Study Background: Previous studies focused on the outcome of avalanche victims with out-of-hospital cardiac arrest (OHCA) after long duration of burial (>35min); the outcome of victims with short duration (≤35min) remains obscure.
Aim Of The Study: To investigate outcome of avalanche victims with OHCA.
Methods: Retrospective analysis of avalanche victims with OHCA between 2008 and 2013 in the Tyrolean Alps.
Results: 55 avalanche victims were identified, 32 of whom were declared dead after extrication without cardiopulmonary resuscitation (CPR), all with long duration of burial. In the remaining 23 CPR was initiated at scene; three were partially and 20 completely buried, nine of whom suffered short and 11 long duration of burial. All nine victims with short duration of burial underwent restoration of spontaneous circulation (ROSC) at scene, four of them after bystander CPR, five after advanced life support by the emergency physician. Two patients with ROSC after short duration of burial and bystander CPR survived to hospital discharge with cerebral performance category 1. None of the 11 victims with long duration of burial survived to hospital discharge, although six were transported to hospital with ongoing CPR and three were supported with extracorporeal circulation.
Conclusions: In this case series survival with favourable neurological outcome was observed in avalanche victims with short duration of burial only if bystander CPR was immediately performed and ROSC achieved. Strategies for reducing avalanche mortality should focus on prompt extrication from the snow and immediate bystander CPR by uninjured companions.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.resuscitation.2015.01.019 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Yuhuangmiao: the socio-cultural dynamics of a community between the steppes and the Chinese plains.
Asian Archaeol
December 2024
Department Prehistory, LEIZA (Leibniz-Zentrum Für Archäologie), Mainz, Germany.
Unlabelled: The Yuhuangmiao culture emerged around the 7th to the 4th centuries BCE in northeastern China near Beijing. The burial ritual with stone layers, numerous animal deposits, and the material culture indicate a strong steppe connection. It is often used to support the narratives in the Chinese historical texts that people living in the area had a distinctive lifestyle from those in the southern, agricultural-based communities and that the two groups often had a hostile relationship.
View Article and Find Full Text PDFThe impact of a dedicated checklist on the quality of onsite management of critically buried avalanche victims in cardiac arrest in a Swiss helicopter emergency medical service.
Scand J Trauma Resusc Emerg Med
December 2024
Department of Emergency Medicine, Lausanne University Hospital and University of Lausanne, CHUV, Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Article Synopsis
- The Avalanche Victim Resuscitation Checklist (AVRC) was created to enhance the management of avalanche victims experiencing cardiac arrest, as prior compliance with international guidelines was poor.
- A study over ten years examined the effectiveness of the AVRC, revealing significant improvements in guideline compliance (from 59% to 95%) and complete documentation after its implementation.
- The findings suggest that while the AVRC enhances patient management for critically buried victims, further quality improvements are needed for those buried for extended periods.
Insights into pupal development of Bactrocera dorsalis: factors influencing eclosion.
Sci Rep
November 2024
Guangxi Key Laboratory of Agric-Environment and Agric-Products Safety, College of Agriculture, Guangxi University, Nanning, 530004, China.
In the life cycle of the oriental fruit fly where larvae reside within fruits and adults exhibit high activity, the pupal stage occurs in the soil, closely tied to agricultural soil management. This study investigates the impact of four variables (body orientation, burial depth, soil particle size, and pH) on Bactrocera dorsalis' physiological preferences, eclosion rates, and pupal stage duration. Notably, body orientation, burial depth, soil texture (particle size), and pH affect eclosion rates.
View Article and Find Full Text PDFExtremely rapid, yet noncatastrophic, preservation of the flattened-feathered and 3D dinosaurs of the Early Cretaceous of China.
Proc Natl Acad Sci U S A
November 2024
Department of Geosciences, Princeton University, Princeton, NJ 08544.
Northeast China's Early Cretaceous Yixian Formation preserves spectacular fossils that have proved extraordinarily important in testing evolutionary hypotheses involving the origin of birds and the distribution of feathers among nonavian dinosaurs. These fossils occur either flattened with soft tissue preservation (including feathers and color) in laminated lacustrine strata or as three-dimensional (3D) skeletons in "life-like" postures in more massive deposits. The relationships of these deposits to each other, their absolute ages, and the origin of the extraordinary fossil preservation have been vigorously debated for nearly a half century, with the prevailing view being that preservation was linked to violent volcanic eruptions or lahars, similar to processes that preserved human remains at Pompeii.
View Article and Find Full Text PDFEffects of High Tunnel Soil Solarization on in the Temperate Climate of Central Kentucky.
Plant Dis
October 2024
University of Kentucky, Plant Pathology, 201 Plant Science Building, Lexington, Kentucky, United States, 40546;
Diseases caused by spp. can affect a wide range of plants, including vegetables, with yield losses ranging from 10 to 50%. Sclerotinia diseases can be especially problematic in high tunnels where high-value vegetable crops are planted in early spring to extend the growing season, achieve earlier harvest, and bring higher profits.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!