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2014, :. doi:
2014-04-02T03:38:17+08:00
application/pdf
http://dx.doi.org/
Charles Handford
Pauline Buxton
Katie Russell
Caitlin EA Imray
Scott E McIntosh
Luanne Freer
Amalia Cochran
Christopher HE Imray
Frostbite: a practical approach to hospital management
2014, :. doi:
� 2014 Handford et al.; licensee BioMed Central Ltd.
Frostbite
Hypothermia
Rewarming
Thrombolysis
Heparin
TPA
Iloprost
True
1-10
1
10
� 2014 Handford et al.; licensee BioMed Central Ltd.
journal
reprints@biomedcentral.com
Frostbite; Hypothermia; Rewarming; Thrombolysis; Heparin; TPA; IloprostAcrobat Distiller 10.1.5 (Windows)
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B*
Q
q
1 0 0 1 56.6930007935 550.2050170898 cm
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0 9.468000412 l
0.5099999905 9.468000412 l
0.5099999905 0 l
B*
Q
q
1 0 0 1 56.6930007935 559.6719970703 cm
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0.057 0.7369999886 l
0.2479999959 2.2569999695 1.7300000191 3.7960000038 3.2880001068 3.9690001011 c
4.0250000954 4.0250000954 l
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3.4019999504 3.4579999447 l
1.8589999676 3.1559998989 0.8690000176 2.1670000553 0.5669999719 0.6240000129 c
0.5099999905 0 l
B*
Q
q
1 0 0 1 60.7179985046 563.6979980469 cm
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473.8389892578 0 l
473.8389892578 -0.5099999905 l
0 -0.5099999905 l
B*
Q
q
1 0 0 1 534.5570068359 563.6979980469 cm
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B*
Q
q
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-0.5099999905 -9.468000412 l
-0.5099999905 0 l
B*
Q
q
1 0 0 1 534.5570068359 563.1870117188 cm
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B*
Q
q
1 0 0 1 538.5830078125 550.2050170898 cm
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B*
Q
q
1 0 0 1 56.6930007935 544.1950073242 cm
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B*
Q
q
1 0 0 1 538.5830078125 544.1950073242 cm
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-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 532.1760253906 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 532.1760253906 cm
0 0 m
-0.5099999905 0 0.5102499723 -11.9619998932 re
B*
Q
q
1 0 0 1 56.6930007935 520.2139892578 cm
0 0 m
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B*
Q
q
1 0 0 1 538.5830078125 520.2139892578 cm
0 0 m
-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 508.1950073242 cm
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B*
Q
q
1 0 0 1 538.5830078125 508.1950073242 cm
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-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 496.175994873 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 496.175994873 cm
0 0 m
-0.5099999905 0 0.5102499723 -11.9619998932 re
B*
Q
q
1 0 0 1 56.6930007935 484.2139892578 cm
0 0 m
0.5099999905 0 -0.5102400184 11.9619998932 re
B*
Q
q
1 0 0 1 538.5830078125 484.2139892578 cm
0 0 m
-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 472.1950073242 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 472.1950073242 cm
0 0 m
-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 460.175994873 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 460.175994873 cm
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-0.5099999905 0 0.5102499723 -11.9619998932 re
B*
Q
q
1 0 0 1 56.6930007935 448.2139892578 cm
0 0 m
0.5099999905 0 -0.5102400184 11.9619998932 re
B*
Q
q
1 0 0 1 538.5830078125 448.2139892578 cm
0 0 m
-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 436.1950073242 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 436.1950073242 cm
0 0 m
-0.5099999905 0 0.5102499723 -12.0190000534 re
B*
Q
q
1 0 0 1 56.6930007935 424.175994873 cm
0 0 m
0.5099999905 0 -0.5102400184 12.0190000534 re
B*
Q
q
1 0 0 1 538.5830078125 424.175994873 cm
0 0 m
-0.5099999905 0 0.5102499723 -11.9619998932 re
B*
Q
q
1 0 0 1 56.6930007935 412.2139892578 cm
0 0 m
0.5099999905 0 -0.5102400184 11.9619998932 re
B*
Q
q
1 0 0 1 538.5830078125 412.2139892578 cm
0 0 m
-0.5099999905 0 0.5102499723 -4.9889998436 re
B*
Q
q
1 0 0 1 56.6930007935 407.2250061035 cm
0 0 m
0.5099999905 0 -0.5102400184 4.9889998436 re
B*
Q
q
1 0 0 1 538.5830078125 407.2250061035 cm
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-0.5099999905 -14.5129995346 l
-0.5099999905 0 l
B*
Q
q
1 0 0 1 538.5830078125 392.7120056152 cm
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-4.0250000954 -4.0250000954 l
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-3.4019999504 -3.4579999447 l
-1.9609999657 -3.2149999142 -0.8109999895 -2.0669999123 -0.5669999719 -0.6240000129 c
-0.5099999905 0 l
B*
Q
q
1 0 0 1 534.5570068359 388.6870117188 cm
0 0 m
-473.8389892578 0 l
-473.8389892578 0.5099999905 l
0 0.5099999905 l
B*
Q
q
1 0 0 1 60.7179985046 388.6870117188 cm
0 0 m
-0.7369999886 0.057 l
-2.4079999924 0.4699999988 -3.6789999008 1.6080000401 -3.9690001011 3.3450000286 c
-4.0250000954 4.0250000954 l
-3.5150001049 4.0250000954 l
-3.4579999447 3.4019999504 l
-3.2139999866 1.9589999914 -2.0639998913 0.8100000024 -0.6240000129 0.5669999719 c
0 0.5099999905 l
B*
Q
q
1 0 0 1 56.6930007935 392.7120056152 cm
0 0 m
0 14.5129995346 l
0.5099999905 14.5129995346 l
0.5099999905 0 l
B*
Q
BT
/F1 1 Tf
13 0 0 13 60.7181015015 690.6895751953 Tm
0 0 0 0 k
0 Tc
0 Tw
[(R) -114.8000030518 (E) -114.4000015259 (V) -115.0999984741 (I) -115.9000015259 (E) -118.8000030518 (W) -26798.69921875 (Open) -304.200012207 (Access) ] TJ
/F2 1 Tf
22.7999000549 0 0 24.0000991821 56.6929016113 652.7053222656 Tm
0 0 0 1 k
[(Frostbite:) -305.8999938965 (a) -299.299987793 (practical) -305.799987793 (approach) -303 (to) -300.700012207 (hospital) ] TJ
0 -1.0842000246 TD
(management) Tj
/F3 1 Tf
10.4498996735 0 0 11.0001001358 56.6929016113 602.7022094727 Tm
[(Charles) -302.6000061035 (Handford) ] TJ
7.8372001648 0 0 7.3326997757 129.3731994629 607.5778198242 Tm
(1) Tj
10.4498996735 0 0 11.0001001358 133.1148986816 602.7022094727 Tm
[(,) -300.6000061035 (Pauline) -302.5 (Buxton) ] TJ
7.8372001648 0 0 7.3326997757 200.8063049316 607.5778198242 Tm
(2) Tj
10.4498996735 0 0 11.0001001358 204.5480041504 602.7022094727 Tm
[(,) -300.6000061035 (Katie) -304.799987793 (Russell) ] TJ
7.8372001648 0 0 7.3326997757 260.3338012695 607.5778198242 Tm
(3) Tj
10.4498996735 0 0 11.0001001358 264.1322021484 602.7022094727 Tm
[(,) -300.6000061035 (Caitlin) -300.8999938965 (EA) -299 (Imray) ] TJ
7.8372001648 0 0 7.3326997757 334.8848876953 607.5778198242 Tm
(4) Tj
10.4498996735 0 0 11.0001001358 338.6834106445 602.7022094727 Tm
[(,) -300.6000061035 (Scott) -297.3999938965 (E) -301.5 (McIntosh) ] TJ
7.8372001648 0 0 7.3326997757 414.2550048828 607.5778198242 Tm
(5) Tj
10.4498996735 0 0 11.0001001358 417.9967956543 602.7022094727 Tm
[(,) -300.6000061035 (Luanne) -305.6000061035 (Freer) ] TJ
7.8372001648 0 0 7.3326997757 477.807800293 607.5778198242 Tm
(6,7) Tj
10.4498996735 0 0 11.0001001358 486.6518859863 602.7022094727 Tm
(,) Tj
-41.1446990967 -1.2730000019 TD
[(Amalia) -300.6000061035 (Cochran) ] TJ
7.8372001648 0 0 7.3326997757 122.9669036865 593.5747070312 Tm
(8) Tj
10.4498996735 0 0 11.0001001358 129.8267059326 588.6990966797 Tm
[(and) -303.8999938965 (Christopher) -306 (HE) -300.3999938965 (Imray) ] TJ
7.8372001648 0 0 7.3326997757 237.8834075928 593.5747070312 Tm
(9,10*) Tj
/F1 1 Tf
10.3000001907 0 0 10.3000001907 63.212600708 550.2045898438 Tm
(Abstract) Tj
/F3 1 Tf
10.0001001358 0 0 10.0001001358 63.212600708 532.1762695312 Tm
[(Frostbite) -305.5 (presentation) -306.200012207 (to) -300.8999938965 (hospital) -309.299987793 (is) -301.1000061035 (relatively) -309.5 (infrequent,) -306.8999938965 (and) -300.8999938965 (th) -6.0999999046 (e) -297.700012207 (optimal) -307.299987793 (management) -311 (of) -297.5 (the) -303.799987793 (more) -302.1000061035 (severely) -308.299987793 (injured) ] TJ
