Anna Bågenholm

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Anna Bågenholm
Born
Anna Elisabeth Johansson Bågenholm

1970 (age 53–54)
accidental hypothermia
PartnerTorvind Næsheim[1]

Anna Elisabeth Johansson Bågenholm

circulatory arrest
after 40 minutes in the water.

After rescue, Bågenholm was transported by helicopter to the Tromsø University Hospital, where a team of more than a hundred doctors and nurses worked in shifts for nine hours to save her life. Bågenholm woke up ten days after the accident, paralyzed from the neck down and subsequently spent two months recovering in an intensive care unit. Although she has made an almost full recovery from the incident, late in 2009 she was still having minor symptoms in hands and feet related to nerve injury. Bågenholm's case has been discussed in the leading British medical journal The Lancet,[4] and in medical textbooks.

Background and incident

Anna Bågenholm was born in 1970 in Vänersborg, Sweden, one of eight children.[2][5] At the time of the incident, she was 29 years old and studying to become an orthopedic surgeon.[6][7] Bågenholm decided to do her residency in Narvik, Norway,[1] and, in May 1998, she became an assistant surgeon at the Narvik Hospital.[8] Bågenholm's mentor during this period was Yngve Jones, a doctor at the Narvik Hospital who was about to celebrate his retirement with a party on 20 May 1999.[9]

On that day, Bågenholm was skiing in the mountains outside of Narvik with two of her colleagues,[10][11] Marie Falkenberg and Torvind Næsheim.[1] An expert skier,[1] Bågenholm often skied after work.[6] As she was heading down a steep mountainside—a route she had taken several times before[9]—she lost control of her skis. She fell headfirst onto a layer of ice on a frozen stream near a waterfall, landing on her back. A hole opened up in the ice and Bågenholm's head and torso were pulled in as meltwater filled her clothes.[10] Her body became trapped under the ice, which was 20 centimetres (7.9 in) thick.[12] When Falkenberg and Næsheim found Bågenholm, only her feet and skis were above the ice.[10]

Rescue attempts

Bågenholm's colleagues made an attempt to free her but failed.[13] At 18:27 local time (CET), seven minutes after she had fallen into the water, they called for help on a mobile phone.[8] Police lieutenant Bård Mikalsen received the call and put together two rescue teams; one at the top of the mountain and one at the bottom.[1] Mikalsen also contacted the Bodø rescue team, which was equipped with a Sea King helicopter, but they told him that the helicopter had left to transport a sick child. Mikalsen was persistent and convinced the dispatcher to turn the helicopter around.[1]

Falkenberg and Næsheim held onto Bågenholm's skis as they waited for the rescue teams to arrive.

circulatory arrest.[4] Ketil Singstad led the rescue team from the top of the mountain. He skied as fast as he could to Bågenholm's location, where he and his rescue team tried unsuccessfully to pull her out with a rope.[1] They then tried to dig her out, but their snow shovel could not break through the ice. Rescuers from the bottom of the mountain then arrived, bringing with them a pointed gardening shovel. They were able to cut a hole in the ice, and pulled her through[1] at 19:40.[8] Bågenholm had been in the water for 80 minutes when she was rescued.[6]

Resuscitation and recovery

A red and white helicopter in the air.
A Sea King helicopter brought Bågenholm to the Tromsø University Hospital.

When Bågenholm was pulled out of the water, her pupils were

defibrillator, but to no effect.[18]

Bågenholm arrived at the hospital at 21:10.

hypothermia before because of the cold climate in Norway, and knew how to treat Bågenholm.[6] The electrocardiogram connected to her showed no signs of life,[1] but Gilbert knew patients should be "warmed up before you declare them dead".[23] He and his team hoped Bågenholm's brain had received enough oxygen from the CPR she was given after her rescue.[1]

Bågenholm was taken to the

ventilator.[19]

Bågenholm soon began to show signs of vitality, and woke up

digestive system were not working properly,[6] so she had to recover in an intensive care unit for two more months.[6][13] After spending 28 days in the Tromsø intensive care unit, she was flown to Sweden in an ambulance helicopter for the remainder of her recovery.[10]

Dr Petter Andreas Steen, professor at the

Proto (published by the Massachusetts General Hospital), Bågenholm's metabolism slowed down to ten percent of its baseline rate and thus she barely needed any oxygen at all.[17]

Aftermath

Despite the severe damage to Bågenholm's body, no permanent

therapeutic hypothermia, a method used to save those in circulatory arrest by lowering their body temperature, has become more frequent at Norwegian hospitals after Bågenholm's case gained fame.[29]

Bågenholm returned to work in October 1999.

radiologist at the hospital where her life was saved.[1][30]

circulatory arrest
.

