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Operations & systems

Hoisted paramedic beat antenna in avalanche search

Efficiency of Rescue Paramedic Hoist versus Underslung Antenna in Helicopter-Based Avalanche Searches: A Randomized Trial
Prehospital and Disaster Medicine · 2026 · Added 6 November 2026

In a Norwegian randomised field trial with a live search-and-rescue helicopter crew, hoisting a rescue paramedic with a handheld transceiver found buried avalanche transceivers 143 seconds faster on average than an underslung antenna search across 25 runs.

Study type
RCT
Design
Dual randomised experimental field trial with an operational SAR helicopter crew
Participants
25 trial runs (13 antenna, 12 hoist) over three days, six buried transceivers
Main finding
Hoist search cut time to transceiver found by 143 seconds (95% CI 113–172, p<0.001), time to optimal signal by 29 seconds and time to paramedic on ground by 124 seconds.
Caveat
Simulated 80 × 150 m field with one active transceiver per run — real avalanches mean multiple burials and harder terrain.
Bottom line
Context only

Why it matters in Australia (Medium relevance). A niche alpine rescue question, but the crew-on-ground-versus-equipment trade-off applies to any Australian rescue helicopter tasking.

Learning goal

Understand how hoist-based avalanche search tactics shape prehospital retrieval times in alpine rescue operations.

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