0 -1.1962000132 TD
[(patient) -302.5 (requires) -308 (a) -301.299987793 (multidisciplinar) -15.1999998093 (y) -300 (integration) -306.200012207 (of) -303.200012207 (specialist) -308.5 (care.) -300.299987793 (Cl) -6.6999998093 (inicians) -303.200012207 (with) -304.6000061035 (an) -303.299987793 (interest) -303.8999938965 (in) -298.5 (wilder) -9.8000001907 (ness) -303 (medicine/) ] TJ
0 -1.2019000053 TD
[(freezing) -302.6000061035 (cold) -307 (injury) -305.200012207 (have) -301.3999938965 (the) -303.799987793 (awareness) -307.799987793 (of) -303.200012207 (specific) -303.200012207 (potenti) -8.6999998093 (al) -297.3999938965 (interven) -8.8999996185 (tions) -303.3999938965 (but) -303.799987793 (may) -299.6000061035 (lack) -306.200012207 (the) -303.799987793 (skill) -302.5 (or) -300.5 (experience) -309.200012207 (to) ] TJ
T*
[(implement) -305.200012207 (the) -303.799987793 (knowledge.) -305.299987793 (The) -306.5 (on-call) -300.700012207 (speciali) -10.6999998093 (st) -297.799987793 (clinician) -305.700012207 (\(v) -7.3000001907 (ascular,) -306.200012207 (general) -306.6000061035 (surgery,) -306.8999938965 (orthopaedic,) -307.200012207 (plast) -8.8999996185 (ic) -301.799987793 (surgeon) -303.3999938965 (or) ] TJ
0 -1.1962000132 TD
[(interventional) -310.3999938965 (radiologist\),) -306 (who) -306.299987793 (is) -301.1000061035 (likely) -306.1000061035 (to) -300.8999938965 (receive) -303.799987793 (these) -305.5 (patients,) -305.3999938965 (may) -299.6000061035 (have) -307 (the) -303.799987793 (skill) -302.5 (and) -300.8999938965 (knowle) -8.3999996185 (dge) -298.5 (to) -300.8999938965 (adm) -8.5 (inister) ] TJ
0 -1.2019000053 TD
[(potentially) -307.5 (limb-saving) -311.700012207 (intervention) -307.799987793 (but) -298.1000061035 (may) -305.299987793 (be) -300.8999938965 (unawar) -11.1000003815 (e) -297.700012207 (o) 0 (f) -303.200012207 (the) -298.1000061035 (availabl) -12.1000003815 (e) -297.700012207 (treatm) -8.8999996185 (ent) -298.1000061035 (optio) -7.3000001907 (ns) -301.200012207 (for) -301.299987793 (frostbite.) -303.3999938965 (Over) -305.3999938965 (the) ] TJ
T*
[(last) -300.3999938965 (10) -300.6000061035 (years,) -304.799987793 (frostbi) -8.8999996185 (te) -301.799987793 (management) -305.3999938965 (has) -307.799987793 (improved) -305.6000061035 (with) -304.6000061035 (clear) -303.700012207 (guidelines) -309.1000061035 (and) -300.8999938965 (manageme) -10.1999998093 (nt) -300.8999938965 (protocols) -306.299987793 (available) -309.799987793 (for) ] TJ
0 -1.1962000132 TD
[(both) -300.3999938965 (the) -303.799987793 (medically) -304.8999938965 (trained) -307.799987793 (and) -300.8999938965 (winter) -305.700012207 (sports) -305.6000061035 (enthusiasts.) -309 (Many) -303.799987793 (speciali) -10.6999998093 (st) -297.799987793 (surgeons) -307.8999938965 (are) -302.3999938965 (unawar) -11.1000003815 (e) -297.700012207 (that) -305.8999938965 (patients) -301.299987793 (with) ] TJ
0 -1.2019000053 TD
[(severe) -301.299987793 (frostbi) -8.8999996185 (te) -301.799987793 (injuries) -303.5 (presenting) -308.200012207 (within) -302.700012207 (24) -300.6000061035 (h) -302.3999938965 (o) 0 (f) -303.200012207 (the) -298.1000061035 (injury) -305.200012207 (may) -305.299987793 (be) -300.8999938965 (good) -305.200012207 (candidates) -306.5 (for) -307 (treatment) -307 (with) -299 (either) -306.6000061035 (TPA) ] TJ
T*
[(or) -300.5 (iloprost.) -305 (In) -304.1000061035 (this) -301.5 (review,) -307.5 (we) -299.700012207 (aim) -301.799987793 (to) -300.8999938965 (give) -303.6000061035 (a) -301.299987793 (brief) -307.299987793 (overview) -306.200012207 (of) -303.200012207 (field) -299.6000061035 (frostbi) -8.8999996185 (te) -301.799987793 (care) -301.8999938965 (and) -300.799987793 (a) -301.299987793 (p) 0 (r) -7.0999999046 (actical) -303.299987793 (guide) -301.8999938965 (to) -306.5 (the) -298.1000061035 (hospital) ] TJ
0 -1.1962000132 TD
[(management) -305.3999938965 (of) -303.200012207 (frostbite) -305 (with) -304.6000061035 (a) -301.299987793 (stepwise) -309.3999938965 (approach) -304.6000061035 (to) -300.8999938965 (thrombo) -10 (lysis) -301.200012207 (and) -300.799987793 (pr) -7.0999999046 (ostacyclin) -304.700012207 (administratio) -12.5 (n) -302.3999938965 (for) -301.299987793 (clinicians.) ] TJ
/F4 1 Tf
0 -1.700799942 TD
(Keywords:) Tj
/F3 1 Tf
4.7621998787 0 TD
[(Frostbite,) -303.8999938965 (Hyp) -7.0999999046 (othermia,) -303.6000061035 (Rewar) -8.5 (ming,) -304.5 (Thrombolysis,) -306.700012207 (Heparin,) -306.3999938965 (TPA) -6.6999998093 (,) -298.8999938965 (Iloprost) ] TJ
/F1 1 Tf
10.3000001907 0 0 10.3000001907 56.6929016113 364.7620849609 Tm
(Review) Tj
/F4 1 Tf
9.2000999451 0 0 9.2000999451 56.6929016113 352.7432861328 Tm
[(Introduct) -12.6999998093 (ion) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 340.724395752 Tm
[(F) 10.8999996185 (r) 0 (o) 15.6999998093 (s) 0 (t) 30.1000003815 (b) 0 (i) 16.3999996185 (t) 0 (e) -382.200012207 (i) 11.1999998093 (s) -390.200012207 (a) -391.799987793 (fr) 18.1000003815 (ee) 20.5 (zi) 14.3999996185 (ng,) -388.200012207 (co) 12.5 (l) 11.1999998093 (d) -388.799987793 (th) 18.3999996185 (er) 17.8999996185 (ma) 13.1000003815 (l) -387.8999938965 (i) 11.1999998093 (nj) 15.1999998093 (ur) 19.2999992371 (y,) -382.1000061035 (wh) 17.2999992371 (i) 11.1999998093 (c) 0 (h) -383.1000061035 (o) 10.8999996185 (cc) 14.6999998093 (ur) 19.2999992371 (s) ] TJ
0 -1.220600009 TD
[(wh) 17.3999996185 (en) -551.4000244141 (ti) 20.7999992371 (ss) 17.8999996185 (ue) 16.1000003815 (s) -558 (a) 0 (r) 17.8999996185 (e) -553.799987793 (ex) 16.2000007629 (po) 15.5 (se) 16.2999992371 (d) -556.5999755859 (t) 0 (o) -546.4000244141 (t) 0 (e) 16.8999996185 (m) 0 (p) 16.1000003815 (e) 0 (r) 17.8999996185 (a) 0 (t) 16.8999996185 (u) 0 (r) 19.2999992371 (e) 0 (s) -550.5999755859 (b) 10.8999996185 (el) 18.6000003815 (ow) -553.200012207 (th) 18.3999996185 (ei) 18.6000003815 (r) ] TJ
0 -1.2264000177 TD
[(fr) 18.1000003815 (ee) 14.6999998093 (z) 14.6999998093 (i) 0 (n) 13.6999998093 (g) -313.5 (po) 15.5 (i) 11.1999998093 (n) 0 (t) -306.200012207 (\() 0 (t) 19.2000007629 (y) 0 (p) 17.7000007629 (i) 0 (c) 18.6000003815 (a) 0 (l) 12.8000001907 (l) 11.1999998093 (y) ] TJ
/F6 1 Tf
9.9849996567 0 TD
() Tj
/F5 1 Tf
0.5727000237 0 TD
[(0.) 18 (55) 16.5 14.8999996185 (C) -17.2000007629 (,) -314.200012207 (b) 10.8999996185 (ut) -305.6000061035 (ca) 14.6999998093 (n) -315.799987793 (o) 10.8999996185 (cc) 14.6999998093 (ur) -304.6000061035 (as) -319.200012207 (hi) 20 (gh) -310.6000061035 (as) ] TJ
-10.5577001572 -1.2264000177 TD
[<32B0> 17.3999996185 (C\)) -406.799987793 (fo) 18.3999996185 (r) -406 (a) -415 (su) 17.7000007629 (st) 18.6000003815 (ai) 18.6000003815 (ne) 15.5 (d) -406.200012207 (p) 0 (e) 17.7000007629 (r) 0 (i) 21.7999992371 (o) 0 (d) -401.1000061035 (o) 10.8999996185 (f) -403.200012207 (t) 0 (i) 15.1000003815 (m) 11.5 (e) -409.200012207 ([) 9.6000003815 (1]) 17.8999996185 (.) -406.799987793 (I) 0 (t) -392.1000061035 (i) 0 (s) -396.299987793 (a) -409.200012207 (c) 13.1000003815 (o) 0 (n) 13.3000001907 (d) 0 (i) 21.6000003815 (t) 0 (i) 15.1000003815 (o) 10.8999996185 (n) ] TJ
0 -1.220600009 TD
[(th) 18.3999996185 (at) -324.3999938965 (has) -327.799987793 (fa) 14.8999996185 (r) 33.7000007629 (-) 0 (r) 15.8999996185 (e) 0 (a) 20.5 (c) 0 (h) 16.1000003815 (i) 11.1999998093 (ng) -328.5 (co) 18.2000007629 (ns) 17.2000007629 (eq) 17.7000007629 (ue) 16.1000003815 (n) 14 (c) 0 (e) 14.6999998093 (s) -332.299987793 (in) -327.700012207 (te) 22.7000007629 (rm) 16.2999992371 (s) -332.299987793 (o) 0 (f) -328.700012207 (f) 13.3000001907 (un) 17 (ct) 16.8999996185 (io) 16.3999996185 (na) 15.5 (l) ] TJ
0 -1.2264000177 TD
