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.