PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Avalanches”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

The impact of avalanche transceivers on mortality from avalanche accidents.

Rapid extrication is the most important determinant of survival in avalanche victims. To facilitate rapid localization of avalanche victims by uninjured companions, avalanche transceivers are widely used during off-piste and backcountry activities. Despite their widespread use, the influence of transceivers on survival probability in avalanche accidents is controversial. The aim of this retrospective study was to analyze the influence of transceivers on the mortality of avalanche victims. There were 194 accidents in Austria from 1994 to 2003, involving 278 totally buried victims, which were analyzed. Avalanche transceivers were used by 156 (56%) victims and were associated with a significant reduction in median burial time from 102 to 20 min (p < 0.001), as well as a significant reduction in mortality from 68.0% to 53.8% (p = 0.011). This reduction was due to a decrease in mortality during backcountry activities involving ski tourers in free alpine areas (from 78.9% to 50.4%, p < 0.001). Transceivers did not reduce mortality during off-piste activities beside or near organized ski slopes (67.7% with versus 58.5% without transceiver, not significant). Mortality of persons using a transceiver is significantly higher if burial depth exceeds 1.5 m. Despite a significant reduction, mortality still exceeds 50% even with the use of transceivers. Therefore, in addition to the use of emergency equipment like transceivers, avalanche avoidance measures are critically important. The fairly modest influence of the use of transceivers on survival probability may be due to the highly efficient mountain rescue service in the Austrian Alps. In remote areas the reduction in mortality will probably be far more pronounced.

Accident Prevention↗

[Avalanche emergency. New aspects of the pathophysiology and therapy of buried avalanche victims].

A series of investigations on the pathophysiology and management of persons buried in an avalanche has been undertaken over the past few years in response to increased awareness of the importance of emergency medical treatment of avalanche victims and the fact that the high mortality rate has not decreased in spite of the improvement in rescue techniques. This paper is the very first review of the problems encountered in avalanche disasters. The developments over the past 20 years, in particular, are summarized and discussed. Furthermore, current opinions and recommendations on optimal rescue procedure, as well as the prevention of such emergencies are presented. Precise assessment of the survival probability after burial under an avalanche and recognition of the prognostic importance of an air pocket, but only limited role of hypothermia, provide the basis for new concepts governing therapy and triage by the emergency doctor. Resulting guidelines have been endorsed by the Emergency Medicine Subdivision of the International Commission of the Alpine Rescue Services (ICAR) and these recommendations are intended for implementation by organised rescue teams in order to reduce secondary deaths following successful extrication of victims from the avalanche masses. However, the chance of being rescued alive depends primarily on the rapidity of extrication, i.e. how quickly the rescue teams are alerted and transported to the disaster area in the first instance, then how quickly the victims are located and extricated. In order to reduce the mortality additional preventive measures must be introduced to avoid complete burial if possible, or appreciably hasten the rescue procedure. The very steep drop ("fatal kink") in survival probability as from 15 minutes after burial underlines the absolute necessity of the mastery of efficient rescue procedure by uninjured companions. Improvement of the technical developments for the avoidance of total burial (avalanche air bag) and optimization of the electronic location (transceiver) of buried skiers by uninjured companions are essential future requirements. Nonetheless, primary prevention remains of paramount importance in governing decision making by offpiste skiers. Correct assessment of the inherent risks according to the prevailing circumstances and strict adherence to safety rules take precedence over all other considerations.

Asphyxia↗

[Differential diagnosis of circulatory failure in hypothermic avalanche victims: retrospective analysis of 32 avalanche accidents].

In avalanche accidents the cause of cardio-respiratory arrest (asphyxia, hypothermia, trauma) is difficult to determine in the field but may be important (high number of victims, limited number of rewarming places). 32 avalanche accidents (16 survivors/16 deaths) were therefore reviewed retrospectively. In 19 patients with cardiorespiratory arrest, asphyxia was frequent (17 patients, 89%) hypothermia was rare (two patients, 11%). The cooling rate between the accident and the arrival at the hospital was 3.0 degrees C/h. (range 0.75-5.8). The core temperature at arrival in the hospital was dependent on the time spent buried under the snow (survivors) and total time (nonsurvivors). The maximal cooling rate under the snow was estimated at 8 degrees C/h. Cardiorespiratory arrest in hypothermic patients without asphyxia seems only to be possible after being buried for at least 1 h. under the snow. Serum potassium was elevated in most cases of asphyxia.