[(mo) 16.6000003815 (rb) 15.6999998093 (i) 11.1999998093 (d) 0 (i) 21.6000003815 (t) 0 (y) -451.6000061035 (t) 0 (o) -448.1000061035 (a) -461.299987793 (po) 15.5 (pu) 19.1000003815 (l) 11.1999998093 (a) 0 (t) 16.8999996185 (i) 0 (o) 16.3999996185 (n) -460.3999938965 (th) 18.3999996185 (at) -445.8999938965 (ar) 17.8999996185 (e) -461.200012207 (o) 10.8999996185 (ft) 17.1000003815 (en) -453 (y) 13.1000003815 (o) 0 (u) 13.8999996185 (ng,) -457.6000061035 (fi) 18.7999992371 (t) -459 (a) 0 (n) 15.5 (d) ] TJ
T*
[(he) 16.1000003815 (al) 18.6000003815 (th) 18.3999996185 (y) -258.799987793 (p) 0 (r) 15.1000003815 (i) 11.1999998093 (o) 10.8999996185 (r) -261.3999938965 (to) -251.3999938965 (th) 18.3999996185 (e) -258.799987793 (t) 0 (h) 12.6000003815 (e) 13.1000003815 (rm) 16.2999992371 (al) -253.3000030518 (i) 11.1999998093 (n) 0 (j) 21 (u) 0 (r) 13.5 (y) 13.1000003815 (.) -262.200012207 (M) 0 (a) 20.2999992371 (n) 0 (y) -256.3999938965 (f) 13.3000001907 (ro) 15.6999998093 (st) 30.1000003815 (bi) 16.3999996185 (te) -249.1999969482 (pa) 17.7000007629 (ti) 15.1000003815 (en) 21.2999992371 (ts) ] TJ
0 -1.220600009 TD
[(i) 11.1999998093 (n) -466.200012207 (ur) 13.5 (b) 10.8999996185 (a) 0 (n) -458.799987793 (a) 0 (r) 17.8999996185 (eas) -462.299987793 (a) 13.1000003815 (r) 0 (e) -462.299987793 (h) 0 (o) 19.7000007629 (m) 0 (e) 18.8999996185 (l) 0 (e) 18.6000003815 (s) 0 (s) -462.200012207 (a) 13.1000003815 (nd) 12.8000001907 (/) 11.1000003815 (o) 10.8999996185 (r) -469.6000061035 (s) 0 (u) 17.7000007629 (f) 13.3000001907 (fe) 14.8999996185 (r) -463.799987793 (f) 0 (r) 18.1000003815 (o) 0 (m) -463.5 (m) 11.5 (en) 15.5 (ta) 16.8999996185 (l) ] TJ
0 -1.2264000177 TD
[(he) 16.1000003815 (al) 18.6000003815 (th) -317.200012207 (i) 11.1999998093 (s) 0 (s) 17.8999996185 (u) 0 (e) 16.1000003815 (s) 0 (.) -311 (F) 0 (r) 15.6999998093 (o) 10.8999996185 (st) 24.3999996185 (b) 10.8999996185 (i) 11.1999998093 (te) -318.6000061035 (i) 11.1999998093 (s) -320.799987793 (we) 15.8999996185 (ll) -313 (do) 15.5 (cu) 16.1000003815 (m) 11.5 (e) 0 (n) 15.5 (t) 0 (e) 16.8999996185 (d) -325.200012207 (i) 11.1999998093 (n) -321.5 (th) 18.3999996185 (e) -328.200012207 (m) 11.5 (il) 16.7000007629 (i) 11.1999998093 (t) 0 (a) 16.8999996185 (r) 0 (y) ] TJ
T*
[(an) 15.5 (d) -313.6000061035 (i) 11.1999998093 (n) -315.799987793 (c) 0 (o) 18.2000007629 (u) 0 (n) 17 (t) 0 (r) 14.3999996185 (i) 11.1999998093 (es) -307.700012207 (wi) 19.7999992371 (th) -311.3999938965 (e) 13.1000003815 (x) 0 (t) 12.6999998093 (r) 0 (e) 23.7000007629 (m) 0 (e) -310.8999938965 (t) 0 (e) 16.8999996185 (m) 11.5 (pe) 17.7000007629 (ra) 17.8999996185 (tu) 12.6000003815 (re) 17.8999996185 (s) -315 (f) 13.3000001907 (or) -308.299987793 (ce) 14.6999998093 (n) 14 (t) 0 (u) 12.6000003815 (r) 0 (i) 21.7999992371 (e) 0 (s) 16.2999992371 (.) ] TJ
0 -1.220600009 TD
[(T) 18.1000003815 (h) 0 (e) -423.6000061035 (e) 13.1000003815 (ar) 17.8999996185 (li) 16.7000007629 (es) 16.2999992371 (t) -430.1000061035 (d) 0 (o) 15.5 (c) 13.1000003815 (um) 14.5 (en) 15.5 (te) 16.8999996185 (d) -429.299987793 (evi) 19.6000003815 (de) 17.7000007629 (nc) 15.5 (e) -432.299987793 (o) 10.8999996185 (f) -432.1000061035 (f) 13.3000001907 (ro) 15.6999998093 (st) 30.1000003815 (bi) 16.3999996185 (te) -422.700012207 (ma) 18.8999996185 (y) -432.299987793 (b) 0 (e) -421.3999938965 (a) ] TJ
0 -1.2264000177 TD
[(5,) 18 (00) 16.5 (0) 14.1000003815 (-) 0 (y) 12.6999998093 (e) 13.1000003815 (ar) 35.2000007629 (-) 11.1000003815 (o) 10.8999996185 (ld) -383.3999938965 (pr) 20.8999996185 (e-) 18.3999996185 (Co) 16.7999992371 (l) 11.1999998093 (u) 0 (m) 14.5 (b) 10.8999996185 (ia) 18.6000003815 (n) -391 (m) 11.5 (um) 14.5 (m) 11.5 (y) -391.799987793 (di) 21.6000003815 (sc) 16.2999992371 (o) 10.8999996185 (v) 0 (e) 14.1000003815 (r) 0 (e) 17.8999996185 (d) -388.799987793 (i) 11.1999998093 (n) -385.200012207 (th) 18.3999996185 (e) ] TJ
T*
[(An) 16.2000007629 (de) 17.7000007629 (s) -563.700012207 ([) 9.6000003815 (2]) 17.8999996185 (.) -568.799987793 (T) 18.1000003815 (he) -556.5999755859 (fi) 18.7999992371 (rs) 19.5 (t) -568.9000244141 (r) 0 (e) 17.8999996185 (p) 0 (o) 21.2999992371 (r) 0 (t) -558.4000244141 (o) 10.8999996185 (f) -565.200012207 (mas) 10.5 (s) -563.700012207 (c) 0 (o) 18.2000007629 (l) 11.1999998093 (d) -568.200012207 (i) 11.1999998093 (nj) 15.1999998093 (ur) 19.2999992371 (i) 11.1999998093 (e) 0 (s) -556.4000244141 (was) ] TJ
0 -1.220600009 TD
[(b) 10.8999996185 (y) -478.6000061035 (Bar) 15 (on) -472.6000061035 (L) -10.6999998093 (a) 0 (r) 17.8999996185 (r) 0 (e) 17.8999996185 (y) 13.1000003815 (,) -482 (S) 12.5 (ur) 13.5 (ge) 17.7000007629 (o) 10.8999996185 (n) 0 (-) 19.2999992371 (i) 0 (n) 19.3999996185 (-) 0 (C) 17 (h) 0 (i) 14.1999998093 (e) 13.1000003815 (f) -478.3999938965 (t) 0 (o) -471.200012207 (N) 0 (a) 15.3000001907 (p) 0 (o) 21.2999992371 (l) 0 (e) 18.6000003815 (o) 0 (n) 13.3000001907 (') 0 (s) -467.700012207 (A) 13.8000001907 (rm) 16.2999992371 (y) ] TJ
0 -1.2264000177 TD
[(th) 18.3999996185 (ro) 15.6999998093 (ug) 19.2000007629 (ho) 19.7000007629 (ut) -467.6000061035 (th) 18.3999996185 (e) -472.799987793 (i) 11.1999998093 (nv) 15 (as) 10.5 (io) 16.3999996185 (n) -472 (o) 10.8999996185 (f) -472.6000061035 (R) 0 (u) 15.3000001907 (s) 0 (s) 17.8999996185 (i) 11.1999998093 (a) -472.799987793 (d) 0 (u) 13.3000001907 (r) 0 (i) 21.7999992371 (n) 0 (g) -461.5 (t) 0 (h) 18.3999996185 (e) -472.799987793 (wi) 14 (nt) 17.7999992371 (er) -462.299987793 (o) 10.8999996185 (f) ] TJ
T*
[(18) 16.5 (1) 14.1000003815 (2) ] TJ
/F7 1 Tf
1.9610999823 0 TD
<96> Tj
/F5 1 Tf
0.5958999991 0 TD
-0.0004 Tc
[(18) 16.1000003815 (13) -487.200012207 ([3) 13.6999998093 (].) -495.8999938965 (L) -11.1000003815 (a) -0.400000006 (r) 17.5 (r) -0.400000006 (e) 17.5 (y) -502.1000061035 (i) 10.8000001907 (n) -0.400000006 (t) 17.3999996185 (r) -0.400000006 (o) 15.3000001907 (d) -0.400000006 (u) 18.7000007629 (c) -0.400000006 (e) 14.3000001907 (d) -499.1000061035 (th) 18 (e) -513.700012207 (c) -0.400000006 (o) 17.8999996185 (n) -0.400000006 (c) 15.1000003815 (e) 12.6999998093 (pt) -495.299987793 (th) 18 (at) -492.5 (th) 18 (e) ] TJ
22.7525005341 20.8202991486 TD
0 Tc
[(ph) 19.1000003815 (ys) 16.2999992371 (i) 11.1999998093 (o) 0 (l) 16.3999996185 (o) 0 (g) 15.5 (i) 11.1999998093 (c) -293.5 (r) 0 (e) 17.8999996185 (s) 0 (p) 19.2999992371 (o) 10.8999996185 (ns) 17.2000007629 (e) -293.5 (t) 0 (o) -280.299987793 (c) 0 (o) 18.2000007629 (l) 0 (d) -285 (i) 11.1999998093 (nj) 21 (ur) 13.5 (i) 11.1999998093 (e) 0 (s) -284.5 (w) 0 (a) 10.1000003815 (s) -291.8999938965 (si) 20.2000007629 (mi) 17 (la) 18.6000003815 (r) -290.299987793 (t) 0 (o) -286.1000061035 (t) 0 (h) 18.3999996185 (a) 0 (t) -283.8999938965 (o) 10.8999996185 (f) ] TJ
0 -1.2264000177 TD
[(b) 10.8999996185 (u) 0 (r) 13.5 (n) -408.299987793 (i) 11.1999998093 (n) 0 (j) 15.1999998093 (u) 0 (r) 19.2999992371 (i) 11.1999998093 (es) -406 (a) 13.1000003815 (n) 0 (d) -403.799987793 (rec) 13.6000003815 (o) 10.8999996185 (g) 0 (n) 18.6000003815 (i) 0 (z) 14.3999996185 (e) 13.1000003815 (d) -412 (t) 0 (h) 18.3999996185 (a) 0 (t) -405.3999938965 (w) 0 (a) 15.8999996185 (r) 0 (m) 16.2999992371 (i) 11.1999998093 (ng) -409.5 (fr) 18.1000003815 (oz) 14 (e) 13.1000003815 (n) -414.1000061035 (ti) 20.7999992371 (ss) 18 (ue) ] TJ
T*
[(was) -252.8000030518 (ad) 17.7000007629 (va) 14.1000003815 (nt) 17.7999992371 (ag) 17.7000007629 (eo) 18.2000007629 (us) -254.1999969482 (f) 13.3000001907 (o) 0 (r) -256.200012207 (r) 0 (e) 12.1000003815 (c) 0 (o) 12.5 (v) 12.6000003815 (er) 17.8999996185 (y.) ] TJ
0.8156999946 -1.220600009 TD
[(Today) -9.6000003815 (,) -765.5 (the) -766.799987793 (pres) -9.1000003815 (entation) -772.200012207 (of) -768.299987793 (frostbite) -763.799987793 (is) -766.5999755859 (inc) -7.9000000954 (rea) -15.3000001907 (sing) ] TJ
-0.8156999946 -1.2264000177 TD
[(within) -497.700012207 (the) -500.700012207 (civilian) -498.1000061035 (population,) -498.799987793 (in) -489.6000061035 (particu) -10 (lar) -491.5 (those) -492.3999938965 (who) ] TJ
T*
