A long prehospital resuscitation and evacuation of a skier with cardiac arrest - a case report.

The prognosis for patients with refractory cardiac arrest transferred to hospital during ongoing resuscitation is poor.1 Additionally in remote areas, the response time of the emergency medical services (EMS) may be long, which further decreases the likelihood of a good outcome. The most common reason for sudden death during cross-country skiing is acute coronary artery syndrome and subsequent ventricular fibrillation (VF).