Alpine Rescue & Mountain Emergency Medicine

NEWS Archive 2021

Update 18.11.2021
ICAR Digital Congress 2021
Due to the CoVid Pandemic, the ICAR General Assembly (GA) and Assembly of Delegates (AoD) took place virtually again this year. Nevertheless we were able to engage in excellent presentations and discussions and even the AoD could be held including the scheduled election of the ICAR Board. You will find more details on that on the ICAR main page.
With the technical support of Topograph Media, the event took place using the Zoom(R) webinar platform, and we are pleased to report that the recordings are now available on the ICAR VIMEO web site.  The links are shown here:

·         Day 1 - https://vimeo.com/643591478
·         Day 2 - https://vimeo.com/643914180
·         Day 3 - https://vimeo.com/643037473

The Virtual Congress videos from last year (2020) are also still available on the ICAR website.  They can be found here (along with videos from prior ICAR Congress events)


Update 16.09.2021
Cardiopulmonary resuscitation in special circumstances
Soar J, Becker LB, Berg KM, Einav S, Ma Q, Olasveengen TM, Paal P, Parr MJA. Cardiopulmonary resuscitation in special circumstances. Lancet. 2021 Aug 26:S0140-6736(21)01257-5. doi: 10.1016/S0140-6736(21)01257-5. Epub ahead of print. PMID: 34454688.
Recently, the Lancet published an article about CPR in special circumstances drawing once more the attention to delayed and intermittend CPR, the hypothermia algorithm and the HOPE Score.
You can access the article via this link

Update 24.08.2021


A new ICAR MedCom Recommendation has been published by Steven ROY et al:

MED REC 0041 2021
Guidelines for Mountain Rescue During the COVID-19 Pandemic:
Official Guidelines of the International Commission for Alpine Rescue

Recommendations are provided for protection of the rescuer (including screening, personal protective equipment [PPE], and vaccination), protection of the patient (including general masking if low risk, specific PPE if high risk), equipment hygiene (including disinfection after every mission), use of single-use products, training and medical measures under COVID-19 precautions, and psychological wellbeing of rescuers during the COVID-19 pandemic. Adapted COVID-19 precautions for low-and-medium-income countries are also discussed.

Update 20.05.2021

Letter to the Editor

Response  to  Drew,  R .  (2020).  Suspension  Trauma:   The   silent   killer.  

Canadian   Journal of Emergency Nursing. https://doi.org/10.29173/cjen18(IHR)

We  read  ‘Suspension  Trauma.  The  silent  killer  by  Richard  Drew’  on  suspension  trauma   with   concern.

Here you can read the Letter to the Editor by ICAR MedCom Members:


Update 07.04.2021

A new ICAR MedCom Recommendation has been published by Dr. Martin Musi et al:

MED REC 0040 - 2021
Clinical staging of accidental hypothermia: The Revised Swiss System

Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom)
Clinical staging of accidental hypothermia is used to guide out-of-hospital treatment and transport decisions.
This revised system simplifies assessment.

Update 22.03.2021

International Hypothermia Registry (IHR)

The International Hypothermia Registry (IHR) is the first and only world-wide database on human accidental hypothermia with more than 250 entries from all continents.

This internet-based registry was created at the University Hospital of Geneva (HUG), Switzerland which hosts the data on its secure server.  It is registered in Switzerland and has Ethical Approval from the University of Geneva.

The IHR’s main goal is to increase awareness and knowledge of accidental hypothermia by gathering sufficient relevant data through international networking, creating the largest database on deep accidental hypothermia.  The Registry will enable the assessment of pre-hospital treatments, rewarming methods and survival factors as well as post-rewarming complications.  This will allow the establishment of evidence-based knowledge and treatment guidelines, thus improving patients’ outcome.

The International Hypothermia Registry has a brand new website. The Database has been upgraded and revised for better research.

Have a look at the website :


Entries of Hypothermic Patients are encouraged and welcome. Registration is free of charge.

Update 06.02.2021

Suspension Syndrome

A new ICAR MedCom Recommendation has been published by Dr. Simon Rauch et al. These recommendations are based on an unanimous consensus opinion of ICAR Medcom. Unusually we are publishing these before a definitive peer reviewed article will be published. We feel this deviation from our normal practice is important for the safety of patients'.

Update 31.03.2021
New book publication on Mountain Emergency Medicine

MOUNTAIN EMERGENCY MEDICINE   by Brugger H., Zafren K., Festi L., Paal P., Strapazzon G.

Update 04.01.2021

Mountaineers as comrade rescuers - deliciencies in First Aid knowledge, minimum physical fitness and technical requirements, and environmental exposures

Please find attached a publication by the UIAA (Küpper T and Morrison A) published in the German Journal of Sports Medicine

Küpper T. Morrison A.
Mountaineers as comrade rescuers - deliciencies in First Aid knowledge, minimum physical fitness and technical requirements, and environmental exposures.
Dtsch Z Sportmed. 2020: 71:280-285. d0i,10.5960/d2sm.2020.468

Here is the URL to the PDF: