unique aspects of wilderness and National Park Service EMS.