Rescue collapse

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The term rescue collapse ( English rescue collapse ) comes from the rescue medicine . In the event of a rescue collapse, cardiovascular disorders occur, with ventricular fibrillation leading to rescue death. Case reports describe an arrhythmia during rescue operations as a result of the victim in a vertical position during transport. If there is also hypothermia (hypothermia), the danger of a collapse is greatest due to the changed circulatory and metabolic situation . Especially in distress guessed castaways can suffer a collapse rescue the mountains in vertical body position. Active on-board climbing poses the same risk as a vertical helicopter rescue. This also applies to mountain rescue and cave rescue . The aim is on the one hand to avoid hypothermia and on the other hand to carry out the rescue in a horizontal position so that a rescue collapse does not occur.

SARRRAH

The SARRRAH project ("Search and Rescue, Resuscitation and Rewarming in Accidental Hypothermia") has made the rescue of severely hypothermic patients due to accidents (especially in the area of ​​sea rescue or drowning accidents) and thus their chances of survival, especially through standardized rescue and improve treatment concepts. As part of the Rescue Lifting System (RLS) research project , special double loops were developed in the rescue harness with which a kind of reclining position is achieved. This has proven to be ideal both medically and during the rescue maneuver.

ICAR

The International Commission for Alpine Rescue has issued recommendations for mountain rescue. Among other things, it recommends constant ECG monitoring during the rescue and during transport. External stimuli from potential victims should be minimized, while excessive movements of the limbs should be avoided. The transport should be carried out as gently as possible and in a horizontal position.

example

During the complicated rescue operation in the giant thing shaft cave in June 2014, the danger of a rescue collapse played a major role because long and difficult paths had to be overcome in the very large cave system and special medical equipment was not available underground. In particular, the aim was to avoid hypothermia at an ambient temperature of 4 degrees Celsius and to transport the injured cave explorer - as far as possible - in a horizontal position, if possible.

See also

Individual evidence

  1. ↑ a b Recommendation REC M 0031 of the Commission for Mountain Emergency Medicine about Resuscitation of avalanche victims , May 2013.
  2. ↑ W. Baumeier: Rescue and treatment concepts in sea rescue  ( page no longer available , search in web archives ), rescue service, 6/2012.@1@ 2Template: Dead Link / www.sarrrah.de
  3. ^ Meinolfus Strätling, A. Schneeweiß, Peter Schmucker: Medical University of Lübeck: Clinic for Anesthesiology. In: Jürgen Schüttler (Ed.): 50 Years of the German Society for Anaesthesiology and Intensive Care Medicine: Tradition and Innovation. Springer, Berlin / Heidelberg / New York 2003, ISBN 3-540-00057-7 , pp. 479-486, here: p. 484.
  4. ^ Frank Golden, Michael Tipton: Essentials of Sea Survival . Human Kinetics, 2002, ISBN 978-0-7360-0215-8 , pp. 241-.
  5. ↑ SARRRAH homepage
  6. ↑ Report on the difficult conditions during transport in the giant thing cave faz.net, June 17, 2014