European Stars and Stripes (Newspaper) - October 29, 1992, Darmstadt, Hesse                                Page 4 b the stars and stripes . Thursday october 29,1992 Call for ambulance first then try car group says paramedic care vital for unconscious victims by the Washington Post anyone who comes across an unconscious person should Call an ambulance before starting cardiopulmonary resuscitation even if that Means leaving the victim unattended for a few minutes the american heart association says. The new policy announced by the association tues Day essentially acknowledges that car is less important than defibrillation shocking the heart with electric paddles held against the Chest. That procedure must be performed by paramedics. Until now Standard car procedure dictated that bystander determine whether someone was conscious was breathing or had a pulse before calling an ambulance. Now a person should Call an ambulance As Soontas it is Clear that the victim is unconscious. Although seemingly a Small change the new policy Isa major shift in emphasis of what is the most important task to be performed in the first few minutes after the victim is found. About 80 percent of adults found unconscious Are Ina heart rhythm known As ventricular fibrillation. Of either occurs spontaneously As sudden death usually As the result of previous heart disease or is the result of myocardial infarction in which a blood clot interrupts blood flow to the heart muscle. Both sudden death and myocardial infarction Are commonly known As heart  about 1.5 million americans will suffer from life threatening heart rhythms or myocardial infarction each year. About 750,000 will die. Half of those will die outside the Hospital and car is aimed at saving some of  a defibrillator paramedics can often Shock a heart out of of and into Normal rhythm. The proce Dure is most Likely to work if done soon after of be gins Anid the probability of Success diminishes the longer a person has been in the abnormal  have shown that when a Lone person finds someone unconscious he or she often spends several minutes evaluating the victim or performing car be fore going for help. This delays defibrillation and Low ers an adult s chances of  concept is one of trying to get the defibrillator to the patient. Anything that can do that faster is what we advocate said Lawrence d. Newell manager of program development of the american red Cross the organization that teaches most  new policy applies Only to people older than 8 years. Infants and Young children found unconscious Are much More Likely to have had a respiratory prob Lem rather than a cardiac arrest. Defibrillation is unlikely to help though immediate car which includes checking for objects stuck in the Throat is often lifesaving. Consequently a Lone rescuer encountering a unconscious child should perform car for one minute before leaving the victim to Call an ambulance health experts said. Standoff Ricky Lamont coffin 23, Points a handgun out the win Dow of a building at Duke medical Center in Durham n.c., on tuesday. Moments later a police Sharpshooter shot coffin in the face and four hostages were freed in night out with a gives new doctor Johnson City Tenn. A a doctor accused of taking a hospitalized patient put for a Beer at a topless bar has been suspended from his Job officials said tuesday. Or. Mark Horowitz a resident in training from East Tennessee state University was suspended with pay from the veterans affairs medical Center in Mountain Home after nurses reported the oct. 20 Outing said Carl Gerber director of the Center the patient Jimmy Hughes 67, has had two strokes and cannot care for himself according to his wife Marie. He is taking several prescription drugs that should not be combined with alcohol but he was drunk when he re turned to the Hospital she said. I feel like it s a big joke against us and there s nothing i can do about it she said. It could have been very Hurt  or. Louis Cancellaro chief of staff at the a Hospital harmed. Coffin who had fired several shots at police and bystanders died while being treated at the Hospital. Police said coffin escaped tuesday morning from Guilford county jail in High Point 60 Miles West of Durham. Hospital patient dose of trouble said the Outing had no effect on Hughes condition. I Don t have a list of his medications but there is Noth ing in the preliminary investigation to show that it could be affected by alcohol Cancellaro said. Another doctor who also made the trip has not Bee identified said Gerber and Elaine Mcclellan a spokeswoman for the University s medical school. Marie Hughes said her husband called her the next morning because he was afraid someone else would Teller first. When he called me i thought it was outrageous that he was joking around she said. I could t believe any one would jeopardize their career with something  Hughes said her husband who uses a wheelchair did task to go to the bar and did t know where he was being taken until he got there. He has been in the Hospital since oct. 6, she said. Pilot has narrow escape when f-16 crashes in . From wire reports Sumter . An f-16 fighting Falcon crashed in a Cotton Field near Shaw fab on tuesday but the Pilot survived by ejecting moment before Impact a base spokesman said. Capt. Bradley s. Johnson was returning from a routine training exercise when he radioed that he was having trouble with the Multi role fighter. Base officials said they did not know what went wrong. The $23 million Jet crashed about half a mile fro the base s runway said Dave Mcmahon a spokesman for the base. Johnson escaped with minor injuries he said. The plane landed upright and appeared to be relatively undamaged said maj. Bob Williams. Twas carrying live shells for its cannons but none exploded during the crash he said. Drug using mom sentenced Corona Calif. A drug user whose nursing infant died from methamphetamine in her breast milk has been sentenced to six years in prison. Alicia Gillespie 23, pleaded guilty monday to three counts of child endangerment and was immediately sentenced by Riverside count Superior court judge j. Thompson Hanks. Three week old Hannah Gillespie was found dead aug. 7 in the woman s apartment described by a prosecutor As unfit for youngsters. Also living inthe apartment were Hannah s two Brothers Ages 2 and 5 they were assigned to Foster care. The Case illustrates the dangers of breast feeding while using drugs said Betty Crase a spokeswoman for la leche league International in Chicago group that advocates breast feeding. Juk records Bill signed Washington president Bush has signed legislation permitting the release of the remaining top secret records about the assassination of John f. Kennedy except where the strongest possible reasons counsel  in a written statement tuesday Bush said the new Law will help to put to rest the doubts an suspicions about the assassination of president  Tennessee killings probed Knoxville Tenn. The remains of four women have been found in a secluded area in the past week and police Are investigating whether a serial killer is responsible. The latest discovery in Knox county came tuesday afternoon. Police found the Bones of a 25-to 30-year-old woman about 300 Yards from one of two bodies discovered a Day earlier. A forensic expert estimated the woman had been dead 60 to 90 Days. German shot in Miami Miami a German tourist was shot and paralysed from the Waist Down during a purse snatching attempt at a fast food restaurant police said tuesday. Police spokesman David Magnusson said Renat Morlock 41, of Ali Sztal Germany had just finished eating with her family monday night and got into the passenger Side of their car when two assailants approached. They began to struggle with her for her  of the victims smother in her Arm. The Bullet continued into her body and did some spinal damage. She is paralysed from the Waist Down Magnusson said. Magnusson said the assailants jumped int another car with two other men and fled. They were still at Large tuesday. Mild quake jars California Pasadena Calif. A mild earthquake struck Southern California late tuesday night although authorities reported no Early word of injuries or damage. California Institute of technology seismologists said the temblor measured 3.3 on the Richter scale with an epicentre 14 Miles North of Yucca Valley or about 100 Miles East of los Angeles. The quake struck at 11 51 . Cal tech scientists considered the temblor a aftershock of this summer s major quakes at nearby Landers and big Bear