Alpine skiing is a sport practiced by about 2,3 million people in Italy every year with approximately 25,000 accidents reported. Several risk factors related to mountain environment and employed materials, together with the large amount of people involved, determine a high number of accidents and a relevant impact on health service. In order to improve prevention, it is therefore necessary to adopt a monitoring system. The present study aims at assessing the volume and typology of first aid intervention, with the purpose of defining a suitable preventive method for alpine skiing accidents in a specific area in the North-East of Italy