[(partak) -10.1999998093 (e) -305.1000061035 (i) 0 (n) -310.299987793 (winter) -314.799987793 (sport) -13.3000001907 (s) -309.200012207 (such) -313.299987793 (a) -10 (s) -309.200012207 (skiing) -22.7000007629 (,) -308.3999938965 (hiking) -28.6000003815 (,) -308.3999938965 (mount) -8.8999996185 (ain) ] TJ
0 -1.220600009 TD
[(and) -465.8999938965 (ice) -477.3999938965 (climbin) -9.3000001907 (g) -458.200012207 ([) -2 (4].) -464.1000061035 (The) -457.6000061035 (outdoo) -13.8000001907 (rs) -460.700012207 (is) -465.700012207 (more) -463 (acce) -11.1999998093 (ssible,) ] TJ
0 -1.2264000177 TD
[(and) -298.1000061035 (individua) -12.8999996185 (ls) -292.200012207 (with) -303.1000061035 (limited) -303.5 (experience) -12.5 (/inadeq) -9.3000001907 (uate) -302.5 (prep-) ] TJ
T*
[(aration) -513.299987793 (and) -506.299987793 (prote) -14.8999996185 (ction) -513.799987793 (find) -506.5 (them) -9 (selves) -510.5 (at) -503.700012207 (risk) -504.799987793 (of) -508 (cold) ] TJ
0 -1.220600009 TD
[(therm) -10.1000003815 (al) -299.6000061035 (injury) -311.299987793 ([5].) -302.1000061035 (V) 56.4000015259 (agrancy,) -313.6000061035 (homeless) -11.6999998093 (ness) -24.3999996185 (,) -302.700012207 (industria) -12.1000003815 (l) -301.200012207 (in-) ] TJ
0 -1.2264000177 TD
[(jury) -446.5 (and) -448.5 (malf) -8.6999998093 (unctioni) -11.3000001907 (ng) -444.200012207 (or) -447.1000061035 (misuse) -452.299987793 (of) -444.3999938965 (equi) -8.6000003815 (pment) -450.5 (using) ] TJ
T*
[(NO) -304.3999938965 (or) -302.5 (CO) ] TJ
7.3499999046 0 0 6.5324001312 348.8313903809 231.1369018555 Tm
(2) Tj
9.7999000549 0 0 9.7999000549 355.4645080566 232.724395752 Tm
0.0001 Tc
[(have) -293.700012207 (also) -308.5 (been) -307.3999938965 (described) -308.8999938965 ([6,) -5 (7].) ] TJ
-4.3618998528 -1.220600009 TD
0 Tc
[(Sev) 15 (er) 17.8999996185 (i) 11.1999998093 (t) 0 (y) -416.8999938965 (o) 10.8999996185 (f) -420.6000061035 (i) 0 (n) 13.6999998093 (j) 12.8000001907 (ur) 19.2999992371 (y) -426.5 (d) 0 (e) 17.7000007629 (p) 0 (e) 17.7000007629 (n) 0 (d) 18.5 (s) -419.1000061035 (on) -414.799987793 (fa) 14.8999996185 (c) 13.1000003815 (t) 0 (o) 14.6999998093 (r) 0 (s) -414.3999938965 (s) 0 (u) 17.7999992371 (c) 0 (h) -412 (a) 0 (s) -423.3999938965 (a) 0 (b) 12.5 (s) 14.8000001907 (ol) 16.3999996185 (ut) 18.3999996185 (e) ] TJ
-0.8156999946 -1.2264000177 TD
[(te) 16.8999996185 (m) 11.5 (p) 0 (e) 11.8999996185 (r) 0 (a) 23.7000007629 (t) 0 (u) 12.6000003815 (r) 0 (e) 17.8999996185 (,) -563 (wi) 14 (n) 14 (d) -568.200012207 (ch) 16.1000003815 (i) 11.1999998093 (l) 0 (l) 16.7000007629 (,) -563 (du) 13.3000001907 (ra) 17.8999996185 (ti) 20.7999992371 (on) -559.4000244141 (o) 10.8999996185 (f) -565.200012207 (ex) 16.2000007629 (po) 15.5 (su) 17.7000007629 (re) 17.8999996185 (,) -563 (w) 0 (e) 15.8999996185 (t) 0 (/) 14.8999996185 (d) 0 (r) 20.8999996185 (y) ] TJ
T*
[(co) 18.2000007629 (ld) 15.8000001907 (,) -389.3999938965 (i) 0 (m) 17 (m) 0 (e) 18.8999996185 (r) 0 (s) 13.6999998093 (i) 11.1999998093 (o) 10.8999996185 (n) 0 (,) -387 (c) 13.1000003815 (lo) 16.3999996185 (th) 18.3999996185 (in) 13.6999998093 (g) -388.799987793 (q) 0 (u) 19.1000003815 (a) 0 (l) 18.6000003815 (i) 0 (t) 15.1000003815 (y) -391.799987793 (an) 15.5 (d) -388.799987793 (p) 0 (a) 17.7000007629 (t) 0 (i) 15.1000003815 (e) 0 (n) 21.2999992371 (t) -395.299987793 (co) 18.2000007629 (mo) 16.7000007629 (rb) 15.6999998093 (i) 11.1999998093 (d) 0 (i) 15.8000001907 (-) ] TJ
0 -1.220600009 TD
[(ti) 20.8999996185 (es) -255.6000061035 (su) 17.7000007629 (ch) -250 (as) -267.200012207 (sm) 20.5 (o) 10.8999996185 (k) 0 (i) 13.6999998093 (n) 14 (g) -12.6999998093 (,) -262.200012207 (pe) 17.7000007629 (ri) 16 (ph) 19.1000003815 (er) 17.8999996185 (al) -253.3000030518 (v) 12.6000003815 (asc) 17.8999996185 (ul) 14.1999998093 (ar) -248.1999969482 (di) 15.8000001907 (se) 16.2999992371 (as) 10.5 (e,) -254.8000030518 (ne) 15.5 (ur) 19.2999992371 (o) 10.8999996185 (p) 0 (a) 17.7000007629 (-) ] TJ
0 -1.2264000177 TD
[(th) 18.3999996185 (ie) 18.6000003815 (s) -14.1999998093 (,) -441.5 (Ray) 15.3999996185 (na) 15.5 (ud) 19.1000003815 ('s) -438.799987793 (di) 21.6000003815 (se) 16.2999992371 (ase) 17.8999996185 (,) -447.299987793 (m) 11.5 (en) 15.5 (ta) 16.8999996185 (l) -445.799987793 (h) 0 (e) 21.8999996185 (a) 0 (l) 12.8000001907 (t) 0 (h) -432.799987793 (i) 0 (s) 14.3999996185 (s) 14.8000001907 (ue) 16.1000003815 (s) -14.1999998093 (,) -441.5 (su) 17.7000007629 (bs) 14.1000003815 (ta) 16.8999996185 (nc) 21.2999992371 (e) ] TJ
T*
-0.0006 Tc
[(ab) 17.6000003815 (us) 17.1000003815 (e) -317.200012207 (a) -0.6000000238 (n) 14.8999996185 (d) -320 (de) 17.1000003815 (m) 10.8999996185 (e) -0.6000000238 (n) 14.8999996185 (t) -0.6000000238 (i) 20.2000007629 (a) -317.200012207 ([1) 13.5 (,4) 13.5 (,) 9.1000003815 (8) -0.6000000238 (,) 17.3999996185 (9) -0.6000000238 (]) 17.2999992371 (.) -320.6000061035 (Al) 18.6000003815 (co) 17.6000003815 (ho) 13.3000001907 (l) -313.299987793 (c) -0.6000000238 (o) 11.8999996185 (n) 13.3999996185 (su) 17.1000003815 (mp) 15.5 (ti) 14.5 (o) 10.3000001907 (n) -316.3999938965 (is) -310.1000061035 (po) 14.8999996185 (-) ] TJ
0 -1.220600009 TD
0 Tc
[(te) 16.8999996185 (nt) 17.7999992371 (i) 11.1999998093 (a) 0 (l) 18.6000003815 (l) 0 (y) -588.9000244141 (p) 0 (a) 17.7000007629 (r) 0 (t) 20.1000003815 (i) 11.1999998093 (cu) 16.1000003815 (l) 11.1999998093 (a) 0 (r) 17.8999996185 (l) 0 (y) -583.0999755859 (dev) 12.8999996185 (as) 10.5 (ta) 16.8999996185 (ti) 15.1000003815 (ng) -583 (as) -596.9000244141 (i) 11.1999998093 (t) -592 (ca) 14.6999998093 (us) 17.7000007629 (e) 13.1000003815 (s) -592.700012207 (he) 16.1000003815 (at) -584.700012207 (lo) 16.3999996185 (ss) ] TJ
0 -1.2264000177 TD
[(th) 18.3999996185 (ro) 15.6999998093 (ug) 19.2000007629 (h) -355.700012207 (p) 0 (e) 17.7000007629 (r) 0 (i) 16 (p) 0 (h) 19.1000003815 (e) 0 (r) 17.8999996185 (a) 0 (l) -345.8999938965 (vas) 17.2999992371 (od) 15.5 (i) 11.1999998093 (l) 11.1999998093 (a) 0 (t) 16.8999996185 (a) 0 (t) 16.8999996185 (i) 0 (o) 16.3999996185 (n) -356.299987793 (an) 15.5 (d) -354.1000061035 (a) 0 (l) 18.6000003815 (s) 0 (o) -350.3999938965 (i) 11.1999998093 (m) 11.5 (p) 0 (a) 17.7000007629 (i) 0 (r) 16 (s) -355.5 (j) 12.8000001907 (u) 0 (d) 13.3000001907 (g) 0 (e) 17.7000007629 (-) ] TJ
T*
[(me) 18.8999996185 (nt) 17.7999992371 (.) -395.200012207 (T) 18.1000003815 (hi) 14.1999998093 (s) -390.200012207 (m) 0 (a) 13.1000003815 (y) -391.799987793 (af) 14.8999996185 (fec) 16.3999996185 (t) -395.299987793 (t) 0 (h) 18.3999996185 (e) -397.6000061035 (i) 11.1999998093 (n) 0 (d) 18.5 (i) 0 (v) 18 (i) 0 (d) 15.8000001907 (u) 0 (a) 16.1000003815 (l) 11.1999998093 ('s) -386.700012207 (ab) 18.2000007629 (i) 11.1999998093 (l) 0 (i) 16.7000007629 (t) 0 (y) -388 (t) 0 (o) -384.3999938965 (s) 0 (e) 16.2999992371 (e) 0 (k) -389.3999938965 (a) 0 (d) 17.7000007629 (-) ] TJ
0 -1.220600009 TD
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/T 7 0 R
/V 78 0 R
>>
endobj
80 0 obj
<<
/Length 322 0 R
>>
stream
q
/GS1 gs
BT
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 696.92578125 Tm
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0 Tw
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0 -1.220600009 TD
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0 -1.2264000177 TD
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[(ported) -494.1000061035 (injuries) -495.5 ([10,11].) -494.700012207 (F) -1.7999999523 (ro) ] TJ
11.3212995529 0 TD
-0.0192000009 Tc
[(st) 7.8000001907 (bite) -509.3999938965 (can) -496.8999938965 (also) -500 (affe) -19.2000007629 (ct) -495.5 (the) -497.799987793 (f) -0.1000000015 (ace) ] TJ
-11.3212995529 -1.2264000177 TD
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[(\(nose,) -413.5 (chin,) -413.5 (earlobes) -18.2999992371 (,) -416.1000061035 (c) -5.1999998093 (h) 2 (eek) -18.2999992371 (s) -406 (a) ] TJ
12.4956998825 0 TD
