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No rest for Global Rescue medics, even at trade shows

A 70-year-old man who collapsed from congestive heart failure at the Dallas Safari Club’s annual convention over the weekend at least did so in good company: at a show attended by Global Rescue.

A 70-year-old man who collapsed from congestive heart failure at the Dallas Safari Club’s annual convention over the weekend at least did so in good company: at a show attended by Global Rescue.
 
In the middle of a busy trade show day, a voice came over the public address system asking for a doctor to respond to a medical emergency. A man had slumped over in the elevator while returning from a cigarette break, and those around him had propped him in a chair. The bystanders pointed fingers at other onlookers and directed them to call EMS, while one of them futilely fanned the man’s pale, sweating face.
 
A Global Rescue critical care paramedic who had been manning the company’s booth, heard the announcement and instinctively went for the defibrillator mounted on a wall around the corner.
“I always make a mental note of where they are anytime I walk by one,” he recalled later. As the crowd of onlookers stepped aside, the medic opened the man’s shirt, attached the leads of the machine to his chest in the event he needed to be revived, and then took his blood pressure and other vital signs.
 
A Dallas-area ambulance team arrived after approximately 10-minutes, and the medic transferred the patient into their care.The paramedic received the man’s phone number from one of the latter’s friends, and a follow-up call the next day revealed that he was recovering nicely.
 
 

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Boston Globe features Global Rescue’s efforts in Haiti

From the Boston Globe on Saturday, Jan. 16, 2010, an article titled "In crises, private firms can be a safety net":

From the Boston Globe on Saturday, Jan. 16, 2010, an article titled “In crises, private firms can be a safety net”: 

 

Another private security and rescue firm, Boston-based Global Rescue, is searching for hundreds of people in Haiti, some of whom work for corporations. Chief executive Daniel Richards said an insurance company asked it to find 200 people, but he declined to provide specifics.

The first Global Rescue team, led by a former Navy SEAL and a member of the US Army’s Special Forces, arrived in Haiti Thursday, Richards said, and the company expects to have 30 people on the ground by this morning. Richard said his clients include NASA, the State Department, the Chicago Tribune, and local companies Bain & Co. and EMC Corp.

EMC, whose 40,000 employees around the world are covered by Global Rescue when out of their country of origin, has been a client for two years. The Hopkinton data storage company has used Global Rescue’s services about 10 times for medical emergencies, including to assist an employee who had a cardiac condition, said spokesman Patrick Cooley.

For the full article, click here

 
 

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The Boston Globe – Global Rescue evacuates victims from Haiti

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Global Rescue CEO Dan Richards discusses Haiti on CNN

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The Chronicle of Higher Education – Amid Haiti’s devastation, more missing students turn up, and…

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Global Rescue partners with the Wilderness Medical Society

Global Rescue and the Wilderness Medical Society (WMS) have partnered in order to ensure the safety of Society members.

Global Rescue and the Wilderness Medical Society (WMS) have partnered in order to ensure the safety of Society members.

“There are many reasons to plan ahead for medical advice, evaluation, assistance, and evacuation,” the founder of WMS, Paul Auerbach, M.D., wrote in an article about Global Rescue. “Furthermore, in this time of security risks up to and including armed conflict, kidnapping, and terrorism, one must be aware of how to get help quickly and reliably, because during or immediately after the event is not the time to begin planning”

“The life-saving value of Global Rescue memberships can’t be overstated,” the WMS said in a statement.

“We are extremely pleased that the Wilderness Medical Society has chosen to partner with Global Rescue.  They are the thought leaders in remote medicine and we are the leaders in worldwide rescue, so it is a natural fit” said Daniel L, Richards, Chief Executive Officer of Global Rescue.

Founded in 1983, the Wilderness Medical Society is the world’s leading organization devoted to wilderness medical challenges. Wilderness medicine topics include expedition and disaster medicine, dive medicine, search and rescue, altitude illness, cold- and heat-related illness, wilderness trauma, and wild animal attacks. WMS explores health risks and safety issues in extreme situations such as mountains, jungles, deserts, caves, marine environments, and space.

