Survival after avalanche-induced cardiac arrest

Yvonnick Boué, Jean François Payen, Julien Brun, Sébastien Thomas, Albrice Levrat, Marc Blancher, Guillaume Debaty, Pierre Bouzat

Research output: Contribution to journalArticle

Abstract

Aim: Criteria to prolong resuscitation after cardiac arrest (CA) induced by complete avalanche burial are critical since profound hypothermia could be involved. We sought parameters associated with survival in a cohort of victims of complete avalanche burial. Methods: Retrospective observational study of patients suffering CA on-scene after avalanche burial in the Northern French Alps between 1994 and 2013. Criteria associated with survival at discharge from the intensive care unit (ICU) were collected on scene and upon admission to Level-1 trauma center. Neurological outcome was assessed at 3 months using cerebral performance category score. Results: Forty-eight patients were studied. They were buried for a median time of 43. min (25-76. min; 25-75th percentiles) and had a pre-hospital body core temperature of 28.0. °C (26.0-30.7). Eighteen patients (37.5%) had pre-hospital return of spontaneous circulation and 30 had refractory CA. Rewarming of 21 patients (43.7%) was performed using extracorporeal life support. Eight patients (16.7%) survived and were discharged from the ICU, three (6.3%) had favorable neurological outcome at 3 months. Pre-hospital parameters associated with survival were the presence of an air pocket and rescue collapse. On admission, survivors had lower serum potassium concentrations than non-survivors: 3.2. mmol/L (2.7-4.0) versus 5.6. mmol/L (4.2-8.0), respectively (P

Original languageEnglish (US)
Pages (from-to)1192-1196
Number of pages5
JournalResuscitation
Volume85
Issue number9
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Avalanches
Induced Heart Arrest
Burial
Survival
Heart Arrest
Intensive Care Units
Rewarming
Extracorporeal Membrane Oxygenation
Trauma Centers
Hypothermia
Body Temperature
Resuscitation
Observational Studies
Survivors
Potassium
Retrospective Studies
Air
Serum

Keywords

  • Avalanche
  • Burial
  • Cardiac arrest
  • Hypothermia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Boué, Y., Payen, J. F., Brun, J., Thomas, S., Levrat, A., Blancher, M., ... Bouzat, P. (2014). Survival after avalanche-induced cardiac arrest. Resuscitation, 85(9), 1192-1196. https://doi.org/10.1016/j.resuscitation.2014.06.015

Survival after avalanche-induced cardiac arrest. / Boué, Yvonnick; Payen, Jean François; Brun, Julien; Thomas, Sébastien; Levrat, Albrice; Blancher, Marc; Debaty, Guillaume; Bouzat, Pierre.

In: Resuscitation, Vol. 85, No. 9, 2014, p. 1192-1196.

Research output: Contribution to journalArticle

Boué, Y, Payen, JF, Brun, J, Thomas, S, Levrat, A, Blancher, M, Debaty, G & Bouzat, P 2014, 'Survival after avalanche-induced cardiac arrest', Resuscitation, vol. 85, no. 9, pp. 1192-1196. https://doi.org/10.1016/j.resuscitation.2014.06.015
Boué Y, Payen JF, Brun J, Thomas S, Levrat A, Blancher M et al. Survival after avalanche-induced cardiac arrest. Resuscitation. 2014;85(9):1192-1196. https://doi.org/10.1016/j.resuscitation.2014.06.015
Boué, Yvonnick ; Payen, Jean François ; Brun, Julien ; Thomas, Sébastien ; Levrat, Albrice ; Blancher, Marc ; Debaty, Guillaume ; Bouzat, Pierre. / Survival after avalanche-induced cardiac arrest. In: Resuscitation. 2014 ; Vol. 85, No. 9. pp. 1192-1196.
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