Controlled Hibernation CH – The Game-Changer in Mass Casualty Preparedness

Presently mass casualty is on the increase and is causing 100,000 deaths yearly worldwide.

In 1915, the White House launched the national “Stop the Bleed Campaign “and a group of Surgeons met in Chicago in June 2016 to discuss “Disaster Preparedness“.

A coming-at-any-time devastating Pandemic, a Chernobyl-like nuclear accident or even a nuclear missile are potential future threats.

CH is the game-changer in mass casualty preparedness and can be effected by the Extracorporeal H₂ O₂ Oxygenation – ECHO : APSC 2017, or the Artificial Blood – TTS 2018, ICI 2018.

Working at hypothermia ≈ 10 °C (metabolism ≈ 1/15) confers the following advantages:

(1) Low blood flow of 2 liters/minute at 40 mm Hg with anti-edematous effect and anabolic status.

(2) The needful bold anticoagulation is affected with non-consequential inevitable intra-cranial or intra-spinal bleeding as neurons die at 50 mm Hg.

At the site of the mass casualty, the deceased (within ≈ 5-15 minutes – nobody can be sure of the exact time of the cardiac arrest!) or the “expectant” is immersed in circulating water at 4 °C:

This is Tech 4 which buys time of 45 minutes, enough for the institution of CH.

Within 4-15 hours, the Patient is transferred directly to a High-Tech Hospital for continuation of CH for 40-100 days during which time all needful surgical procedures are affected and all injuries including brain and spinal cord injuries healed.

Thereafter the Patient is warmed-up to normal life for the majority of cases.

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