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How to Survive ...
We’ve all heard the miracle stories: The Boy Scout who survived for four days in the mountains of North Carolina. The Montana couple who fought off a bear. The guy in Utah who cut off his arm to free himself from under a fallen boulder. You’ve probably read many stories like this in Reader’s Digest (like the one on page 102 about a couple stranded in the snow) and wondered what you’d do in the same situation, but you always assumed freak accidents would never happen to you.And you’d be wrong. While your odds of having a heart attack are much higher than finding yourself in most of these scenarios, strange things happen every day. For example, almost 2.5 million people called poison centers for help in 2006. In 2004, 112,000 people died of injuries from falls, drownings, and other accidents. In 2006, search-and-rescue rangers in our national parks responded to nearly 4,000 calls, more than a third of them for people who were also sick or injured. Every year, around 3,000 succumb to choking.
Another 400 are struck by lightning, and 67 of those die from it. How do you keep yourself out of the statistics?
Besides calling 911, here’s what to do in 12 life-threatening emergencies when no one’s around to help.
LOST IN THE WILDERNESS
To avoid becoming the lead story on the evening news, be prepared. Before you head out on a hike, check the weather (you can find forecasts for many wilderness areas at wunderground.com), take plenty of water, and make sure someone knows where you’ll be and when you’ll be back. Bring clothes to keep you warm when wet, like a water-repellent jacket, says Laurence Gonzales, author of Deep Survival: Who Lives, Who Dies, and Why. Avoid cotton, which traps moisture. “The search-and-rescue people call it death cloth,” he says.
“Expect to get lost, and check often to make sure you’re still on the trail,” says John Dill, a search-and-rescue ranger at Yosemite National Park in California. “The minute you think you might not be on the trail, stop.” “First, you’ve got to acknowledge you’re in trouble,” adds Gonzales. If you’re not alone, focusing on the needs of others can help hold your own fears at bay. Other keys to survival: staying observant and remembering to rest. Keeping a sense of humor helps too—it reduces stress and promotes creative thinking.
The surest way to get out alive is to take basic precautions, such as stowing a survival kit in your car. Gonzales’s includes waterproof matches and chunks from fake fireplace logs for starting a fire, a folding saw for cutting branches, and a plastic tarp and cord for making shelter. Don’t forget an emergency blanket, a good knife, a first-aid kit, a flashlight, batteries, snacks, and water.
In general, people who try to find their own way out fare worse than those who stay put, says Richard N. Bradley, MD, of the American Red Cross. Find shelter before dark, and try to keep dry. Stay visible so anyone searching can see you. In a wide-open area, make a signal with colorful gear, make a big X out of rocks, or dig a shallow trench, says Dill. “The top layer of soil is a different color. Scrape it away and make straight lines, which are easy to spot from above.”
You can go several days without eating, so in most cases, you’re better off not foraging for food, since there are lots of poisonous plants in the wild, says Dr. Bradley. You need to stay hydrated, so if you run out of water, it’s usually better to drink from a stream with suspect water than to go without. If you’re stranded in your car, stay there: You’re more visible to rescuers, and the car provides shelter.
CHOKING
Richard Stennes, MD, was home alone in La Jolla Shores, California, eating a steak, when the phone rang. The 64-year-old gulped down the bite still in his mouth and answered the call. But the hunk of steak was stuck, and he couldn’t talk or breathe. He put his finger down his throat to grab the meat, but he couldn’t reach it. Gagging didn’t help either. So he walked over to the couch and forcefully thrust his abdomen on the hard arm of the couch, sending the meat flying and allowing him to breathe again.
An emergency physician, Dr. Stennes knew that if done right, this would have the same effect as the Heimlich maneuver. If you’re ever in the same situation, quickly find a chair or other piece of furniture or a kitchen counter, says Maurizio Miglietta, MD, chief of trauma at NewYork-Presbyterian Hospital/Columbia University Medical Center. Aim to hit the top of the chair or edge of the counter against your upper abdomen, in the soft part below the bony upside-down V of the ribs. Thrust up and inward. If you still can’t breathe after six tries, call 911 from a landline, even if you can’t talk. They’ll find you. Write the word choking somewhere nearby, and leave the line open until help arrives.
HEART ATTACK
If you’re experiencing crushing chest pain with or without pain in your left arm, are short of breath, or have a sense of impending doom, you may be having a heart attack. (Women are more likely to have atypical symptoms like severe fatigue, nausea, heartburn, and profuse sweating.) Call 911 and chew one 325 mg uncoated aspirin, to get it into your bloodstream fast. This will thin your blood, often stopping a heart attack in its tracks. While waiting, lie down so your heart doesn’t have to work as hard, says Sandra Schneider, MD, a spokeswoman for the American College of Emergency Physicians. If you think you might pass out, try forcing yourself to cough deeply. It changes the pressure in your chest and can have the same effect as the thump given in CPR, says Dr. Schneider. “Sometimes it can jolt the heart into a normal rhythm.”
If someone else goes into cardiac arrest, note that the American Heart Association now recommends CPR without the mouth-to-mouth: Call 911, then push hard and fast on the person’s chest until help comes.
IMPALEMENT
This doesn’t happen only in horror movies. Tornadoes and hurricanes can fling debris for miles, and even recreational hobbies like fishing or archery can be hazardous. Just ask James Bertakis. The 81-year-old Florida man fared better than Crocodile Hunter Steve Irwin, who was killed in 2006 when a stingray struck him in the heart. Bertakis was impaled when a stingray jumped into his boat and hit him directly in the chest. He didn’t remove the barb but piloted the boat to land and got help.
If you have something stuck in any body part, including your eye, don’t remove the object, says Richard O’Brien, MD, a spokesman for the American College of Emergency Physicians. “The object may be compressing an artery that would otherwise start bleeding like crazy.”
If you’ve been struck by a branch or some other hefty object, try to trim it, breaking off the part that’s protruding from your body, but don’t pull it out.
SWIMMING EMERGENCIES
Riptide: Dr. Stennes is either extremely lucky or has a knack for putting his life in danger. In addition to surviving choking, he also saved his own life in a riptide in Acapulco, Mexico.
“I was swimming in the ocean, and all of a sudden a strong current took me away,” he says. “There were no lifeguards, so I was waving to people on the shore, who just waved back at me. I began to think, I’m in a bad situation here. I’m not a great swimmer, and I can’t go against that riptide, so what am I going to do?” He floated for a while, then did exactly what the experts recommend: He swam slowly, parallel to the beach, until he was out of the current.
You know you’re in a riptide when you feel yourself being pulled away from the shoreline, says Dr. Bradley of the Red Cross. “Your natural reaction is to head toward the shore, but it’s very difficult to swim against a riptide.” Luckily, these currents are fairly narrow, so you just have to swim along the shore, in either direction.
Cramps: If you’re in deep water, take a breath, lie on your back, and float. If you’ve got a muscle cramp (they often hit the calves), float facedown, grab your toes, and pull them toward you, stretching your calf until the pain goes away. If it’s a stomach cramp, lie on your back, spread your arms and legs, and float until you can swim back to shore.
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