Accidents↗

Brain-wide spontaneous neural avalanches: Definition, functional dynamics and cognitive relevance.

Although spontaneous activity is ubiquitous across multiple spatiotemporal scales, its functional organization and cognitive relevance remain poorly understood. Following the classic neuronal avalanche framework, a spontaneous avalanche is defined as consecutively active frames separated by inactive time bins. Hence, multiple distinct avalanches may be considered as one avalanche, thereby ignoring their spatial and temporal distinguishability. Furthermore, group-level power-law fitting of such neural avalanches is often performed to evaluate brain criticality (referring to a system perched between order and disorder) due to the limited recording length of macroscale neuroimaging (such as functional magnetic resonance imaging), and the functional representation of brain-wide neural avalanches is largely unexplored. To address these issues, we proposed large-scale neural avalanches as a single, spatially consecutive cascade pattern and further investigated their functional dynamics, network propagation, and association with task-evoked activity. Compared with the conventional inactive-bin definition, our current approach is more favorable to power-law fitting of avalanche size and duration distributions at the individual level. We also demonstrated that participants whose brain activities were close to the critical point tend to have higher cognitive abilities. Notably, the ratio of neural avalanches that evolved from primary sensory to association networks negatively correlated with cognitive abilities. Moreover, the geometric distance between low-dimensional representations of task-evoked activity and spontaneous avalanches was associated with behavioral performance. This study not only provides a promising avenue for measuring avalanche criticality based on human whole-brain neuroimaging, but also suggests that spontaneous neural avalanches and their low-dimensional representations contribute to human cognitive abilities.

Humans↗

Technological advances in avalanche survival.

Over the last decade, a proliferation of interest has emerged in the area of avalanche survival, yielding both an improved understanding of the pathophysiology of death after avalanche burial and technological advances in the development of survival equipment. The dismal survival statistics born out of the modern era of winter recreation unmistakably reveal that elapsed time and depth of burial are the most critical variables of survival and the focus of newer survival devices on the market. Although blunt trauma may kill up to one third of avalanche victims, early asphyxiation is the predominant mechanism of death, and hypothermia is rare. A survival plateau or delay in asphyxiation may be seen in those buried in respiratory communication with an air pocket until a critical accumulation of CO2 or an ice lens develops. The newest survival devices available for adjunctive protection, along with a transceiver and shovel, are the artificial air pocket device (AvaLung), the avalanche air bag system (ABS), and the Avalanche Ball. The artificial air pocket prolongs adequate respiration during snow burial and may improve survival by delaying asphyxiation. The ABS, which forces the wearer to the surface of the avalanche debris by inverse segregation to help prevent burial, has been in use in Europe for the last 10 years with an impressive track record. Finally, the Avalanche Ball is a visual locator device in the form of a spring-loaded ball attached to a tether, which is released from a fanny pack by a rip cord. Despite the excitement surrounding these novel technologies, avalanche avoidance through knowledge and conservative judgment will always be the mainstay of avalanche survival, never to be replaced by any device.

Asphyxia↗

Breakdown of avalanche critical behaviour in polycrystalline plasticity.

Acoustic emission experiments on creeping ice as well as numerical simulations argue for a self-organization of collective dislocation dynamics during plastic deformation of single crystals into a scale-free pattern of dislocation avalanches characterized by intermittency, power-law distributions of avalanche sizes, complex space-time correlations and aftershock triggering. Here, we address the question of whether such scale-free, close-to-critical dislocation dynamics will still apply to polycrystals. We show that polycrystalline plasticity is also characterized by intermittency and dislocation avalanches. However, grain boundaries hinder the propagation of avalanches, as revealed by a finite (grain)-size effect on avalanche size distributions. We propose that the restraint of large avalanches builds up internal stresses that push temporally the dynamical system into a supercritical state, off the scale-invariant critical regime, and trigger secondary avalanches in neighbouring grains. This modifies the statistical properties of the avalanche population. The results might also bring into question the classical ways of modelling plasticity in polycrystalline materials, based on homogenization procedures.

Computer Simulation↗

The Savage-Hutter avalanche model: how far can it be pushed?

