Suspension syndrome: a scoping review and recommendations from the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Pasquier M, Yersin B, Vallotton L, Carron PN. Clinical update: suspension trauma. Wilderness Environ Med. 2011;22(2):167–71.

Article  PubMed  Google Scholar 

Flora G, Holzl H. Fatal and non-fatal accidents involving falls into the rope. Paper of the Second International Conference of Mountain Rescue Doctors, Innsbruck (Austria) 1972.

Mortimer RB. Risks and management of prolonged suspension in an Alpine harness. Wilderness Environ Med. 2011;22(1):77–86.

Article  PubMed  Google Scholar 

Seddon P. Harness suspension: review and evaluation of existing information. Norwich: Health and Safety Executive 2002.

Amphoux M, editor Hanging after a fall: an extremely urgent rescue1998; Wuppertal, Germany.

Patscheider H. Pathologico-anatomical examination results in the case of death caused by hanging on the rope. Paper of the Second International Conference of Mountain Rescue Doctors, Innsbruck (Austria) 1972.

Wharton DR, Mortimer RB. Rhabdomyolysis after prolonged suspension in a cave. Wilderness Environ Med. 2011;22(1):52–3.

Article  PubMed  Google Scholar 

Lee C, Porter KM. Suspension trauma. Emerg Med J. 2007;24(4):237–8.

Article  PubMed  PubMed Central  Google Scholar 

Adisesh A, Lee C, Porter K. Harness suspension and first aid management: development of an evidence-based guideline. Emerg Med J. 2011;28(4):265–8.

Article  CAS  PubMed  Google Scholar 

Lanfranconi F, Pollastri L, Corna G, Bartesaghi M, Novarina M, Ferri A, et al. The elusive path of brain tissue oxygenation and cerebral perfusion in harness hang syncope in mountain climbers. High Alt Med Biol. 2017;18(4):363–71.

Article  CAS  PubMed  Google Scholar 

Rauch S, Schenk K, Strapazzon G, Dal Cappello T, Gatterer H, Palma M, et al. Suspension syndrome: a potentially fatal vagally mediated circulatory collapse—an experimental randomized crossover trial. Eur J Appl Physiol. 2019.

Raynovich B, Rwaili FT, Bishop P. Dangerous suspension. Understanding suspension syndrome & prehospital treatment for those at risk. JEMS: J Emerg Med Serv. 2009;34(8):44–51, 3; quiz 3.

Drew R. Suspension trauma. Can J Emerg Nurs. 2020.

Petrone P, Espinoza-Villalobos S, Baltazar GA, Søreide K, Stright A, Brathwaite CEM, et al. Fatal and non-fatal injuries due to suspension trauma syndrome: a systematic review of definition, pathophysiology, and management controversies. World J Emerg Med. 2021;12(4):253–60.

Article  PubMed  PubMed Central  Google Scholar 

Flora GM, R.; Dittrich, P.; Stuhlinger, W. Hanging tests—conclusions for the mountaineer. Paper of the Second International Conference of Mountain Rescue Doctors (Austria) German to English translation by HSE Language Services Transl No 16372(I)1972.

National Heart L, and Blood Institute (NHLBI). Study Quality Assessment Tools. 2021. Available from: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.

Pasquier M, Strapazzon G, Kottmann A, Paal P, Zafren K, Oshiro K, et al. On-site treatment of avalanche victims: scoping review and 2023 recommendations of the international commission for mountain emergency medicine (ICAR MedCom). Resuscitation. 2023;184:109708.

Article  CAS  PubMed  Google Scholar 

Blancher M, Albasini F, Elsensohn F, Zafren K, Hölzl N, McLaughlin K, et al. Management of multi-casualty incidents in mountain rescue: evidence-based guidelines of the international commission for mountain emergency medicine (ICAR MEDCOM). High Alt Med Biol. 2018;19(2):131–40.

