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Cardiovascular Medicine
Volume 13
Issue 9
10.4414/cvm.2010.01524
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

Preserved Cerebral Function After Resuscitation and Induction of Hypothermia with Packed Snow †

by
Alexander J. Pfister
1,*,
Patrik R. Schwab
1,
Andreas Wahl
2,
Jukka Takala
3,
Bernhard Meier
2 and
Carlo Höfliger
1
1
Swiss Air Rescue REGA, REGA Centre, Zurich Airport, Zurich, Switzerland
2
Cardiology, Swiss Cardiovascular Centre Bern, University of Bern, Bern, Switzerland
3
Department of Intensive Care, Emergency Medicine and Anaesthesiology, Intensive Care Clinic, University Hospital Bern, Bern, Switzerland
*
Author to whom correspondence should be addressed.
†
This series of case reports was presented as internal vocational training at: Department of Intensive Care, Emergency Medicine and Anaesthesiology, Intensive Care Clinic, University Hospital Bern, Bern, Switzerland and fmi Hospital Interlaken, Institute of Anaesthesiology and Intensive Care, Unterseen, Switzerland in August 2008.
Cardiovasc. Med. 2010, 13(9), 284; https://doi.org/10.4414/cvm.2010.01524
Submission received: 15 June 2010 / Revised: 15 July 2010 / Accepted: 15 August 2010 / Published: 15 September 2010
Versions Notes

Abstract

Objective: The objective is to report an easy and fast way of out-of-hospital induction of mild therapeutic hypothermia after prolonged cardiopulmonary resuscitation. Method: Retrospective case report. Case reports: We report two cases of witnessed out-of-hospital cardiac arrest at an alpine ski resort. Both patients underwent prolonged cardiopulmonary resuscitation due to persistent ventricular fibrillation. On scene, mild therapeutic hypothermia was induced with packed snow either after return of spontaneous circulation or already during active resuscitation. For percutaneous coronary intervention, the patients were airlifted to a tertiary cardiology centre. During the 16 minute flight, they both reached the hypothermia target temperature of 33 ± 1 °C and were kept hypothermic for 24 hours. After active rewarming and extubation, the patients recovered completely and did not suffer from any neurological dysfunction. Discussion: We attribute the excellent outcome to the resolute implementation of the resuscitation and the early out-of-hospital onset of mild therapeutic hypothermia.
Keywords: cardiopulmonary resuscitation (CPR); hypothermia; myocardial infarction; neurological dysfunction; helicopter emergency medical service (HEMS); snow cardiopulmonary resuscitation (CPR); hypothermia; myocardial infarction; neurological dysfunction; helicopter emergency medical service (HEMS); snow

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MDPI and ACS Style

Pfister, A.J.; Schwab, P.R.; Wahl, A.; Takala, J.; Meier, B.; Höfliger, C. Preserved Cerebral Function After Resuscitation and Induction of Hypothermia with Packed Snow. Cardiovasc. Med. 2010, 13, 284. https://doi.org/10.4414/cvm.2010.01524

AMA Style

Pfister AJ, Schwab PR, Wahl A, Takala J, Meier B, Höfliger C. Preserved Cerebral Function After Resuscitation and Induction of Hypothermia with Packed Snow. Cardiovascular Medicine. 2010; 13(9):284. https://doi.org/10.4414/cvm.2010.01524

Chicago/Turabian Style

Pfister, Alexander J., Patrik R. Schwab, Andreas Wahl, Jukka Takala, Bernhard Meier, and Carlo Höfliger. 2010. "Preserved Cerebral Function After Resuscitation and Induction of Hypothermia with Packed Snow" Cardiovascular Medicine 13, no. 9: 284. https://doi.org/10.4414/cvm.2010.01524

APA Style

Pfister, A. J., Schwab, P. R., Wahl, A., Takala, J., Meier, B., & Höfliger, C. (2010). Preserved Cerebral Function After Resuscitation and Induction of Hypothermia with Packed Snow. Cardiovascular Medicine, 13(9), 284. https://doi.org/10.4414/cvm.2010.01524

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