Avtor/Urednik		Crnič, Igor
Naslov		Postopki pri reševanju utopljenca
Prevedeni naslov		Rescue procedures in drowning
Tip		članek
Vir		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2000
Obseg		str. 673-84
Jezik		slo
Abstrakt		There are many causes for drowning, The most frequent are: sudden fall in the water, disease, tiredness, etc. In medicine we distinct two phases of drowning. From the rescuers point of view, there are three phases, that's why the meaning is different. For us, a phase is a pathophysiologycal process, but for the rescuer a phase represents the time he has left to reach the drowning person, before it is too late. We know two different rescue procedures; distance rescue (from the coast or a boat) and personal rescue. The latter means that the rescuer has to enter in a personal contact with the drowning person, using one of the next methods: rescue grip (when the drowning person is still reasonable), fetter grip (when the drowning person is not reasonable), defense grip (when rescuers life is in danger). The lecture explains some of the most useful grips in drowning rescue. The most important is to choose the way of rescue which is the safest for us. After we reach the coast with the drowning person, the procedures are different, according to patients' general status. If it is a necessity, start with the resuscitation and transport to the hospital. 100% oxygen is required in any case. In the last year some of the authors suggest to start with the Heimlich maneuver to remove the water from the lungs before the resuscitation. About the maneuver there are many controversities, because we also distinct the dry drowning and other facts, such as: the water is present in the lungs for cca 5 minutes before the total resorption, etc. In my opinion, nobody can be sure of the amount of the water still present in the lungs and how long the patient is not breathing. Another fact is that the maneuver lasts for maybe a few seconds and can save a life, and if after the maneuver there are no results, we can always continue with the resuscitation.
Deskriptorji		RESCUE WORK DROWNING FIRST AID TRANSPORTATION OF PATIENTS FRESH WATER CARDIOPULMONARY RESUSCITATION