"MORE MASKS INSTEAD OF APPLAUSE: PEOPLE AND MEDICAL TECHNOLOGY UNDER EXTREME PRESSURE" CORPULS ON ICE HOPE FROM ABOVE THE RED DRAGON CORPULS3 IN NEUMAYER III: RESEARCH AND SAVING LIVES ON THE ETERNAL ICE 75 YEARS OF HELICOPTER RESCUE: ALL YOU NEED TO KNOW ABOUT AIR RESCUE PITSTOP IN THE LAND OF THE CELTS: A VISIT TO THE WELSH AMBULANCE SERVICE

F O C U S – O N – P A T I E N T S DEAR READER, “And suddenly the big world comes to a standstill because of a little virus.” The writer sums up simply how the biggest pandemic since 1968 will change our everyday lives forever. And while some – due to political motives or simple igno- rance – want to deny or relativise this small but powerful virus, others have the unenviable task of deciding between the inevitable dismantling of our usual social systems and bare survival. And then there are those who have no time for all of that. Those who are right in the thick of the problem in the hospitals, doctor’s offices and emergency services and are focused only on doing their job. In the almost 40-year history of corpuls our slogan has never had such precise relevance: “I am no hero – It’s my job.” We were all astonished at first, but probably not surprised in hindsight, when the many specialists on the Covid front rejected the early media-fuelled praise, instead focusing on more functional support and equipment. “We need less applause and more masks!” was the call early on. Using the corpuls system to offer these special- ists exactly what they need for their extreme challenges in protecting human lives has always been our driving force, and even more so now. We are very fortunate to have always been extremely involved in daily lives of our users – and with this issue of corpuls IMPULSE we show an authentic reflection of your actions and also of the exceptional global situation. We report on medical technology in the Arctic, on the 75-year history of helicopter rescue, on saving lives in the land of the red dragon and show many other snapshots from the interna- tional corpuls world , both big and small. With and without Corona. Saving lives has no season and no politics – it is your, and our, everyday life. Our job. And together we are doing pretty well. What counts now is the feeling of being able to rely on one another. This is exactly what we work for. And we want to share the stories and information in this magazine with you. I hope you enjoy reading it as much as we did composing it. Dr. Christian Klimmer Iris Klimmer Klaus Stemple Klaus Stemple CEO CFO CTO

Page 6 PEOPLE. PICTURES. STORIES. e g a P 14 SUCCESSFUL SUMMIT DURING THE PANDEMIC Page 34 S A V I N G L I V E S O N T H E E T E R N A L I C E Page 56

People. Pictures. Stories. 7 MAXIMUM PROTECTION In the Sabah Women and Children’s Hospital (Malaysia) a Corona patient is being prepared for the CT under the strictest precautionary measures. Thanks to the modular construction of the corpuls3, patient monitoring is guaranteed at all times. g n e h K e e h P h a e h C . r D ©

People. Pictures. Stories. 9 NEIGHBOURHOOD SUPPORT A seriously ill French Corona patient lands at Dresden Airport. Not all infected people can be adequately treated in France. a p d / l e a h c i M t r e b o R ©

People. Pictures. Stories. 11 n e o r G e d n a J ©

People. Pictures. Stories. 13 SALVATION ARMY In Lübeck, Sven Larsen (right) from Hesto-Med hands over fifty brand new C3T to the city Fire Department. In compliance with the AHA regulations of course. The very practical “handshake board” was custom-made for precisely this purpose. e k a B l i s a h t a M ©

Theme – Lorem ipsum 15 15 Right at the beginning of the pandemic, corpuls launched a media offensive. As all the usual trade fairs and congresses were cancelled or digitally modified due to the Covid restrictions, corpuls held a two-day B2B web TV show – the corpuls Innovation Summit 2020 (CIS), with great success. In addition to presentations and talks on the numerous new product highlights from the current corpuls system development, the corpuls innovators were interviewed and discussed, among other things, the state of the company, the current situation and the challenges relating to Covid. IMPULSE | N°. 2 | 2021

