Fundamentals of Search and Rescue (FUNSAR), Second Edition is a comprehensive resource for new and experienced search and rescue (SAR) personnel. Providing an overview of all aspects of search and rescue procedures and equipment, FUNSAR teaches the essential techniques employed by nearly all successful search and rescue personnel. FUNSAR offers an in-depth and practical approach to search and rescue and is recommended for all emergency responders.The Second Edition has been fully updated to meet the needs of today’s SAR personnel, highlighting the most current equipment and technology and focusing on proven and effective search and rescue techniques. All areas of search and rescue are covered, from choosing the best clothing and footwear for the environment, to packing light and improvising, to tracking and locating subjects. Ideal for both paid and volunteer professionals, this essential resource combines dynamic features with the latest and most comprehensive content.Dynamic Features• Search and Rescue Tips reinforce key information for conducting SAR operations• Safety Tips alert SAR personnel to both expected and potentially unanticipated hazards• Listed resources provide suggestions for further study of each chapter’s topics• Full-color photos and illustrations support and help clarify the textComprehensive Content• Guidelines to ensure SAR personnel are both physically and mentally prepared for search and rescue• Important legal and ethical considerations for search and rescue• A wide variety of SAR equipment, clothing, and technology, and when each should be used• Survival and improvisational methods in various environments• Tracking methods and navigation tools
FUNCIONES DINÁMICAS• Sugerencias de búsqueda y rescate• Los consejos de seguridad alertan al personal de SAR sobre los riesgos esperados y los potenciales imprevistos• Los recursos listados proporcionan sugerencias para profundizar en el estudio de los temas de cada capítulo• Las fotografías e ilustraciones a todo color apoyan y ayudan a aclarar el textoONTENIDO INTEGRALFUNCONTENIDO INTEGRAL• Lineamientos para asegurar que el personal de búsqueda y rescate (SAR) esté preparado física y mentalmente para la búsqueda y rescate• Consideraciones legales y éticas importantes para la búsqueda y rescate• Una extensa variedad de equipo de SAR, ropa y tecnología y cuando debe usarse cada uno• Métodos de supervivencia e improvisación en diversos ambientes• Métodos de seguimiento y herramientas de navegaciónFundamentos de Búsqueda y Rescate (FUNSAR), Segunda edición constituye un recurso integral para el personal nuevo y experimentado de búsqueda y rescate (SAR, por sus siglas en inglés). Proporcionando una visión general de los aspectos y procedimientos de búsqueda y rescate, FUNSAR enseña las técnicas esenciales empleadas de manera satisfactoria por casi todo el personal de búsqueda y rescate. FUNSAR ofrece un enfoque profundo y práctico para la búsqueda y rescate y es recomendado para todos los respondientes de emergencia.La Segunda edición ha sido actualizada en su totalidad para satisfacer las necesidades actuales del personal de búsqueda y rescate, destacando el equipo y la tecnología más recientes y enfocándose en las técnicas de búsqueda y rescate probadas y eficaces. Cubre todas las áreas de búsqueda y rescate, desde elegir la mejor ropa y calzado considerando el medio ambiente, hasta empacar ligero e improvisar, el seguimiento y la localización de sujetos. Ideal para profesionales remunerados y para voluntarios, este recurso esencial combina las características dinámicas con el contenido más reciente y completo.
FUNCIONES DINÁMICAS• Sugerencias de búsqueda y rescate• Los consejos de seguridad alertan al personal de SAR sobre los riesgos esperados y los potenciales imprevistos• Los recursos listados proporcionan sugerencias para profundizar en el estudio de los temas de cada capítulo• Las fotografías e ilustraciones a todo color apoyan y ayudan a aclarar el textoONTENIDO INTEGRALFUNCONTENIDO INTEGRAL• Lineamientos para asegurar que el personal de búsqueda y rescate (SAR) esté preparado física y mentalmente para la búsqueda y rescate• Consideraciones legales y éticas importantes para la búsqueda y rescate• Una extensa variedad de equipo de SAR, ropa y tecnología y cuando debe usarse cada uno• Métodos de supervivencia e improvisación en diversos ambientes• Métodos de seguimiento y herramientas de navegaciónFundamentos de Búsqueda y Rescate (FUNSAR), Segunda edición constituye un recurso integral para el personal nuevo y experimentado de búsqueda y rescate (SAR, por sus siglas en inglés). Proporcionando una visión general de los aspectos y procedimientos de búsqueda y rescate, FUNSAR enseña las técnicas esenciales empleadas de manera satisfactoria por casi todo el personal de búsqueda y rescate. FUNSAR ofrece un enfoque profundo y práctico para la búsqueda y rescate y es recomendado para todos los respondientes de emergencia.La Segunda edición ha sido actualizada en su totalidad para satisfacer las necesidades actuales del personal de búsqueda y rescate, destacando el equipo y la tecnología más recientes y enfocándose en las técnicas de búsqueda y rescate probadas y eficaces. Cubre todas las áreas de búsqueda y rescate, desde elegir la mejor ropa y calzado considerando el medio ambiente, hasta empacar ligero e improvisar, el seguimiento y la localización de sujetos. Ideal para profesionales remunerados y para voluntarios, este recurso esencial combina las características dinámicas con el contenido más reciente y completo.
