Outcome of avalanche victims with out-of-hospital cardiac arrest
| Autor: | Birgit Mair, Wolfgang G. Voelckel, Luca Moroder, Hermann Brugger, Peter Mair |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Emergency Medical Services Extracorporeal Circulation medicine.medical_specialty Time Factors medicine.medical_treatment education Poison control Emergency Nursing Occupational safety and health Out of hospital cardiac arrest Time-to-Treatment Outcome Assessment Health Care Injury prevention medicine Humans Cardiopulmonary resuscitation health care economics and organizations Aged Retrospective Studies Asphyxia business.industry fungi Extracorporeal circulation Avalanches Middle Aged medicine.disease Cardiopulmonary Resuscitation Advanced life support Emergency medicine Emergency Medicine Female Medical emergency medicine.symptom Cardiology and Cardiovascular Medicine business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Resuscitation. 89:114-118 |
| ISSN: | 0300-9572 |
| Popis: | Study background Previous studies focused on the outcome of avalanche victims with out-of-hospital cardiac arrest (OHCA) after long duration of burial (>35 min); the outcome of victims with short duration (≤35 min) 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. |
| Databáze: | OpenAIRE |
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