corpuls und Corona – Out of the blue 17 IMPULSE: Can you tell us something about the new products that you presented at the corpuls Innovation Summit? IMPULSE: That all sounds very exciting. Could you explain the subject of synchronisation in more detail? KLAUS STEMPLE Chief Technical Officer (CTO) Management Klaus Stemple: There was a lot to cover. That's why we were on the air for over four hours. First and foremost, of course, we covered the fourth generation of our bestseller corpuls3, the new C3T. In the last few years we have developed some really great innovations that will bring enormous advantages for both users and patients. The device not only looks extremely stylish, but also sets new benchmarks in patient treatment. Of all the new features, I would like to highlight two in particular: Firstly is ECGmax, which enables posterior wall artifacts to be identified based on 22 leads. This is hugely innovative in preclinical treatment and we are very proud that we were the first company to introduce this into the market. Secondly, we also have the synchronised resuscitation between the corpuls3/C3T and our corpuls cpr. Dr. Christian Klimmer: Of course. When developing the corpuls cpr we already had the functionality of a synchronised resuscitation between the corpuls3 and the corpuls cpr in mind. This was based on the pre-existing wireless connection that corpuls3 uses for inter-module communication. As a result, we are now able to implement an almost automated and synchronised resuscitation through intelligent interaction between these two devices. This creates numerous advantages: Significantly shortened hands-off times, considerable improvement in usability, increased work safety for users, a consistent database for debriefing and additional free hands during use. More info on our corpuls.world product site SCAN THE QR-CODE FOR OUR PRODUCT BROCHURES

corpuls und Corona – Out of the blue 19 IMPULSE: Would you say that corpuls benefited from the Corona crisis? IMPULSE: Last question for all of you: If you could wish for one thing for the future, what would it be? Klaus Stemple: I'll answer this question from my role as CTO: There is no substitute for personal interaction in development. We really notice this in our daily work. Enthusiasm, group dynamics and fun in collaboration are simply less intense when you are sitting alone at home in front of the PC. So I hope that we can all get back together quickly. Because that's missing – also, and especially, on a personal level. Iris Klimmer: I was and still am thrilled how the entire corpuls team has mastered this very difficult time. Both the colleagues at home and those who came to work every day did a fantastic job. It took a lot of energy. The fact that it went so well shows us that we can rely on one another and trust one another. That’s a very good feeling. And for this I would like to thank all of our colleagues. Dr. Christian Klimmer: The users of our products, the paramedics, doctors, nurses, firefighters, first responders, have received a lot of praise in the last few months and rightly so. What these people have achieved during this time is almost superhuman. For this, I take off my imaginary hat. That made a big impression on me and moved me. I would like the appreciation and also the respect for these people to survive the Corona crisis. Because at last, the importance of the work that is being done here should now be clear to everyone. DR. CHRISTIAN KLIMMER Chief Executive Officer (CEO) Management Dr. Christian Klimmer: Let's put it this way: We are not among the worse affected. Other industries have been hit much harder. But even the medical technology sector as a whole has seen negative growth. The purchase of our products is usually planned together with many decision makers well in advance. We also work sustainably and strategically. Therefore, the majority of the projects that we were aware of were implemented. The foundation for these was being laid long before the Corona crisis. I am more concerned when looking into the immediate future. The work of the project teams could not take place as usual in the last few months due to other priorities. Therefore, procurements are likely to be delayed in the immediate future. In this respect, I expect that we will achieve lower overall sales in the next two to three years. In addition, many countries had to go into massive debt during the Corona crisis. That will inevitably have an impact on budgets.

Theme – Lorem ipsum "Operation Corona“ – in Marburg 21 21 The Johanniter Marburg, Germany 50° 48‘ ฀ N , 8° 46‘฀ O IMPULSE | N°. 2 | 2021

"OPERATION CORONA“ – in Marburg 23 23 "We take special precautionary measures. We keep our distance from the patient and ask about the cardinal symptoms of Covid" says Maximilian, describing the special precautions during the Corona pandemic. “In the field, we face particularly tough challenges – above all, securing the airway. The corpuls3 helps us signifi- cantly as we can derive the saturation, the pulse and the ECG.“ option for safeguarding our actions. If an emergency physician is available, the missions do not run as they did before Corona. “First of all, I get a handover from the ambulance crew to assess the patient's condition” says emergency physician Florian Martens. Not the normal procedure. However, he remembers an acute case in which the patient was probably suffering from the Coronavirus: "his breathing was clearly restricted, he had a high respiratory rate. The oxygen saturation in the blood was not within the adequate ranges.“ B A S I C INFORMATION to assess the patient's condition. Is a high dose of oxygen sufficient? Or is intubation required? Is an emergency physician necessary? As the Medical Director of the rescue service said: If a patient needs an emergency physician on site, they will get one. But what do you do when all physician intercept vehicles are in use? In these such situations, corpuls.mission comes into play. "With corpuls.mission we get the opportunity to transmit our patient picture to the emergency physician" explains paramedic Maximilian. The ambulance team then establishes a digital connection with the clinic, where a physician assesses the values and discusses the next steps with the ambulance crew. "I am completely convinced of telemedicine" says Dr. Sassen. "With the help of the web applications, we can help and support patients and ambulance crews at any time.“ Reassurance for the emergency services on site: Even if the emergency physician cannot come to us, thanks to corpuls.mission we have a reliable IMPULSE | N°. 2 | 2021 CORONA R U L E S YOURSELF AND HOW TO PROTECT OTHERS KEEP YOUR DISTANCE An important rule of conduct to protect yourself and others from being infected with the Coronavirus is to maintain distance. GOOD HYGIENE Simple hygiene measures help to protect yourself and others from being infected with the Coronavirus. WEAR A MASK Wearing a mask covering the nose and mouth in public is an important part of containing the spread of the Coronavirus. VENTILATE Regular and good ventilation is important! CORONA WARN APP The Corona-Warn-App helps to track and interrupt the chain of infection of the Coronavirus.

