A proposed decision-making guide for the search, rescue and resuscitation of submersion (head under) victims based on expert opinion

A proposed decision-making guide for the search, rescue and resuscitation of submersion (head under) victims based on expert opinion
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DOI:
10.1016/j.resuscitation.2011.02.021
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发表时间:
2011-07-01
期刊:
影响因子:
6.5
通讯作者:
Golden, Frank St. C.
Golden, Frank St. C.
中科院分区:
医学2区
文献类型:
--
作者:
Tipton, Michael J.;Golden, Frank St. C.

文献摘要

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在负责搜索、救援和复苏潜水受害者的机构之间,对于一段时间的潜水后的生存可能性,存在一些混乱,因此在政策上存在差异。这项工作的目的是为这些受害者建议一项决策指南。这一指导方针是通过对相关文献和具体案例研究的审查以及关于该主题的“共识”会议得出的。研究发现,决定水下生存时间延长的重要因素有:水温;盐度:水的盐度;浸没时间;还有死者的年龄。其中,只有水温和持续时间是足够清楚的,可以作为这一领域的指导依据。得出的结论是,如果水温高于6摄氏度,在水下超过30分钟,生存/复苏的可能性极小。如果水温为6摄氏度或更低,如果水下时间超过90分钟,生存/复苏是极不可能的。2011爱思唯尔爱尔兰有限公司版权所有。
There is some confusion, and consequent variation in policy, between the agencies responsible for the search, rescue and resuscitation of submersion victims regarding the likelihood of survival following a period of submersion. The aim of this work was to recommend a decision-making guide for such victims. This guidance was arrived at by a review of the relevant literature and specific case studies, and a "consensus" meeting on the topic. The factors found to be important for determining the possibility of prolonged survival underwater were: water temperature; salinity of water; duration of submersion; and age of the victim. Of these, only water temperature and duration are sufficiently clear to form the basis of guidance in this area. It is concluded that if water temperature is warmer than 6 degrees C, survival/resuscitation is extremely unlikely if submerged longer than 30 min. If water temperature is 6 degrees C or below, survival/resuscitation is extremely unlikely if submerged longer than 90 min. (C) 2011 Elsevier Ireland Ltd. All rights reserved.