 

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Skier evacuated from Canadian Rockies, where her knee injury was misdiagnosed

When ski season comes, the phones at our Boston Operations Center ring a little more frequently. Ski accidents resulting in broken bones are reason for serious concern in any country – even in Canada, as…

 

When ski season comes, the phones at our Boston Operations Center ring a little more frequently. Ski accidents resulting in broken bones are reason for serious concern in any country – even in Canada, as one event over the holidays showed.

Just before the holiday break, an 18-year-old American skier in British Columbia crashed and badly injured her right knee. She was taken off the mountain via ambulance to a clinic in the Canadian Rockies, and her coach contacted Global Rescue.

Doctors at the modestly equipped facility diagnosed a type of fracture that the attending orthopedic surgeon assigned to her case believed required surgery within 24 hours. Global Rescue personnel relayed the information to specialists at Johns Hopkins, who confirmed that she should be operated on immediately for that specific injury. Global Rescue organized a first-class flight to her home airport in Boston, departing immediately.

Upon landing in Boston, she was further evaluated at the airport by our medical team and cleared for the two hour ground transport to her hospital of choice. There, she was administered an MRI to check the diagnosis, and doctors realized that in fact she had a different injury, a tibial plateau fracture.

She underwent surgery the next day. A follow-up call to her parents this week revealed that she was recovering nicely, and looking forward to resuming her skiing career in college as soon as her leg heals.

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Timely advice likely spares medevac from Romania

Timely medical advice saves lives. In the case of one of our members, it may also have saved his vision.

Timely medical advice saves lives.  In the case of one of our members, it may also have saved his vision. 

One of our members learned this the easy way, by calling us immediately when he experienced blurred vision while working in Bucharest, Romania. He described “floaters and lines” in his vision, as well as flashes at the periphery. Global Rescue paramedics directed him to a reputable ophthalmology clinic, where a specialist diagnosed a small tear at the back of his eye.

Our medical staff and Johns Hopkins specialists reviewed the results from the clinic and decided that the member did not need emergent surgery in Europe. They cleared him for air travel and recommended he board a flight to the United States as soon as possible, as a significant delay would greatly increase the chances of a detached retina.

This case was reminiscent of a recent mission in Mozambiquewhere a member experienced blurry vision,but did in fact require immediate surgery. Global Rescue medically evacuated him from the bush to an excellent hospital in Johannesburg where his retina was re-attached.

In that case, a medevac flight likely saved the man’s vision. In the case of the member in Romania, it was timely medical advice from top specialists that acted as insurance against a similar emergency.

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Eagle Scout ponders his $25,000 rescue bill

The family of Scott Mason thought they were offering a token of appreciation to the New Hampshire Fish and Game Department when they wrote a $1,000 check after the teenager’s rescue from the slopes of…

The family of Scott Mason thought they were offering a token of appreciation to the New Hampshire Fish and Game Department when they wrote a $1,000 check after the teenager’s rescue from the slopes of Mt. Washington.

Instead, they were putting a down payment on what turned out to be a $25,238 invoice.

The 17-year-old Eagle Scout was on a 17 mile hike alone through the Presidential Range when he slipped and twisted his ankle. He tried to descend via a quicker route, but was stopped by a raging river in his path. He camped out for the night by his stove — the weather was relatively mild for April – but when he didn’t return on time, search and rescue teams from across New England went out looking for him.

The resulting $25,000 bill for “negligence” has the adventure travel world debating the merits of charging for search and rescue operations, as more states are passing laws that allow local rescue companies to bill for their services. Actually, the debate has been pretty one sided: everyone but the entities waiting for reimbursement appears to be against it.

(We should note here that Global Rescue will pay for a member’s rescue helicopter, which is usually the meatiest part of the bill and is rarely covered by any sort of medical insurance or travel insurance.)

We won’t weigh in on this debate here; instead, we’ve asked avalanche and rescue specialist Doug Chabot to describe how these search and rescue teams are financed in general.

His reply:

Outside of National Parks, Search and Rescue teams are mostly made up of volunteers. There is no national training or national funding helping these groups perform their duties. Consequently, the skill of the volunteers will vary wildly. Some have crack teams of medically trained rescuers ready to dive into swift water, scale cliffs or get short hauled under a helicopter to get you. Some have coffers overflowing with money to buy vehicles, buildings, gear and put on professional trainings. Others survive on bake sales and individual donations with no communal gear and no training. 