"OPERATION CORONA“ – in Marburg 25 25 CORONA APP Since June 2020, the Corona-Warn-App has been offering a simple way of tracking people with Covid 19 and their contacts. The German version relies on a decentralised solution with data storage locally on the users smartphones; it is based on the Privacy-Preserving Contact Tracing Protocol (PPCP) from Apple and Google using Bluetooth. Since July 2020, the app has also been available in all other EU countries in over 20 languages. You can actively and easily help by downloading the app, even if you have tested positive for Corona! Emergency physician Martens agrees: “I can easily keep in touch with my parents and grandparents through digital media. I have three small children. There it is a little harder to keep my distance,” he says with a laugh. It is also not an option for paramedic Maximilian to quit duty because of Corona: “It is our everyday business to treat a patient who has a shortage of breath or has had a heart attack. We do that every day." Of course, Maximilian, Ann-Kathrin and all the other rescue workers are always happy when they hear a thank you from patients or their relatives. This is much more common now during Corona than it was in the past. "We have to show this respect to everyone throughout Germany" states Rausch. "Everyone is doing their job, and everyone is important within their job.“ "All other professions are just as vital as ours" believes Natascha who mans a physician intercept vehicle today as paramedic with Florian Martens. “With all the attention that the medical sector is receiving, other important professions are not getting as much. They too deserve recognition.“ Emergency Physician Martens sees it the same way: “It’s what I like to do. I don't feel like a hero, I just do my job.“ It is a very humble statement - despite his daily fight against the Corona pandemic.

75 Years of Helicopter Rescue – HOPE FROM ABOVE Theme – Lorem ipsum 27 27 F R O M A B O V E IMPULSE | N°. 2 | 2021

75 Years of Helicopter Rescue – HOPE FROM ABOVE Theme – Lorem ipsum 29 29 It's an incomparable sound ...whirring and beating, often with the slight hiss of a turbine. For 75 years in our part of the world this noise has meant: help is on its way. Be it the police or the rescue service - the helicopter is connected to the protection of human life like no other means of transport. And it all started on a very small scale: with a toy. Around 400 years before our time, small children in China played with sticks mounted with a rotor. These flying tops worked on exactly the same principle as the modern day Eurocopter H145: The rotor, rotated by hand on the toy, produces upwards lift. This makes the flying top take off. We here in Europe still know this toy today, although it is now made out of plastic and has a pull cord. But it was a long way from the toy to saving lives. East India, 1944: Lieutenant Carter Harman (standing, left) flies the first rescue mission in a Sikorsky YR-4B. The 'Y' stands for 'under testing'. The maintenance of the new machines was a real challenge for the men of the 1st Air Command Group. IMPULSE | N°. 2 | 2021

Theme – Lorem ipsum 31 But this also meant that Harman had to fly the men out one-by-one. The little Sikorsky's payload was ridiculously low. The damp heat in the Burmese jungle didn't help either. On one flight the plane overheated and Harman had to make an emergency landing himself. After an extensive cooling phase, the 9-litre radial engine started up again and the mission could continue. The injured soldiers had to hide from the Japanese search parties in the dense rainforest for days until the last one could finally be flown out. It was the pilot of the crashed airplane. Before this day he had never seen a helicopter. On April 21, a surveillance plane crashed over the thick jungle of Burma, in the middle of enemy territory. The irony is that the plane was transporting injured soldiers. Their condition meant they were too weak or injured to drag themselves to the safety of the next closest base. The only option: the latest addition to the US Army Air Corp – the helicopter. Only a few months earlier, the allied base at Lalaghat (India) became the home of four brand new Sikorsky helicopters, complete with mechanics and pilots. The mechanics immediately had their hands full as the pilots were not very experienced. Spare parts were used up and pilots became worn out much faster than the Army would have liked. Of the four helicopters, only one was ready to fly. And one pilot. Carter Harman. Harman started the Sikorsky's seven-cylinder radial engine and set off on the journey. The crash site was located almost 1,000 kilometres from Harman's base. The YR-4B was hardly faster than a regional express train: the cruising speed of the small helicopter was just over 100 km/h. This made it a good 10 hour flight. Without refuelling or bathroom breaks. Although Harman did not need to worry about the latter because the helicopter could only carry enough fuel for 250 km anyway. 24 hours to the mission site To sum it up: Instead of the 20-minute response time that is usual today, Harman needed 24 hours(!) to reach his operations base. But, it was another 200 kilometres to the actual crash site. solution: additional The only Otherwise the 400 kilometres to the crash site and back would have been impossible. tanks. IMPULSE | N°. 2 | 2021