Background: It has been proved that bystander cardiopulmonary resuscitation (CPR) saves lives; however, which training method in CPR is most instructive and whether survival is affected by the training level of the bystander have not yet been fully described. Aim: To identify the factors that may affect 7th grade students’ acquisition of CPR skills during CPR training and their willingness to act, and to describe 30-day survival from outof- hospital cardiac arrest (OHCA) after bystander CPR and the actions performed by laymen versus off-duty medically educated personnel. Methods: Studies I–III investigate a CPR training intervention given to students in 7th grade during 2013–2014. The classes were randomized to the main intervention: the mobile phone application (app) or DVD-based training. Some of the classes were randomized to one or several additional interventions: a practical test with feedback, reflection, a web course, a visit from elite athletes and automated external defibrillator (AED) training. The students’ practical skills, willingness to act and knowledge of stroke symptoms, symptoms of acute myocardial infarction (AMI) and lifestyle factors were assessed directly after training and at 6 months using the Laerdal PC SkillReporting system (and entered into a modified version of the Cardiff test scoring sheet) and a questionnaire. The Cardiff test resulted in a total score of 12–48 points, and the questionnaire resulted in a total score of 0–7 points for stroke symptoms, 0–9 points for symptoms of AMI and 0– 6 points on lifestyle factors. Study IV is based on retrospective data from the national quality register, the Swedish registry of cardiopulmonary resuscitation, 2010-2014. Results: A total of 1339 students were included in the CPR training intervention. The DVD-based group was superior to the app-based group in CPR skills, with a total score of 35 (SD 4.o) vs 33 (SD 4.2) points directly after training (p<0.001) and 33 (SD 4.0) vs 31 (SD 4.2) points at six months (p<0.001). Of the additional interventions, the practical test with feedback had the greatest influence regarding practical skills: at six months the intervention group scored 32 (SD 3.9) points and the control group (CPR only) scored 30 (SD 4.0) points (p<0.001). Reflection, the web course, visits from elite athletes and AED training did not further increase the students’ acquisition of practical CPR skills. The students who completed the web course Help-Brain-Heart received a higher total score for theoretical knowledge in comparison with the control group, directly after training: stroke 3.8 (SD 1.8) vs 2.7 (SD 2.0) points (p<0.001); AMI 4.0 (SD 2.0) vs 2.5 (SD 2.0) points (p<0.001); lifestyle factors 5.4 (SD 1.2) vs 4.5 (SD 2.0) points p<0.001. Most of the students (77% at 6 months), regardless of the intervention applied, expressed that they would perform both chest compressions and ventilations in a cardiac arrest (CA) situation involving a relative. If a stranger had CA, a significantly lower proportion of students (32%; p<0.001) would perform both compressions and ventilations. In this case, however, many would perform compressions only. In most cases of bystander-witnessed OHCA, CPR was performed by laymen. Off-duty health care personnel bystanders initiated CPR within 1 minute vs 2 minutes for laymen (p<0.0001). Thirty-day survival was 14.7% among patients who received CPR from laymen and 17.2% (p=0.02) among patients who received bystander CPR from off-duty health care personnel. Conclusions: The DVD-based method was superior to the app-based method in terms of teaching practical CPR skills to 7th grade students. Of the additional interventions, a practical test with feedback was the most efficient intervention to increase learning outcome. The additional interventions, reflection, web course, visit from elite athletes and AED did not increase CPR skills further. However, the web course Help-Brain-Heart improved the students’ acquisition of theoretical knowledge regarding stroke, AMI and lifestyle factors. For OHCA, off-duty health care personnel bystanders initiated CPR earlier and 30-day survival was higher compared with laymen bystanders.
This publication reviews Ecuador's fiscal management and public expenditure policies in the context of its development and poverty reduction goals. Findings include that the country's impressive fiscal performance of 2003 is encouraging but fragile, as several structural bottlenecks could impede fiscal discipline and recovery. Reversing poverty trends is critical for the country's stability, and this can only be achieved with well-targeted, effective and efficient pro-poor programmes.
The mountains of the Pacific Northwest are legendary among mountaineers and hikers worldwide, just as the mountain rescue groups who serve the Pacific Northwest have become legendary over the last 50 years. Book jacket.
The underlying technology and the range of test parameters available are evolving rapidly. The primary advantage of POCT is the convenience of performing the test close to the patient and the speed at which test results can be obtained, compared to sending a sample to a laboratory and waiting for results to be returned. Thus, a series of clinical applications are possible that can shorten the time for clinical decision-making about additional testing or therapy, as delays are no longer caused by preparation of clinical samples, transport, and central laboratory analysis. Tests in a POC format can now be found for many medical disciplines including endocrinology/diabetes, cardiology, nephrology, critical care, fertility, hematology/coagulation, infectious disease and microbiology, and general health screening. Point-of-care testing (POCT) enables health care personnel to perform clinical laboratory testing near the patient. The idea of conventional and POCT laboratory services presiding within a hospital seems contradictory; yet, they are, in fact, complementary: together POCT and central laboratory are important for the optimal functioning of diagnostic processes. They complement each other, provided that a dedicated POCT coordination integrates the quality assurance of POCT into the overall quality management system of the central laboratory. The motivation of the third edition of the POCT book from Luppa/Junker, which is now also available in English, is to explore and describe clinically relevant analytical techniques, organizational concepts for application and future perspectives of POCT. From descriptions of the opportunities that POCT can provide to the limitations that clinician’s must be cautioned about, this book provides an overview of the many aspects that challenge those who choose to implement POCT. Technologies, clinical applications, networking issues and quality regulations are described as well as a survey of future technologies that are on the future horizon. The editors have spent considerable efforts to update the book in general and to highlight the latest developments, e.g., novel POCT applications of nucleic acid testing for the rapid identification of infectious agents. Of particular note is also that a cross-country comparison of POCT quality rules is being described by a team of international experts in this field.
