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Erfolgreiche Reanimation nach Frühdefibrillation durch Pistendienst

Ein Fallbericht

Successful resuscitation after rapid defribrillation by ski slope maintenance personnel

A case report

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Zusammenfassung

Vital bedrohliche Zwischenfälle bei Freizeitsportaktivitäten sind nicht selten (Siskovick et al. 1984); auch während des alpinen Skisports ereignen sich in einer ernst zu nehmenden Häufigkeit kardiovaskuläre Ereignisse (Burtschner et al. 2000). Da es sich dabei um Notfälle handelt, die sich in der Regel in entlegenen oder zumindest schwer zugänglichen Gebieten ereignen, kommt der Laienhilfe eine überlebensentscheidende Bedeutung zu. Der vorliegende Fallbericht beschreibt die kardiopulmonale Reanimation (CPR) eines Skifahrers in alpinem Gelände, der nach Defibrillation durch Mitarbeiter des Pistendienstes den Kreislaufstillstand ohne Folgeschäden überlebt hat, und gibt einen Überblick über Möglichkeiten verbesserter notfallmedizinischer Versorgung in Gebirgsregionen.

Abstract

Life-threatening incidents during leisure sport activities are not uncommon and also cardiovascular problems are occurring with ever-increasing frequency during alpine downhill skiing. Because these are emergency situations which regularly occur in distant or at least not easily accessible areas, assistance from lay persons can be the decisive factor for survival. The report describes a case of cardiopulmonary resuscitation of a skier in alpine terrain, who survived a cessation of circulation without sequelae after rapid defibrillation by piste maintenance personnel. A review of possibilities for improved emergency medical care in mountainous regions is also given.

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Literatur

  1. Abella BS, Alvarado JP, Myklebust H et al. (2005) Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 293:305–310

    Article  PubMed  Google Scholar 

  2. Achleitner U, Wenzel V, Strohmenger HU et al. (2001) The beneficial effects of basic life support on ventricular mean frequency and coronary perfusion pressure. Resuscitation 51:151–158

    PubMed  Google Scholar 

  3. American Heart Association in Collaboration with the International Liaison Committee on Resuscitation (ILCOR) (2000) Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – An International Consensus on Science. Part 3: Adult basic life support. Resuscitation 46:29–72

    PubMed  Google Scholar 

  4. American Heart Association in Collaboration with the International Liaison Committee on Resuscitation (ILCOR) (2000) Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – An International Consensus on Science. Part 4: The automated external defibrillator: key link in the chain of survival. Resuscitation 46:73–91

    PubMed  Google Scholar 

  5. Breitfeld L, Voelckel W (2002) Der plötzliche Herztod im Gebirge und halbautomatische Defibrillatoren – Grundsätzliche Überlegungen. In: Sumann G, Schobersberger W, Mair P, Berghold F (Hrsg) ÖGAHM Jahrbuch:55–66

  6. Burtscher M, Pachinger O, Mittleman MA, Ulmer H (2000) Prior myocardial infarction is the major risk factor associated with sudden cardiac death during downhill skiing. Int J Sports Med 21:613–615

    PubMed  Google Scholar 

  7. Burtscher M, Bachmann O, Hatzl T, Hotter B, Likar R, Philadelphy M, Nachbauer W (2001) Cardiopulmonary responses in healthy elderly humans during a 1-week hiking programme at high altitude. Eur J Appl Physiol 84:379–386

    PubMed  Google Scholar 

  8. Caffrey SL, Willoughby PJ, Pepe PE, Becker LB (2002) Public use of automated external defibrillators. N Engl J Med 347:1242–1247

    PubMed  Google Scholar 

  9. Capucci A, Aschieri D, Piepoli MF, Bardy GH, Iconomu E, Arvedi M (2002) Tripling survival from sudden cardiac arrest via early defibrillation without traditional education in cardiopulmonary resuscitation. Circulation 106:1065–1070

    Article  PubMed  Google Scholar 

  10. Cobb LA, Fahrenbruch CE, Walsh TR, Copass MK, Olsufka M, Hallstrom AP (1999) Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA 281:1182–1188

    PubMed  Google Scholar 

  11. Gundry JW, Comess KA, Rook FA de, Jorgensen D, Bardy GH (2000) Comparison of naive sixth-grade children with trained professionals in the use of an automated external defibrillator. Circulation 100:1703–1707

    Google Scholar 

  12. Ladwig KH, Schoefinius A, Danner R, Gurtler R, Herman R, Koeppel A, Hauber P (1997) Effects of early defibrillation by ambulance personnel on short- and long-term outcome of cardiac arrest survival: the Munich experiment. Chest 112:1584–1591

    PubMed  Google Scholar 

  13. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP (1993) Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med 22:1652–1658

    PubMed  Google Scholar 

  14. Lienhart HG, Breitfeld L, Voelckel WG (2005) Frühdefibrillation im Gletscherskigebiet – Übertrieben oder Überleben? 3 Fallberichte und eine Standortbestimmung. Anasthesiol Intensivmed Notfallmed Schmerzther 40:150–155

    PubMed  Google Scholar 

  15. Public Access Defibrillation Trial Investigators (2004) Public-access defibrillation and survival in out-of-hospital cardiac arrest. N Engl J Med 351:637–646

    Article  PubMed  Google Scholar 

  16. Siskovick DS, Weiss NS, Fletcher RH, Lasky T (1984) The incident of primary cardiac arrest during vigorous exercise. N Engl J Med 311:874–877

    PubMed  Google Scholar 

  17. Stiell IG, Wells GA, Field B et al.; Ontario Prehospital Advanced Life Support Study Group (2004) Advanced cardiac life support in out-of-hospital cardiac arrest. N Engl J Med 351:647–656

    PubMed  Google Scholar 

  18. Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG (2000) Outcome of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med 343:1206–1209

    Article  PubMed  Google Scholar 

  19. Wik L, Hansen TB, Fylling F, Steen T, Vaagenes P, Auestad BH, Steen PA (2003) Delaying defibrillation to give cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA 289:1434–1436

    Article  PubMed  Google Scholar 

  20. Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B, Steen PA (2005) Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 293:299–304

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Medizinische Universität, Innsbruck, Österreich

    H. Lienhart & V. Wenzel

  2. Notarzthubschrauberstützpunkt Heli 4, Kaltenbach, Zillertal, Österreich

    H. Lienhart, M. Knauer & D. Bach

  3. Bezirksstelle Schwaz, Österreichisches Rotes Kreuz, Ortsstelle Mayrhofen

    M. Knauer

  4. Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Medizinische Universität, Anichstr. 35, 6020 , Innsbruck, Österreich

    H. Lienhart

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  1. H. Lienhart
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  2. M. Knauer
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  3. D. Bach
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  4. V. Wenzel
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Correspondence to H. Lienhart.

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Lienhart, H., Knauer, M., Bach, D. et al. Erfolgreiche Reanimation nach Frühdefibrillation durch Pistendienst. Anaesthesist 55, 41–44 (2006). https://doi.org/10.1007/s00101-005-0931-1

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  • DOI: https://doi.org/10.1007/s00101-005-0931-1

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