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[(nd) -411.799987793 (li) 5.5999999046 (ps) 3.2999999523 (\),) -412.3999938965 (butt) 4 (ock) -17.2000007629 (s) 5.8000001907 (/p) 4.6999998093 (erineum) ] TJ
-12.4956998825 -1.220600009 TD
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[(\(from) -307.6000061035 (s) 2.2000000477 (itting) -302.8999938965 (on) -305.1000061035 (metal) -302.1000061035 (s) -3.5 (eat) -18.2999992371 (s) 6.0999999046 (\)) -303.700012207 (and) -303 (p) -2.2000000477 (enis) -304.3999938965 (\(jogge) -5.1999998093 (rs) -304.3999938965 (and) -303 (N) 1.2000000477 (ordic) ] TJ
0 -1.2264000177 TD
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T*
-0.0188999996 Tc
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0 -1.220600009 TD
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0 -1.2264000177 TD
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[(studies) -599.700012207 (s) 1.8999999762 (h) -4 (o) 3.9000000954 (w) -600.0999755859 (t) -3.2000000477 (ha) -5.5 (t) -599.0999755859 (f) 0.5 (ros) -3.7999999523 (t) 14.1000003815 (bite) -601.299987793 (is) -599.700012207 (unc) -5.5 (o) 3.9000000954 (mmon) -600.5 (i) 4.1999998093 (n) -600.5 (t) -3.2000000477 (hes) -3.7999999523 (e) -595.5 (a) -5.5 (g) 3.4000000954 (e) ] TJ
T*
-0.0156999994 Tc
[(gr) 6.4000000954 (ou) 4.5999999046 (ps) -400.1000061035 (an) 4.0999999046 (d) -398.700012207 (i) 1.2999999523 (n) 4.0999999046 (s) -0.8999999762 (t) 5.5 (e) 3.2000000477 (ad) -398.700012207 (is) -400.1000061035 (se) 3.2000000477 (e) 3.2000000477 (n) -400.8999938965 (mor) 6.4000000954 (e) -413.299987793 (c) 3.2000000477 (o) 1 (mmon) 4.0999999046 (l) 1.2999999523 (y) -401.700012207 (i) 1.2999999523 (n) -400.8999938965 (a) 3.2000000477 (du) 4.6999998093 (lt) -15.6999998093 (s) -396.299987793 (b) 6.8000001907 (e-) ] TJ
0 -1.220600009 TD
-0.0178999994 Tc
[(tween) -391.5 (the) -386.6000061035 (a) -4.8000001907 (ge) -4.8000001907 (s) -385 (o) -1.2000000477 (f) -386.3999938965 (3) -3.7999999523 (0) -385.700012207 (a) 1 (nd) -389.3999938965 (49) -385.700012207 (y) -4.8000001907 (ears) -17.8999996185 (,) -386.799987793 (most) -390.1000061035 (likely) -386.6000061035 (d) -1.7999999523 (ue) -386.6000061035 (to) -388.799987793 (in-) ] TJ
0 -1.2264000177 TD
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[(crea) -18.8999996185 (s) 9 (e) -5.8000001907 (d) -268.8999938965 (e) 0 (x) -4.3000001907 (p) 3 (osu) -4.3000001907 (r) 3.2000000477 (e) -271.8999938965 (t) -3.5 (o) -268.299987793 (c) -5.8000001907 (old) -274.700012207 (o) 3.5999999046 (r) -274.5 (r) 3.2000000477 (isk) 18.2999992371 (-) -2 (ta) -5.8000001907 (kin) -4.9000000954 (g) -268.799987793 (beh) -4.3000001907 (a) 11.6000003815 (viour) -268.700012207 ([) -3.5 (10,11].) ] TJ
0.8156999946 -1.2264000177 TD
0 Tc
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-0.8156999946 -1.220600009 TD
[(fr) 18.1000003815 (o) 10.8999996185 (m) -405 (co) 18.2999992371 (m) 11.5 (p) 0 (l) 15.8000001907 (e) 0 (t) 16.8999996185 (e) -403.3999938965 (re) 17.8999996185 (so) 19.8999996185 (l) 11.1999998093 (u) 0 (t) 12.6000003815 (i) 11.1999998093 (o) 10.8999996185 (n) -402.5 (wi) 19.7999992371 (th) 12.6000003815 (o) 10.8999996185 (u) 0 (t) -403.8999938965 (s) 0 (i) 20.2000007629 (g) 0 (n) 18.6000003815 (i) 0 (f) 18.7999992371 (i) 0 (c) 18.6000003815 (a) 0 (n) 15.5 (t) -412.700012207 (se) 16.2999992371 (qu) 19.1000003815 (el) 18.6000003815 (ae) -390.299987793 (to) ] TJ
0 -1.2264000177 TD
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T*
[(On) 19.7999992371 (ce) -448.1000061035 (in) -449.1000061035 (th) 18.3999996185 (e) -461.299987793 (h) 0 (o) 19.7000007629 (s) 0 (p) 19.2999992371 (i) 0 (t) 15.1000003815 (a) 0 (l) -450 (s) 14.8000001907 (et) 16.8999996185 (ti) 15.1000003815 (ng,) -457.6000061035 (th) 18.3999996185 (e) -461.200012207 (b) 10.8999996185 (es) 16.2999992371 (t) -459 (o) 10.8999996185 (ut) 18.3999996185 (co) 18.2000007629 (me) 13.1000003815 (s) -453.799987793 (w) 0 (i) 14 (l) 11.1999998093 (l) -457.299987793 (b) 10.8999996185 (e) ] TJ
0 -1.220600009 TD
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0 -1.2264000177 TD
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T*
[(cu) 16.1000003815 (rr) 21.1000003815 (en) 15.5 (t) -615.200012207 (f) 0 (r) 18.1000003815 (o) 0 (s) 14.1000003815 (t) 21.2000007629 (bi) 16.3999996185 (te) -607.799987793 (li) 16.7000007629 (te) 16.8999996185 (ra) 17.8999996185 (tu) 18.3999996185 (re) 17.8999996185 (,) -620.799987793 (c) 13.1000003815 (las) 16 (si) 14.3999996185 (f) 13.3000001907 (i) 0 (c) 18.6000003815 (a) 0 (t) 16.8999996185 (i) 0 (o) 16.3999996185 (n) -622.4000244141 (s) 14.8000001907 (t) 0 (r) 14.3999996185 (a) 0 (t) 16.8999996185 (e) 0 (g) 17.7000007629 (i) 11.1999998093 (es) -608.5 (an) 15.5 (d) ] TJ
0 -1.220600009 TD
[(rec) 13.6000003815 (o) 10.8999996185 (m) 0 (m) 17.2999992371 (e) 0 (n) 15.5 (d) 0 (a) 17.7000007629 (t) 0 (i) 20.7999992371 (o) 0 (n) 19.1000003815 (s) -286.1000061035 (fo) 12.6999998093 (r) -284.5 (m) 11.5 (an) 15.5 (ag) 17.7000007629 (em) 18.8999996185 (en) 15.5 (t) -285.3999938965 (o) 10.8999996185 (f) -287.5 (f) 0 (r) 18.1000003815 (o) 0 (s) 19.8999996185 (t) 15.3999996185 (b) 10.8999996185 (i) 0 (t) 15.1000003815 (e) -287.700012207 (i) 11.1999998093 (n) -286.799987793 (th) 18.3999996185 (e) -287.700012207 (h) 0 (o) 19.7000007629 (s) 0 (-) ] TJ
0 -1.2264000177 TD
[(pi) 15.8000001907 (ta) 16.8999996185 (l) -260.700012207 (s) 14.8000001907 (et) 16.8999996185 (ti) 15.1000003815 (ng) 18.6000003815 (.) ] TJ
/F9 1 Tf
9.2000999451 0 0 9.2000999451 56.6929016113 432.9637145996 Tm
[(Literatur) -13.1999998093 (e) -296.1000061035 (search) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 420.9447937012 Tm
-0.0176999997 Tc
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T*
0 Tc
[(l) 11.1999998093 (i) 0 (s) 14.3999996185 (h) 0 (e) 21.8999996185 (d) -284.700012207 (b) 10.8999996185 (e) 0 (t) 16.8999996185 (w) 0 (e) 15.8999996185 (e) 0 (n) -273.700012207 (J) 17 (a) 13.1000003815 (n) 0 (u) 17 (a) 0 (r) 17.8999996185 (y) -281.8999938965 (19) 16.5 (69) -272.700012207 (an) 21.2999992371 (d) -284.700012207 (J) 11.1999998093 (ul) 14.1999998093 (y) -281.8999938965 (2) 14.1000003815 (01) 16.5 (3) -281 (was) -275.8999938965 (pe) 17.7000007629 (rf) 18.1000003815 (o) 10.8999996185 (r) 0 (m) 16.2999992371 (e) 0 (d) ] TJ
0 -1.220600009 TD
[(us) 17.7000007629 (i) 11.1999998093 (n) 0 (g) -455.799987793 (P) 0 (u) 15.3999996185 (b) 10.8999996185 (Me) 14.5 (d) -464 (\() 0 (r) 20.1000003815 (e) 0 (s) 16.2999992371 (t) 0 (r) 20.1000003815 (i) 11.1999998093 (ct) 16.8999996185 (ed) -456.700012207 (to) -453.799987793 (th) 18.3999996185 (e) -467 (E) 12.3999996185 (ng) 18.6000003815 (li) 16.7000007629 (sh) -456.6000061035 (l) 11.1999998093 (a) 0 (n) 15.5 (g) 0 (u) 19.2000007629 (a) 0 (g) 17.7000007629 (e) 0 (\)) -457.3999938965 (w) 0 (i) 19.7999992371 (t) 0 (h) ] TJ
0 -1.2264000177 TD
[(ke) 15.6000003815 (y) 13.1000003815 (w) 0 (o) 13.6999998093 (r) 0 (d) 20.8999996185 (s) ] TJ
/F7 1 Tf
4.3502998352 0 TD
<91> Tj
/F5 1 Tf
0.1735000014 0 TD
[(fr) 18.1000003815 (os) 14.1000003815 (t) 21.2000007629 (b) 10.8999996185 (it) 15.1000003815 (e) ] TJ
/F7 1 Tf
3.3552999496 0 TD
<92> Tj
/F5 1 Tf
T*
(,) Tj
/F7 1 Tf
0.5784999728 0 TD
<91> Tj
/F5 1 Tf
0.1792999953 0 TD
-0.0148999998 Tc
[(fr) -14.8999996185 (os) -14.8999996185 (t) 15.1999998093 (b) -14.8999996185 (it) -14.8999996185 (e) -512.799987793 (m) -14.8999996185 (an) -14.8999996185 (a) 6.4000000954 (g) -14.8999996185 (em) -14.8999996185 (en) -14.8999996185 (t) ] TJ
/F7 1 Tf
9.1402997971 0 TD
0 Tc
<92> Tj
/F5 1 Tf
0.6595000029 0 TD
[(an) 15.5 (d) ] TJ
/F7 1 Tf
2.0248000622 0 TD
<91> Tj
/F5 1 Tf
0.1735000014 0 TD
[(fr) 18.1000003815 (ee) 14.6999998093 (zi) 20.1000003815 (ng) ] TJ
-20.6352005005 -1.2264000177 TD
[(co) 18.2000007629 (ld) -313.8999938965 (in) 13.6999998093 (j) 12.8000001907 (u) 0 (r) 19.2999992371 (y) ] TJ
/F7 1 Tf
4.4254999161 0 TD
<92> Tj
/F5 1 Tf
0.1908999979 0 TD
