Case Report: Management of the patient in an impervious environment by the emergency nurse

Abstract

The assessment of the patient and the relative treatment carried out by the first medical crew that arrives at the scene of the event have an important impact on the clinical evolution and the outcome of the traumatized patient; in fact, it is necessary to apply a systematic approach to these situations guided by clear and simple recommendations that see the technical rescue interacting with the medical rescue[1]. It is well known that technical rescue is the responsibility of the National Fire Brigade Corps[2] and the National Alpine and Speleological Rescue Corps (CNSAS)[3]. It is equally evident that in specific patients’ clinical conditions, even if the event is in an impervious environment, medical rescue cannot delay its essential intervention[4] [5]. The duration and the exposure to environmental factors for the patient itself validate the importance of territorial emergency medical figures even in inaccessible places: the medical staff, in addition to having the necessary knowledge for life support, should have logistic and rescue operations skills