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Background <p>Rescue efforts in mountainous terrain remain a challenge for responding organizations such as police, emergency medical services and the mountain rescuers. This study aimed to shed light on Swedish mountain-rescue operations from the perspective of mountain rescuers.</p> Methods <p>Individual interviews were conducted with 21 Swedish mountain rescuers from four different counties bordering the 1,700-km long and 300-km wide Swedish/Norwegian mountain range “The Scandes.” The collected data were analyzed using qualitative content analysis.</p> Results <p>The overall theme was “A unique environment demands a tailored response.” Five categories were identified: (1) major incident preparedness, (2) intra-organizational preconditions, (3) initial incident response, (4) welfare concerns on-route and on-site, and (5) a difficult injury assessment.</p> Conclusion <p>Intra-organizational bureaucracy may impede Swedish mountain-rescue response. Legislative issues regarding timely access to helicopters for the transportation of personnel and injured, as well as the restrictions on the administration of pain-relief drugs by licensed medical professionals, need to be addressed to decrease time to definitive treatment and improve patient comfort in future rescue efforts.</p>

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“We are not allowed to give any pain relief” — Swedish mountain-rescue operations from the perspective of mountain-rescue personnel: an interview study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月27日

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  • Amanda Gezelius,
  • Anton Westman,
  • Johan Hylander

摘要

Background

Rescue efforts in mountainous terrain remain a challenge for responding organizations such as police, emergency medical services and the mountain rescuers. This study aimed to shed light on Swedish mountain-rescue operations from the perspective of mountain rescuers.

Methods

Individual interviews were conducted with 21 Swedish mountain rescuers from four different counties bordering the 1,700-km long and 300-km wide Swedish/Norwegian mountain range “The Scandes.” The collected data were analyzed using qualitative content analysis.

Results

The overall theme was “A unique environment demands a tailored response.” Five categories were identified: (1) major incident preparedness, (2) intra-organizational preconditions, (3) initial incident response, (4) welfare concerns on-route and on-site, and (5) a difficult injury assessment.

Conclusion

Intra-organizational bureaucracy may impede Swedish mountain-rescue response. Legislative issues regarding timely access to helicopters for the transportation of personnel and injured, as well as the restrictions on the administration of pain-relief drugs by licensed medical professionals, need to be addressed to decrease time to definitive treatment and improve patient comfort in future rescue efforts.