[(.) -320 (T) 18.1000003815 (he) -319.3999938965 (se) 16.2999992371 (a) 13.1000003815 (r) 0 (c) 17.8999996185 (h) -326.799987793 (i) 11.1999998093 (n) 0 (c) 15.5 (l) 11.1999998093 (ud) 13.3000001907 (e) 13.1000003815 (d) -325.200012207 (bo) 16 (th) -317.200012207 (hu) 17.5 (ma) 18.8999996185 (n) -327.299987793 (a) 0 (n) 21.2999992371 (d) -325.200012207 (an) 15.5 (i) 11.1999998093 (m) 0 (a) 13.1000003815 (l) ] TJ
-4.6164999008 -1.220600009 TD
[(st) 18.6000003815 (ud) 19.1000003815 (ie) 12.8000001907 (s) -8.3999996185 (,) -377.8999938965 (or) 15.6999998093 (i) 11.1999998093 (g) 0 (i) 15.8999996185 (n) 0 (a) 15.5 (l) -376.3999938965 (re) 17.8999996185 (se) 16.2999992371 (ar) 17.8999996185 (ch) 16.1000003815 (,) -377.8999938965 (cas) 17.8999996185 (e) -380.299987793 (s) 0 (e) 16.2999992371 (r) 0 (i) 16 (e) 13.1000003815 (s/) 14.3000001907 (re) 17.8999996185 (po) 21.2999992371 (rts,) -383.5 (rev) 13.1000003815 (i) 11.1999998093 (e) 0 (w) -371.700012207 (a) 0 (r) 17.8999996185 (t) 0 (i) 15.1000003815 (-) ] TJ
0 -1.2264000177 TD
[(cl) 18.6000003815 (es) -400.200012207 (an) 15.5 (d) -406.200012207 (g) 0 (u) 13.3999996185 (i) 11.1999998093 (de) 17.7000007629 (l) 11.1999998093 (i) 0 (n) 13.6999998093 (e) 13.1000003815 (s.) -403.6000061035 (P) 12.3999996185 (r) 0 (i) 16 (o) 10.8999996185 (ri) 16 (ty) -399.6000061035 (was) -403.200012207 (gi) 15.8999996185 (v) 12.6000003815 (e) 0 (n) -401 (t) 0 (o) -401.799987793 (h) 0 (u) 17.5 (m) 0 (a) 13.1000003815 (n) -408.299987793 (st) 18.6000003815 (ud) 19.1000003815 (i) 11.1999998093 (e) 0 (s) ] TJ
T*
[(an) 15.5 (d) -255.8000030518 (m) 0 (o) 16.6000003815 (r) 0 (e) -254 (r) 0 (e) 12.1000003815 (c) 0 (e) 14.6999998093 (n) 0 (t) -248.3000030518 (p) 0 (u) 13.3000001907 (b) 10.8999996185 (l) 11.1999998093 (i) 0 (c) 12.8000001907 (a) 13.1000003815 (ti) 15.1000003815 (o) 10.8999996185 (n) 0 (s) -248.8999938965 (s) 0 (i) 14.3999996185 (n) 0 (c) 21.2999992371 (e) -264.6000061035 (2) 14.1000003815 (0) 0 (0) 16.5 (5) 0 (.) -248.1000061035 (T) 18.1000003815 (he) -255.8000030518 (st) 18.6000003815 (ud) 19.1000003815 (i) 11.1999998093 (e) 0 (s) -249.8000030518 (w) 0 (e) 15.8999996185 (r) 0 (e) ] TJ
0 -1.220600009 TD
[(i) 11.1999998093 (d) 0 (e) 17.7000007629 (n) 0 (t) 17.7999992371 (i) 0 (f) 18.7999992371 (i) 0 (e) 12.8000001907 (d) -452.5 (by) -450.299987793 (ti) 15.1000003815 (tl) 20.8999996185 (e) -461.299987793 (a) 0 (n) 15.5 (d) -458.200012207 (a) 13.1000003815 (b) 0 (s) 14.1000003815 (t) 0 (r) 20.1000003815 (a) 0 (c) 14.6999998093 (t) -459 (a) 13.1000003815 (n) 0 (d) -450 (s) 0 (c) 16.2999992371 (r) 0 (e) 17.8999996185 (e) 0 (n) 21.2999992371 (e) 0 (d) -450.8999938965 (b) 0 (y) -450.299987793 (t) 0 (h) 18.3999996185 (e) -461.200012207 (au) 16.1000003815 (-) ] TJ
0 -1.2264000177 TD
[(th) 18.3999996185 (or) 15.6999998093 (s;) -253.1999969482 (re) 17.8999996185 (l) 11.1999998093 (eva) 15.6000003815 (nt) -248.3000030518 (cr) 17.8999996185 (os) 14.1000003815 (s-r) 19.1000003815 (ef) 14.8999996185 (e) 13.1000003815 (r) 0 (e) 17.8999996185 (n) 0 (c) 15.5 (e) 0 (s) -255.6000061035 (w) 0 (e) 21.7000007629 (r) 0 (e) -254 (a) 0 (d) 17.7000007629 (d) 0 (e) 17.7000007629 (d) 0 (.) ] TJ
/F9 1 Tf
9.2000999451 0 0 9.2000999451 56.6929016113 288.9637145996 Tm
[(Recomme) -11.6999998093 (ndation) -305.700012207 (grade) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 276.9448852539 Tm
-0.0184000004 Tc
[(U) 10.6000003815 (s) -3.5999999046 (ing) -274.1000061035 (t) 2.7999999523 (he) -277.200012207 (criteria) -271.3999938965 (def) -5.0999999046 (i) 4.4000000954 (ned) -268.3999938965 (b) -1.7000000477 (y) -265.6000061035 (t) -3 (he) -271.3999938965 (Ame) -5.3000001907 (r) 3.7000000477 (ican) -270.5 (Colle) -5.3000001907 (g) 3.5999999046 (e) -271.3999938965 (o) -1.7000000477 (f) -265.3999938965 (C) -0.8999999762 (hest) ] TJ
T*
[(Physicians) -431.799987793 (\(A) 6.9000000954 (CCP\),) -431.1000061035 (eac) -5.4000000954 (h) -426.200012207 (f) -5.1999998093 (orm) -429.299987793 (o) -1.7999999523 (f) -427.5 (i) -1.5 (nter) -31.1000003815 (vention) -426.799987793 (w) -4.0999999046 (a) -18.5 (s) -418.700012207 (attrib-) ] TJ
0 -1.220600009 TD
-0.0182000007 Tc
[(uted) -366.5 (a) -369.5 (r) 3.9000000954 (e) -18.2000007629 (c) 2.2999999523 (omme) -5.0999999046 (ndation) -368.700012207 (g) 3.7999999523 (rade) -363.700012207 (where) -369.5 (a) 0.6999999881 (ppropria) -5.0999999046 (te.) -367.1000061035 (For) -366.299987793 (fur) 21.2999992371 (-) ] TJ
0 -1.2264000177 TD
-0.0174000002 Tc
[(ther) -267.200012207 (details) -268.799987793 (o) 5.0999999046 (n) -269.5 (the) -282 (c) 1.5 (rit) 3.7999999523 (e) 1.5 (ria) -17.3999996185 (,) -272.200012207 (p) 4.5 (l) -0.400000006 (ea) -17.3999996185 (s) 4.6999998093 (e) -270.3999938965 (r) 4.6999998093 (e) 1.5 (fer) -267.200012207 (t) -2 (o) -266.799987793 (T) 93.1999969482 (able) -270.3999938965 (1) -269.5 ([) 3.7999999523 (12]) 3.7999999523 (.) ] TJ
/F9 1 Tf
9.2000999451 0 0 9.2000999451 56.6929016113 204.9447937012 Tm
0 Tc
[(Pre-hospit) -12.6999998093 (al) -302.200012207 (care) -301.5 (and) -303.3999938965 (prevent) -11.5 (ion) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 192.925994873 Tm
-0.0185000002 Tc
[(Pre) -18.5 (v) 7.1999998093 (ention) -559.9000244141 (is) -559.0999755859 (alwa) -5.4000000954 (ys) -553.299987793 (preferable,) -552.5999755859 (a) -5.4000000954 (nd) -557.700012207 (education) -554.0999755859 (o) -1.7999999523 (f) -554.799987793 (t) -3.0999999046 (hose) ] TJ
0 -1.220600009 TD
-0.0176999997 Tc
[(wo) 4.8000001907 (rking) -435.3999938965 (o) 4.8000001907 (r) -435.200012207 (r) 4.4000000954 (e) -17.7000007629 (c) 2.7999999523 (r) 4.4000000954 (e) 1.2000000477 (ating) -429.6000061035 (i) -0.6999999881 (n) -431.799987793 (c) 1.2000000477 (old) -429.700012207 (e) -4.5999999046 (nvir) 4.4000000954 (onment) -17.7000007629 (s) -421.3999938965 (s) -2.9000000954 (hould) -429.700012207 (f) -4.4000000954 (o) 4.8000001907 (c) -4.5999999046 (us) ] TJ
0 -1.2264000177 TD
-0.0181000009 Tc
[(on) -328.1000061035 (modification) -328.1000061035 (o) -1.3999999762 (f) -328.700012207 (r) -1.7999999523 (isk) -328 (f) 1 (actors) -18.1000003815 (,) -329.1000061035 (sele) -18.1000003815 (c) 8.1000003815 (t) 3.0999999046 (ion) -328.1000061035 (a) 0.8000000119 (nd) -331.700012207 (use) -323.200012207 (o) -1.3999999762 (f) -328.700012207 (p) -2 (roper) ] TJ
0 -1.220600009 TD
-0.0188999996 Tc
[(cloth) -4.3000001907 (i) -1.8999999762 (ng) -18.8999996185 (,) -345.8999938965 (o) -2.2000000477 (ptima) -5.8000001907 (l) -343.200012207 (nutrition) -346.200012207 (a) ] TJ
11.5005998611 0 TD
-0.0181000009 Tc
[(nd) -343.299987793 (hy) -5 (dration) -345.3999938965 ([) 3.0999999046 (4].) -343.8999938965 (T) 11.5 (hose) -340.5 (w) -3.7000000477 (o) 4.4000000954 (rk) 19.1000003815 (-) ] TJ
-11.5005998611 -1.2264000177 TD
[(ing) -349 (w) -3.7000000477 (i) 4.6999998093 (t) -2.7000000477 (h) -350.6000061035 (e) 0.8000000119 (quipment) -349.799987793 (that) -349.799987793 (uses) -350.3999938965 (coolant) -361.3999938965 (s) -3.2999999523 (uch) -350.6000061035 (a) -18.1000003815 (s) -343.1000061035 (liqui) 4.6999998093 (d) -354.8999938965 (n) 1.7000000477 (itro-) ] TJ
T*
0.280400008 Tc
[(g) 296.6000061035 (e) 299.299987793 (no) 297.1000061035 (rc) 299.299987793 (a) 293.5 (r) 302.5 (b) 297.1000061035 (o) 297.1000061035 (n) -0.6000000238 (d) 296.5 (i) 303.200012207 (o) 297.1000061035 (x) 295 (i) 303.200012207 (d) 296.5 (es) 300.8999938965 (h) 295 (o) 297.1000061035 (u) 300.700012207 (l) 297.3999938965 (da) 293.5 (l) 303.200012207 (s) 295.200012207 (oh) 295 (a) 310.8999938965 (v) 298.700012207 (ea) 293.5 (d) 302.299987793 (e) 299.299987793 (q) 296.5 (u) 295 (a) 299.299987793 (t) 301.6000061035 (ee) 293.5 (d) 302.299987793 (u) 295 (c) 299.299987793 (a) 299.299987793 (t) 295.799987793 (i) 303.200012207 (o) 297.1000061035 (n) ] TJ
0 -1.220600009 TD
-0.0175000001 Tc
[(in) -269.6000061035 (safe) -270.5 (handli) 5.3000001907 (ng) -267.3999938965 (of) -270.299987793 (such) -269 (product) -17.5 (s) 6.9000000954 (.) ] TJ
