Impulse 04 40 Years corpuls EN

Manufacturer: corpuls | GS Elektromedizinische Geräte G. Stemple GmbH Hauswiesenstrasse 26 | 86916 Kaufering | GERMANY Telephone +49 8191 65 722-0 E-Mail info @ corpuls.com Web www.corpuls.world Products may not be available in all markets as product availability depends on the regulatory and/or medical processes in individual markets. For availability please contact info@corpuls.com. Printing errors as well as construction and design modi- fication subject to change. All mentioned product names are registered trade- marks of the respective owners. Article number: 76139.31020_Ver.4 (Version 1.0 05/22) 2 IMPULSE | N° 4 | 2022 Publisher/Editor/Manufacturer: corpuls-Team Concept, Editing & Graphics: corpuls-Team Photos: corpuls-Team, Photos. People. Stories: Erik Andersen,w Norway, Jakob Gruber Photography | Innsbruck, Gwangju Fire Department, Korea; Picture Perfect Career: ADAC Luftrettung GmbH, elena_garder, milosluz, invisiblesk, Sun-flower – stock.adobe.com; Flying Change: Andrey Lapshin, Jacob Lund – stock.adobe.com; Down Under: Queensland Ambulance Service, State Library of Queensland, Rafael Ben-Ari, kichigin19, rashmisingh – stock. adobe.com; Five friends save lives on the high seas: TUI Cruises; corpuls young investigator award: Alexandr Bognat – stock.adobe.com; The road to Zugspitze: herculaneum79 – stock.adobe.com; corpuls on insta: qldambulance, roteskreuzfeldbach, ambulanshkp_vasterbotten, drk.rettungsdienst.schwalmeder, mates.marek; Pre- view: ICS Festival GmbH, sdecoret, rabbit75_fot, lesslemon – stock.adobe.com Sources: Fun Facts about Australien: Wikipedia Reading Service: marketing @ corpuls.com

DEAR READER, Good medical technology stays forever youthful. Curious. to the usual international stories from the field, we take Driven. Eternally hungry for new concepts and progress. a celebratory, very personal look at corpuls over the last It's mission has always been one of the most important forty years - from the humble beginnings in the family of our civilization: The protection of life. This extremely hobby basement to the ultra-modern, fully networked special and positive motivation has not been lost in the product system of today's global company. industry, even over the decades. It has not been lost on us either. Innovation can be an obsession. In our market, that's a good thing. Taking decisive steps forward and offering The forty-year success story of corpuls is based, above all, patients and users new possibilities. corpuls invests more on the tireless search for new and better technical inno- than 30% of its turnover in research and development - this vations. To find solutions that offer even more people a is unique in the industry. This spirit was inherited directly higher chance of rescue, protection and survival in an from the company founder, father and father-in-law of the emergency. "You can't save everyone - but you can give next generation, who just recently began his more than a child their Dad back or give an old couple more years well-deserved retirement. We will continue to commit to together," a corpuls employee once said in an interview. the example he set. This is exactly what keeps corpuls This same sentiment is reflected in the more than 100 forever youthful, this fundamental approach ties the first interviews we have conducted with colleagues, partners days of the company back in 1982 with today. And with and users all over the world in recent years. Those that those in the future. continually keep an eye on this common denominator will rightly survive, and grow, in this extremely demanding "We do it all ourselves" - these were the words Günter market. A company regularly recognized as outstanding Stemple, founder and driving force behind the corpuls with a stellar reputation as a family business, in more than idea, used to concluded the film for the 35th company 70 countries - often as the market leader - a logo that is anniversary. In 2022, these words still apply exactly as worn with pride by users both on and off the job, has cer- they did in 1982. This is how you weather many a storm tainly done something right. To be proud of that is certainly and always remain ready for surprises. not presumptuous. And so, even in these complicated and challenging times, we are celebrating our fortieth birthday Stay tuned. As will we. with exactly the same motivation and confidence that drives our users every day when they put on their rescue uniform. In the anniversary issue of IMPULSE, in addition Enjoy reading and best regards, Dr. Christian Klimmer CEO Iris Klimmer CFO Klaus Stemple CTO THEMA HIER 3

3 EDITORIAL 6 PEOPLE. PICTURES. STORIES. 12 40 YEARS CORPULS 40 YEARS FOCUS – ON – PATIENTS 40 YEARS CORPULS ONE FAMILY, TWO GENERATIONS 28 SEAMLESS HANDOVER THE NEXT GENERATION IN INTERVIEW WITH ANDREA LAUTERBACH 36 DOWN UNDER QUEENSLAND AMBULANCE SERVICE 48 FIVE FRIENDS SAVING LIVES ON THE HIGH SEA 58 MEDICAL ONBOARDING AN INTERVIEW WITH PROF. DR. PETUTSCHNIGG

60 CORPULS YOUNG INVESTIGATOR AWARD AN INTERVIEW WITH PROF. DR. GRÄSNER AND DR. WNENT 66 ROAD TO THE ZUGSPITZE WITH CORPULS@ALPINE ON GERMANY'S HIGHEST MOUNTAIN 76 CORPULS ON INSTA EXCITED ABOUT THE NEXT ISSUE? Already looking forward to the next issue of IMPULSE? Simply scan the QR code and register on our website to have the next IMPULSE delivered to your home... hot off the press! Of course, all issues are also available online. www.corpuls.world/magazin THEMA HIER

40 Years Focus-On-Patients: Forty Years corpuls. One family, two generations. Two employees at the beginning, over 400 employees in the fortieth year. With its products in use in more than seventy nations, around fifty million times a year. A safe bet for rescue services, hospitals and armies all around the world - whether on land, at sea or in the air, at fifty degrees above or twenty degrees below zero. In 1982, with a start-up loan, which to this day is still the only outside financing used, Günter Stemple started a picture perfect career that is unique in the industry and has led from one record year to the next. The picture book not only includes numbers and statistics, but also the many special moments that have made corpuls more than just another medical technology company among many: But corpuls. 1212

What the garage is in California's Silicon Valley, the hobby basement is in Bavaria's Kaufering. 1982: A forty- year-old medical technology pioneer puts all his eggs in one basket. In the so-called "lab" of his own home, he works on defibrillators that can think for themselves. Over time, the workforce at Adesta Stemple's dining room table grows. She sup- ported him immensely throughout the pioneering years. And the kids, who used to play under the feet of the employees, are now part of the second-generation management team. The family home soon became too cramped so they sublet space from Hilti, another local company, before success in the late 1980s forced them to lay the foundation for their own company com- plex. Since then, this has been growing exponentially from record year to record year, challenging management in terms of space and personnel. 40 YEARS CORPULS 1313

THROUGH THE COURSE OF TIME The “matu“ marked the beginning: In 1976 Günter Stemple presented his first defibril- lator with ECG monitoring and emergen- cy pacer: At the time he was still the CEO and mastermind of the company INFORM. Even back then, he recognised the import- ance of the special requirements of the rescue services: Robustness, splash water protection and extended temperature ran- ge (-20 to +50 °C). The “matu“ was the first medical device to be operated entirely via a membrane keyboard. These kind of details still belong to the corpuls virtues to this day. In the 1970s, the BRK in Starnberg owned one of the most modern re- scue vehicles in Bavaria: the Medi- mobil. Günter Stemple‘s “matu“ de- fibrillator was also on board, seen here in action during an exercise. 14

In 1982, Günter Stemple founded his own company, GS Elektromedizinische Geräte G. Stemple GmbH. Initially, development and production took place in the basement of his home. The female employee in the foreground was to remain loyal to the company for decades and only went into well-deserved retirement a few years ago. The container ship “Humboldt Express“ was of significant importance for the development of teleme- dicine. In July 1988, while underway off the South American coast, thanks to corpuls, the first ever ECG was transmitted in real time to Cuxhaven from on board this ship - a signal path of more than 74,000 km! This was made possible using an acoustic coupler and an Inmarsat satellite connection. 16