Theme – Lorem ipsum 33 dependent on the traffic situation and route. Burghart's idea: a helicopter could bring an emergency physician directly to the accident site to treat the injured. Burghart voiced his idea to the then Vice President of the ADAC, Franz Stadler. They worked on the concept of air rescue in Germany together. First, a Bell 206 Jet Ranger was chartered by the ADAC in 1968 and used as a rescue helicopter in a field test out of Munich- Riem. Two patients could be transported in the machine on normal stretchers on top of each other – horizontal to the direction of flight. Space was scarce, the crew consisted only of the pilot and an emergency physician. There was no room for a paramedic. The “Kolibri”, as the Jet Ranger was called, was only in use for 47 days, but flew 52 rescue missions. The air rescue concept was a complete success, although no one at the time thought about using it for moving intensive care patients or saving stroke or heart attack patients. 1970 finally marked the start of German air rescue. Germany’s first rescue helicopter was Christoph 1, a brand new Bölkow Bo 105, which was stationed at the Munich-Harlaching hospital. The Christoph 1 was “brand new” in many respects: rescue helicopters were new, the Bo 105 series was new and Christoph 1 was the first series machine of this model type. From exotic to common place And today? Today, rescue helicopters save lives all around the world. Especially in mountainous areas, helicopters are a must. Austria has been using rescue helicopters since 1983. They are stationed in 27 locations throughout the alpine republic. The helicopter air rescue service is notified automatically in cases where ambulances would take too long to reach the accident site, as long as certain prerequisites are met – for example in the case of motorcycle accidents. Switzerland has been using helicopters since the 1950s, the first real rescue helicopter was put into operation around the time of the field test in Germany. And as in Germany, a Bell 206 Jet Ranger was used, laying the foundation stone for the legendary Air Zermatt, which, by the way, as well as the ADAC Air Rescue and the German Air Rescue Service (DRF) rely on the devices from corpuls. As a rough estimate, the over 80 rescue helicopters, intensive care transport helicopters, dual use helicopters and SAR helicopters in Germany were deployed in over 100,000 rescue missions in 2017. Carter Harman would surely give his nod of approval: “Not bad for a toy from China.” IMPULSE | N°. 2 | 2021

corpuls on Ice – Lifesavers on the eternal ice Theme – Lorem ipsum 35 35 S A V I N G L I V E S O N T H E E T E R N A L I C E

corpuls on Ice – Lifesavers on the eternal ice Theme – Lorem ipsum 37 37 in Reinkenheide for two weeks before leaving. So everyone can lend a hand. In addition, the equipment on Neumayer III really is first class.“ A full operating theater, C-arm, dental x-ray, even a video laryngoscope, corpuls3 and corpuls. mission LIVE. “Out here, on the eternal ice, we depend on the possibilities of telemedicine. We have used this in the past with another system on corpuls 08/16, but corpuls.mission LIVE is in a different league. How elegantly the system from corpuls3 and corpuls.mission LIVE is integrated is great. If the worst comes to the worst, we have professional help on Neumayer III from the Reinkenheide Clinic within seconds. Our collea- gues in Bremerhaven see exactly what we see and that helps a lot.“ It used to be a bit more complicated, says Heitland: “With the corpuls 08/16 we first had to start the program, then Bremerhaven had to start the program, then the programs had to set up communication with each ot- her, and then you still had to hope that the radio link did not break down. Today: switch on, work.“ That is the advantage of the corpuls.mission LIVE server architecture. This is not only quick and safe, but also easy. “Our IT people are also happy about it, because corpuls.mission LIVE hardly needs any bandwidth from our valuable Internet access.“ The corpuls system has many advantages that the AWI also knows about: “I think we have 5 or 6 corpuls3 in use in the institute, plus a few corpuls 08/16 as backups. The Polarstern (the research and supply ship of the AWI, – editor's note) is also equipped with corpuls.mission LIVE, corpuls3 and corpuls 08/16. And the Kohnen station, our inland station, is also equipped with corpuls3 when it is occupied in summer.“ Nonetheless, to say that you are prepared for anything would be an exaggeration: “We are still isolated here. There is also a hospital in the base camp on Mount Everest – but if you fall on the mountain above 8,000 meters, within the death zone, and break your leg ... then it gets critical." IMPULSE | N°. 2 | 2021

