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The modified crABCDE treatment algorithm as recommendation in extreme cold.
Resusc Plus
January 2025
Department of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Trauma care prioritizes life-threatening conditions using the ABCDE algorithm based on the principle "treat first what kills first". As for catastrophic hemorrhage, a leading preventable cause of death in trauma, modifications of this algorithm are necessary in specific cases. In cold climates, life-threatening hypothermia poses additional challenges.
View Article and Find Full Text PDFCorrection: A regional modification to the Revised Swiss System for clinical staging of hypothermia including confusion.
Scand J Trauma Resusc Emerg Med
January 2025
International Commission for Mountain Emergency Medicine (ICAR MedCom), Zürich, Switzerland.
Shelters in Alpine Rescue: Can They Create a Comfortable Zone at the Deployment Site?
Wilderness Environ Med
December 2024
Department of Anesthesiology and Critical Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Article Synopsis
- Lightweight polyester shelters are commonly used in mountain rescue, but little is known about the stress experienced by rescuers while using them.
- A study with 48 seasoned rescuers assessed both objective (temperature, humidity, gas concentrations) and subjective stress factors (comfort, noise, air quality) during CPR training in these shelters.
- The findings indicate that the shelters significantly improved physical comfort and most rescuers reported positive working conditions despite rising temperatures and carbon dioxide levels during the process.
Methods and equipment available for prehospital treatment of accidental hypothermia: a survey of Norwegian prehospital services.
Scand J Trauma Resusc Emerg Med
December 2024
Mountain Medicine Research Group, The Norwegian Air Ambulance Foundation, Bergen, Norway.
Background: Accidental hypothermia is associated with increased morbidity and mortality and poses a significant challenge for both professional and volunteer rescue services in prehospital settings. This study investigated the methods and equipment available to treat patients with cold stress or accidental hypothermia before reaching hospital in Norway.
Methods: We surveyed 156 respondents representing 708 units from both the professional and volunteer Norwegian prehospital chain of care between 2023 and 2024.
A regional modification to the Revised Swiss System for clinical staging of hypothermia including confusion.
Scand J Trauma Resusc Emerg Med
November 2024
International Commission for Mountain Emergency Medicine (ICAR MedCom), Zürich, Switzerland.
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