The future is a space for possibility, a space for our freedom (Karl Jaspers, German psychiatrist and philosopher, 1883 - 1969) In medical technology, the future begins in the past. You need to have a certain feeling for the future, because in hardly any other industry is this path so long. In our industry you need to think years, sometimes even decades ahead - not only because of the strict and diverse international approval requirements but also the extremely long development periods, On the one side you have a good idea - and on the other side you need to have the regulatory means and the staying power to be able to bring this good idea to market. And in the end, when the product and/ or solution is presented to the public at exhibition, everything usually looks very simple and logical (and that's how it should be). However, the road to getting there is long, challenging and always a bit existential. But the result is worth it. Because it can save lives. That's why we do it. corpuls invests almost a third of its turnover in research and devel- opment. This is well above the market standard. A clear product vision is important for this bold investment policy. Proximity to the user has always been a big support to us. To find out where some- thing is missing, what optimises and simplifies use and above all: What quickly provides the right support in the right area. Mono- lithic devices alone are no longer sufficient these days, and cer- tainly not in the future. Networked function and communication by all people and rescue equipment involved can mean valuable seconds or minutes that ultimately make the difference between life and death. Synchronised, multi-directional support from the scene - to the dispatch centre - to the hospital - to the emergency physician - and back to the scene. The live data transmission, chat, video conference, etc., that the rapidly developing digital world offers: That is the corpuls system - the intelligence that connects our entire hardware and software portfolio with each other and with you. And which finally turns the rescue chain into a rescue network. Pioneering spirit is in the corpuls DNA – since day one. We can't help it. There is always an even better solution, an even better way, an even better chance for an even more successful rescue mission. Maybe that's the reason why corpuls has only moved forward since 1982. We are not psychic, but over the past 40 26 years we have developed a good nose for development. Even in (and especially in) completely uncontrollable and turbulent times such as these, we have to be all in - because the needs of emergency and intensive care medicine never stop. Mediocrity is not accepted under the corpuls label. Which is why corpuls is set for success and a golden future. We want to continue to make the best even better in the future. Being a safe bet for you and the millions of users who rely on our products and solu- tions around the clock, around the world. Being just that little bit smarter and better for the patient when it comes to survival. That's why we do it. And why you do it.

The President has left. After 40 years of pioneering work in medical technology, company founder Günter Stemple has retired. And he left his successors with very fertile ground. But the next generation of corpuls is not new to the scene - they has been around for a long time. The future remains a family affair: With Iris Klimmer, Klaus Stemple and Dr. Christian Klimmer, daughter, son and son-in-law, following in the footsteps of the corpuls founder. As CEOs and co-owners, they have been helping shape the fortunes of this global company for almost twenty years. This has made the change in generations extremely harmonious and smooth. In an interview, TV presenter Andrea Lauterbach looks back, and forward, with the three CEO s. SEAMLESS HANDOVER - THE NEXT GENERATION IN INTERVIEW WITH ANDREA LAUTERBACH 29

Andrea Lauterbach: Günter Stemple – father and pioneer. Christian Klimmer: And he still spends a lot of time there Who and what is Günter Stemple to you? today. When I call my parents-in-law at home, I often hear: Iris Klimmer: First of all, of course, Dad. As children the He still tinkers with things both for the company and private. transition into the role of founder and CEO was smooth for Genius doesn't just switch off when in private. Günter is in the lab. It can be any time of the day or night. us, because everything took place at home, in our private environment. Iris Klimmer: While in other households something is either brought new or replaced, in ours it was repaired. Broken Klaus Stemple: He couldn't stop inventing things in his private things just came to the lab and were repaired. life either. For me, he has always been the blueprint for an engineer and thus still a role model to me to this day - and Christian Klimmer: I still remember the toaster. A journey at the same time my Dad. through time - maintained for thirty years. I thought it was great. Andrea Lauterbach: And you, Christian, came a little later. Iris Klimmer: It is definitely still somewhere in the lab. Waiting Christian Klimmer: Yes, even though it was twenty years for repairs (laughs). ago. Ultimately, he was and still is a “Dad” to me – my father- Klaus Stemple: Some things always worked differently in our in-law. That's how I first got to know him, before I joined the house compared to others. For example, if you wanted to company not long afterwards. Not only does he have great do the dishes you had to press an orange button 10 minutes ideas, he can also implement them, which is why I always beforehand to order hot water from the basement. As an envied him. A great father-in-law and a brilliant developer. An inventor and Swabian, effectiveness and thriftiness, also in ideal premise for the successful handover that we are expe- his private life, were a basis for corpuls. riencing today. Christian Klimmer: Sustainability has always been important Andrea Lauterbach: Let's go back to the beginnings in the to him – long before it became a trend. The conser- hobby basement, the inventor's workshop. What do you vation of resources also manifested itself early remember? What was your of experience that? on in the company's employees. The back Klaus Stemple: Us children played there, there were no "access ditioning, heating - sustainability restrictions". has always been a part of side of paper was used again, air con- Iris Klimmer: Which, in hindsight, actually surprises me. Christian Klimmer: There was no MDR then either... Klaus Stemple: There was and still is a room in our childhood home that everyone calls "the lab". Long before the company was founded, it was full of old electronic components and tools. It's great for children, of course, if you can play with and borrow things and even tinker with them yourself. This is exactly where corpuls was founded. 30

Iris Klimmer corpuls’ DNA and has also had a strong Klaus Stemple: We had a lot more to do with our father once influence on our roots. the company was founded. Everything took place in our home. At lunchtime, when you came home from school and sat down Andrea Lauterbach: How did the lady of at the lunch table, not only your own family was there, but also the house feel about the all the invention and the three employees. The meals were cooked by Mum or our tinkering? great-aunt, who also lived with us. A multi-generation house with Iris Klimmer: She always supported him. When he a built-in company. was lost in his world whilst solving a problem, you Andrea Lauterbach: At the beginning, was he confident that might not always get an ad hoc answer. Then she everything would work out as he had imagined? What drove him? would smile and say: You know your father. First and foremost, like us, she has always been very proud of him, Klaus Stemple: The positive feedback he received about his ideas even with the little rough edges that comes with genius. definitely gave him faith. He was also sure early on that his distri- bution network worked. Klaus Stemple: I think she knew exactly who she was mar- rying. It was always like that. corpuls would probably never Iris Klimmer: It was definitely difficult financially at the beginning. have existed otherwise. During these times the family stuck together and found solutions. Andrea Lauterbach: Let's look at the time just before the Andrea Lauterbach: What was the company's first big step that company was founded. He had lost his job as CEO of another you remember? company and was left with nothing. A recently paid off home and four small children. But he had an idea and lots of potential. Iris Klimmer: To be honest, for me it was only a real company You kids were just in elementary school. when it left the basement. In Hiltistraße the company had a sign and several employees on two floors – it was then that you could Iris Klimmer: Before that it was more like having a weekend really see the company. Dad He was commuting to Munich every morning and coming home in the evening. Klaus Stemple: Even as a kid, when the phone rang at home, I SEAMLESS HANDOVER - THE NEXT GENERATION IN INTERVIEW WITH ANDREA LAUTERBACH 31 WHEN MY CHILDREN HAVE QUESTIONS THAT I CAN'T ANSWER, I SAY: GO AND ASK GRANDPA, HE WILL KNOW.

didn't answer with my name first, but with the full company name "Günter Stemple Elektromedizinische Geräte GmbH". In the basement at home it wasn't a company for us, but our everyday life. Then the move happened, the illuminated sign with the company name, the warehouse and so on, I can still remember the first PC that was installed in the office space. Christian Klimmer: It's definitely in the "lab" today, waiting for repairs... (laughs). Iris Klimmer: I recently saw a folder containing my mother's first employment contract. She played a key role in the company from the start. She handwrote it herself. She also liaised with the banks and had everything under control. It was a team effort. Not just because at the beginning all the risk, such as the start-up loan, etc., was private. My father has always been very well trained in business administration. But his focus and passion was of course technology. Klaus Stemple: Some people become bosses because they want to be bosses. They have leadership ambitions and they simply need the role. I think it's different with my father. He draws an immense force from his technical vision. It was probably not his goal to be the boss, but he is driven to realize his idea in the best possible way and was ready to do anything to achieve it. That's possibly why a few jobs made their way over to my mother, because they weren't technical enough for him. Andrea Lauterbach: How does he manage to get people enthusiastic about his ideas? Klaus Stemple: They are simply good. When he finds an idea to have substance, he won't let go of it. And not just his own ideas. Take Transrapid for example - it really annoyed him that nothing more was done about it. If you want to have an entertaining evening, you should buy him beer and say the key word “Transrapid” (laughs). Christian Klimmer: Here, too, he was fascinated by the topic of sustainability, in order to get the air traffic parts onto the rails. If you had let him get into it, he would have come up with something. Despite all his emotional commitment to such topics, the thing that distinguishes him above all is his quality as a listener. He needs, and likes, the opinions of others to test or improve his own. He never approaches problem solving 32

