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Determination of Death in Mountain Rescue: Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MedCom).

https://arctichealth.org/en/permalink/ahliterature304405
Source
Wilderness Environ Med. 2020 Dec; 31(4):506-520
Publication Type
Journal Article
Review
Date
Dec-2020
Author
Corinna A Schön
Les Gordon
Natalie Hölzl
Mario Milani
Peter Paal
Ken Zafren
Author Affiliation
International Commission for Mountain Emergency Medicine (ICAR MedCom), Zürich, Switzerland; Institute of Forensic Medicine, University of Bern, Bern, Switzerland. Electronic address: corinna.schoen@irm.unibe.ch.
Source
Wilderness Environ Med. 2020 Dec; 31(4):506-520
Date
Dec-2020
Language
English
Publication Type
Journal Article
Review
Keywords
Cardiopulmonary Resuscitation - methods
Death
Humans
Mountaineering
Practice Guidelines as Topic
Rescue Work - standards
Abstract
Determination of death requires specific knowledge, training, and experience in most cases. It can be particularly difficult when external conditions, such as objective hazards in mountains, prevent close physical examination of an apparently lifeless person, or when examination cannot be accomplished by an authorized person. Guidelines exist, but proper use can be difficult. In addition to the absence of vital signs, definitive signs of death must be present. Recognition of definitive signs of death can be problematic due to the variability in time course and the possibility of mimics. Only clear criteria such as decapitation or detruncation should be used to determine death from a distance or by laypersons who are not medically trained. To present criteria that allow for accurate determination of death in mountain rescue situations, the International Commission for Mountain Emergency Medicine convened a panel of mountain rescue doctors and a forensic pathologist. These recommendations are based on a nonsystematic review of the literature including articles on determination of death and related topics.
PubMed ID
33077333 View in PubMed
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