Highland rescue and altitude sickness

China’s Tibet, Qinghai, Yunnan, Guizhou and other high-altitude areas in a vast area, most of the altitude between 2000 ~ 5000 meters, people from the plains into high-altitude areas have the possibility of plateau hypoxia and plateau reaction, although the Qinghai Yushu earthquake has passed, but also face the reconstruction of homes, infrastructure construction and many other issues, plateau rescue process how to protect the rescue workers Health is the key to rescue, should pay attention to the following points: 1, the rescue process is time is life, by air is undoubtedly the most simple and fastest means of transport, after entering the scene is often not rest that is quickly put into rescue work, for rescue workers are particularly vulnerable to plateau reactions due to lack of oxygen, and even plateau cerebral edema, pulmonary edema and other high-risk complications, therefore, the first rescue into the plateau Personnel should be selected to live in relatively high altitude areas, healthy, young and strong personnel, the Yushu earthquake in Guangdong rescue team is an early flight into Yushu and a large area of plateau reactions, had no choice but to end the rescue early, Guangzhou altitude of only 6 meters, and Yushu has a drop of nearly 4,200 meters, if then selected to send Kunming rescue team quickly into, Kunming altitude of about 2,000 meters, and Yushu The drop of 2200 meters, the chance of plateau reaction will be greatly reduced, if the Tibetan rescue team was selected, the probability of plateau reaction is almost zero, so when similar situations occur in the future should take into account the altitude of the rescue workers live in order to enter the battle as soon as possible. 2, transportation: the most ideal way is to slowly enter the plateau area by train or car, the body has a gradual process of adaptation to the lack of oxygen in the plateau, can effectively prevent plateau reactions, when a sudden natural disaster or accident, the need for a large area rescue can be taken in batches to enter, early let the high altitude area personnel to take the plane to quickly enter the rescue, low altitude follow-up rescue personnel can take the train or car transportation, the need to ensure that the rescue can be taken into account. Both to ensure the need for rescue and can effectively prevent plateau reactions. 3, diet and nutrition: rescue workers should carry high caloric food, such as chocolate, energy bars, cheese, etc., easy to carry, can provide a lot of heat for the body in a timely manner, to maximize the supply of energy needed to ensure the body, beneficial to prevent plateau reactions. 4, oxygen measures: plateau rescue is different from long-term work or living in the plateau area, short time, urgent tasks, labor intensity, once the lack of oxygen and other symptoms of plateau reaction should be treated in a timely manner, so as not to affect combat effectiveness, the current site of many oxygen measures, should be based on different circumstances to choose the most suitable method to the plain area, for example, different oxygen inhalation methods of oxygen partial pressure are: (1) partial pressure of oxygen in air 760mmHg×21% = 159mmHg (2) Nasal catheter oxygen inhalation: 760mmHg×{21%+(flow rate×4%)} = 250mmHg or so (3) Closed mask oxygen inhalation (portable hyperbaric oxygen): 760mmHg×100% = 760mmHg (4) Flexible chamber: (760mmHg×21%)×pressure (1.5 atm for example) = 238.5mmHg ) = 238.5mmHg (5) oxygen machine: [760mmHg×{21%+(flow rate×4%)}] × (80%-90%) = 200mmHg Through the above comparison, it is easy to see that the amount of oxygen inhaled by the closed mask (portable hyperbaric oxygen) is the most, most suitable for the rescue treatment of plateau cerebral edema and pulmonary edema in the plateau rescue, other oxygen inhalation methods are not enough to play a role in the rescue treatment because the amount of oxygen inhaled is too small. The amount of oxygen inhaled is too small to play a therapeutic role. Considering the special nature of highland rescue, oxygen should be included as part of the logistical support, to maximize the protection of the health of rescue workers. 5, drug preparation: in the absence of medical care accompanied by no infusion conditions, individuals should have an appropriate amount of oral diuretics, hormones and drugs to improve oxygen utilization, in case of cerebral edema, pulmonary edema emergency use. 6, as far as possible to avoid excessive fatigue and physical overdraft when you first arrive at the plateau area, according to the work needs to moderate the work plan, once the serious plateau reaction timely treatment.