Klaus Stemple from his role as boss, instead he culti- the starting blocks - but the whole thing had already become vates a healthy culture of equality. He is too big, financially difficult and demanding to go it alone. So a very well-balanced person, which has the question arose as to who in the family could and wanted certainly had a strong influence on the to come onboard. harmony and smoothness of the com- pany's development. Iris Klimmer: Of course, he himself never said anything – it was again my mother who gently nudged us in the right direction. Andrea Lauterbach: What makes him so balanced? Klaus Stemple: I was studying electrical engineering at the Christian Klimmer: His character. was my mother who also had a positive influence on me. Until Calmness. Of course, I didn't witness then, I knew corpuls more as a holiday job, packed devices the hard years, for example in the early and supported the mail order business. time, so it was already clear that I would think about it - but it 1990s, when their own assets had to be risked again. When I joined in 2003, Iris Klimmer: You didn't do the filing though, right? That was growth made it necessary for reinforce- more of a girls job (laughs). My sister and I filed accounts ments from within our own family. If payable invoices, etc. And you packed the devices. this hadn't been a solution, the sale of the company was a serious possibility. Klaus Stemple: I only really got a deeper insight when I went Andrea Lauterbach: How did he same principle of equal footing that Christian described. Until approach you with this request? recently, I shared an office with my father. I learned a lot from from being a son to a colleague. Here I also experienced that my father that I probably would otherwise not have learned if Christian Klimmer: He was a bit burnt I hadn't had the good fortune to work directly with him. There out at the time - the first product was is a corpuls-quality that characterizes the people to this day: near the end of its life cycle, the idea Everyone is responsible for everyone else. The employee is for the next product generation was in an entrepreneur with us. He was always the technical head SEAMLESS HANDOVER - THE NEXT GENERATION IN INTERVIEW WITH ANDREA LAUTERBACH 33 THE POSITIVE FEEDBACK HE RECEIVED ABOUT HIS IDEAS DEFINITELY GAVE HIM FAITH.

Christian Klimmer - but also took on facility management issues, etc. This holistic business can offer so intensively. We always stand behind company view was difficult at first, but it defines what corpuls strategic decisions that we have made - together. is today. When I came into it, all these topics were already relevant to me. This is how I got to know the company from Christian Klimmer: There hasn't been a single joint decision scratch and understand what my father built. Efficiency is the that later anyone blamed anyone else for. We just don't do benchmark - regardless of whether it is the next product revo- that. This also has to do with the fact that Günter thinks care- lution or the under-floor heating. To this day, this is the corpuls fully before he reacts. Despite all the impulsiveness that pro- culture. The topic of sustainability drives him, and us. And his gress sometimes requires (and which is also more my nature), belief: We do it all ourselves. When I started, we dealt per- I use this quality as an example. But it is the mixture of the sonally with the content of brochures or with exhibition stand different strengths and attributes that makes corpuls well- construction. There was no marketing department back then. round. We also inherited this multidisciplinary competence from my father-in-law. Andrea Lauterbach: How do you deal with mistakes? Klaus Stemple: That is another fundamental principle that my with all the answers. Without Google. That's still the case. When father established. Mistakes are part of development, they are my children have questions that I can't answer, I say: Go and not stains on ones reputation, but something to be worked on. ask Grandpa, he will know: He was always an authority. Even Iris Klimmer: Even when we were children, Dad was the one now, in his retirement, people still ask him about different Christian Klimmer: We always discussed everything very development ideas and he still has brilliant answers to offer. openly within management, especially when it came to stra- tegic decisions. The principle of trust applied and still applies Klaus Stemple: A clever and well-rounded person. In many in day-to-day business. Because that is the best motivation for engineering disciplines, be it mechanics, materials, etc. Most making the right decisions. He always gave us a lot of space, of all, his perseverance is admirable. He will brood and tinker and we will also continue to do so in the future. Leap of faith - and then come out of the room and say: Done, I have the is a good investment. solution. A good idea is never abandoned, even if you don't hear about it for a while. This perseverance is an essential Iris Klimmer: We are also all very closely connected. This characteristic of the corpuls success. includes a kind of homogeneous strength that only a family 34 SEAMLESS HANDOVER - THE NEXT GENERATION IN INTERVIEW WITH ANDREA LAUTERBACH TRUST IS THE BEST MOTIVATION FOR MAKING THE RIGHT DECISIONS.

Christian Klimmer: And – we also inherited an unbelievable attention to detail from him. Not just about the big picture and the vision, but he also intensively discusses even the smallest details. He can't really completely switch off from corpuls, even in retirement. That's a good thing. Iris Klimmer: Above all, I want him now to treat himself to the things that he had to do without when setting up and expanding corpuls. A deep-sea sailing trip for example. Of course only after he has repaired and technically optimised the boat for three hours. On top of everything, he is a pas- sionate and patient grandpa. This is all part of the founding mythos of corpuls. Family business's are more loyal, proud and enduring than any anonymous large-scale business. It is always personal. Like our business model. We do it all our- selves. This is reflected in the quality of our products and the mentality of our users. And when you know exactly where this special quality comes from, you can trust it more. You can rely on this for the next forty years. In addition to the flood of innovations and solutions, perhaps the most important achievement of corpuls' forty-year progress is: corpuls will always be corpuls. 35

Queensland is Australia’s “Sunshine State”. It is known for its relaxed lifestyle and year around sun. And looking after it quietly in background is a modern rescue service. The Australian state of Queensland is about five times the size of Germany, but with a population of around five million, it has just one sixteenth as many inhabitants. Most Queenslanders live in the region around the capital Brisbane. The Queensland Ambulance Service (QAS), a department of the state health authority, Queensland Health, is responsible for the ambulance service in Australia’s second largest state. QAS’s tasks include both emergency rescue and patient transport as well as inter-hospital transfers and the management of major emergencies and disasters. The beginnings of the Queensland Ambulance Service dates back to September 12, 1892. On that day, the City Ambulance Transport Brigade (CATB) was formed in Brisbane. By 1902, Queensland had lost its status as a British colony and had became a state of its own. The Brisbane Ambulance Brigade was subsequently imitated in a number of other commu- nities, with the CATB becoming the Queensland Ambulance Transport Brigade (QATB). Each midsize centre in the state received its own QATB committee, which directed the skills of the local rescue service It was not until July 1, 1991 that the QATB was converted into a government administered service, creating the Queensland Ambulance Service as it exists today. ORGANIZATION OF THE QAS The Queensland Ambulance Service (QAS) operate in North and South Queensland. The areas include eight geographic regions, which in turn are made up of 17 districts. In addition to around 4,100 full-time employees, QAS can also rely on volunteers. They support the Queensland Ambu- lance Service in a variety of ways, not just as a first responders during an emergency. Local Ambulance Committees have been formed at around 150 locations throughout Queensland. 1,300 volunteers work in their ranks, forming the link between the rescue service and the local community. These volunteers raise awareness in the community that make the rescue ser- vice’s work easier, support broad-based training, for example in the form of the CPR awareness program, and take care of the financing of additional equipment or materials for first aid. THE QAS PARAMEDICS The Queensland Ambulance Service aims to ensure high standards of emergency treatment, patient care and the 39 i l e c v r e S e c n a u b m A d n a l s n e e u Q © DOWN UNDER – Queensland Ambulance Service

