Herz-Kreislauf-Stillstand im winterlichen Hochgebirge

Zusammenfassung

Die Zunahme sportlicher und touristischer Aktivitäten im Gebirge hat auch zu einer Zunahme verunfallter oder akut erkrankter Personen in diesen Gebieten geführt. Herz-Kreislauf-Stillstände im Gebirge sind durch traumatische Ereignisse, Höhenkrankheit, Kälteschädigung, Lawinenunfälle oder plötzlichen Herztod bedingt, hierbei müssen vorbestehende chronische Erkrankungen berücksichtigt werden. Insgesamt ist die Rate der tödlich verunfallten Bergsportler in den letzten Jahren in alpinen Regionen nicht angestiegen. Es wird über 3 Patienten mit Herz-Kreislauf-Stillstand im winterlichen Hochgebirge sowie deren Behandlungs- und Genesungsverlauf berichtet. Die rettungstechnischen und medizinischen Maßnahmen der Fallvorstellungen werden unter Berücksichtigung der aktuellen Literatur diskutiert.

Abstract

The increase in sporting activities and tourism in mountain areas has given rise to the number of patients with acute diseases or accidents in these areas. Cardiopulmonary arrests in the mountains are caused by trauma, high altitude illness, cold injury, avalanche burial and sudden cardiac death. In this context, the prevalence of chronic diseases of the patients has to be taken into account. Overall, the number of fatalities in mountain areas has not increased over the last years. The authors describe the cause of cardiopulmonary arrest, medical treatment, rescue operation and the recovery of three patients during winter season in high mountain area and discuss the measures based on a review of the current literature.

Schlüsselwörter

Alpinunfall - Herz-Kreislauf-Stillstand - Herz-Kreislauf-Wiederbelebung - Bergrettung

Keywords

alpine accident - cardiopulmonary arrest - cardiopulmonary resuscitation - mountain rescue

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