corpuls on Ice – Lifesavers on the eternal ice Theme – Lorem ipsum 39 39 Comparing Neumayer III to a space station is not that far-fetched. “There are around 80 stations in Antarctica, less than half of which are occu- pied in winter. Our closest neighbour, the South African stati- on, is around 250 kilometres away. You can dri- ve that in Germany in a few hours. For us it's a three-day trip in the Snowcat – in good weather. Nevertheless, we are all in contact, we send each other virtual postcards over the internet and we have the tradition of the "48-hour film festival.“ Here, a station is given five terms relating to the animal world – plants are not included – and then they have to make a film about it within 48 hours." In addition to the study related work, the station manager and doctor has even more tasks. Medical technology, for example, needs to be tested. There is enough of it on board Neumayer III. “As in nor- mal everyday hospital life, I check the corpuls3 and other devices every day. corpuls.mission and similar, important systems must also be checked regularly. These are the "doctor" tasks. As the station manager, I am also responsible for the safety of the team and the station, for fire protec- tion including exercises, the marking of the routes and even for monitoring the quality of the drinking water. There is also organisation and public relations work. The only thing I don't have to do is cook." IMPULSE | N°. 2 | 2021

corpuls on Ice – Lifesavers on the eternal ice Theme – Lorem ipsum 41 41 NEUMAYER III CELEBRATES A MILESTONE BIRTHDAY! The polar research station of the AWI Alfred-Wegener Institute Helmholtz Cen- ter for Polar and Marine Research is turn- ing 10 years old and has thus about a third of its predicted lifetime behind it. Neumayer III is, as the name suggests, the third station of the AWI, named after the German polar researcher Georg von Neumayer, co-founder of the Inter- national Polar Commission and teacher of Roald Amundsen – the first person at the South Pole. Neumayer III differs considerably (in the truest sense of the word) from its pre- decessor Neumayer II. While Neumayer II consisted of two parallel tubes about 90 meters long, which were buried a good six meters under the Antarctic ice and snow, Neumayer III hovers me- ters above the ice. However, this would change pretty quickly with snow drifts, but Neumayer III is also built on hydraulic supports that can be individually raised and lowered. Over the year, the station is gradually raised by up to a meter so that it does not sink into the fresh snow. In the summer months around 50 peo- ple live in the station in Atka Bay on the Ekström Ice Shelf. In addition to labora- tories and accommodation, there is also a lounge and sauna. IMPULSE | N°. 2 | 2021 A polar bear would never eat an emperor penguin! Polar bears live at the North Pole, over 10,000 kilometres from the breeding grounds of the emperor penguins. But our graphic designer doesn't care, she thinks polar bears are cute. So that's why you see one here, of course. The Antarctic is the largest freshwater reservoir on earth! An incredible 60–90% of the world's freshwater reserves are stored in the ice sheet of the southernmost continent. The ice sheet is up to four kilometres thick and has a volume of 26.5 million cubic kilometres. Antarctica is a desert! But how can that be with all that water? Technically, a desert isn't always a hot, sandy area of land. Rather, it is the amount of rain that determines the character of the desert, and Antarctica is very very dry. On average, a little more than one centimetre of precipitation falls as snow per year. That's why it took 45 million years for the ice to get so thick. The Antarctic Peninsula is the fastest warming continent! Over the past 50 years, the average temperature on the Antarctic Peninsula – that is the part of the Antarctic continent that juts north beyond the Arctic Circle – has risen by 3° C per year. That is five times the global average! There are no time zones in Antarctica! They wouldn't make sense with such extreme day and night cycles. Instead, scientists at the research stations simply stay in the time zones of the ports from which they set off for Antarc- tica. To make things a little more confusing, the Australian stations Mawson, Casey and Davis are all in different time zones.

