CARRY OUT THE REGULAR AT SEA ROUTINE WITH THE FOLLOWING EXCEPTIONS:

ANNOUNCEMENTS:

1. The ship crossed the international date line at 1700 Sunday at 180deg longitude and 44deg 23' latitude. At that time we were 400 miles south of Adak, Alaska in the Aleutian Islands
2. Training Today
• OI (ET) Firefighting
• (RD) CTF Tac note 2-64
• OC (RM) CRC 32 operation
• (SM) Types of messages
• (QM) Charts
• M&B UNREP Procedures
• Fox MK5 Introduction
• S Conduct Ashore
• 2nd (GM 5" Power Drive
• (FT) Condition III training
3. ASPHYXIA
   Asphyxia is a condition where breathing has stopped. It may be caused as a result of such accidents as:
   • Drowning
   • Electrical Shock
   • Poisoning by gases such as carbon monoxide, illumination gas, and chemical warfare gases.
   • Foreign bodies lodged in the throat, such as large piece of food. Even though the victim of an accident has stopped breathing, his heart may continue to beat for sometime, and because of this fact...life may be saved if breathing can be restored before the heard stops.

TREATMENT

Remove the cause or remove the victim from the cause, then give artificial respiration and treat for shock.

Artificial respiration: Natural breathing may be started after it has stopped by the use by the use of manual or mechanical methods. Mechanical methods required the use of machines that are usually not available when most needed. Manual artificial respiration, which can be conducted by anyone familiar with the methods can be started immediately and can be continued until natural breathing has started or until a mechanical respirator becomes available.

The purpose of artificial respiration is to force breathing. First air is forced out of the lungs: second air is forced into the lungs. This is accomplished by alternating positive and negative pressure within the chest cavity during the process of artificial respiration.

INSTRUCTIONS FOR ARTIFICIAL RESPIRATION

The following general principles must be remembered in applying artificial respiration.

1. Time is of prime importance.  Begin artificial respiration at once.
2. Quickly sweep your fingers into the victim's mouth, removing froth, artificial teeth, or other foreign debris.
3. Begin artificial respiration and continue it rhythmically and uninterruptedly until natural breathing starts.  Continue artificial respiration for about 4 hours or longer unless victim is declared dead by a medical officer.  Even though the victim appears dead to you, do not give up.  The usual tests for deaths, such as absence of heartbeat and pulse, are not acceptable for these cases.
4. As soon as the victim begins to breath for himself, or when additional help is available, loosen the clothing, place in a more comfortable position, remove wet clothing and cover with a blanket or other suitable cover.  DO NOT interrupt a steady rhythmical artificial respiration to do this.  Have others do it or wait until he is breathing without assistance.
5. In carrying out manual artificial respiration, it may be necessary to change operators.  This change must be made without losing the rhythm of artificial respiration.  Have the relief assume the same position alongside the operator, go thorough the motions a few times with the operator until the same rhythm is established.  'The change of operators can then be made without loss of motion or rhythm.
6. If the victim begins to breathe on his own, adjust your timing to suit his.  DO NOT interfere with the victim's attempt to breathe.