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[Case Report] Negative pressure pulmonary oedema with haemorrhage after 5-minute avalanche burial

In March, 2016, three ski freeriders were surprised by an avalanche at 2500 m above sea level. Two escaped, but a 31-year-old man with no medical history of note was buried under snow. His hand was left poking out of the snow so he was found easily and excavated after about 3–5 min. According to his fellow skiers, his head had been buried about 0·5 m. The patient reported never having lost consciousness and remembering his friends excavating him, but being unable to breathe because compacted snow had blocked his airways.