A 41-year-old man suffered hypothermic cardiac arrest after water immersion and was transported to our university hospital by ambulance helicopter for rewarming on cardiopulmonary bypass. He resumed spontaneous cardiac activity 6 h 52 min after cardiac arrest and recovered completely.

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Abstracts -14th World Congress on Disaster and Emergency Medicinebased on exchange of military (armored) and.civilian ambulances; and (4) helicopter evacuation that is exclusively military. Civilian-military collaboration creates a combination of joined forces, fast response, and standards of work in the field and in hospitals. All can help reduce high mortality and morbidity due to MCIs. This work will present the areas of civilian-military collaboration in Israel and the advantages of this collaboration, based on past experience. The concept of military-civil cooperation of the United Nations Office for the Coordination of Humanitarian Affairs (UN-OCHA) during an emergency was implemented. Particular attention was directed toward the control mechanisms used in the provision of emergency relief that was complicated by local military conflicts and acts of terrorism in Beslan. Stage I consisted of the collection and analysis of situational information, working out a plan of action, distribution of needs and deployment of human power and material resources with the interaction with the Ministry of the Russian Federation for Civil Defense, Emergencies and Elimination of Consequences of Natural Disasters (EMERCOM), and the Ministry of Internal Affairs, in response to the act of terrorism. Work in Stage I provided operational data from the situation, projection of the numbers of the injured, clarification of the general scheme for the medical-evacuation procedures, evacuation routes that could be used, the ambulance posts, and then management of prognosis of the injured. In addition, issues of medical triage and communication, the needs for evacuation transport, and informational support of the relief workers were identified.During Stage II of the work, the conditions required for the admission of the injured to the republican hospital were prepared, and a pediatric field hospital was deployed that contained admission-triage, dressing, operational, and hospital-evacuation modules, as well as modules for support of the staff; all of the required processes for the "door-todoor" flows of injured/ill patients, and training of the responding medical personnel were prepared as well.During Stage III, which continued for about four hours, the initial work with the injured was completed. "Door-todoor" triage was used to provide the required medical assistance and preparations were made for the urgent evacuation of many casualties to Vladikavkaz. A total of 120 beds for non-transportable and severely injured patients were reserved in the Central regional hospital. Every injured person was given about 1-7 minutes for triage and rendering immediate medical assistance. The main medical procedures were aimed at stopping internal and external hemorrhages, at stopping asphyxia, normalizing breathing, and providing anti-shock measures. All severely injured children who couldn't be evacuated urgently underwent emergency surgery and resuscitation on-site.During State IV, medical care was provided in the republican hospital of Vladikavk...