TERRA AUSTR THE SOUTHERN BACK IN ANCIENT TIMES IT WAS ASSUMED THAT THERE WAS A SOUTHERN CONTINENT NAMED TERRA AUSTRALIS INCOGNITA. A size comparison transport of the sick and injured. The on-site rescue workers – paramedics – are largely responsible for fulfilling this goal. As a rule, they have undergone training in “Advanced” or “Critical Care” measures. All paramedics in Queensland belong to what is known as the ‘Registered Health Professions’ group. Members of these professions are listed under the National Registration and Accreditation Scheme. This means that only people who are registered with the Paramedicine Board of Australia can legally call themselves and work as ‘Paramedics’. With this central accreditation, which can be verified by anyone on the Internet, the state wants to ensure that they have only appropriately qualified rescue workers. The Clinical Practice Manual (CPM) was created to provide paramedics with up-to-date, consistent standards of clinical practice. It contains systematically developed statements based on the best available scientific evidence. Its content is subject to constant updates and adjustments, as well as being reviewed at least every three years. QAS management encourages all emergency services to participate in updating the CPM. The hurdle for this is deliberately low: completing an online form on the QAS portal is sufficient. In terms of content, this can involve the introduction of new guidelines, the review of existing procedures or protocols for drug ther- apies, for example. All submissions then go through a mul- ti-stage review, where experts look at the suggestions and decide on their implementation. QAS STRATEGY 2016 – 2021 In the years to come, Queensland is expected to experience significant social and demographic changes. By 2026, the state’s population is likely to increase by a third to about 6.3 million people. Of these, 1.1 million people will be over the age of 65, an 83 percent increase from 2011. These expected changes will also have consequences for the rescue service. The Queensland Ambulance Service is preparing for this as part of its “QAS Strategy 2016 - 2021”. In recent years, the QAS has professionalized its employees as part of its strategy implementation. Almost all of the rescue workers now employed are university graduates. Additionally, their knowledge and skills have constantly increased, as the range of measures they carry out and the medications they use has expanded significantly over the past ten years. The QAS assumes that this trend will continue. 40

FACTS FIGURES AND BY 2026 THE STATE'S POPULATION WILL LIKELY INCREASE BY A THIRD TO ABOUT 6.3 MILLION PEOPLE. Notably there are now more women than men among the new QAS rescue workers. It is important to the Queensland Ambulance Service that its workforce continues to reflect the diversity of the population. It believes that an inclusive and diverse workforce brings many benefits, including an improved corporate culture, greater innovation and more community engagement. The “QAS Strategy 2016 - 2021” contains performance targets that they would like to have achieved by the end of the five years. Among these, is that 50 percent of Code 1 calls (emer- gencies) are dealt with within 8.2 minutes and 90 percent of these calls within 16.5 minutes. Another goal is that 90 percent of Triple Zero calls – 000 is the national emergency number – are answered within ten seconds. Each year, QAS receives over 1.1 million emergency calls. THE SUDDEN CARDIAC DEATH FIGHT For a long time now, QAS has paid particular attention to the high-quality care of emergency patients in relation to cardiac events. Heart attack remains the leading cause of sudden death in Queensland. QAS believes that a strong rescue chain improves the chances of survival and recovery for people who experience heart attacks, strokes and other emergencies. Therefore, the general goal for QAS is to further support and improve the rescue chain. In detail, one of the aims is to improve the survival rate to hos- pital admission as well as to hospital discharge after a cardiac arrest, each by ten percent. The number of cases in which a person in cardiac arrest is resuscitated by a layperson before 000 Emergency number in Australia 1,1 Million Emergency calls a year 150 Local Ambulance Committees 1,852 Million square kilometres 4,100 Full-time Employees 1,300 Volunteers 1,300 Emergency vehicles DOWN UNDER – Queensland Ambulance Service 43

TRIPLE *** 000 *** ZERO EVERY YEAR, QUEENSLAND AMBULANCE SERVICE PERSONNEL ANSWER 1.1 MILLION EMERGENCY CALLS. the arrival of the emergency services is to be increased by 70 percent. And the percentage of patients who report chest pain and who have a 12-lead ECG taken after paramedics arrive is expected to rise to over 95 percent. Since 2014, corpuls has been doing its part to ensure that these goals can be achieved. In 2013, the Queensland Ambu- lance Service wanted to update its aging ECG/Defibrillator units and published an international tender. corpuls won with its corpuls3 and was awarded the contract. In doing so, QAS was the first Australian rescue organization to buy the German product corpuls. Today, around 1,300 corpuls3 and 40 corpuls cpr are in use in the QAS. The implementation of these goals is scientifically supported by the “QAS Cardiac Arrest Outcomes Program”. It began work in 1999 and includes the Cardiac Arrest Database (CADB). The most important data sources include the digital Ambulance Report Form, the Computer Aided Dispatch, the Death and Cardiac Arrest Report Form, ECG recordings, corpuls.mission and data collected during the hospital stay. The CADB can be used to derive key data such as the reaction times of the emergency services, the frequency of cardiopulmonary resus- citation by first responders, the suspected cause of cardiac arrest and information on patient outcomes. With the help of this study, the performance of the QAS Paramedics can be looked at and starting points for continuous improvements can be made. 44 DOWN UNDER – Queensland Ambulance Service

46 FUN FACTS ABOUT DOWN UNDER AUSTRALIA HAS MORE THAN 10,000 BEACHES GANG-GUR-RU The name Kangaroo is actually a misunderstanding. When English settlers asked the Aborigine people what the bouncing animals were called, they responded with "Gangurru", meaning You want to see them all? Then you need to get a move on, "I don't understand you." because if you were to visit one beach along the endless By the way, the famous giant Red Kangaroos can jump up to coastline of the red continent per day - this project would a distance of 9 metres and up to a height of 3 metres in one take you more than 27 years. We wish you a happy trip! leap. When hopping they can reach a speed of up to 55 km/h. The faster they jump, the lower their energy consumption! They weigh up to 85 kilos and reach a height of up to 2.10 metres when standing upright. WINTER WONDERLAND If you think it is only summery Down Under, you are wrong! In the Australian Alps, the Snowy Mountains, more snow falls in winter than in Switzerland. There are also great ski areas in the south of the country with 284 kilometres of ski slopes that have a lot to offer for winter sports enthusiasts and après-ski enthusiasts. So if you feel like a bit of skiing during the Northern Hemisphere summer... head Down Under, because it's winter there from June to August! 46

LIGHTBULB CHANGING... THE LONGEST FENCE IN THE WORLD ...a pretty easy task. However, until 1998 in the state of Victoria The longest fence in the world, at 5,614 km in length, is it was illegal to change light bulbs unless you were licensed located in the states of South Australia, New South Wales as an electrician. Doing so would result in a fine of 10 Aus- and Queensland. It was built to keep dingoes away from tralian dollars! fertile farmland and to protect sheep in their paddocks in the south-east of the continent from dingoes and other pred- ators such as foxes. LIFE SAVER FOR ON THE GO GET THE APP THAT COULD SAVE YOUR LIFE – EMERGENCY PLUS. For emergencies in the Australian outback, our friends at the Queensland Ambulance Service recommend having the Emer- gency + app in your virtual luggage. www.emergencyplus.com.au FOSTER‘S Australian for Beer! Foster's has been brewed in Australia since 1887. Back then by brothers William and Ralph Foster. And it's not just the Aussies who love their FOSTER'S. The popular beer is currently exported to over 150 countries around the world. Cheers to that! DOWN UNDER – Queensland Ambulance Service 47

“These things have really grown over the last 40 years...”. Just as Margaret Brown spots the top of the 16 decks of “Mein Schiff 2”, it comes back. That damn cough. All the muscles in Margaret’s body contract and the 78 year old feels the ache down to her bones. The cough exploding from her lungs, over and over. If she wasn’t in a wheelchair, she would be writhing on the floor. “Mum! Are you okay?” Molly leaves everything at check-in and runs to her mother. “I’m alright, darling. Let’s get on Board, shall we?” “Where’s your inhaler?” “Pardon?“ “Your inhaler, where is it?“ One last cruise. Just like way back, with her beloved William. “I want to feel the wind in my hair and the salty water on my skin again,” she said to her daughter during her last visit. Molly had travelled all the way from Germany to see her. That touched her. Molly had so much on her plate. The two boys, her grandsons, had grown into young men, but still behaved a bit irrespon- sibly. Achim, Molly’s husband, had a good job in the pharmaceutical industry. She was doing fine on her own after William passed on. “Has it really been eight years, darling?” Margaret asked her daughter over a cup of tea in their little house in Reading. “Yes Mum. But we’re going on a cruise, I promise.” THE LAST JOURNEY “There are guests like that. Guests who want to expe- rience their last trip on a cruise ship. These are of course a special challenge for us, but also an oppor- tunity,” says Prof. Dr. Berthold Petutschnigg, “Doc on Board” for over ten years and Chief Senior Doctor of the “Mein Schiff” fleet of TUI Cruises since 2015. “I can remember we had a guest who came on board lying down. His Dr. med. Markus Lanzerath North Rhine-Westphalia, Germany THIS IS MY ABSOLUTE DREAM JOB! Of course, working on board a cruise ship only works if the family is supportive. My chil- plan was to start his very last journey here on board. dren know: ‘Now Dad will be away for a few We in the medical team were with the gentleman in months’, but they also know that Dad will be at his cabin every day. Checking on his state of health home for a few months afterwards - and they of course, but that is only part of our job. We had a enjoy that. I can’t imagine a better job. lot of good conversations, not just about his health, but also about life. After 14 days the guest left us. At port - on his own two feet. Those are moments you don’t forget.” FIVE FRIENDS SAVING LIVES ON THE HIGH SEA 51

