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Advances in Cardiopulmonary-Cerebral Resuscitation Relevant to Disaster Medicine

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Emergency and Disaster Medicine

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Abstract

Cardiopulmonary-cerebral resuscitation (CPCR) [53] consists of life-supporting first aid (LSFA), basic cardiac life support (BCLS), advanced cardiac life support (ACLS), advanced trauma life support (ATLS), and prolonged life support (PLS). LSFA [42] includes control of external hemorrhage by pressure and elevation, airway control measures for the unconscious patient (backward tilt of head, jaw thrust, open mouth), mouth-to-mouth/nose ventilation, manual extrication (rescue pull), positioning for shock (horizontal, legs raised), and positioning for coma (stable side position, supine aligned position). BCLS [53] is LSFA plus determining pulselessness and chest compressions for artificial circulation. ACLS includes drugs and fluids, electrocardiography, and fibrillation treatment for restoration of spontaneous circulation in car- diac arrest [9, 53]. ATLS includes all of the above plus treatment of traumatic shock, invasive measures (e.g., pleural and pericardial drainage), control of internal hemorrhage with medical anti-shock trousers (MAST), and resuscitative surgical operations [8, 53]. PLS should be brain-oriented intensive care with multiorgan systems monitoring and homeostasis [53].

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  1. P. Safar
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Editors and Affiliations

  1. Department of Anaesthesiology and Resuscitation, Università Cattolica del Sacro Cuore, Largo Gemelli 8, 00168, Rome, Italy

    Corrado Manni M.D. (Professor and Chairman) & Sergio I. Magalini M.D. (Ass. Professor Clinical Toxicology) (Professor and Chairman) &  (Ass. Professor Clinical Toxicology)

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© 1985 Springer-Verlag Berlin, Heidelberg

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Safar, P. (1985). Advances in Cardiopulmonary-Cerebral Resuscitation Relevant to Disaster Medicine. In: Manni, C., Magalini, S.I. (eds) Emergency and Disaster Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69262-8_59

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  • DOI: https://doi.org/10.1007/978-3-642-69262-8_59

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69264-2

  • Online ISBN: 978-3-642-69262-8

  • eBook Packages: Springer Book Archive

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