In practice, this means that if severely
hypothermic cardiac arrest patients with body temperature below 28 °C need to be evacuated from difficult terrain and continuous resuscitation is not possible, it is justified to alternate five minutes of CPR with five minutes of transportation and continue this pattern until continuous resuscitation can be started.
In recent years, however, there have been some case reports in the Alps of severely
hypothermic accident victims in
cardiac arrest who have survived without any permanent damage despite several interruptions of chest compressions.