FASTER THAN THE AMBULANCE The medical crew on board the newest ship in the “Mein Schiff” fleet is prepared for all scenarios. Whether a crew member has to recover from the flu or there is a serious cardiac emergency. Especially with the latter, seconds count: We can reach any emergency site here on the ship in less than ten minutes and initiate the appropriate therapy - no rescue service on land can guarantee that”. Three words over the ship’s intercom are all it takes to set a well-oiled machine in motion: STARCODE! STARCODE! STARCODE! “When we hear that, we drop everything and start running,” says the second doctor on board “Mein Schiff 2,” Markus Lanzerath. At the same time, ten specially trained crew members from all areas of the ship head for the medical centre. “While we are on the way to the emergency scene with the corpuls3 and the emergency kit, the Stretcher Team arrives at the medical centre, gets equipped and also heads to the scene.” This means, the TUI Cruises medical team ensures that every emergency can be treated optimally - even if the initial report to the bridge was not complete or correct. But that hardly ever happens. “Emergency messages come through to us on the bridge on a red phone. One of my officers takes the call and works through a brief but specific list of ques- tions. Basically, the procedure is comparable to what many rescue organizations do on land - we triage, so to speak, at the time of the first report. If we are sure that the situation is serious, I give the order “Go for Starcode,” Nurse Stefan Weinmeyer Lower Austria THIS IS MY SECOND FAMILY! This is my first time on a ship and I’m really says Captain Tom Roth. The thoroughbred seafarer does excited. Working together with a crew of 1,000 not come from one of the European coastal regions, women and men in a very small space is some- as one would expect, but came into the world in 1970 thing special. Being separated from family is not in the Swiss metropolis of Zurich. so bad, because you find your substitute family here anyway. I would do it again anytime. This backs up an interesting pattern that has come to our attention since we boarded “Mein Schiff 2”: The number of crew from the alpine areas of Austria, Switzerland and Bavaria on board. This infiltration goes so far that we 52

three guys from Bavaria had the best Kaiserschmarrn of our lives on board “Mein Schiff 2”. But this was no wonder when we heard that the executive chef of the “Esszimmer” restaurant is... Austrian! You meet mountain people everywhere, even at the reception desk in the medical centre. That’s where Madeleine Gallowski from Bavaria sits: “Of course I miss the mountains from time to time, but I always felt a bit claustrophobic at home. My Dad used to tell me stories about deep sea fishing. Something must have resonated with me. And today, if I’m on land too long, I get restless.” A sentiment that seems to be shared by many here on board. “For me, vacation means being on board,” says Captain Roth. “We are pretty spoiled here, too. A few days at home and you wonder: How is my dirty laundry getting more and more dirty? Why is the fridge always empty? And vacuuming? I don’t even know if I even own a vacuum cleaner. We’re are very well looked after here on board. And we see the most beautiful corners of the world every day - it really doesn’t get any better than that.” But with the luxury comes responsibility. “We have around 3,000 passengers on board. And a crew of around 1,000 people. Illnesses can happen here too. Imagine that someone from our kitchen crew catches a stomach bug and doesn’t realise in time. There’s one thing I’d definitely rather not experience on board,” says the captain with a wink. To avoid this from happening, the medical crew is pre- pared for any nasty thing under the sun. The ship’s pharmacy would also fit in in a medium-sized hospital. “In the worst case, we can even perform surgical pro- cedures - we are equipped for that,” says Chief Senior Doctor Petuttschnigg. Two hospital beds with complete intensive care equipment are available just in case. “And Madeleine Gallowski Bavaria, Germany I ONLY MISS: THE OBATZDA FROM MY GRANDMA. My family is always super excited when they if our options are no longer sufficient, we still have the visit me on board. These are always very special option of flying patients out. However, that decision is days for me. It’s just nice when your own family up to the captain.” And he listens to his medical crew: is here and can share my passion for what I do. “When the doctor says “It has to be done”, then we no I always notice how proud they are and that in longer discuss “If”, but “How.” I am not a doctor, others turn makes me proud of our work. have the authority. And if it means we have to change course and turn the schedule upside down, then so be it.” Margaret feels the sun on her skin. A light breeze makes her shiver briefly. “Here you go, Madame...” Kevin, 54

“IN THE WORST CASE, WE CAN EVEN PERFORM SURGICAL PROCEDURES – WE ARE EQUIPPED FOR THAT.“ the lovely waiter, brings her a cup of Earl Gray tea with a dash of milk. Just how she likes it. Kevin’s name isn’t actually Kevin at all, as Margaret found out. But he calls himself that for the passengers. His homeland is actually the Philippines, where he has a wife and child. There are many crew like Kevin on board. They keep the operation running smoothly, cooking, cleaning, doing laundry, mixing cocktails, serving tea to an old lady - and they are always smiling. Maragaret smiles too, thinking about her William. “Someone’s in a good mood today!” The voice of the ship’s doctor pulls Maraget from her thoughts. “Who wouldn’t be in such a charming company?”,Margaret replies. If she were just a few years younger, the tall officer would have to be careful... “Do you mind...?”,asks the doctor and points to the empty chair next to her. “Absolutely not!”,she says. “What do you think, would William have liked it here?”,the doctor asks Gloria Butt Portugal LIFE ON LAND? ANYMORE. I CAN’T IMAGINE THAT as he takes a seat. “No”, says Maragaret as she enjoys I even met my husband on board and we both the puzzled look on his face, “He would have loved it.” still work at sea. Sometimes even on the same ship. But everyone has their own cabin. Which I sit a few seats away from the pair and watch them. is necessary, because sometimes you just want Margaret beams and they both laugh. Sometimes it to be left alone. But we both know that and we really is the best medicine. give each other space. I love it. FIVE FRIENDS SAVING LIVES ON THE HIGH SEA 57

MEDICAL From a medical point of view, a cruise ship the size of therefore mandatory. An emergency can occur at any time, “Mein Schiff 2” is probably the most unfavourable place anywhere, with any conceivable degree of severity. A doctor to work. A lot of people in a small space, and the nearest must be specially trained and experienced for the special medical support is often hundreds of kilometres away. But situations on a cruise ship. And the best way to acquire this for many, that is the appeal of working on a cruise ship. competence on land is through the emergency medical ser- Optimal training and the best equipment is essential for vices. In addition, there are international certificates such as medical professionals. Therefore, the Chief Senior Doctor ALS (Advanced Cardiac Life Support Course) and PALS (Pedi- of TUI Cruises, Prof. Dr. Berthold Petutschnigg has devel- atric Advanced Life Support Course) with the corresponding oped a targeted training program for those interested. refresher courses in accordance with specified time limits. IMPULSE: As a ship’s doctor, you always need to be up to date in rec- ognizing a critically ill patient and the appropriate therapy. Professor Doctor Petutschnigg, what are the basic require- You must not forget: We don’t just have old people on board ments if I want to work as a nurse or doctor on board a here, we primarily have young families with children. TUI Cruises ship? IMPULSE: Prof. Dr. Petutschnigg: So all areas in which the corpuls devices can show their Let’s start with the easier of the two: The nurse. Training as strengths. a paramedic or something comparable is certainly a big ad- vantage here. If you also have experience as an intensive Prof. Dr. Petutschnigg: care nurse, that’s half the battle. The other half also applies Absolutely! We have two corpuls3 on board here and I to doctors: You have to be passionate about what you do. couldn’t wish for a better tool. The fact that the corpuls3 Good knowledge of English is essential, even though most can be divided into three parts is simply the best, especial- of our guests speak German. The crew language is English. ly in narrow corridors or elevators. Unfortunately we don’t Documents such as reports or our doctor’s letters, must be have the corpuls cpr on board, but I know the device very completed in English. IMPULSE: well. The build, the technology and the certification for the treatment of children from the age of 8 - that’s something. In my opinion it is the most practical chest compression device ... which brings us to the doctors? currently available. Prof. Dr. Petutschnigg: IMPULSE: Exactly. Specialist training in general medicine, surgery/trau- But on board, you would be more likely to deal with bone ma surgery, internal medicine or anaesthesia is sometimes injuries in children than with cardiac problems. a prerequisite, because a good ship’s doctor needs a certain amount of basic experience in each of these disciplines for Prof. Dr. Petutschnigg: their work. It is also advisable to brush up on the basics of That is correct, and why sonography knowledge for extend- other disciplines in practice. For example, by sitting in on ed diagnostics on board as well as repositioning and immo- an intensive care unit, the trauma room or an initial surgical bilization therapy, i.e. a “cast course” for extremity trauma admission. are further admission criteria. And of course you should A competent ship’s doctor is also always an emergency know how to operate a corpuls3 and the ventilator. So: physician. The specialist qualification in rescue services or Knowledge of all the devices used on board according to the emergency physician diploma for Austrian doctors are the Medical Devices Act is a requirement. 58

