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Operations & systems

Emergency care gaps in mountain populations

Emergency healthcare access for transient populations in mountainous environments: a scoping review
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · 2026-10-14 · Added 16 October 2026

Scoping review of 23 sources mapped the barriers to emergency care for transient populations in mountains — terrain, weather, communications and thin EMS capacity — with HEMS and on-site clinics the most cited facilitators.

Study type
Systematic review
Design
Scoping review (PRISMA-ScR)
Participants
23 sources from 737 records
Main finding
Barriers clustered around terrain, weather, altitude, communications and EMS capacity, with tourism, pilgrimage and mass-gathering surges straining local resources; HEMS, on-site clinics and specialised training were the reported facilitators
Caveat
Scoping review of heterogeneous global evidence with no outcome data or quantitative synthesis
Bottom line
Context only

Why it matters in Australia (Medium relevance). Australia's alpine and remote terrain faces the same predictable surge problems around tourist season, but much of the source evidence comes from European HEMS-heavy systems.

Learning goal

Understand how terrain, weather and communications barriers shape emergency care access for transient populations in remote areas.

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