{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T18:47:29Z","timestamp":1781808449588,"version":"3.54.5"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>A 24-year-old male snowboarder was buried in an avalanche for 20\u2005h and rescued on the next day at a depth of 2.3\u2005m below the snow surface. A large air pocket was noted in front of his mouth and nose. He was responsive but moved restlessly and uncoordinatedly. The epitympanic temperature was 22.5\u2009\u00b0C. He was bradycardic (35\/min), and a right bundle branch block with Osborn waves was noted. Rewarming (1\u2009\u00b0C\/h) was initiated with continuous hemodialysis; core temperature raised to 29.8\u2009\u00b0C within 4\u2005h. At 30\u2009\u00b0C he became conscious. With rewarming, the heart rate increased to 90 beats per minute and the ECG changes disappeared; nonfreezing cold injuries were noted. On the next day, his pulmonary function deteriorated\u2014fluid overload of 9 L since admission was diagnosed. With spontaneous diuresis, the situation improved. On Day 4, the neurologist reported subtle polyneuropathy in both legs secondary to hypothermia, without tendency to regress. This case occurred more than 20 years ago but has not been reported yet. To this day, this is the third-longest critical avalanche burial ever reported. We discuss the circumstances of this accident, the clinical course, and how treatment has changed since 2000.<\/jats:p>","DOI":"10.1177\/10806032231220403","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T03:16:21Z","timestamp":1703042181000},"page":"94-99","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Surviving 20 Hours of Critical Avalanche Burial and a Core Temperature of 22.5\u2009\u00b0C"],"prefix":"10.1177","volume":"35","author":[{"given":"Bernd","family":"Wallner","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Lienhart","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine, Academic Teaching Hospital Feldkirch, Feldkirch, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien","family":"Cools","sequence":"additional","affiliation":[{"name":"Division of Anaesthesiology, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Paal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine, St. John of God Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"bibr1-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2023.109708"},{"key":"bibr2-10806032231220403","unstructured":"de Quervain M, F\u00f6hn P, Beck E, Schild M, Gliott S. Schnee und Lawinen in den Schweizeralpen. Winter 1971\/72. Winterbericht des Eidgen\u00f6ssischen Instituts f\u00fcr Schnee- und Lawinenforschung, Weissfluhjoch\/Davos, Switzerland, 1973(36)."},{"key":"bibr3-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1580\/1080-6032(2002)013[0143:TAIAS]2.0.CO;2"},{"key":"bibr4-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.05.030"},{"key":"bibr5-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31010-8"},{"key":"bibr6-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2012.1072"},{"key":"bibr7-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2934"},{"key":"bibr8-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1186\/2110-5820-1-1"},{"key":"bibr9-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2006.0815"},{"key":"bibr10-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.011"},{"key":"bibr11-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2012.10.020"},{"key":"bibr12-10806032231220403","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910482"},{"key":"bibr13-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62032-7"},{"key":"bibr14-10806032231220403","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910234"},{"key":"bibr15-10806032231220403","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010501"},{"key":"bibr16-10806032231220403","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvy305"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032231220403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032231220403","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032231220403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:31:12Z","timestamp":1777689072000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032231220403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,20]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1177\/10806032231220403"],"URL":"https:\/\/doi.org\/10.1177\/10806032231220403","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,20]]}}}