Cardiac arrest & resuscitation
On-site treatment of avalanche victims: Scoping review and 2023 recommendations of the international commission for mountain emergency medicine (ICAR MedCom)
Methodological detailsACCP evidence grading, 45 retrospective studies (38%), 44 case reports or case series (37%), 18 prospective studies on volunteers (15%)
- ACCP evidence grading
- 45 retrospective studies (38%), 44 case reports or case series (37%), 18 prospective studies on volunteers (15%)
Recommendations
As issued by the authors
Burial time ≤ 60 minutes without signs of life: presume asphyxia and provide rescue breaths as soon as possible, regardless of airway patency.
Burial time > 60 minutes, no signs of life, patent airway or airway with unknown patency: presume primary hypothermic CA and initiate cardiopulmonary resuscitation (CPR) unless temperature can be measured to rule out hypothermic cardiac arrest.
Buried > 60 minutes without signs of life and with an obstructed airway, core temperature not measurable: rescuers can presume asphyxia-induced CA and should not initiate CPR.
If core temperature can be measured: no signs of life, patent airway and core temperature < 30 °C: attempt resuscitation, regardless of burial duration.
Original publication
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