IMPULSE: That’s a pretty long list of requirements... Prof. Dr. Petutschnigg: It sure is! And I forgot the radiation protection qualification – you see, the work on a ship is special, not only because of the spatial conditions. And we are responsible for around 4,000 people on board (passengers + crew). It is absolutely necessary that the medical staff is optimally trained. IMPULSE: Is that why you came up with the idea of the Intensive Course in Cruise Ship Medicine? Prof. Dr. Petutschnigg: Yes, on the one hand, but also to give those interested a single point of contact where they can obtain their qual- ifications. As the title suggests, it is an intensive course in which some of the certificates required to work as a medical doctor on ships can be acquired. In addition, the ‘normal’ medical training also takes place on land! We are however, on a ship and we also train on a ship – exactly where you as a doctor will have to save lives. Compare it to training in an ambulance simulator. It’s a good thing. But outside, on the street, in action - the situation is different there. You could say: Every day on board brings new surprises, new challeng- es - but that’s what makes it so exciting and varied. Ass. Univ Prof. Dr. med. Berthold Petutschnigg Carinthia, Austria THE JOB AFFETCS YOU. INTERESTED? Then take a look at www.tuicruis- es.com/karriere/karriere-an-bord/medical (only german) – there you will not only find a great film by the corpuls media team about work and life on board a cruise ship, but also all of the information about working on board at TUI Cruises. You can find all the information about the Intensive Course in Cruise Ship Medicine at www.dgkmed.de. I’ve been doing this for a few years now. My wife understands. Sometimes I think she is quite happy when I finally get back on my ship. But it is just as nice for us both when we get to spend time together again. MEDICAL ONBOARDING 59

Prof. Dr. Jan Thorsten Gräsner This year, for the 18th time, the "Wissenschaftlichen Arbeit- stage Notfallmedizin (WATN)" (loosely translated in English as "Scientific Think Tank for Emergency Medicine") of the Deutschen Gesellschaft für Anästhesiologie und Inten- sivmedizin e.V. (German Society for Anaesthesiology and Intensive Care Medicine) (DGAI) took place in Kiel. The corpuls Young Investigator Award has traditionally been presented as part of the online event. We spoke to WATN organizers, Prof. Dr. Jan Thorsten Gräsner and Dr. Jan Wnent, on the development of the conference and the importance of the prize. Michael Heller: The DGAI's "Wissenschaftlichen Arbeitstage Notfallmedizin" took place here for the 18th time, unfortu- nately only in digital form due to Corona. Looking back, how do you assess the development of this event format? Prof. Dr. Gräsner: The growth of WATN is enormous. Even in the early days, we always had at least 50 participants at the WATN. But with the move to digitization, interest increased significantly. This year we received 130 registrations. With a permanent participant base of 70 to 100. Michael Heller: And this year there was a record number of papers submitted. Prof. Dr. Gräsner: That's right, we've never has as many abstracts at the WATN as this year. For the first time, due to the high numbers, we unfortunately couldn't take them all as presentations and had to refer to some as posters. Michael Heller: How many presentations are given at the Dr. Jan Wnent WATN on average? Dr. Jan Wnent: It varies, but on average there are 40 to 42 pres- entations. This year we had 60 entries and 50 presentations. Michael Heller: In the medical environment, we are hearing more and more about so-called “think tanks”. The WATN format with short presentations and structured discussions fits this mould, doesn't it? Prof. Dr. Gräsner: Quite possibly. At the WATN, participants can find the latest ideas in emergency medicine. It isn't just a training event, but an exchange between colleagues. The size of the event, at around 100 people, is ideal for this. This all reflects the character of the WATN. In my opinion, connecting the WATN to the DINK (German Interdisciplinary Emergency Medicine Congress) or the DAC (German Anesthesiology Congress) would not match the character of the WATN. Michael Heller CORPULS YOUNG INVESTIGATOR AWARD 61

Michael Heller: Prizes are also awarded as part of the WATN. How many of the registered participants applied for the corpuls Young Investigator Award? This award has been around for five years. Dr. Jan Wnent: Based on our experience, about a maximum of one third. It was first presented in 2017 together with prize money. Hannah Schröder was the first prizewinner. Michael Heller: The first presentation of the corpuls WATN Young Investigator Award took place at a time when the DGAI had already started supported a lot of young people. At the German Anesthesiology Congress (DAC), for example, the “Young Anaesthesiology” initiative was launched and a “Junior Chairman” was appointed. Prof. Dr. Gräsner: Exactly, I remember it well. The DGAI has been intensively promoting young talent for years. Even before corpuls offered its award, the Scientific Think Tank for Emer- gency Medicine focused on supporting young people. The WATN should never only be a platform for high-end users, but also be open to our very young colleagues. Michael Heller: That's why, at the first event in 2005, there were also students. Prof. Dr. Gräsner: At that time in Kiel both students and the professor gave lectures. This is exactly what makes this event so charming even now. Right from the beginning there was cooperation between very young and very experienced col- leagues. For the last 5 years with the corpuls Young Inves- tigator Award, we have continued the method that we introduced 18 years ago. Michael Heller: When looking at the program, you notice that many of those mentioned here today as speakers gave their first scientific lectures at the WATN. Prof. Dr. Gräsner: That is not surprising. Many of the past winners who received a scientific award as part of the WATN are now in managerial positions. When it comes to prizes, I think, for example, of “Best Abstract”, which was awarded for the first time in 2013. The "Best of the Best" session, held at the German Interdisciplinary Emergency Medicine Congress (DINK), provides another platform for WATN award winners. 62

THE WINNERS AND THEIR TOPICS 2022 Evaluation of different PEEP-levels during resuscitation in a pig model Dr. med. Miriam Renz, Mainz Co-Authors: L. Müllejans, R. Rümmler 2021 Forecast of intensive care capacity requirements in the COVID-19 pandemic Tobias Neidel, Augsburg Co-Authors: C. Römmele, J. Heins, S. Heider, V. Otten, A.R. Heller, H. Messmann, J.O. Brunner 2020 Alveolar ventilation and the risk of hypoventilation - Transport respirators in a study of simulated cardiopulmonary resuscitation in Thiel's cadaver Simon Orlob, Graz Co-Authors: J. Wittig, C. Hobisch, D. Auinger, G. Honnef, T. Fellinger, P. Metnitz, G. Feigl, G. Prause 2019 Retrospective comparison of diagnostic quality between Tele-EMS physician and conventional EMS physician system Lina Quadflieg, Aachen Co-Authors: M. Felzen, S.K. Beckers, J. Brokmann, R. Rossaint, S. Bergrath 2018 Quality of the inter-hospital transport of ventilated intensive care patients - A prospective analysis of the city of Bonn emergency services Maximilian Zarbl, Bonn Co-Authors: J. Kappler, S. Münster, U. Heister, M. Cuhls, J.-Ch. Schewe 2017 Patient safety and patient transfers in student training in anaesthesia, intensive care and emergency medicine in Aachen Hanna Schröder, Aachen Co-Authors: Laura Gilles, Lina Stieger, Stefan Beckers, Saša Sopka CORPULS YOUNG INVESTIGATOR AWARD 63