Article  PubMed  PubMed Central  Google Scholar 

Sumann G, Moens D, Brink B, Brodmann Maeder M, Greene M, Jacob M, et al. Multiple trauma management in mountain environments - a scoping review: evidence based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Intended for physicians and other advanced life support personnel. Scand J Trauma Resuscitation Emerg Med. 2020;28(1):117.

Roy S, Soteras I, Sheets A, Price R, Oshiro K, Rauch S, et al. Guidelines for mountain rescue during the COVID-19 pandemic: official guidelines of the international commission for alpine rescue. High Alt Med Biol. 2021;22(2):128–41.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Lugnet V, McDonough M, Gordon L, Galindez M, Mena Reyes N, Sheets A, et al. Termination of cardiopulmonary resuscitation in mountain rescue: a scoping review and ICAR MedCom 2023 recommendations. High Alt Med Biol. 2023.

Ellerton J, Milani M, Blancher M, Zen-Ruffinen G, Skaiaa SC, Brink B, et al. Managing moderate and severe pain in mountain rescue. High Alt Med Biol. 2014;15(1):8–14.

Article  PubMed  Google Scholar 

Guyatt G, Gutterman D, Baumann MH, Addrizzo-Harris D, Hylek EM, Phillips B, et al. Grading strength of recommendations and quality of evidence in clinical guidelines: report from an American College of Chest Physicians Task Force. Chest. 2006;129(1):174–81.

Article  PubMed  Google Scholar 

Stuhlinger WD, P; Flora, G; Margreiter, R. Circulatory and renal function changes in test subjects suspended from the upper half of the body. Paper of the Second International Conference of Mountain Rescue Doctors, Innsbruck (Austria) 1972.

Orzech M GM, Brickley J, Salerno M, Seaworth J. test program to evaluate human response to prolonged motionless suspension in three types of fall protection harnesses. . In: Armstrong Aerospace Medical Research Laboratory W-PAFB, editor. 1987.

Roeggla M, Brunner M, Michalek A, Gamper G, Marschall I, Hirschl MM, et al. Cardiorespiratory response to free suspension simulating the situation between fall and rescue in a rock climbing accident. Wilderness Environ Med. 1996;7(2):109–14.

Article  CAS  PubMed  Google Scholar 

Madsen P, Svendsen LB, Jørgensen LG, Matzen S, Jansen E, Secher NH. Tolerance to head-up tilt and suspension with elevated legs. Aviat Space Environ Med. 1998;69(8):781–4.

CAS  PubMed  Google Scholar 

Shamsuzzaman AS, Sugiyama Y, Kamiya A, Fu Q, Mano T. Head-up suspension in humans: effects on sympathetic vasomotor activity and cardiovascular responses. J Appl Physiol (Bethesda, Md : 1985). 1998;84(5):1513–9.

Rollnik JD, Witt K, Hänert W, Rix W, Schwindt M. Rescue lifting system (RLS) might help to prevent death after rescue from immersion in cold water. Int J Sports Med. 2001;22(1):17–20.

Article  CAS  PubMed  Google Scholar 

Pisati G, Cerri S, Achille G, Rossi G, Lorenzi G. Vascular thrombosis and pulmonary thrombo-embolism due to harness suspension. Med Lav. 2007;98(5):415–21.

CAS  PubMed  Google Scholar 

Turner NL, Wassell JT, Whisler R, Zwiener J. Suspension tolerance in a full-body safety harness, and a prototype harness accessory. J Occup Environ Hyg. 2008;5(4):227–31.

Article  PubMed  Google Scholar 

Ruhrmann S, Lutz M, Uhle F, Rehmann H, Haverney F, Weigand M, et al. Medizinische Versorgung in der Höhenrettung. Notfall + Rettungsmedizin. 2010;13(6):458–64.

Hsiao H, Turner N, Whisler R, Zwiener J. Impact of harness fit on suspension tolerance. Hum Factors. 2012;54(3):346–57.

Article  PubMed  PubMed Central  Google Scholar 

Hsiao H. Anthropometric procedures for protective equipment sizing and design. Hum Factors. 2013;55(1):6–35.

