By Patrick Brighton
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Additional resources for Climbers' Guide to Treating Medical Emergencies
If the victim spontaneously resumes breathing and heartbeat returns (check every one to two minutes or so), then stop. It is very uncomfortable to have some goober beating on your chest or forcing fetid breath into you when you don’t need it. In the unfortunate event that the victim does not recover quickly, when to stop is a judgment call. Survivability decreases the longer CPR is required. After about 15 minutes the chance of a person surviving is very small. Having said this, I would probably continue for 45 minutes to an hour.
These are the first medications to use. They work essentially instantly, have few (if any) side effects, and are cheap. (2) H2 blockers (Tagamet, Zantac). These work well and last longer than antacids but take longer to work and are more expensive. (3) PPIs (Prilosec, Nexium, Prevacid). These are the most efficient at neutralizing stomach acid and last much longer (up to 24 hours) but take longer to start working than do H2 blockers and are the most expensive. If you are particularly reflux-prone, you may want to take antacids plus an H2 blocker or PPI.
Now here comes the tricky part. If the victim’s heart has also stopped, then someone must do chest compressions to circulate the blood that is being oxygenated by the rescuer’s breathing. Ideally there are two or more rescuers. In this case a rescuer who is not performing the artificial respirations will take a position on the opposite side of the victim from the breather, place one palm on the back of the other hand, lock your elbows, place your hands directly on the victim’s sternum (breastbone), and compress.