Frühdefibrillation im Gletscherskigebiet: übertrieben oder Überleben? 3 Fallberichte und eine Standortbestimmung

Zusammenfassung

In den Wintermonaten der Jahre 2002 - 2004 erleiden drei Menschen im Skigebiet der Stubaier Gletscherbahnen in Tirol (Österreich) einen Herz-Kreislauf-Stillstand aus nicht-traumatologischer Ursache. Sie werden vom Personal des Pistenrettungsdienstes mit Hilfe des Einsatzes von halbautomatischen Defibrillatoren (AED) wiederbelebt. Zwei der drei Patienten überleben das Ereignis primär; in einem Fall bis zur Krankenhausentlassung ohne neurologische Folgeschäden. Der Artikel beschreibt am Beispiel dieser Notfallsituationen die Rettungskette bei einem vital bedrohlichen Zwischenfall in einer hochalpinen Region, die Implementierung eines modifizierten Public-Access-Defibrillation-Systems in einem Gletscherskigebiet, sowie die Voraussetzungen für eine sinnvolle Anwendung der Frühdefibrillation außerhalb des professionellen Rettungsdienstes.

Abstract

In the months of winter 2002-2004, three cases of non-traumatic cardiac arrest occurred in the skiing area of the Stubaier Gletscher in Tyrol, Austria. All patients were initially resuscitated by ski patrol members, including the use of an automated external defibrillator (AED). Two of the patients were alive at hospital admission, one patient was discharged from hospital without neurological damage. The article describes the chain of survival in a high-alpine area, the installation of a modified public-access-defibrillation (PAD) system in a skiing area, and the prerequisites necessary for a successful PAD-program far away from an organized emergency medical system.

Frühdefibrillation - AED - kardiopulmonale Reanimation - Laienhelfer - alpine Region

Public Access Defibrillation - AED - cardiopulmonary resuscitation - lay rescuers - alpine area

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