0.8156999946 -1.2264000177 TD
0 Tc
[(Wh) 18 (il) 16.7000007629 (st) -357.3999938965 (pr) 20.8999996185 (e-) 18.3999996185 (ho) 13.8999996185 (sp) 19.2999992371 (i) 11.1999998093 (t) 0 (a) 16.8999996185 (l) -364.799987793 (ca) 14.6999998093 (re) -352.3999938965 (is) -355.799987793 (no) 13.3000001907 (t) -360.6000061035 (t) 0 (h) 12.6000003815 (e) -362.8999938965 (fo) 18.3999996185 (cu) 16.1000003815 (s) -367.1000061035 (o) 10.8999996185 (f) -368.5 (t) 0 (h) 18.3999996185 (i) 11.1999998093 (s) -367.1000061035 (a) 13.1000003815 (rt) 14.3999996185 (i) 11.1999998093 (c) 0 (l) 18.6000003815 (e) 0 (,) ] TJ
-0.8156999946 -1.2264000177 TD
[(ke) 15.6000003815 (y) -438.1000061035 (f) 13.3000001907 (ie) 12.8000001907 (l) 11.1999998093 (d) -435.1000061035 (ma) 13.1000003815 (na) 21.2999992371 (ge) 17.7000007629 (me) 13.1000003815 (nt) -427.6000061035 (o) 10.8999996185 (f) -437.8999938965 (fr) 18.1000003815 (os) 14.1000003815 (t) 21.2000007629 (b) 10.8999996185 (it) 15.1000003815 (e) -449.700012207 (c) 0 (o) 18.2999992371 (n) 0 (c) 15.5 (e) 13.1000003815 (pts) -433.8999938965 (ar) 17.8999996185 (e) -438.1000061035 (s) 0 (u) 17.7000007629 (m) 11.5 (ma) 13.1000003815 (-) ] TJ
0 -1.220600009 TD
[(ri) 16 (z) 14.6999998093 (e) 0 (d) -312.1000061035 (i) 0 (n) -310.299987793 (t) 0 (h) 18.3999996185 (e) -322.3999938965 (f) 13.3000001907 (o) 0 (l) 16.3999996185 (l) 11.1999998093 (ow) 13.6999998093 (i) 11.1999998093 (n) 0 (g) -311.1000061035 (t) 0 (e) 16.8999996185 (xts) -313.8999938965 ([) 9.6000003815 (1) 0 (3) 22.2999992371 (,) 9.6999998093 (14) 16.5 (].) -310.3999938965 (In) -312.5 (ge) 17.7000007629 (n) 14 (e) 0 (r) 17.8999996185 (a) 0 (l) 18.6000003815 (,) -320 (th) 18.3999996185 (e) -322.3999938965 (p) 0 (a) 17.7000007629 (t) 0 (i) 20.7999992371 (e) 0 (n) 15.5 (t) ] TJ
0 -1.2264000177 TD
[(sh) 17.7000007629 (o) 10.8999996185 (u) 0 (l) 14.1999998093 (d) -400.3999938965 (be) -398.299987793 (m) 11.5 (o) 10.8999996185 (ve) 14.1000003815 (d) -400.3999938965 (o) 0 (u) 13.8999996185 (t) -401.1000061035 (o) 10.8999996185 (f) -403.200012207 (th) 18.3999996185 (e) -403.3999938965 (w) 0 (i) 14 (n) 0 (d) 18.5 (,) -401 (pr) 20.8999996185 (ov) 11.8999996185 (i) 11.1999998093 (d) 0 (e) 17.7000007629 (d) -400.3999938965 (wi) 14 (th) -392.3999938965 (sh) 17.7000007629 (el) 18.6000003815 (te) 16.8999996185 (r) ] TJ
T*
[(an) 15.5 (d) -261.5 (b) 10.8999996185 (e) -258.799987793 (g) 0 (i) 15.8999996185 (v) 0 (e) 19.8999996185 (n) -263.700012207 (wa) 15.8999996185 (rm) -249.8000030518 (fl) 18.7999992371 (ui) 14.1999998093 (ds) -246.8000030518 (\() ] TJ
/F10 1 Tf
10.8006000519 0 TD
[(re) 21.6000003815 (co) 17.7999992371 (mm) 15.8000001907 (e) 11 (nda) 16.2999992371 (ti) 12.8999996185 (o) 11 (n) -263.1000061035 (g) 11 (r) 22.1000003815 (ad) 13.3000001907 (e) -260.799987793 (1) 0 (C) ] TJ
/F5 1 Tf
10.7370004654 0 TD
(\).) Tj
4.5875000954 64.8964004517 TD
[(Re) 13.8999996185 (m) 11.5 (o) 0 (v) 17.7000007629 (e) -316.6000061035 (b) 10.8999996185 (o) 0 (o) 16 (t) 0 (s) -317 (\(bu) 11.8999996185 (t) -314.3999938965 (c) 0 (o) 18.2000007629 (n) 0 (s) 17.2000007629 (i) 11.1999998093 (de) 17.7000007629 (r) -313.3999938965 (p) 0 (r) 15.1000003815 (o) 10.8999996185 (bl) 16.3999996185 (em) 18.8999996185 (s) -315 (o) 0 (f) -311.299987793 (r) 0 (e) 17.8999996185 (p) 0 (l) 21.6000003815 (a) 0 (c) 14.6999998093 (e) 0 (m) 18.8999996185 (e) 0 (n) 15.5 (t) -314.3999938965 (i) 11.1999998093 (f) ] TJ
-0.8156999946 -1.220600009 TD
[(sw) 17.6000003815 (el) 18.6000003815 (li) 16.7000007629 (ng) -426.799987793 (oc) 18.2000007629 (cu) 16.1000003815 (rs) 19.5 (\),) -431.8999938965 (an) 15.5 (d) -435.1000061035 (r) 0 (e) 17.8999996185 (p) 0 (l) 15.8000001907 (a) 13.1000003815 (ce) -430.799987793 (we) 15.8999996185 (t) -441.6000061035 (g) 0 (l) 21.6000003815 (o) 0 (v) 17.7000007629 (e) 0 (s) -429.1000061035 (a) 0 (n) 15.5 (d) -440.8999938965 (so) 19.8999996185 (cks) -432.3999938965 (wi) 19.7999992371 (th) ] TJ
0 -1.2264000177 TD
[(dr) 20.8999996185 (y) -281.8999938965 (o) 10.8999996185 (ne) 15.5 (s.) -264.799987793 (Wa) 16.5 (rm) -273 (th) 18.3999996185 (e) -287.700012207 (c) 0 (o) 18.2000007629 (l) 11.1999998093 (d) -278.8999938965 (e) 0 (x) 16.2000007629 (t) 0 (r) 20.1000003815 (e) 0 (m) 13.1000003815 (i) 11.1999998093 (ty) -266.5 (by) -271 (pl) 15.8000001907 (a) 13.1000003815 (c) 0 (i) 18.6000003815 (n) 0 (g) -270.6000061035 (i) 11.1999998093 (t) -279.6000061035 (i) 11.1999998093 (n) -281.1000061035 (a) -276.1000061035 (co) 18.2999992371 (m-) ] TJ
T*
[(pa) 17.7000007629 (ni) 19.3999996185 (on) 19.1000003815 ('s) -334.700012207 (ar) 17.8999996185 (m) 11.5 (p) 0 (i) 15.8000001907 (t) -343.299987793 (o) 10.8999996185 (r) -342.299987793 (gr) 21 (oi) 16.3999996185 (n) -338.8999938965 (f) 0 (o) 12.6999998093 (r) -336.6000061035 (10) -336.299987793 (m) 11.5 (i) 11.1999998093 (n) -344.700012207 (a) 0 (n) 21.2999992371 (d) -342.5 (th) 18.3999996185 (en) -337.299987793 (re) 17.8999996185 (pl) 21.6000003815 (ac) 14.6999998093 (e) -339.799987793 (t) 0 (h) 18.3999996185 (e) ] TJ
0 -1.220600009 TD
[(b) 10.8999996185 (o) 0 (o) 16 (ts/) 12.3000001907 (gl) 21.7000007629 (ov) 17.7000007629 (es) 16.2999992371 (.) -580.299987793 (R) 12.3999996185 (ub) 13.8999996185 (b) 10.8999996185 (i) 11.1999998093 (ng) -571.5 (th) 18.3999996185 (e) -577 (a) 0 (f) 14.8999996185 (fec) 16.3999996185 (te) 16.8999996185 (d) -579.700012207 (p) 0 (a) 17.7000007629 (r) 0 (t) -569.9000244141 (i) 11.1999998093 (s) -575.299987793 (n) 0 (o) 13.3000001907 (t) -574.700012207 (rec) 13.6000003815 (o) 10.8999996185 (m) 0 (-) ] TJ
0 -1.2264000177 TD
[(me) 18.8999996185 (nd) 18.5 (ed) -323.6000061035 (bec) 14 (au) 16.1000003815 (se) -325 (o) 10.8999996185 (f) -333.799987793 (th) 18.3999996185 (e) -334 (p) 0 (o) 15.5 (t) 0 (e) 16.8999996185 (n) 14 (ti) 15.1000003815 (al) -322.700012207 (fo) 18.3999996185 (r) -330.799987793 (w) 0 (o) 13.6999998093 (r) 0 (s) 19.5 (e) 0 (n) 15.5 (i) 11.1999998093 (ng) -322.700012207 (di) 15.8000001907 (re) 12.1000003815 (ct) -324.3999938965 (ti) 15.1000003815 (s-) ] TJ
T*
[(su) 17.7000007629 (e) -258.799987793 (i) 0 (n) 13.6999998093 (j) 12.8000001907 (ur) 19.2999992371 (y) -264.6000061035 (\() ] TJ
/F10 1 Tf
4.5701999664 0 TD
[(re) 15.8000001907 (c) 12.6000003815 (o) 0 (m) 18.8999996185 (m) 0 (e) 13.1000003815 (nda) 16.2999992371 (ti) 18.7000007629 (o) 11 (n) -263.1000061035 (g) 11 (r) 16.2999992371 (ad) 19.1000003815 (e) -260.799987793 (1) 0 (C) ] TJ
/F5 1 Tf
10.7370004654 0 TD
(\).) Tj
-14.4914999008 -1.220600009 TD
[(If) -342.1000061035 (se) 22.1000003815 (ns) 17.2000007629 (at) 16.8999996185 (io) 16.3999996185 (n) -350.5 (r) 0 (e) 17.8999996185 (t) 0 (u) 18.3999996185 (r) 0 (n) 18.7000007629 (s) -8.3999996185 (,) -348.8999938965 (t) 0 (h) 12.6000003815 (e) -345.6000061035 (pa) 17.7000007629 (ti) 15.1000003815 (en) 21.2999992371 (t) -349.1000061035 (m) 0 (a) 13.1000003815 (y) -345.6000061035 (mi) 17 (ti) 15.1000003815 (ga) 17.7000007629 (te) -341.700012207 (ri) 21.7999992371 (sks) -344 (\(e) 16.8999996185 (.g) 20.1000003815 (.) ] TJ
-0.8156999946 -1.2264000177 TD
[(ad) 17.7000007629 (d) -267.299987793 (a) -270.299987793 (l) 11.1999998093 (a) 0 (y) 14.6999998093 (e) 0 (r) -259.799987793 (a) 0 (n) 15.5 (d) -267.299987793 (ch) 16.1000003815 (a) 13.1000003815 (n) 0 (g) 12.8000001907 (e) -264.6000061035 (to) -262.8999938965 (wa) 15.8999996185 (rm) 22.1000003815 (er) -259.799987793 (or) -262 (dr) 20.8999996185 (ye) 14.6999998093 (r) -267.1000061035 (s) 0 (o) 14.1000003815 (c) 13.1000003815 (ks) -272 (o) 10.8999996185 (r) -272.8999938965 (b) 10.8999996185 (o) 0 (o) 16.1000003815 (ts\)) ] TJ
T*
[(an) 15.5 (d) -406.200012207 (c) 13.1000003815 (on) 13.3000001907 (ti) 20.7999992371 (nu) 17 (e) -409.200012207 (t) 0 (o) -396 (w) 0 (a) 15.8999996185 (l) 11.1999998093 (k.) -398.5 (If) -394.200012207 (th) 18.3999996185 (er) 17.8999996185 (e) -409.200012207 (i) 11.1999998093 (s) -407.6000061035 (n) 0 (o) -397.3999938965 (r) 0 (e) 17.8999996185 (t) 0 (u) 18.3999996185 (r) 0 (n) -397.799987793 (o) 10.8999996185 (f) -409 (s) 0 (e) 16.2999992371 (n) 14 (sa) 16.2999992371 (ti) 15.1000003815 (o) 10.8999996185 (n) 0 (,) ] TJ