Perfect Partners on duty 43 T PARTNERS

Perfect Partners on duty 45 us to react immediately to all alarms and control the situation from one point” explains Kim. The risk of accidentally setting different values on the two devices is virtually eliminated. The corpuls cpr is ready for use very quickly. Max and Kim have worked with this device before. While Kim performs ma- nual chest compressions, Max connects the arm of the cor- puls cpr to its board. On command, they then lift the patient's head and upper body slightly in order to slide the board of the corpuls cpr under the patients back. Then they remove the feedback sensor, position the arm of the corpuls cpr and press the start key. The entire maneuver takes just three seconds. The synchronization of corpuls3 and corpuls cpr is a cri- tical factor in this mission so that the resuscitation can be carried out in accordance with the guidelines despite the unfavourable setting. The corpuls3 reports automatically after two minutes to start the next analysis. “To do so we have to interrupt manual chest compressions” says Max. You pause by selecting "Stop mCPR" or "Start mCPR" on the device. The analysis shows that further defibrillation is required. Kim presses the "Load" softkey. The defibrillation energy required is immediately charged. By then pressing the „Shock“ key, the chest compressions being carried out by the corpuls cpr auto- matically pause for immediate shock delivery and then start again after shock delivery. Such defibrillations can literally save the patient's life. Howe- ver, this action is not safe for emergency services. If, for exam- ple, Max did not interrupt the manual chest compressions to deliver the shock, there would be a risk of an (unwanted) power surge. The option to control the corpuls cpr via the control panel of the corpuls3 therefore means a significant increase in safety for the rescue team. The emergency physician has now arrived on scene. The pati- ent's condition has stabilised to a point where transport can be risked. The receiving hospital has a cardiology department. The travel time is calculated at around 20 minutes. However, the patient must first be moved from the attic to the ambulance, which is parked in front of the house. "Transporting him down the building‘s steep, narrow stairs would not be the gentlest option" says Max. Therefore, after consulting the emergency physician, he requests the turntable ladder from the local fire department. The cage on the ladder has a stretcher holder. So it is not a problem to gently move the patient to the ambulance using the turntable ladder under continuous monitoring and in constant readiness for resuscitation. RETROFITTING The technical advantages of synchronising corpuls3 and corpuls cpr are possible with all corpuls3 genera- tions – even the older versions. The only requirement is that there is a Bluetooth module in the patient box. With this hardware component and the current free software version 4.0, a Bluetooth connection can be established between each corpuls3 defibrillator and corpuls cpr (software version 1.2 or higher) and the devices can be synchronised. Whether in a stairwell, on an aerial ladder or in alpine terrain, access to operate the corpuls cpr is often restricted. With synchronised therapy, the stretcher being out of reach is no longer a problem. The user always has an overview of all values and can react immediately. More info about synchronisation can be found on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get on our website. Just scan the QR-Code and get informed:

Perfect Partners on duty 47 47 47 PERFECTION THROUGH AUTOMATION Studies show that pauses of less than ten seconds before and after defibrillation and a chest compres- sion fraction greater than 60% are associated with better patient outcomes. The European Resuscita- tion Council (ERC) therefore recommends reducing interruptions to a minimum. They also recommend shortening the pause between chest compressions to less than five seconds when using a manual de- fibrillator. In practice, this means not only high trai- ning requirements, but also the extreme concentra- tion of the rescue workers. However, if synchronized devices such as the corpuls3 and the corpuls cpr are used, the hands-off time and the rhythm analysis can be reduced. The variable setting options guaran- tee compliance with the ERC guidelines scientifically recommended resuscitation process. Even during operation in semi-automatic (AED) mode by inex- perienced personnel, synchronization guarantees a guideline-compliant procedure with reduced hands- off times in the event of defibrillation. Angiography and catheter intervention should be some of the next steps. This illustrates how the corpuls3 and corpuls cpr team also has its place in everyday clinical practice. X-rays or computed tomography scans are needed, for exam- ple, to track down the cause of the patient‘s critical condi- tion. Such diagnostic procedures sometimes take place under continued resuscitation. The radiation exposure that occurs during such procedures is a risk for nursing staff that should not be underestimated. The corpuls3 and the corpuls cpr make it possible to carry out such procedures in compliance with occupational safety. The European Resuscitation Council (ERC) recommends* using mechanical chest compression devices, such as the corpuls cpr, during angiography under resuscitation.

Perfect Partners on duty Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners Partners 49 49 49 49 PEDIATRIC EMERGENCY Resuscitation of a child is one of the most stressful emer- gency situations possible. The synchronised use of corpuls3 and corpuls cpr can also be of unparalleled help here. Due to the small body size of the child – fewer rescue workers can work directly on the patient than with an adult. The re- mote controlled use of the corpuls cpr via the control panel of the corpuls3 reduces the number of rescuers required. This helps to support an orderly workflow even in a con- fined space. Synchronisation also creates the opportunity for rescuers to undertake other important tasks such as looking after the child's parents.