According to BBC News, most patients who have extreme hypothermia die, even if doctors are able to restart their hearts. The survival rate for adults whose body temperature has decreased to below 28 °C (82 °F) is 10%–33%.[13] Prior to Bågenholm's accident, the lowest survived body temperature was 14.4 °C (57.9 °F), which had been recorded in a child.[12][13][31] Gilbert said

"victims of very deep accidental hypothermia with circulatory arrest should be seen as potentially resuscitable with a prospect of full recovery. The key success factors of such marginal resuscitation efforts are early bystander actions with vigorous CPR and early warning of the emergency system, early dispatch of adequate rescue units (ground and air-ambulances) and good co-ordination between the resources outside and inside the hospital, aggressive rewarming and a spirit not to give up."[13]

General practitioner Jel Coward from Tywyn, Wales, said persons who experience extreme hypothermia are often mistakenly thought dead because it can be difficult to detect a pulse on them. He said this case "really does bring it home to us how cautious one has to be before diagnosing death in people who are cold."[13]

After the incident, Bågenholm became a subject of fiction[32] and medical textbooks,[33] and her case has been discussed in the leading British medical journal The Lancet.[4][34][35] On 25 October 2009 her story was featured on CNN's television program Another Day: Cheating Death.[10][36] Hosted by Sanjay Gupta, the program features stories from people who have survived severe conditions against all odds. Bågenholm hoped the program would give the people watching it more knowledge of hypothermia.[18] The story is also included in Gupta's companion book, Cheating Death: The Doctors and Medical Miracles that Are Saving Lives Against All Odds.[37] On 30 October 2009, Bågenholm and Gilbert appeared together on the popular Norwegian NRK talk show Skavlan, hosted by Fredrik Skavlan.[38][39]

