Eidenbenz D, Techel F, Kottmann A, et al. - Researchers investigated the survival probability and prehospital characteristics of avalanche victims with long burial durations. From the registry of the Swiss Institute for Snow and Avalanche Research and the prehospital medical records of the physician-staffed helicopter emergency medical services, they retrieved data of all completely buried avalanche victims with a burial duration of ≥ 60 min between 1997 and 2018 in Switzerland in this retrospective analysis. Of 140 avalanche victims identified with a burial duration of ≥ 60 min, 27 (19%) survived. This illustrates the relevance of continuing rescue efforts. Hypothermic CA should be considered when encountering avalanche victims in CA after long burial duration without obstructed airway, frozen body or obvious lethal trauma, with initiation of cardiopulmonary resuscitation and an evaluation for rewarming with extracorporeal life support.