Hjärtstopp i fädrens spår. Tre fall med lyckat behandlingsresultat under Vasaloppsveckan 2010
Sammanfattning
The article is about three cases with successful CPR-treatment in long distance cross-country ski races. Mortality is increased during endurance competition. Since 1922 Vasaloppet is arranged yearly; a 90 km long skiing competition. The last decades shorter tracks (30 and 45 km) are also arranged. In the years 1970 – 2005 sixteen deaths occurred during the races out of 890 000 competitors.
The rescue organization has been improved; medical personnel, snowmobiles and ambulances are on duty along the track.
In 2010, 57 578 men and women registered to start. Three of the competitors had a cardiac arrest during the race. All of them survived. All of these men (42, 53 and 57 of age) were healthy but had a family history of myocardial infarction.
In all occasions other skiers started CPR. Within 12-16 minutes rescue personal from the Vasaloppet organization arrived and could defibrillate two of them; the third had return of spontaneous circulation without defibrillation. Ambulance arrived 4-23 minutes later and brought them to hospital for coronary angiography. All were treated with PCI and stent. These three cases underline the importance of “bystander-CPR” in the race.