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Guidelines for Rescue Training of the Lay Public

Published online by Cambridge University Press:  28 June 2012

Joel I. Abrams ,
Ernesto A. Pretto ,
Derek Angus  and
Peter Safar
Joel I. Abrams
Affiliation:
Professor and Past Chairman, Department of Civil Engineering, University of Pittsburgh, Pittsburgh, Pa.
Ernesto A. Pretto*
Affiliation:
Assistant Professor, International Resuscitation Research Center, University of Pittsburgh, Pittsburgh, Pa.
Derek Angus
Affiliation:
Research Fellow, International Resuscitation Research Center, University of Pittsburgh, Pittsburgh, Pa.
Peter Safar
Affiliation:
Distinguished Service Professor, International Resuscitation Research Center, University of Pittsburgh, Pittsburgh, Pa.
*
Disaster, Reanimatology Study Group, International Resuscitation Research, 3434 Fifth Ave., Pittsburgh, PA 15260, USA
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Abstract

The fundamental goal of emergency medical response in disaster is to save lives and reduce injury and permanent disability. It has been observed that urgent emergency medical care of seriously injured earthquake casualties trapped under building rubble, cannot be provided unless the victims have been extricated and transported to medical facilities by friends or relatives, or are accessible to field rescue and medical teams. Equally important is the fact that extrication of seriously injured, trapped victims by laypersons is hazardous, unless the following conditions are met: 1) the rescuer has basic knowledge of extrication, and; 2) there is early application of effective life-supporting first-aid (LSFA) and/or advanced trauma life support (ATLS) at the scene. Time is the critical factor in such an effort. In previous studies of death and dying in earthquakes, it was noted that extrication of trapped victims will be attempted by survivors. Therefore, it is suggested that citizens living in regions of high seismic risk and trained in basic search and rescue and in LSFA are the most immediate resource for early response after an earthquake. An accompanying paper addresses the issue of citizen LSFA training. This paper focuses on the basic concepts of search and rescue training for the lay public.

Keywords

disaster medicinedisaster preparednessdisastersearthquakeseducationemergency medicinesearch and rescuetraining
Type
Educator
Information
Prehospital and Disaster Medicine , Volume 8 , Issue 2 , June 1993 , pp. 151 - 156
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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References

1. Cowley, RA: The resuscitation and stabilization of major multiple trauma patients in a trauma center environment. Clinical Medicine 1976:83:14–22.Google Scholar
2. Safar, P, Pretto, E, Bircher, N: Disaster resuscitology including the management of severe trauma. In: Baskett, P, Weller, R, (eds). Medicine for Disasters. London: Wright-Butterworth, 1988, pp 36–86.Google Scholar
3. Pretto, E, Safar, P: National medical response to mass disasters in the United States: Are we prepared? JAMA 1991:266:1259–1262.Google Scholar
4. Klain, M, Ricci, E, Safar, P, et al. : Disaster reanimatology potentials: A structured interview study in Armenia I. Methodology and preliminary results. Prehospital and Disaster Medicine 1989:4:135–154.CrossRefGoogle Scholar
5. Pretto, E, Ricci, E, Klain, M, et al. : A structured interview study in Armenia. Ill. Results, conclusions, and recommendations. Prehospital and Disaster Medicine 1992:7:327–338.Google Scholar