Theme – Lorem ipsum 51 I WANT TO HELP THE PEOPLE HERE. tain guide. I spent every free minute outside. That shapes you. That is pro- bably the reason why I also became a mountain rescuer.“ Carl Powell, Clinical Support Officer In “everyday life” Manon is a parame- dic. “I see this here so often. The young people are leaving the Beacons and mo- ving to the big cities. The older people stay behind because this...", she points through the windshield at meandering hills – wild, rugged and barren,“...this is their home. In the event of an emergen- cy, however, the children are hundreds of miles away in London, Birmingham or Edinburgh. And parents are on their own in their old age." It's a tight-knit community. The Welsh are in general. In the 2001 census, most Welsh people classified themselves as “British”. 15%, however, simply wrote “Welsh” on the form, even though this answer was not an option. Therefore, never talk of Wa- les as "England” in the presence of a Welshman. It doesn‘t go down at all. I speak from experience that at least one round is required for the entire pub. If you think English weather is nasty, you don't know Welsh. In an area like the Beacons we have to keep an eye on one another. This is ne- cessary. Because help is usually not just around the corner. The neighbour can live a few hundred meters as the crow flies, the nearest doctor, several kilome- tres. “These are not good conditions for us in the rescue service. We often have to take crazy detours because the emergency site cannot be reached ea- sily with the ambulance. Of course we also have voluntary first responders, but they have to struggle with the same dif- ficulties as we do." While in Germany a first responder is responsible for an area of around 50 km², which roughly corresponds to the area of the Bavarian Ammersee, the area of a first respon- der in Wales is easily ten times as large. “The rescue helicopter is of course a popular option, but if you think English “ Normans!" Fearful, Arwyn look south, towards Pen y Fan. Up there, on the top of the highest mountain in the area, there is clearly a fire burning. It's a sig- nal. A warning from his countrymen to the people of Aberhonddu to get to sa- fety because the English are attacking. For years the legendary English King William the Conqueror has been trying to drive out the Celts and bring Wales under his control. So far without suc- cess. The Welsh wilderness is too rug- ged, the climate too inhospitable, and the locals have great knowledge of the mountains, valleys and caves in which they could hide – if warned in good time. They use bonfires on the peaks around Aberhonddu, Brecon in Welsh. Bonfires as in "beacons". Today the mountain range through which we are rolling in a yellow ambu- lance of the Welsh Ambulance Service is called the “Brecon Beacons”, the beacons of Brecon. But the fires have been extinguished for centuries. The radio and mobile phone have taken their place. They are indispensable for Manon Ludlam: “Over and over again hikers underestimate the weather in the Beacons. It can get pretty cold here pretty quickly." The 33 -year-old knows the mountains like the back of her hand, she grew up here. “My father was very close to nature." He was a hiking- and moun- IMPULSE | N°. 2 | 2021

PITSTOP in Wales Theme – Lorem ipsum 53 "Of course we know the steps in our sleep, but it takes some of the strain off you when you can concentrate on just one thing – without the fear of overloo- king or forgetting something." Especially at the end of a long shift. The stress must go somewhere. “S and M – sofa and mountains. This is my stress reliever. Either a glass of red wine on the couch or getting out into nature. Most importantly is that Bohdi is there...” – “Your partner?” I ask. "My best friend. A black Labrador." Wales is a beautiful country in the south west of Great Britain (not England!). It is known for its rugged coastline and mountainous national parks, but most of all for its Celtic culture and a langua- ge that can be linked together to produce endlessly long words: Welsh. If, in any other country, there was a "Church of the Saint Mary in the Hollow of the White Hazel near a Rapid Whirlpool and the Church of St. Tysilio near the Red Cave", it would simply be called “St Mary's Church”. However in Welsh it is called: Don't believe us? Google it. It's located on Angelsey Island. And if you find a spelling mistake, we'll give you a corpuls ballpoint pen. The culture and landscape make Wales definitely worth a visit. Just so you don't show up in Cymru unprepared, here are a few every- day phrases: Welcome to Wales! Hello, how are you? I am good thank you! Thanks, and you? I like cheese. Bye! croeso i cymru / croeso i gymru shw mae da aiwn iawn diolch Rwy’n hoffi caws dabo hwyl / hwyl fawr Thank you very much! diolch yn fawrdiolch yn fawr Please. Cheers! (to good health) Good morning! os gwelwch yn dda Iechyd da! bore da! Good day! (said in the afternoon) prynhwan da! Good night! nos da! And the most important word: Sheep (they are everywhere in Wales) defaid IMPULSE | N°. 2 | 2021

