Authors: Karel Roubík, Karel Sýkora, Ladisla Sieger, Václav Ort, Lenka Horáková, Šimon Walzel
Citation
Roubik, K., Sykora, K., Sieger, L. et al. Perlite is a suitable model material for experiments investigating breathing in high density snow. Sci Rep 12, 2070 (2022). https://doi.org/10.1038/s41598-022-06015-y
Fulltext in PDF & fulltext download
Published in Scientific Reports
Download fulltext in PDF here: Perlite is a suitable model material for experiments investigating breathing in high density snow
Abstract
Outdoor breathing trials with simulated avalanche snow are fundamental for the research of the gas exchange under avalanche snow, which supports the development of the international resuscitation guidelines. However, these studies have to face numerous problems, including unstable weather and variable snow properties. This pilot study examines a mineral material perlite as a potential snow model for studies of ventilation and gas exchange parameters. Thirteen male subjects underwent three breathing phases—into snow, wet perlite and dry perlite. The resulting trends of gas exchange parameters in all tested materials were similar and when there was a significant difference observed, the trends in the parameters for high density snow used in the study lay in between the trends in dry and wet perlite. These findings, together with its stability and accessibility year-round, make perlite a potential avalanche snow model material. Perlite seems suitable especially for simulation and preparation of breathing trials assessing gas exchange under avalanche snow, and potentially for testing of new avalanche safety equipment before their validation in real snow.
Perlite is a suitable model material for experiments investigating
breathing in high density snow.
References
[1] Brugger, H. et al. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival. Resuscitation 58, 81–88 (2003).
[2] Grissom, C. K., Radwin, M. I., Harmston, C. H., Hirschberg, E. L. & Crowley, T. J. Respiration during snow burial using an artificial air pocket. JAMA 283, 2261–2271 (2000).
[3] Roubik, K., Sieger, L. & Sykora, K. Work of breathing into snow in the presence versus absence of an artificial air pocket affects hypoxia and hypercapnia of a victim covered with avalanche snow: a randomized double blind crossover study. PLOS ONE 10, e0144332; 10.1371/journal.pone.0144332 (2015).
[4] Strapazzon, G. et al. Effects of snow properties on humans breathing into an artificial air pocket–an experimental field study. Sci. Rep. 7, 17675; 10.1038/s41598-017-17960-4 (2017).
[5] Paal, P. et al. Factors affecting survival from avalanche burial—a randomised prospective porcine pilot study. Resuscitation 84, 239–243 (2013).
[6] Strapazzon, G. et al. Hypoxia and hypercapnia effects on cerebral oxygen saturation in avalanche burial: a pilot human experimental study. Resuscitation 158, 175–182 (2021).
[7] McIntosh, S. E., Little, C. E., Seibert, T. D., Polukoff, N. E., & Grissom, C. K. Avalanche airbag post-burial active deflation—The ability to create an air pocket to delay asphyxiation and prolong survival. Resuscitation 146, 155–160 (2020).
[8] Lott, C., et al. European Resuscitation Council Guidelines 2021: cardiac arrest in special circumstances. Resuscitation, 161, 152-219 (2021).
[9] Brugger, H., et al. Resuscitation of avalanche victims: evidence-based guidelines of the international commission for mountain emergency medicine (ICAR MEDCOM): intended for physicians and other advanced life support personnel. Resuscitation, 84.5, 539-546 (2013).
[10] Haegeli, P., Falk, M., Brugger, H., Etter, H. J. & Boyd, J. Comparison of avalanche survival patterns in Canada and Switzerland. CMAJ 183, 789–795 (2011).
[11] McClung, D. & Schaerer, P. The Avalanche Handbook 3rd ed. (The Mountaineer books, 2006).
[12] Horakova, L., Sykora, K., Sieger, L. & Roubik, K. Breathing Experiments into the Simulated Avalanche Snow: Medical and Technical Issues of the Outdoor Breathing Trials. In World Congress on Medical Physics and Biomedical Engineering 2018: Volume 68/1 (ed. Lhotska, L., Sukupova, L., Lacković, I. & Ibbott, G. S.), 711–717 (Springer Singapore, 2019).
[13] Brugger, H. et al. terraXcube: A new hi-tech training facility for EMS teams. Resuscitation 130, e79 (2018).
[14] Roubik, K. et al. Materials suitable to simulate snow during breathing experiments for avalanche survival research. Lekar a technika–Clinician and Technology 50, 32–39 (2020).
[15] Doocy, S., Daniels, A., Packer, C., Dick, A. & Kirsch, T. D. The human impact of earthquakes: a historical review of events 1980-2009 and systematic literature review. PLOS Curr. 5; 10.1371/currents.dis.67bd14fe457f1db0b5433a8ee20fb833 (2013).
[16] Maron, B. A., Haas, T. S. & Maron, B. J. Sudden Death from Collapsing Sand Holes. N. Engl. J. Med. 356, 2655–2656 (2007).
[17] Grissom, C. K. et al. Hypercapnia effect on core cooling and shivering threshold during snow burial. Aviat. Space Environ. Med. 79, 735–742 (2008).
[18] Windsor, J. S., Hamilton, E., Grocott, M. P., O’Dwyer, M. J. & Milledge, J. S. The snow snorkel: a proof of concept study. Wilderness Environ. Med. 20, 61–65 (2009).
[19] Radwin, I. M., Grissom, C. K., Scholand, M. B. & Harmston, C. H. Normal oxygenation and ventilation during snow burial by the exclusion of exhaled carbon dioxine. Wilderness Environ. Med. 12, 256–262 (2001).
[20] American Society of Anesthesiologists. New Classification of Physical Status, Anesthesiology 24, 111 (1963).
[21] Kornhall, D. K., Logan, S. & Dolven, T. Body positioning of buried avalanche victims. Wilderness Environ. Med. 27, 321–325 (2016).
[22] Maxim, L. D., Niebo, R., & McConnell, E. E. Perlite toxicology and epidemiology–a review. Inhalation toxicology, 26(5), 259-270 (2014).
[23] Kinar, N. J. & Pomeroy, J. W. Measurement of the physical properties of the snowpack. Rev. Geophys. 53, 481–544 (2015).
[24] Fierz, C., Armstrong, R. L., Durand , Y., Etchevers, P., Greene, E., McClung, D. M., Nishimura, K., Satyawali, P. K., and Sokratov, S. A. The International Classification for Seasonal Snow on the Ground, HP-VII Technical Documents in Hydrology, IACS Contribution No 1, UNESCO-IHP, Paris, France, 90 pp., 2009.
[25] Hohlrieder, M. et al. Pattern and severity of injury in avalanche victims. High Alt. Med. Biol. 8, 56–61 (2007).
[26] Procter, E. et al. Adherence of backcountry winter recreationists to avalanche prevention and safety practices in northern Italy. Scand. J. Med. Sci. Sports 24, 823–829 (2014).
[27] McIntosh, S. E. et al. Cause of death in Utah avalanche fatalities, 2006–2007 through 2017–2018 winter seasons. Wilderness Environ. Med. 30, 191–194 (2019).
[28] Procter, E. et al. Burial duration, depth and air pocket explain avalanche survival patterns in Austria and Switzerland. Resuscitation 105, 173–176 (2016).
[29] Falk, M., Brugger, H., & Adler-Kastner, L. Avalanche survival chances. Nature, 368(6466), 21-21 (1994).