By Patrick Brighton M.D.
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Additional info for Hikers' and Backpackers' Guide to Treating Medical Emergencies
Sample text
At normal temperatures a person has approximately four minutes after breathing stops before irreversible brain damage occurs (30 seconds in my case). This means that you have some time to make sure that your buddy has not just lain down for a peaceful moment of silent meditation before you start forcing your beef jerky–laced, haven’t-brushedin-three-days breath down his throat. Obviously you will usually have some indication that something is terribly wrong: a lightning strike or a long fall has occurred.
The more fluid, the more coughing. This really is a good way to estimate the severity of the pulmonary edema (fluid buildup). If a person coughs gently and/or intermittently, you may have caught the condition early. If, on the other hand, the person coughs continuously and violently, and if there is frothy and/or bloody sputum, the condition is advanced. As with most things in life, the earlier the problem is identified and treated, the better the outcome. PREVENTION TIP Upon becoming afflicted with HACE or HAPE, use a time machine to turn back the clock and start over.
Get others to check as well, if possible. If the victim has either, continue. The only exception to this rule is if a person is hypothermic (page 45). A person can be essentially frozen for quite some time and then make a complete recovery when resuscitated and warmed back to normal body temperature. There have been countless examples of people becoming severely hypothermic, showing no signs of life, and then making full recoveries after persistent (many hours of) CPR and rewarming. If it’s possible that a victim may have a low core body temperature (page 46), continue resuscitation efforts until help arrives and the person can be rewarmed.