The Savage-Hutter (SH) avalanche model is a depth-averaged dynamical model of a fluid-like continuum implementing the following simplifying assumptions: (i) density preserving, (ii) shallowness of the avalanche piles and small topographic curvatures, (iii) Coulomb-type sliding with bed friction angle delta and (iv) Mohr-Coulomb behaviour in the interior with internal angle of friction phi> or =delta and an ad hoc assumption reducing the number of Mohr's circles in three-dimensional stress states to one. We scrutinize the available literature on information regarding these assumptions and thus delineate the ranges of validity of the proposed model equations. The discussion is limited to relatively large snow avalanches with negligible powder snow component and laboratory sand avalanches starting on steep slopes. The conclusion of the analysis is that the SH model is a valid model for sand avalanches, but its Mohr-Coulomb sliding law may have to be complemented for snow avalanches by a second velocity-dependent contribution. For very small snow avalanches and for laboratory avalanches starting on moderately steep and bumpy slopes it may not be adequate.

Complex Mixtures↗

Indirect flat-panel detector with avalanche gain: fundamental feasibility investigation for SHARP-AMFPI (scintillator HARP active matrix flat panel imager).

An indirect flat-panel imager (FPI) with avalanche gain is being investigated for low-dose x-ray imaging. It is made by optically coupling a structured x-ray scintillator CsI(Tl) to an amorphous selenium (a-Se) avalanche photoconductor called HARP (high-gain avalanche rushing photoconductor). The final electronic image is read out using an active matrix array of thin film transistors (TFT). We call the proposed detector SHARP-AMFPI (scintillator HARP active matrix flat panel imager). The advantage of the SHARP-AMFPI is its programmable gain, which can be turned on during low dose fluoroscopy to overcome electronic noise, and turned off during high dose radiography to avoid pixel saturation. The purpose of this paper is to investigate the important design considerations for SHARP-AMFPI such as avalanche gain, which depends on both the thickness d(Se) and the applied electric field E(Se) of the HARP layer. To determine the optimal design parameter and operational conditions for HARP, we measured the E(Se) dependence of both avalanche gain and optical quantum efficiency of an 8 microm HARP layer. The results were used in a physical model of HARP as well as a linear cascaded model of the FPI to determine the following x-ray imaging properties in both the avalanche and nonavalanche modes as a function of E(Se): (1) total gain (which is the product of avalanche gain and optical quantum efficiency); (2) linearity; (3) dynamic range; (4) gain nonuniformity resulting from thickness nonuniformity; and (5) effects of direct x-ray interaction in HARP. Our results showed that a HARP layer thickness of 8 microm can provide adequate avalanche gain and sufficient dynamic range for x-ray imaging applications to permit quantum limited operation over the range of exposures needed for radiography and fluoroscopy.

Cesium↗

Avalanches in fine, cohesive powders

We have investigated the onset of avalanches in fine, cohesive granular materials. In our experiments shear stress is generated by tilting an initialized bed of powder and increasing the angle of tilt until the powder avalanches. We find that the angle alpha of the avalanche decreases with increasing bed width. The avalanche depth increases with the bed width and, in all cases, is of the order of several millimeters, which is much greater than the particle size. We carry out a macroscopic analysis of the avalanche process based on Coulomb's method of wedges. This analysis shows the fundamental role played by powder cohesion and boundary conditions on avalanches in fine cohesive powders. This behavior contrasts with the behavior of noncohesive grains, such as dry sand, where avalanches consist of superficial layers of about ten grains. The reason behind this is that for our experimental powders (particle diameter approximately 10 &mgr;m) the van der Waals interparticle adhesive force exceeds several orders of magnitude particle weight. Adhesive forces oppose gravity, and as a result fine cohesive powders settle in very open structures as compared to noncohesive granular materials. Because of the dominance of adhesive forces over particle weight, our materials behave more like wet sand.

Journal Article↗

Neuronal avalanches are diverse and precise activity patterns that are stable for many hours in cortical slice cultures.

A major goal of neuroscience is to elucidate mechanisms of cortical information processing and storage. Previous work from our laboratory (Beggs and Plenz, 2003) revealed that propagation of local field potentials (LFPs) in cortical circuits could be described by the same equations that govern avalanches. Whereas modeling studies suggested that these "neuronal avalanches" were optimal for information transmission, it was not clear what role they could play in information storage. Work from numerous other laboratories has shown that cortical structures can generate reproducible spatiotemporal patterns of activity that could be used as a substrate for memory. Here, we show that although neuronal avalanches lasted only a few milliseconds, their spatiotemporal patterns were also stable and significantly repeatable even many hours later. To investigate these issues, we cultured coronal slices of rat cortex for 4 weeks on 60-channel microelectrode arrays and recorded spontaneous extracellular LFPs continuously for 10 hr. Using correlation-based clustering and a global contrast function, we found that each cortical culture spontaneously produced 4736 +/- 2769 (mean +/- SD) neuronal avalanches per hour that clustered into 30 +/- 14 statistically significant families of spatiotemporal patterns. In 10 hr of recording, over 98% of the mutual information shared by these avalanche patterns were retained. Additionally, jittering analysis revealed that the correlations between avalanches were temporally precise to within +/-4 msec. The long-term stability, diversity, and temporal precision of these avalanches indicate that they fulfill many of the requirements expected of a substrate for memory and suggest that they play a central role in both information transmission and storage within cortical networks.