Michael Heller: Coming back to the corpuls Young Inves- Michael Heller: Lets take a look towards the future: Where tigator Award. You both belong to the scientific committee do you think the path of the WATN and the corpuls Young of the WATN. Do you alone determine who should receive Investigator Award is leading? the award? Dr. Jan Wnent (laughs): No, absolutely not. There is an expert in-person meeting. Apart from that, the focus of the sub- evaluator panel consisting of four others. They also give their missions has changed in recent years. Five or six years ago individual assessment. The prize is awarded to the applicant there were significantly more contributions from fundamental who receives the most total votes from the panel and the research, also in the sense of animal studies. That's different Dr. Jan Wnent: The short-term goal is of course another scientific committee. now. Today, the contributions lean more toward the field of health services research. This more closely reflects the field Prof. Dr. Gräsner: The entire scientific committee of the WATN of emergency medicine. On the other hand, more and more consists of seven colleagues, in addition to the expert panel. "non-physicians” are registering as participants and submitting Michael Heller: You mentioned the “Best Abstract” award, same applies to "non-anaesthesiologists” over the past two contributions – not in large numbers, but it is noticeable. The which is honoured but without a prize. Why is there additional to three years. prize money for the corpuls Young Investigator Award? Prof. Dr. Gräsner: The endowment of the award with prize of students who register for the WATN as doctoral students. money gives the successful winner financial support to, for This maintains the mix between young participants and already example, take part in larger, international specialist congresses. established colleagues who remain loyal to the WATN. Prof. Dr. Gräsner: We are particularly proud of the large number The award is therefore an incentive, especially for our young colleagues. Michael Heller: Are you aware of any awards that are com- parable to the corpuls Young Investigator Award? Dr. Jan Wnent: No. I don't know of any comparable prizes for young participants from other scientific working groups, such as the "Wissenschaftlichen Arbeitskreis Wissenschaft- licher Nachwuchs" (Scientific Working Group for Young Sci- entists) or the "Arbeitskreis Grundlagenforschung" (Working The corpuls Young Investigator Award is a German Group for Fundament Research). award for young researchers in the field of emer- gency medicine. This is something really special for Michael Heller: corpuls not only supports the WATN in con- the participants. Subsequently, winning this prize nection with the Young Investigator Award, but is also rep- should be appropriately acknowledged. The DGAI resented as an exhibitor. How long has the WATN had an is the largest scientific specialist association in emer- industry exhibition? gency medicine, the WATN is the second largest working group in this organisation. This shows how Prof. Dr. Gräsner: The industry exhibition in its classic form connected this topic is to anaesthesiology. The has existed since the second event. With increasing partic- corpuls Young Investigator Award is and remains ipant numbers, we started with industry sponsoring. This was a special award in this respect. necessary to enable all interested parties to continue partic- ipating in the WATN at low cost. 64

WINNER 2022: DR. MIRIAM RENZ FROM MAINZ EVALUATION OF DIFFERENT PEEP LEVELS DURING RESCUSCITATION IN A PIG MODEL BRIEF DESCRIPTION OF THE WORK Ventilation during resuscitation (CPR) is parameters during the intervention were very complex due to the special pressure blood gases and MMIMS-MIGET samples ratios. Due to a lack of evidence, the current as well as ventilation and hemodynamic Co-Authors: guidelines do not contain any precise rec- parameters. The lung tissue removed post L. Müllejans, R. Rümmler ommendations for ventilation during CPR. mortem was examined histologically and My work examines the effects of using, evaluated using the DAD score. including elevated, PEEP levels during CPR. In a controlled, randomised study, three The study showed that using PEEP with PEEP levels were compared in high and CPR could be beneficial, resulting in lower ultra-low tidal volume ventilation during driving pressures and reduced lung damage. CPR in a pig model. The hemodynamics showed no group dif- ferences. The absence of PEEP resulted The animals were resuscitated using the in more atelectasis and a poorer ventila- basic life support algorithm and ventilated tion-perfusion ratio. Further studies are according to the randomised intervention needed to confirm these results and inves- group. No defibrillation or medication tigate possible long-term effects in resus- was administered during CPR. Analysis citated animals. CORPULS YOUNG INVESTIGATOR AWARD 65

2,300 METRES IN ALTITUDE IT'S A LONG WAY TO GET THIS STAMP IN YOUR SUMMIT LOG Friday 14 September, 14:02 From: Hentschel Christoph Subject: Alpine@Corpuls: Road to the Zugspitze Hello Mrs Klimmer, Good news. As one of our participants can no longer make the trip, you have been moved from the waiting list to the coming list. 2 things to note: 1. Please get a pair of mountain boots. Sneakers definitely are not the right footwear for this kind of hike. They should be ankle height (for further details: see the packing list). 2. What happens on the Zugspitze, stays on the Zugspitze. We look forward to having you with us. Kind regards, Christoph Hentschel Thursday 20 September, 09:24 From: Klimmer Iris Cool, I will go and buy some shoes and break them in. I guess that means no heels for the next few days. I like point 2... hopefully it applies to me too. Best wishes Thursday 20 September, 09:36 From: Hentschel Christoph Excellent. Take a look at my email about blister plasters…. But seriously: You should tape your feet prophylactically (you can pick up the tape Aldi). I'll wash the sleeping bag and bring it into the office middle of next week. Regarding point 2: We will take it to the grave. Kind regards Thursday 20 September 09:53 From: Klimmer Iris Now I'm starting to freak out... 68

Simply scan the QR code to experience our trip! Off the reserve bench and onto the field. Of course, corpuls CEO Iris Klimmer, wanted to go on the Zugspitze trip, but to be honest, she was feeling pretty comfortable with her place on the waiting list. But the unexpected can happen quickly. And there was no turning back. And by the end of the trip it became apparent that “turning back” would have had nothing on “being there”. But... lets start at the beginning. "Road to the Zugspitze" - the very ambitious project by ALPINE@corpuls, which came to a successful conclusion in September 2018. It was not the first hiking event undertaken by this employee initiative, which was launched in 2017 at the suggestion of Christoph Hentschel. But it was the first larger trip of this type in terms of altitude and conditions. Before this, some of the colleagues had met together to do short hikes or rock climbing in their free time. The focus of their mountain activities is usually in summer, but sometimes the odd outdoor trip is organised by the group in winter. Since climbing the highest mountain in Germany is not easy - even if you opt for the 'easiest' (and longest) option through the Reintal - training was offered within the ALPINE@corpuls group. Every mountaineer must know what they are getting themselves into - physical condition, equipment, preparation and stamina, everything has to fit. They also need be extremely sure-footed and not afraid of heights for a mountaineering project of this kind. The "Road to the Zugspitze" organiza- tional team (Christian Hentschel, Korbinian Hess, Fabian Auler) planned many things in the run-up to the summit ascent: they meticulously researched everything worth knowing about the departure times of the cable cars, the opening times of the gorge and parking. They also composed a packing list and worked out a carpool for arrival and departure. A good week before the start, it was clear who would definitely be taking part in the corpuls Zugspitze trip. There was a good mix across departments, including colleagues from IT, devel- opment engineers, colleagues from marketing, operations, quality management and human resources. One participants ROAD TO THE ZUGSPITZE 69

