Alpine Rescue & Mountain Emergency Medicine

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Update 19.03.2023

Update 03.11.2022

Diploma in Mountain Medicine Courses

The DIMM Course Lists and Regulations have been revised and updated.

Check our DIMM Section for more details.

Update 20.10.2022

ICAR Congress 2022 in Montreux, Switzerland

The ICAR Congress, General Assembly and Assembly of Delegates took place from the 12-15 October 2022 in the beautiful region of Montreux in Switzerland.

The Congress was preceeded by the 7th International Hypothermia Day in Lausanne. Prof. Beat Walpoth, Dr Mathieu Pasquier and Dr Evelien Cools organised an extraordinary meeting which was frequented by many international experts on hypothermia and avalanche medicine.

Presented at the International Hypothermia Day and finalised at the ICAR Congress were updates on the Avalanche Algorithms which will be published here in due course.

Both live events were a true success and a lot of work was carried out and planned for the months to come.

We thank all delegates for their tremendous contributions and are looking forward to the next meeting.

The ICAR Congress 2023 will be taking place in Toblach in South Tyrol (IT).

Reports from the congress are listed here:




Update March 2023

The ICAR MedCom Avalanche Guidelines have been revisited and a new revised recommendation has been published:

On-site treatment of avalanche victims:

Scoping review and 2023 recommendations of the international commission for mountain emergency medicine (ICAR MedCom)

M Pasquier et al

The International Commission for Mountain Emergency Medicine (ICAR MedCom) developed updated recommendations for the management of avalanche victims.
ICAR MedCom created Population Intervention Comparator Outcome (PICO) questions and conducted a scoping review of the literature. We evaluated and graded the evidence using the American College of Chest Physicians system.
We included 120 studies including original data in the qualitative synthesis. There were 45 retrospective studies (38%), 44 case reports or case series (37%), and 18 prospective studies on volunteers (15%). The main cause of death from avalanche burial was asphyxia (range of all studies 65–100%). Trauma was the second most common cause of death (5–29%). Hypothermia accounted for few deaths (0–4%).

The Recommendation ist available as an Open Access Article on the Journal's website.



Update 22.01.2023

Occupational Accidents Among Search and Rescue Providers During Mountain Rescue Operations and Training Events

A new publication by Dr. Mario Milani et al published in the Annals of Emergency Medicine in January 2023 can be viewed under the following link provided by Elsevier:

Article link:

Update 27.11.2022

Research Papers by members of ICAR MedCom

Members of ICAR MedCom are engaged in research about mountain emergency medicine at their institutes and organisations. Not all papers become official recommendations, but are important for the world of mountain emergency medicine. We present the hottest research topics and publications on an annual basis.



  • The next ICAR Congress including the General Assembly and Assebly of Delegates will take place in Toblach, South Tyrol (IT) October 17 - 22. 2023 hosted by BRD im AVS (Bergrettungsdienst im Alpenverein Südtirol).
  • Event Registration will begin in Spring 2023

  • The next ICAR Spring Meeting will be held in Kiruna, Sweden in April 2023. Check our internal MedCom Forum for details.


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