USE OF THE
ULTRA-STETHOSCOPE
IN SKI PATROL MEDICINE
Dr Mike Langran
GP, Aviemore Medical Practice
Doctor, CairnGorm Mountain Ski Patrol
I have been using
Highland Innovation’s Ultra-stethoscope on the
ski slopes of CairnGorm Mountain for several
years now. Snow sports casualties in Scotland,
rather like those of mountain rescue teams, tend
to be injured in cold and windy environments.
This presents unique challenges to rescuers, as
we have to be able to adequate assess the
casualty’s injuries quickly and effectively
without placing either ourselves or the casualty
at further risk. One of the main risks in this
sort of environment is over-exposure to the
prevailing elements. Casualties are often
wearing multiple layers of clothing and in order
adequately examine the chest (in particular) we
previously had to balance the risks of undoing
layers of clothing in order to access the chest
wall against the risks of the cold.
The introduction
of the ultra-stethoscope has revolutionised our
management of these individuals. It’s ability to
listen through multiple layers of clothing
allows us to make a rapid and safe assessment of
the vital parameters - breath and heart sounds –
without the need to open the casualty’s
protective clothing at all. Respiratory rate can
also be assessed in this way. This allows us to
exclude potentially serious traumatic injuries
such as a tension pneumothorax with confidence
on the mountain slopes. The stethoscope also
allows for easy monitoring of the patient during
their transfer off the slopes.
I have tested the
ultra-stethoscope in ambient temperatures as low
as minus 20 degrees C and wind speeds of up to
50 mph. Its performance has remained good in all
conditions. Battery life is excellent and the
unit has proven to be robust and reliable.
I would recommend
this unit to anyone who regularly needs to
assess for serious injuries in an outdoor
environment.