Article  PubMed  PubMed Central  Google Scholar 

Goossens L, Vander Laenen M, Boer W. Abstracts presented at the fifth symposium of the Belgian Society of Emergency and Disaster Medicine (BESEDIM); Abstract Nr: 24 Hanging by a thread. Acta Clin Belg. 2014;69(sup1):S1–34.

Article  Google Scholar 

Beverly JM, Zuhl MN, White JMB, Beverly ER, VanDusseldorp TA, McCormick JJ, et al. Harness suspension stress: physiological and safety assessment. J Occup Environ Med. 2019;61(1):35–40.

Article  PubMed  Google Scholar 

Lanfranconi F, Ferri A, Pollastri L, Bartesaghi M, Novarina M, De Vito G, et al. Impact of hanging motionless in harness on respiratory and blood pressure reflex modulation in mountain climbers. High Alt Med Biol. 2019;20(2):122–32.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Rauch S, Schenk K, Gatterer H, Erckert M, Oberhuber L, Bliemsrieder B, et al. Venous pooling in suspension syndrome assessed with ultrasound. Wilderness Environ Med. 2020;31(2):204–8.

Article  PubMed  Google Scholar 

Baszczyński K. Effect of safety harness design on the pressures exerted on the user’s body in the state of its suspension. Int J Occup Saf Ergon. 2022;28(3):1894–903.

Article  PubMed  Google Scholar 

Mosqueda-Garcia R, Furlan R, Tank J, Fernandez-Violante R. The elusive pathophysiology of neurally mediated syncope. Circulation. 2000;102(23):2898–906.

Article  CAS  PubMed  Google Scholar 

Chen-Scarabelli C, Scarabelli TM. Neurocardiogenic syncope. BMJ (Clin Res ed). 2004;329(7461):336–41.

Article  Google Scholar 

Kolb JJ, Smith EL. SUSPENSION SHOCK. Redefining the diagnosis and treatment of suspension trauma. JEMS: J Emerg Med Serv. 2015;40(6):48–51.

Soar J, Böttiger BW, Carli P, Couper K, Deakin CD, Djärv T, et al. European resuscitation council guidelines 2021: adult advanced life support. Resuscitation. 2021;161:115–51.

Article  PubMed  Google Scholar 

Lott C, Truhlář A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J, et al. European resuscitation council guidelines 2021: cardiac arrest in special circumstances. Resuscitation. 2021;161:152–219.

Article  PubMed  Google Scholar 

Thomassen O, Skaiaa SC, Brattebo G, Heltne JK, Dahlberg T, Sunde GA. Does the horizontal position increase risk of rescue death following suspension trauma? Emerg Med J. 2009;26(12):896–8.

Article  CAS  PubMed  Google Scholar 

Adisesh A RL, Codling A, Harris-Roberts J, Lee C, Porter K. Evidence-based review of the current guidance on first aid measures for suspension trauma. . In: Executive HaS, editor. Norwich, UK; 2009.

Weber SA, McGahan MM, Kaufmann C, Biswas S. Suspension trauma: a clinical review. Cureus. 2020;12(6):e8514.

PubMed  PubMed Central  Google Scholar 

Fitzgibbon JB, Lovallo E, Escajeda J, Radomski MA, Martin-Gill C. Feasibility of out-of-hospital cardiac arrest ultrasound by ems physicians. Prehosp Emerg Care. 2019;23(3):297–303.

Article  PubMed  Google Scholar 

Robinson AE, Simpson NS, Hick JL, Moore JC, Jones GA, Fischer MD, et al. Prehospital ultrasound diagnosis of massive pulmonary embolism by non-physicians: a case series. Prehosp Emerg Care. 2022:1–6.

Scharonow M, Weilbach C. Prehospital point-of-care emergency ultrasound: a cohort study. Scand J Trauma Resuscitation Emerg Med. 2018;26(1):49.

Article  Google Scholar 

Mortimer RB, Zafren K. Evidence-based versus myth-based treatment of suspension syndrome. Wilderness Environ Med. 2020;31(2):202–3.

Article  PubMed  Google Scholar 

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