| OCR Text |
Show 3.4 Summary and Equipment 4. 5. The probability of survival decreases rapidly with the duration of burial time; it is already extremely slight in the case of a rescue after one to two hours. However, since savings of victims have been reported in isolated cases after more than 24 hours, the rescue attempts should be carried out with full vigor for at least this span of time. If only the head of the buried person is freed, the revival measures should be started at once and continued uninterruptedly until the victim either revives or signs of death are determined with certainty. Respiration begins at once by insufflation. Without the aid of auxiliary equipment it is carried out by mouth- to- mouth or mouth-to- nose breathing. If the air passages are obviously blocked, the inspection of the pharyngo- oral area and the removal of foreign bodies, sometimes with the help of a suction pump, is required. Respiration with air suffices in all cases with open air passages for resuscitation in the mountains up to an elevation of 19,000 feet. Oxygen may be administered as a supplementary aid if ava ilable. Unconscious persons with sufficient spontaneous respiration are placed in a horizontal prone position; if possible, with slightly lowered position of the head and upper part of the trunk, and are transported in the same position. Further chilling is to be avoided. Careful administration of external heat is preferred. Stimulative and warming beverages may only be given after the victim has regained consciousness and a positive determination has been made by a physician that there are no internal injuries. Resuscitation equipment consists of the following items: A. Breathing - Suction pump with suction catheter - Breathing bag with air and oxygen inlet and breathing valve ( resuscitator complete with accessories) - " Airway" or " Resuscitube" breathing tube For the non- -- medical rescue worker Instruments for endotracheal intubation For the phys ician 61 |