Most SAR groups are run by the county, not the state. In fact most states do not fund SAR activities at all—it falls to locals to fundraise and try and get money any way they can. Many populated mountain areas are also resort communities, and SAR groups based in these affluent areas have benefitted from bed and resort taxes which pay for their equipment and rescue costs.But even these communities have taken a hit in the recent year as real estate and tourism needed a rescue too. 

Contrary to popular belief, SAR is not synonymous with a helicopter. Most SAR groups don’t have access to one nor the funding to get one in the air. They are pricey pieces of machinery that can chew through a team’s annual budget in hours. But SAR will still come, the crowd is tough as nails, but it just may be on ATV, horseback, snowmobile or foot. Rescues are usually free to the victim.

The exception is in some states and all National Parks where they’ll bill you to recover rescue costs for negligence. Did you climb over the railing with the sign saying “Caution: Cliff”, slip, and almost die? There will likely be a bill waiting for you. Some states have gone down this road with legislative action since politicians like the idea of collecting a little extra money this way.

But this road has a few snags. If people will be charged for rescues they will inevitably be reluctant to call for one. This may be fine in the rare case of someone with a sprained thumb wanting a helicopter ride back to the car, but for more serious situations not getting help in a timely fashion will only make the emergency worse.

Injuries that were stable become life threatening. Hiking further and deeper into the deep woods instead of sitting and waiting for help (disregarding common SAR wisdom) will almost always end up poorly. SAR teams are there to make a bad situation better. That’s they’re mission—search and rescue. You call, they come and get you; not sometimes, but every time. And that’s because bad things happen to good, well intentioned people.

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Global Rescue evacuates U.S. Ski Team racer after crash

Global Rescue has medically evacuated injured U.S Ski Team downhiller TJ Lanning from Calgary, Alberta, to Vail, Colorado, after a crash that left the skier with a dislocated knee and a fractured vertebra in his…

Global Rescue has medically evacuated injured U.S Ski Team downhiller TJ Lanning from Calgary, Alberta, to Vail, Colorado, after a crash that left the skier with a dislocated knee and a fractured vertebra in his neck. Lanning was transported to Vail by a medically equipped Learjet.

The Olympic hopeful caught an edge in the opening downhill and fell face-first before  tumbling several times into the netting lining the trail. The crash occurred in the fastest section of the course where skiers have been clocked at speeds in excess of 60 miles per hour.

He was airlifted off of the mountain and taken to the Foothills Medical Center, where he was diagnosed with a fractured C5 vertebra and a dislocated patella.  Lanning elected to recover at the Vail Valley Medical Center.Global Rescue is the official medical evacuation provider for the U.S. Ski and Snowboard Teams. 

 

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Ski Racing Magazine – TJ Lanning Fractures Neck, Dislocates Knee In Crash

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Global Rescue supports the U.S. Ski and Snowboard teams in their Olympic preparations

This winter brings a high tempo of activity for the United States Ski and Snowboard Association as the elite winter athletes and coaches make final preparations for the 2010 Winter Olympic Games.

This winter brings a high tempo of activity for the United States Ski and Snowboard Association as the elite winter athletes and coaches make final preparations for the 2010 Winter Olympic Games in Vancouver, which start in February. One item on that long checklist is to ensure that medical emergency plans are in place not only for Vancouver, but also for the teams’ more remote training sites around the world. In addition, USSA is taking steps at home to better prepare slope-side medical staff for the specific cases they might face. Global Rescue will play a key role in all of those preparations.

The company’s critical-care trained paramedics and Global Rescue Chief Executive Officer Daniel Richards will speak at the Medical Emergencies in Skiing and Snowboarding (MESS) clinic next month, hosted by USSA at Beaver Creek in Colorado. The purpose of the clinic is to train ski team physicians in on-slope traumatic emergencies and medical conditions that commonly affect elite winter athletes. The lessons from the classroom will then be put into practice on Beaver Creek’s downhill course. The medical staff will be expected to possess advanced skiing and snowboarding skills.

As the ski team takes its aerialists to China for a competition in Changchun next month, Global Rescue will once again plan its medical evacuation coverage for athletes and staff in case of emergency. Last year the same freestyle events concluded, fortunately, without incident.