PITSTOP in Wales Theme – Lorem ipsum 55 55 Joseph 'Job' Daniels from Aberystwyth, West Wales, immigrated to the USA in the 18th century. His grandson Jack created the world-famous Jack Daniel‘s Bourbon Whiskey – and now ask a Scot what he thinks about Welsh whiskey. Wales has roughly the same land area as the state of Hessen in Germany, but only around half of the population at 3.1 million. However, the Welsh rescue service Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru has only around half the workforce of the Hessen rescue service. In Wales, medical advice is available from the Welsh Ambulance Service on the number: 111 Microsoft offers Windows and Office versions called "Welsh Windows" and "Welsh Office". And you guessed right – they are in Welsh. The emergency services in Wales have grown to around 300.000 emergency calls annually and 1.3 million non-emergency transfers to over 200 treatment centres across England and Wales. IMPULSE | N°. 2 | 2021

At the beginning of May 2020 the time had come: The corpuls workforce increased by around 50,000 from one day to the next. That is reason enough to briefly introduce these additional workers: About 10–15mm in length, six legs, four wings and just a tenth of a gram in body weight. What can such an animal do? Admittedly: not too much. It can orient itself in its immediate vicinity, absorb approx. 50 mg of fluid and transport it at least several kilometres. And it can give humans a very painful sting if – in its opinion – it is required. " corpuls goes green" was the topic of a company-wide brain- storming session in June 2019, during which all employees were able to submit their ideas on how to deal with our en- vironment in a way that conserves resources. In the after- math of the Bavarian citizens' initiative "Biodiversity & Na- tural beauty in Bavaria", also known under the motto "Save the bees", which was carried out in 2019, the proposal was quickly made to get our own corpuls bees. But when up to 50,000 of them are required to make this happen... it can seem a bit daunting.. The little animals will become a high- performance logistics company handling several hundred kilo- grams of nutrients and water a year. Such a complex network of social and biological interactions makes for an extremely efficient and adaptable structure that is not called a "state" for nothing. However, a state in which none of us would want to live in. The utmost efficiency is key here. The worker bees that hatch in the summer are just four to six weeks old when they will have literally worked themselves to death. Whether first as a nurse bee to care for the brood, later as a heater bee to control the temperature of the honeycombs, then as a guard bee at the box entrance or finally as a forager bee to supply IMPULSE | N°. 2 | 2021

corpuls honey 59 call beehives today, are the logical progression of this story. Until the discovery of cane sugar overseas and the invention of industrially produced sugar in large quanti- ties, honey was the only generally avai- lable source of concentrated sugar. Therefo- re, every rural property had its own bee colonies until the first decades of the 20th century. Beekeeping has thus become a popular, small-scale hobby. Therefore, Germany is heavily reliant on honey imports to meet domestic demand. In 2018, the approximately 26,000 tons of honey produced in Germany contrasted with around 88,000 tons of imported honey, mainly from South America and Eas- tern Europe. But enough talk about numbers – how are the corpuls bees doing? Well, first and foremost, they have acquired an appro- priate name: They are now known as the BeeGeeS. Today the situation is quite different. From an absolute low in the post-war period, there are now around 1.2 million bee colonies in Ger- many. However, the beekeeping community has changed. According to the registration data of the Ger- man Beekeeping Association, 96% of the beekeepers recor- ded keep an average of just 6.7 colonies. This is of course also due to limited free time, as keeping bees requires day-to-day interventions that are not based on any particular time sche- dule or roster. However, 2020 was not the best year for them to settle with us. Just before the strongest forage, in which the bees nor- mally bring in the majority of the annual nectar harvest, the weather showed its nasty side. May was characterised as cool and wet with a cold spell bringing the last of the spring frosts. June brought a cold spell around the middle of the month. Our colonies were unable to compensate for this loss in the warmer months that followed and stocks remained far below the annual average values. A fate that we shared with all the other local beekeepers in the region in 2020. IMPULSE | N°. 2 | 2021

Theme – Lorem ipsum 61 BUSINESS Bees do not hibernate in winter, instead they cuddle up in a cluster and keep each other warm. Bees that have been heating the outside of the cluster can later move to the warm centre and relax. If it gets too cold, they can heat their hive up to 30° C within a day. At these temperatures, their feed becomes liquid again and they can ingest it. A colony of bees must fly to three to five million flowers to produce one kilogram of honey, covering a total of around 100,000 flight kilometres. A worker bee produces two teaspoons of honey in its four to five week lifespan. The honeybee is the third most important livestock type in Germany after cattle and pigs. Drones are created from unfertilized eggs and their only job is to mate with the queen. Female workers hatch from fertilised eggs. Therefore, the queen can also actively decide which gender the new baby bee should have. Bees weigh around 100 milligrams. They can carry up to 50 milligrams – half of their weight – of honey. IMPULSE | N°. 2 | 2021

F O C U S – O N – P A T I E N T S THE NEXT GENERATION OF THE CORPULS3 Interested? Find all the information about the new corpuls3 TOUCH on corpuls.world or from your local corpuls partner.