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dc.contributor.authorGenswein, Manuel
dc.contributor.authorMacias, Darryl
dc.contributor.authorMcIntosh, Scott
dc.contributor.authorReiweger, Ingrid
dc.contributor.authorHetland, Audun
dc.contributor.authorPaal, Peter
dc.date.accessioned2022-08-17T06:45:11Z
dc.date.available2022-08-17T06:45:11Z
dc.date.issued2022-04-26
dc.description.abstractSnow sports in the backcountry have seen a steep increase in popularity, and therefore preparedness for efficient companion and organized rescue is important. While technical rescue skills are widely taught, there is a lack of knowledge regarding first aid for avalanche patients. The stressful and time-critical situation for first responders requires a rule-based decision support tool. AvaLife has been designed from scratch, applying mathematical and statistical approaches including Monte Carlo simulations. New analysis of retrospective data and large prospective field test datasets were used to develop evidence-based algorithms exclusively for the avalanche rescue environment. AvaLife differs from other algorithms as it is not just a general-purpose CPR algorithm which has been slightly adapted for the avalanche patient. The sequence of actions, inclusion of the ≥150 cm burial depth triage criterion, advice to limit CPR duration for normothermic patients to 6 min in case of multiple burials and shortage of resources, criteria for using recovered subjects as a resource in the ongoing rescue, the adapted definition of “injuries incompatible with life”, reasoning behind the utmost importance of rescue breaths, as well as the updated BLS-iCPR algorithm make AvaLife useful in single and multiple burial rescue. AvaLife is available as a companion rescue basic life support (BLS) version for the recreational user and an advanced companion and organized rescue BLS version for guides, ski patrols and mountain rescuers. AvaLife allows seamless interoperability with advanced life support (ALS) qualified medical personnel arriving on site.en_US
dc.identifier.citationGenswein, Macias, McIntosh, Reiweger, Hetland, Paal. AvaLife—A New Multi-Disciplinary Approach Supported by Accident and Field Test Data to Optimize Survival Chances in Rescue and First Aid of Avalanche Patients. International Journal of Environmental Research and Public Health (IJERPH). 2022;19(9)en_US
dc.identifier.cristinIDFRIDAID 2029131
dc.identifier.doi10.3390/ijerph19095257
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/10037/26228
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.journalInternational Journal of Environmental Research and Public Health (IJERPH)
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleAvaLife—A New Multi-Disciplinary Approach Supported by Accident and Field Test Data to Optimize Survival Chances in Rescue and First Aid of Avalanche Patientsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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