THESE BOOTS ARE MADE FOR WALKIN’ also brought along his wife, daughter and daughters friend. After the impressive start in the Partnach Gorge it was not too The crew was also extremely well represented in terms of strenuous. About 2 hours later the first rest point was reached, age (14 to 60 plus) and fitness level (from triathletes to occa- the Bockhütte. Here the first drinks and snacks were dug out sional mountain hikers). of the backpacks and enjoyed. Continuing upstream along the Partnach and with a view of the forthcoming Reintal it Day 1 – These boots are made for walkin' ... or not quickly became clear to everyone what lay ahead. Up to the 29. September 2018, 8 a.m. Meeting point at the ski stadium in Reintalangerhütte (1369 m) in the Wetterstein Mountains, the Garmisch-Partenkirchen (708 m). The somewhat motley, yet route was chosen – less uphill, but longer - 14 km. highly motivated corpuls team made their way through the 700 m long Partnach Gorge under an overcast sky. Today's And what is the most important thing on a hike like this? goal was the Knorrhütte (2051 m), in which ALPINE@corpuls Exactly: the right mountain hiking boots. Sure, but what if one had booked to camp for the night. Ahead of the hikers lay of them falls apart on the very first day? Well, if you're out 17.9 km, 1405 metres in altitude and a walking time of approx. and about with the ALPINE@corpuls crew, you don't need to 6.5 hours. worry: there was a gap between the toe cap and the sole of ROAD TO THE ZUGSPITZE 71

one hikers shoe, but as quickly as the gap appeared, rescue vertical metres would be another big challenge for the moun- equipment was procured. Udo Franke contributed the string taineers. The estimated walking time would be 2.5 hours with from his emergency kit, another hiker got a roll of tape out a distance of almost 4 kilometres. The weather was promising of his backpack. The 'wound' was treated with nimble hands and followed the forecasts, which showed sun and little wind. and they carried on toward the top. After leaving their home for the night, the hikers crossed the Zugspitzplatt and finally reached the cable car station of the It got more dicey on the final ascent to the Knorrhütte (2051m). Gletscherbahn (2600 m). It was here that things once again It lies on the threshold of the Zugspitzplatt, southwest below got serious, as the most unpleasant part of the summit tour the Brunntalkopf. Since 1855 it has been the ideal base for was imminent: the extensive scree field, which stretches past the Zugspitze ascent via the Reintal or from Ehrwald via the the Schneefernerhaus research station to the summit rock of Gatterl. Four to five times in the summer the hut is supplied the Zugspitze. "That was really uncomfortable," Iris Klimmer with groceries exclusively by helicopter. Rubbish and empties remembers, "you took one step forward and slid back two. are taken back down to the valley. You start to wonder if it wouldn't be nicer at home." Some of In order to earn an after-work beer (e.g. the 'Heli Special' this tricky section from Sonnalpin (glacier restaurant) using wheat beer for 11€ or the 'Mid-Summit Special'), the hikers the Zugspitz glacier cable car. It connects the Zugspitzplatt the participants took advantage of the opportunity to bypass had to overcome steeper terrain. Everyone managed to do with the summit. so with no trouble and the corpuls team finally broke through the blanket of fog: "It's a great feeling when you're rewarded Much awaited the hikers on the last stretch up to Münchner with such a view from the Knorrhütte after those endless Haus (2959 m). Rope-secured and exposed ledges lead to the kilometres walking through the Reintal," says Korbinian Hess, south-west ridge of the Zugspitze. Here it was important to summarizing the success of the stage. The evening at the keep a cool head, even with blood coursing through the veins Knorrhütte seems a bit unusual from today's perspective (in from exertion and sweet dripping out of every pore. But then, view of Covid19 social distancing): "There was a lot going finally, it was within reach - the cross on the summit of the on, the hut was full of other hiking groups. We all sat very Zugspitze (2962 m). It can be reached from Münchner Haus closely together, using even the smallest spot on the bench via a short ladder. Done - everyone stood in the sunshine at as a seat, which is normal in a hut," says Udo Franke, who an altitude of almost 3000 metres on the highest mountain took part in the tour with his wife, daughter and daughters in Germany. "Indescribable, this feeling of happiness, to have friend. The strenuous hiking day came to a close in a happy conquered the mountain and to be able to enjoy the intoxi- and entertaining way. cating view," is how Iris Klimmer sums up her personal expe- rience. They were also very moved by the commemorative And the room in the dormitory reserved especially for ALPINE@ plaques for the victims of the Zugspitze Mountain Race in corpuls offered each hiker at least 40 cm width for sleeping July 2008 – they died of hypothermia a few metres below (lets be honest: do you really need more?). The tired bodies the summit. "Together with the people who rode the Zug- were however grateful for every centimetre: To sleep and spitzbahn cable car to the top in their summer shoes, it paints recharge the batteries for the final ascent the following day. a really strange picture," says the corpuls CEO. Day 2 – The end awaits with tightropes and thrills For Udo Franke, team spirit and togetherness were in the fore- 30. September 2018, 7.30 a.m., departure from the Knorrhütte ground: It was nice that "the whole group made it. Everyone (2051 m). After a typical no-frills hut breakfast, it was time to tackled the climb in their own way, but in the end we achieved set course for Germany's highest mountain. These 'last' 1164 this goal together." ROAD TO THE ZUGSPITZE 73

CORPULS MOUNTAIN BUFFS ON TOUR The special summit welcome by their corpuls colleague, Claudia Anzenhofer, was particularly moving for the hikers: She distributed certificates, hip flasks and chocolate to the moun- taineers. With a poem, she honoured the sporting achievement and collectiveness of the corpuls Zugspitze team. In the group photo from the summit, it is not only relief you can see on their faces. You can also see that there is something connecting us to each other, and I don't 'just' mean the red t-shirts. All the participants of the ALPINE@corpuls trip took the Zug- spitzbahn cable car back down into the valley. It seemed hard to believe that you can zoom down to the lowlands in 15 minutes, after having spent the last 1.5 days defying nature metre by metre to reach the summit. Next stop "Watzmann"? One thing is for sure: the current members of ALPINE@ corpuls are planning ahead and are looking forward to the next adventure, especially after the two-year break. "We are aiming for Watzmann, specifically the Hocheck at 2651 m," says Korbinian Hess. With its bizarre shape, the mountain dom- inates the Berchtesgadener Alps and attracts ambitious high-al- titude junkies. "I've heard about the Watzmann project," says Udo Franke, adding: "It's a good goal. My personal favourite would be the Matrashaus on the Hochkönig, at 2941 m it can really only be reached on foot." Until the next major event, there will certainly be a few less extreme outdoor activities after work or at the weekend - all the corpuls mountain sports freaks agree on that. 74

roteskreuzfeldbach ambulanshkp_vasterbotten 223 Likes 3.537 Likes Loading and unloading the stretcher and packing up equipment. This is one of the many new routines we are training to get to Our Andi, full of energy and always smiling, despite the know our new helicopter better. seriousness of the situation. #ambulanshelikopter #bucher #hamilton #corpuls #braun #paramedic #sanitäter #rettungssanitäter #corpuls3 #övning #svenskluftambulans #rtw #ambulance #einsatz #rettung drk.rettungsdienst.schwalmeder mates.marek 129 Likes The latest technology to support an outstanding team. 163 Likes Another step forward. #police #policeman #czechrepublic #thinblueline #duty #rettungsdienstschwalmeder #rettungsdienst #corpuls #coplife #czechpolice #policephotography #covid_19 #aed #drkschwalmeder #rettungsdienstschule #medizintechnik #defibrillator CORPULS ON INSTA 77

PREVIEW IMPULSE ISSUE 5 CORPULS AT WACKEN In use at the biggest metal festival in the world Every summer, a small community in northern Germany suddenly swells to the size of a small city. Wacken has long been synonymous with both hard and alternative open- air rock music. Over 150 acts and more than 80,000 fans. Heat, tents, mud, sweat and beer - resulting in continuous work for the rescue crew, which every year also includes a bunch of voluntary medics from corpuls. ECGMAX AND THE CEB® VALUE 22 leads for the rescue service “It works intuitively. Once you‘ve seen it, you just know how it works.“ The Ludwigsburg rescue crew have been using ECGmax for six months. 22 leads from just 10 electrodes, including the posterior wall and the right side of the heart, can be recorded by the paramedics and sent on to the clinic. Damage to the heart can be seen immediately thanks to the CEB® Value. ¡VISITANDO BARCELONA! Rescue in the shadow of the 14 Towers More than 15 million people flood Las Ramblas, the Sagra- da Familia and Camp Nou in “Barça“ every year. One of the most densely populated metropolises in Europe demands a lot from the rescue services, clinics and medical technology. IMPULSE visits the Catalan rescue service and takes an inti- mate look at emergency medicine in Spain‘s second largest city - and the corpuls products in action. UKRAINE Humanity remains invincible Together with non-profit organizations, corpuls supports the transport of infants from Ukrainian intensive care units to safe bordering countries and donates extensive fleets of medical equipment for the relief workers in the war zone. Not for publicity - but in the spirit of the corpuls mantra: I AM NO HERO – IT‘S MY JOB!