Action Potentials↗

Avalanche deaths in the United States: a 45-year analysis.

OBJECTIVE: To describe the demographic characteristics and patterns of death of persons killed in snow avalanches over a 45-year study period. METHODS: The national avalanche database was the source of data in this retrospective, descriptive study. RESULTS: A total of 440 victims were killed in 324 fatal avalanches, of which 87.7% were fully buried, 4.7% were partially buried, and 7.6% were not buried. The average age was 27.6 +/- 10.6 years, and 87.3% were men. Victims who died included climbers (25.5%), backcountry skiers (22.7%), out-of-bounds skiers (10.0%), snowmobilers (6.8%), in-bounds skiers (5.2%), residents (4.5%), ski patrollers (3.6%), workers (3.6%), and motorists (3.0%). Over the 45-year study period there appear to be decreases in the deaths of in-bounds skiers, highway workers, and motorists. Increasing fatalities were observed among out-of-bounds skiers, snowmobilers, ski patrollers, and backcountry skiers. Most deaths occurred in Colorado (33.0%), Washington (13.2%), and Alaska (12.0%). CONCLUSIONS: Avalanche fatalities have increased over the last 45 years. Climbers, backcountry skiers, out-of-bounds skiers, and more recently snowmobilers constitute the majority of the victims. The decrease in deaths among groups that benefit from avalanche control programs supports the benefit of avalanche prevention strategies. Further study is needed to assess the impact of avalanche safety education for individuals who travel in remote and uncontrolled terrain.

Adolescent↗

Avalanche trauma and closed head injury: adding insult to injury.

OBJECTIVE: The incidence of fatal closed head injury (CHI) and nonfatal CHI causing an altered level of consciousness in avalanche victims is unknown. The purpose of this study was to assess the incidence and potential significance of CHI in avalanche-related deaths. METHODS: The records of the state medical examiner and hospital records of all victims killed in avalanches in the state of Utah from October 1, 1992 through April 30, 1999 were reviewed for a cause of death and for the presence of CHI. Closed head injury was described as "present" or "severe," depending on whether the degree of CHI was sufficient to have caused or directly contributed to death, as determined by the medical examiner. RESULTS: In this review, 28 avalanche-related deaths were identified, of which 22 (79%) were due to asphyxia. Seventeen victims (61%) had evidence of some degree of CHI. Six victims (21%) had evidence of severe CHI. One of 7 snowmobile riders sustained a severe CHI, whereas 4 of 16 skiers or snowboarders sustained a severe CHI (P = not significant). CONCLUSION: Although asphyxiation was the cause of death in most avalanche victims, evidence of CHI was present in 61% of the cases studied. While avalanche-associated CHI may not be sufficient to cause death in many cases, a depressed level of consciousness might render a victim incapable of self-rescue and predispose to asphyxia. Helmet use may help prevent avalanche-associated CHI and thus be a useful safety adjunct.

Asphyxia↗

New methods characterizing avalanche behavior to determine powder flow.

PURPOSE: To characterize the avalanche behavior of different powders and to compare the results of the strange-attractor and novel characterization approaches. METHODS: The following nine different materials were tested: three lactoses, maltodextrin, two microcrystalline celluloses, sodium chloride, sucrose, and glass beads. Morphology, size, and size distribution, true density, bulk and tap density, angle of repose, flow index, and avalanching behavior were quantified for each excipient by scanning electron microscopy, laser time-of-flight analysis, helium pycnometer, graduated cylinder, fixed-height funnel, Flodex (Hanson Research Corp., Chatsworth, California) method, and AeroFlow (TSI, Inc., St. Paul, Minnesota), respectively. Environmental factors were controlled, and the avalanches were studied at various speeds. RESULTS: The strange-attractor graph obtained at 1 rotation per 120 s showed that it was difficult to appreciate the flowability differences among 3-mm glass beads, lactose 100, and lactose 325. However, plotting the raw data as a relationship of the time between each avalanche and the inverse of speed revealed a characteristic linear slope for each sample. Furthermore, a new flowability index based on the SD calculated from the raw data gave results that were consistent with Carr's index. A cohesive index also can be determined by avalanche behavior, and it reflects the stability of the rapid particular rearrangements of powder. CONCLUSION: A novel method of evaluating avalanche measurements makes it possible to better characterize powder flowability and to predict powder behavior under working conditions.

