Digitized by Kansas Correctional Industries

No description available.

Aims The aim of this thesis was to describe out-of-hospital cardiac arrest (OHCA) due to drowning from the following angles. In Paper I: To describe the characteristics of OHCA due to drowning and evaluate factors of importance for survival. In Paper II: To describe lifesaving skills and CPR competence among surf lifeguards. In Paper III: To describe the characteristics of interventions performed by the Swedish fire and rescue services (SFARS) and evaluate survival with or without rescue diving units. In Paper IV: To describe the prevalence of possible confounders for death due to drowning. In Paper V: To describe changes in characteristics and survival over time and again to evaluate factors of importance for survival Methods Papers I and III-V are based on retrospective register data from the Swedish OHCA Register reported by Emergency Medical Service (EMS) clinicians between 1990-2011. In addition, in Paper III, the data have been analysed and compared with the SFARS database for rescue characteristics. In Paper IV, the data have been compared with those of the National Board of Forensic Medicine (NBFM). Paper II is a descriptive study of 40 surf lifeguards evaluating delay and CPR quality as peformed on a manikin. Results Survival in OHCA due to drowning is about 10% and does not differ significantly from OHCA with a cardiac aetiology. The proportion of witnessed cases was low. Survival appears to increase with a short EMS response time, i.e. early advanced life support. Surf lifeguards perform CPR with sustained high quality, independent of prior physical strain. In half of about 7,000 drowning calls, there was need for a water rescue by the fire and rescue services. Among the OHCA in which CPR was initiated, a majority were found floating on the surface. Rescue diving took place in a small percentage of all cases. Survival when using rescue divers did not differ significantly from drownings where rescue diving units were not used. No survivors were found after &gt;15 minutes of submersion in warm water. After submersion in cold water, survival with a good neurological outcome was extended. Among 2,166 autopsied cases of drowning, more than half were judged as accidents and about one third as intentional suicide cases. Among accidents, 14% were found to have a cardiac aetiology, while the corresponding figure among suicides was 0%. In a 20-year follow-up of OHCA due to drowning in Sweden, both bystander CPR and early survival to hospital admission are increasing. The proportion of cases alive after one month has not changed significantly during the period. Conclusions Survival from OHCA due to drowning is low. A reduction in the EMS response time appears to have high priority, i.e. early ALS is important. The quality of CPR among surf lifeguards appear to be high and not affected by prior physical strain. In all treated OHCA cases, the majority were found at the surface and survival when rescue diving took place did not appear to be poorer than in non-rescue diving cases. In a minor proportion of cases, cardiac disease could be a confounder for death due to drowning. Bystander CPR in OHCA due to drowning has increased over a 20-year period and the proportion of early survivors to hospital admission is increasing. We speculate that our studies were underpowered with regard to the opportunity adequately to assess the effects of bystander CPR on survival to hospital discharge. A uniform Swedish definition of drowning based on the recommended international terms should be implemented throughout Swedish authorities and health care, in order to enhance the quality of data and improve the potential for future research. / <p>Disputationen sker Fredagen den 20 September 2013, kl. 13.00 Sahlgrens aula, Blå stråket 5, Sahlgrenska universitetssjukhuset, Göteborg.</p>

Univ., Diss.--Zugl.: Nantes, 2005.

Thesis (M.F.A.)--Rochester Institute of Technology, 1995. / Typescript. Bibliography: leaf 51.

Thesis (M.S.)--California University of Pennsylvania, 2005. / Typescript. Includes bibliographical references and abstract. Thesis available as PDF via the Internet.

The study of the architecture of the United States Life-Saving stations was undertaken to trace the development of a single building type: the coastal rescue stations which housed men and equipment engaged in bringing ashore victims of shipwrecks. Formed in 1848, the United States Life-Saving Service was the only government supported lifesaving.system in the world, all other organizations being either volunteer or private societies. The Service began its activities with the building of eight small, unmanned volunteer boathouses along the New Jersey coast during 1849, and the following year it was extended to the south shore of Long Island. After the Reorganization of 1871 established paid crews to live in the stations, the Service embarked on a building program which eventually led to the construction of stations on the Atlantic, Gulf, Great Lakes and Pacific coasts. In 1915 the United States Coast Guard was formed to take over the Service. Nearly all stations were built from standardized plans and specifications designed by architects working directly for the Lifesaving Service. Most reflected current architectural trends. This study was undertaken to determine how many different plans were drawn, how many stations of each type were constructed, where they were located and the architects responsible for their designs. Using architectural plans, photographs and secondary sources a history of the Service was written focusing on the design and construction of the stations. Lists were then compiled of each type built.

No description available.

No description available.

Thesis (M.S.)--University of Wisconsin--Madison, 1966. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.