See also

  • Therapeutic hypothermia

References

  1. ^ a b c d e f g h i j k l m n Martin, David S. (2009-10-13). "From an icy slope, a medical miracle emerges". CNN. Archived from the original on 22 October 2009. Retrieved 2009-10-24.
  2. ^ a b "Anna Elisabeth Johansson Bågenholm (1970) – Skattelister 2008". Aftenposten (in Norwegian). Archived from the original on 2011-07-24. Retrieved 2009-10-25.
  3. ^
    Therapeutic hypothermia
    .
  4. ^
    S2CID 54348869
    .
  5. ^ Schönstedt, Tommy (2005-05-09). "Temperaturen var nere i 20 grader". Expressen (in Swedish). Archived from the original on 2009-11-13. Retrieved 2009-10-24.
  6. ^ a b c d e f g h i j k "Frozen Woman: A 'Walking Miracle'". CBS News. 2000-02-03. Archived from the original on 15 October 2009. Retrieved 2009-10-24.
  7. ^ Cañas, Gabriella (2000-01-29). "La mujer que venció a la muerte". El País (in Spanish). Archived from the original on 2022-01-22. Retrieved 2009-10-24.
  8. ^ a b c d e f Österholm, Ulla-Lene (1999-10-07). "Hennes temp var nere i 13,8 grader". Aftonbladet (in Swedish). Archived from the original on 27 October 2009. Retrieved 2009-10-24.
  9. ^ a b "Hon lurade döden". Norrländska Socialdemokraten (in Swedish). 2006-04-08. Archived from the original on 2013-01-14. Retrieved 2009-10-24.
  10. ^ a b c d e f Røed, Lars-Ludvig (2009-10-23). "Mirakelet under isen". Aftenposten (in Norwegian). Archived from the original on 2009-10-25. Retrieved 2009-10-24.
  11. ^ "Hun er et mirakel". Verdens Gang (in Norwegian). 1999-10-06. Archived from the original on 2012-10-10. Retrieved 2009-10-24.
  12. ^ a b c Libedinsky, Juana (31 January 2000). "Resucitaron a una esquiadora que estuvo 40 minutos bajo el hielo". La Nación (in Spanish). Archived from the original on 29 January 2016. Retrieved 22 January 2022.
  13. ^ a b c d e f g "Skier revived from clinical death". BBC News. 2000-01-28. Archived from the original on 13 November 2009. Retrieved 2009-10-24.
  14. ^ a b Smith, Tom (2006-10-28). "Why do women live longer than men?". The Guardian. Archived from the original on 2020-04-23. Retrieved 2009-10-24.
  15. ISSN 0161-7370. Archived
    from the original on 2022-01-22. Retrieved 2021-02-23.
  16. ^ a b c Von Judith, Innerhöfer (2007-05-23). "Der Mann, der sterben musste, um zu leben". Die Welt (in German). Archived from the original on 2009-09-18. Retrieved 2009-10-25.
  17. ^ a b Schmidt, Charles (Spring 2008). "Dying to Live" (PDF). Proto Magazine. Massachusetts General Hospital. Archived from the original (PDF) on 2011-07-17. Retrieved 2009-10-26.
  18. ^ a b c d e Bergfeldt, Carina (2009-10-24). "Mirakelräddningen". Aftonbladet (in Swedish). Archived from the original on 27 October 2009. Retrieved 2009-10-24.
  19. ^
    PMID 14656846
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  20. ^ Hilliard, Michael; Muck, Andrew; Adams, Bruce (2009-02-01). "When Dead is Mostly Dead". Journal of Emergency Medical Services. 34 (3). Archived from the original on 2022-01-22. Retrieved 2021-03-08.
  21. ^ The Canadian Press (2007-01-23). "Researchers plunge into hypothermia". The Record. p. D2.
  22. S2CID 115930436. Archived
    from the original on 2022-01-22. Retrieved 2022-01-22.
  23. ^ a b Reaney, Patricia (2000-01-29). "Frozen skier saved after being thawed". The Advertiser. p. 053.
  24. ^ "Skavlan episode (in Swedish)". Skavlan. Season 2. Episode 7. 2009-10-30. 20–22 minutes in. Sveriges Television.
  25. ^ Von Brinkbäumer, Klaus (2007-02-17). "Ein perfekter Unfall". Der Spiegel (in German). Archived from the original on 16 November 2009. Retrieved 2009-10-24.
  26. ^ "Ice Woman returns from dead to ski again". The Straits Times. 2000-01-29. p. 18.
  27. Hobart Mercury
    . p. 014.
  28. Independent Online. 1999-10-06. Archived
    from the original on 2010-08-21. Retrieved 2009-10-25.
  29. ^ "Skavlan episode (in Swedish)". Skavlan. Season 2. Episode 7. 2009-10-30. 25:30 minutes in. Sveriges Television.
  30. ^ "O retorno ao palco de um milagre". Zero Hora (in Portuguese). Grupo RBS. 2009-10-13. Archived from the original on 17 October 2009. Retrieved 2009-10-25.
  31. ^ Blackstock, Colin (2000-01-28). "Woman 'frozen' in lake brought back to life". The Guardian. Archived from the original on 13 November 2009. Retrieved 2009-10-24.
  32. ^ "Skavlan episode (in Swedish)". Skavlan. Season 2. Episode 7. 2009-10-30. 14:25 minutes in. Sveriges Television.
  33. ^ Fallon, Mary (2009-07-09). "The cool way to treat trauma". The Sydney Morning Herald. Archived from the original on 10 November 2009. Retrieved 2009-10-24.
  34. ^ "'No podía creer que no me hubiesen dejado morir'". La Nación (in Spanish). 2000-02-01. Retrieved 2009-10-25.
  35. ISBN 978-0-7546-4235-0. Archived
    from the original on 2021-05-19. Retrieved 2021-02-23.
  36. ^ Godø, Knut (2009-10-25). "Overlevde kroppstemperatur på 13,7 grader". Harstad Tidende (in Norwegian). Archived from the original on 2011-06-10. Retrieved 2009-10-25.
  37. ^ Lundborg, Zinta (2009-10-14). "To Cheat Death, Chill Out, Have Your Heart Attack in Las Vegas". Bloomberg L.P. Retrieved 2009-10-25.
  38. ^ "Prinsessan Märtha Louise och Malin Åkerman till Skavlan" (in Swedish). Sveriges Television. Archived from the original on 2011-06-13. Retrieved 2009-11-01.
  39. Norwegian Broadcasting Corporation. Archived
    from the original on 1 November 2009. Retrieved 2009-11-01.

External links
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