Lactose↗

Directed avalanche processes with underlying interface dynamics.

We describe a directed avalanche model; a slowly unloading sandbox driven by lowering a retaining wall. The directness of the dynamics allows us to interpret the stable sand surfaces as world sheets of fluctuating interfaces in one lower dimension. In our specific case, the interface growth dynamics belongs to the Kardar-Parisi-Zhang (KPZ) universality class. We formulate relations between the critical exponents of the various avalanche distributions and those of the roughness of the growing interface. The nonlinear nature of the underlying KPZ dynamics provides a nontrivial test of such generic exponent relations. The numerical values of the avalanche exponents are close to the conventional KPZ values, but differ sufficiently to warrant a detailed study of whether avalanche-correlated Monte Carlo sampling changes the scaling exponents of KPZ interfaces. We demonstrate that the exponents remain unchanged, but that the traces left on the surface by previous avalanches give rise to unusually strong finite-size corrections to scaling. This type of slow convergence seems intrinsic to avalanche dynamics.

Journal Article↗

[Avalanche emergency and accidental hypothermia].

The importance of emergency medical treatment for avalanche victims in the pre-clinical and clinical sector is still real. Based on new investigations, guidelines for triage have been endorsed by the International Commission of the Alpine Rescue Services (ICAR) to reduce secondary deaths following the successful extrication of victims from the avalanche mass. Although hypothermia plays a secondary role in the total mortality of avalanche victims, the most important task if extrication lasts 35 min or more is the professional treatment of hypothermia. Avalanche emergencies in the southern part of the Black Forest are quite rare. In February 2002 one avalanche victim in this region survived despite a statistically bad prognosis. Based on the current literature, we provide an algorithm which conforms with the ICAR guidelines for emergency personnel and describe the possibilities and standard stage dependent treatment in cases of accidental hypothermia.

Accidents↗

Plant reestablishment 15 years after the debris avalanche at Mount St Helens, Washington.

Vegetation has slowly reestablished on the debris avalanche deposit in the 15 years after the 1980 eruption of Mount St. Helens that created a 60-km(2) debris avalanche, the largest landslide in recorded history. There has been a gradual increase in species richness and cover, but only 61% of the species present on the mountain before the eruption have established on the debris avalanche deposit. Plant cover averages 38% and is extremely patchy. Life form composition changed over successional time, because part of the avalanche deposit was invaded by introduced plant species aerially seeded to reduce erosion, the site offers the opportunity to compare successional processes occurring with and without introduced species. Long-term recovery trends and effects of nonnative species on succession are important to understand since plant reestablishment practices often rely on nonnative species for enhancing vegetation recovery of denuded sites along road sides, strip mines, or other human-generated clearing. Fifteen years after the eruption and 10 years since the invasion by introduced species, plots invaded by nonnative species had greater vegetation cover and more native plant richness than plots that were not inundated. Significantly greater mortality of conifers occurred in the plots dominated by introduced species shortly after the invasion of those species, but no difference in conifer mortality occurred in the last 5 years. Even so, the plots dominated by introduced species still have fewer conifer trees. Thus, the short-term pulse of conifer mortality after the invasion of introduced species may have long-term effects on the recovery of the dominant vegetation. It will likely be decades before there is 100% plant cover on the debris avalanche deposit and a century or more before full recovery of the vegetation system.

Ecosystem↗

Different hierarchy of avalanches observed in the bak-sneppen evolution model

A quantity &fmacr; denoting the average fitness of an ecosystem is introduced in the Bak-Sneppen model. Through this quantity, a different hierarchy of avalanches, &fmacr;(0) avalanche, is observed in the evolution of Bak-Sneppen model. An exact gap equation, governing the self-organization of the model, is presented in terms of &fmacr;. It is found that self-organized threshold &fmacr;(c) can be exactly obtained. Two basic exponents of the new avalanche tau, avalanche distribution, and D, avalanche dimension are given through simulations of one- and two-dimensional Bak-Sneppen models. It is suggested that &fmacr; may be a good quantity in determining the emergence of criticality.

Journal Article↗