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Ready for a real emergency

Thanks to special preparations, Rega is well equipped for its missions in the winter. Read about what it needs in order to help people in an emergency during the cold season.

It’s a Saturday between Christmas and New Year. While still handing a patient over to the emergency department team at the hospital in Thusis, the crew of Rega 16 is called out on a new mission. Shortly after noon, the Agusta- Westland Da Vinci rescue helicopter takes off from the hospital landing site, and pilot Peter Christian “Mulo” Müller heads for Davos. While paramedic Lukas Styger points out a hang-glider ­­ circling in the distance, emergency flight phy­sician Bettina Gruber re-reads the mission report in the cabin: an avalanche below the Gfroren Horn south of Davos; no details of an­yone buried beneath the snow.

Extensive preparations

During the flight to Davos, the mood on board is calm and focused – that’s no coincidence. Before the start of the winter season, the heli­copter crews, together with other Rega depart­ments and teams, make numerous detailed preparations for the winter season. The crew members complete a theoretical refresher on avalanche missions. The equipment used on the mission and personal protective equipment are checked, and the crew’s knowledge of how to act on a mission and the main points relating to medical care for patients who were buried under the snow are refreshed. In addition, the crew members undergo a practical search training exercise with the heli- copter in order to refamiliarise them­selves with the equipment. An LVS avalanche transceiver and a RECCO reflector are hidden in the snow, and the pilot and paramedic have to localise and mark the devices from the air. Finally, the daily morning crew briefing at the base is adjusted: As of the start of the winter season, particular attention is focused on the current risk of ava­lanches in order to be mentally well prepared for a possible avalanche mission.

 

Adjusted mission equipment

In addition to ensuring the best possible prepa­ration of the crew members, the equipment to be used on the mission is key. Whereas most of the equipment remains on board the Rega helicopter throughout the year, missions in the snow and in cold temperatures call for ­additional aids. These include an LVS ava­lanche transceiver with external antenna and a RECCO detector for seeking people buried under the snow from the helicopter. Further­more, in the winter, three LVS for a detailed search on the ground on the avalanche cone and three avalanche probes and shovels are on board for use in localising and digging out people buried under the snow.

Inside and outside

Unlike the helicopter crews, the Rega flight coordinators work indoors, in the warm, in the national Air Rescue Center. But they also make specific preparations for the colder days. A simple but very important step is the activa­tion of the winter layer on the map material in the mission control system. Here, for exam­ple, climbing routes and bike trails are replaced with ski slopes and ski tour routes. In addition, each flight coordinator completes a theoretical refresher on the types of missions during the “white months”, and the avalanche bulletin ­becomes a key part of the daily briefing.

Adjustments to suit the situation

On certain days or in certain weeks, the num­ber of missions is particularly high. In winter, this is the case between Christmas and New Year or during the winter sports break. To en­sure that patients can continue to count on rapid medical assistance by air, Rega adjusts its operations accordingly. More staff are allo­cated to the Rega Operations Center, and an additional helicopter crew with a rescue heli­copter is stationed at each of the Rega bases in Untervaz and Wilderswil. 
 

Hand in hand

These preparations pay off on this mission day. This is also the case for the avalanche mission in which a reconnaissance flight with a moun­tain rescuer from Swiss Alpine Rescue confirms that nobody was injured or buried under the snow. A total of four times, pilot “Mulo” Müller, paramedic Lukas Styger and emergency flight physician Bettina Gruber are on a mission on the ski slopes after winter sports accidents on this particular saturday. It is clear how well the cooperation works – within the crew and with the mission partners.

What to do in the event of an avalanche

Despite careful planning and caution, it may still happen that you are caught in an avalanche or witness someone being buried under the snow. Read more here on what best to do.

  • Try to get out of the avalanche at the side, let go of your poles.
  • Operate protective equipment, if you have it (airbag).
  • While the snow is flowing: Try to stay on the surface.
  • Before the snow comes to a standstill: Create a space with your hands in front of your mouth and nose and try to keep your airway free.
  • Observe the avalanche and the people caught in it carefully (time/place where they disappeared).
  • Pay attention to your own safety.
  • Gain an overview.
  • Alert the rescue services (emergency number 1414 or Rega app).
  • Start rescuing the people from under the snow.
     
  • 1867
    missions on behalf of injured winter athletes were flown by Rega in 2024.

Additional information