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If the physician arrives at the scene of an accident and nds an unconscious patient, a quick examination should be made before the patient is moved First it must be determined whether the patient is breathing and has a clear airway and obtainable pulse and blood pressure, and whether there is dangerous hemorrhage from a scalp laceration or injured viscera Severe head injuries that arrest respiration are soon followed by cessation of cardiac function Injuries of this magnitude are often fatal; if resuscitative measures do not restore and sustain cardiopulmonary function within 4 to 5 min, the brain is usually irreparably damaged Oxygen should be administered Bleeding from the scalp can usually be controlled by a pressure bandage unless an artery is divided; then a suture becomes necessary Resuscitative measures (arti cial respiration and cardiac compression) should be continued until they are taken over by ambulance personnel The likelihood of a cervical fracture-dislocation, which may be associated with any severe head injury, is the reason for taking precautions in immobilizing the neck and moving the patient, as outlined on page 1054 In the awake patient, neck pain calls attention to this complication It should be recalled that even in the absence of a spinal fracture, the spinal cord may be threatened by the instability resulting from ligamentous injuries (posing the risk of subluxation) In the study of 292 patients with cervical injuries by Demetriades and colleagues, 31 (11 percent) showed subluxations without fracture and 11 (4 percent) had cord injuries with neither fracture nor subluxation The combined use of standard

Patients with an uncomplicated concussive injury who have already regained consciousness by the time they are seen in a hospital and

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Layout Tab The Layout tab (also called layout view) gives you a visual focus and enables you to specify the layout of the Web application (see the previous illustration) To do this, you use drag-and-drop operations to insert Web items from the pool of Web items into your Web template In the lower section of the Layout tab, you can create data providers by double-clicking New Data Provider, which opens the dialog box for creating data providers You can also create data providers in the Web Items screen area The Web Template screen area is not an exact representation of the placement or spacing of the individual Web items when the Web application is executed The parameters are defined in logical grouping of items that enables you to see the relationship of each Web item within the group to the other

K Keep-it-simple option pricing model, 262 264 L LEAPS (see Long-Term Equity Anticipation Securities) Lifestyle investing, volatility and, 46 Liquidation: of bull call and bear put spreads, 134 of put options, 77 78 Liquidity: with American Style options, 224 and exercise of in-the-money options, 70 and selling of options, 97 98 Long butter y spreads, 195 200 call, 192 194 put, 195 197 risk control on, 199 strategy with, 198 199 Long risk reversal, 134 138 Long straddles, 167 175, 177 180 key points for positions, 168 169 risk control with, 172 175 Long strangles, 175 180 Long-side volatility, 43 44 Long-Term Equity Anticipation Securities (LEAPS), 33, 95 Long-term options, shorting, 95