0 -1.220600009 TD
[(th) 18.3999996185 (e) -328.200012207 (i) 11.1999998093 (nj) 15.1999998093 (ur) 19.2999992371 (ed) -317.799987793 (sh) 17.7000007629 (o) 10.8999996185 (u) 0 (l) 20 (d) -331 (go) -314.200012207 (to) -315 (th) 12.6000003815 (e) -322.3999938965 (n) 0 (e) 15.5 (a) 0 (r) 17.8999996185 (e) 0 (s) 16.2999992371 (t) -325.8999938965 (wa) 15.8999996185 (rm) -313.5 (sh) 17.7000007629 (el) 18.6000003815 (te) 16.8999996185 (r) -325 (\() 0 (h) 18.3999996185 (u) 0 (t) -317.200012207 (o) 0 (r) ] TJ
0 -1.2264000177 TD
[(b) 10.8999996185 (ase) -300.299987793 (ca) 20.5 (mp) 16.1000003815 (\)) -297 (a) 13.1000003815 (nd) -288.1000061035 (se) 16.2999992371 (e) 13.1000003815 (k) -292.6000061035 (me) 13.1000003815 (di) 21.6000003815 (ca) 14.6999998093 (l) -295.3999938965 (t) 0 (r) 20.1000003815 (e) 0 (a) 20.5 (t) 0 (m) 15.3000001907 (e) 0 (n) 15.5 (t) 0 (.) -281.5 (I) 0 (f) -284.299987793 (a) 0 (t) -283.8999938965 (h) 0 (i) 14.1999998093 (g) 0 (h) -281.6000061035 (a) 0 (l) 18.6000003815 (t) 0 (i) 15.1000003815 (t) 0 (u) 18.3999996185 (d) 0 (e) ] TJ
T*
[(\(>) 18.3999996185 (4,) 18 (00) 16.5 (0) -408.200012207 (m) 0 (\)) 15.3000001907 (,) -406.799987793 (su) 17.7000007629 (pp) 14.8999996185 (l) 11.1999998093 (e) 0 (m) 18.8999996185 (e) 0 (n) 15.5 (t) 0 (a) 16.8999996185 (r) 0 (y) -398.6000061035 (o) 0 (x) 14 (y) 13.1000003815 (ge) 17.7000007629 (n) -414.1000061035 (s) 0 (h) 17.7000007629 (o) 10.8999996185 (ul) 14.1999998093 (d) -406.200012207 (b) 0 (e) -415.6000061035 (c) 13.1000003815 (on) 13.3000001907 (si) 20.2000007629 (de) 17.7000007629 (re) 17.8999996185 (d) ] TJ
0 -1.220600009 TD
-0.0096000005 Tc
[([1) -9.6000003815 (1) 6.9000000954 (]) -271.8999938965 (\() ] TJ
/F10 1 Tf
2.1925001144 0 TD
0 Tc
[(re) 21.6000003815 (co) 17.7999992371 (mm) 15.8000001907 (en) 14 (dat) 17.2000007629 (io) 20.1000003815 (n) -263.1000061035 (g) 11 (r) 16.2999992371 (a) 0 (d) 19.1000003815 (e) -260.799987793 (2C) ] TJ
/F5 1 Tf
10.7370004654 0 TD
(\).) Tj
-12.1139001846 -1.2264000177 TD
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-0.8156999946 -1.2264000177 TD
[(Ibupr) -8.3000001907 (ofen) -550.299987793 (12) -550.4000244141 (mg/kg/day) -554.299987793 (di) -7.3000001907 (vided) -549.799987793 (into) -550.0999755859 (two) -555.200012207 (daily) -554.200012207 (doses) ] TJ
0 -1.220600009 TD
[(\(ma) -17.7999992371 (ximum) -590.200012207 (of) -589 (2,400) -587.799987793 (mg) -7 (/day\)) -590.5999755859 (shou) -8.8999996185 (ld) -585.799987793 (be) -589.200012207 (given) -592.4000244141 (for) -584.200012207 (it) -13.8999996185 (s) ] TJ
0 -1.2264000177 TD
[(prostagla) -11.6999998093 (ndin) -303.299987793 (effe) -16.6000003815 (ct) -301.200012207 (\() ] TJ
/F10 1 Tf
8.8627004623 0 TD
[(recom) -10.6000003815 (mend) -15.6000003815 (ation) -304.1000061035 (grade) -295.3999938965 (2C) ] TJ
/F5 1 Tf
11.0146999359 0 TD
(\).) Tj
-19.0617008209 -1.2264000177 TD
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-0.8156999946 -1.220600009 TD
0.0001 Tc
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0 -1.2264000177 TD
0 Tc
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/F10 1 Tf
21.0344009399 0 TD
(recom-) Tj
-21.0344009399 -1.2264000177 TD
[(mend) -15.6000003815 (ation) -309.8999938965 (grade) -295.3999938965 (1B) ] TJ
/F5 1 Tf
8.4576997757 0 TD
(\).) Tj
-7.6420001984 -1.220600009 TD
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-0.8156999946 -1.2264000177 TD
0.0114000002 Tc
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T*
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0 -1.220600009 TD
0.0110999998 Tc
[(temperature,) -384.1000061035 (prote) -10.5 (c) 1.1000000238 (ting) -377.700012207 (tissue) -380.700012207 (from) -382.299987793 (furthe) -4.6999998093 (r) -377.5 (i) -0.8000000119 (njury) -380.700012207 (d) -1.7000000477 (ur) 11.1000003815 (-) ] TJ
0 -1.2264000177 TD
0.0115 Tc
[(ing) -406.200012207 (r) -1.1000000238 (ewarming) -406.200012207 (and) -406.200012207 (e) -10.1000003815 (ventual) -411.1000061035 (t) 3.7999999523 (ransport.) -406.8999938965 (I) -2.5999999046 (n) -402.6000061035 (e) -4.3000001907 (xtreme) -415 (cir) 11.5 (-) ] TJ
T*
[(cumstances) -25.7999992371 (,) -320.1000061035 (i) -0.400000006 (t) -320.200012207 (m) -0.1000000015 (a) -4.3000001907 (y) -322.5 (be) -322.5 (bette) -4.3000001907 (r) -319.299987793 (to) -318.8999938965 (le) -4.3000001907 (t) -320.200012207 (a) -322.5 (ca) -10.1000003815 (sualty) -322.5 (walk) -321.5 (on) -321.6000061035 (a) ] TJ
0 -1.220600009 TD
0.0104999999 Tc
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0 -1.2264000177 TD
0 Tc
(\() Tj
/F10 1 Tf
0.3355000019 0 TD
0.0119000003 Tc
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/F5 1 Tf
11.1651000977 0 TD
0.0135000004 Tc
(\).) Tj
/F4 1 Tf
9.2000999451 0 0 9.2000999451 304.7243041992 324.9637145996 Tm
0 Tc
[(Hospital) -306 (managemen) -14.6000003815 (t) ] TJ
/F9 1 Tf
0 -1.3063999414 TD
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T*
[(with) -306 (frostbite) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 304.7243041992 288.9637145996 Tm
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0 -1.2264000177 TD
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T*
[(ities) -26.7999992371 (,) -325.799987793 (trauma) -326.700012207 (or) -325.6000061035 (hypo) -8.8999996185 (thermia) -327 (mu) -8.6000003815 (st) -311.200012207 (be) -323.1000061035 (a) -15.8000001907 (ssessed) -332.5 (and) -321.200012207 (man) -7.6999998093 (-) ] TJ
0 -1.220600009 TD
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0 -1.2264000177 TD
[(or) -325.6000061035 (se) -12.6000003815 (vere) -326.700012207 (hypotherm) -13.1999998093 (ia) -328.5 (shou) -8.8999996185 (ld) -319.700012207 (be) -334.6000061035 (corre) -17 (cted) -329.799987793 (to) -320.799987793 (br) -7.5 (ing) -323 (core) ] TJ
T*
[(tempera) -11.1999998093 (ture) -316.6000061035 (abov) -10.3999996185 (e) -316.6000061035 <3335B043> -315.5 (befo) -9.6000003815 (re) -311.8999938965 (initia) -10.6000003815 (ting) -330.799987793 (frostbite) -312.5 (war) -8.3000001907 (m-) ] TJ
0 -1.220600009 TD
-0.0005 Tc
[(ing) -306.200012207 ([14) -7.0999999046 (,) 3.5 (17) -7.0999999046 (]) -297.5 (\() ] TJ
/F10 1 Tf
5.0850000381 0 TD
0 Tc
[(recom) -10.6000003815 (mend) -15.6000003815 (ation) -304.1000061035 (grade) -295.3999938965 (1C) ] TJ
/F5 1 Tf
11.0146999359 0 TD
(\).) Tj
-15.2840003967 -1.2264000177 TD
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-0.8156999946 -1.2264000177 TD
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0 -1.220600009 TD
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0 -1.2264000177 TD
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T*
[(dr) 20.8999996185 (y) -293.5 (e) 0 (x) 16.2000007629 (p) 0 (o) 15.5 (s) 0 (u) 17.7000007629 (r) 0 (e) 17.8999996185 (,) -291.1000061035 (du) 13.3000001907 (ra) 23.7000007629 (ti) 15.1000003815 (o) 10.8999996185 (n) -298.3999938965 (a) 13.1000003815 (n) 0 (d) -288.1000061035 (u) 0 (s) 17.7000007629 (e) -293.5 (o) 10.8999996185 (r) -296.1000061035 (n) 14 (o) 0 (t) -286.1000061035 (u) 0 (s) 17.7000007629 (e) -293.5 (of) -288.200012207 (th) 18.3999996185 (er) 17.8999996185 (m) 11.5 (a) 0 (l) -288 (p) 0 (r) 20.8999996185 (o) 0 (-) ] TJ
0 -1.220600009 TD
[(tec) 12.6999998093 (ti) 20.7999992371 (o) 10.8999996185 (n) 0 (\)) -445 (c) 0 (a) 20.5 (n) -448.799987793 (al) 12.8000001907 (so) -437.1000061035 (be) -444.6000061035 (he) 16.1000003815 (l) 11.1999998093 (p) 0 (f) 17.8999996185 (u) 0 (l) 20 (.) -453.1000061035 (An) 16.2000007629 (y) -449.700012207 (p) 0 (r) 20.8999996185 (e) 0 (-) 18.3999996185 (h) 0 (o) 13.8999996185 (s) 0 (p) 19.2999992371 (i) 11.1999998093 (ta) 16.8999996185 (l) -451.6000061035 (t) 0 (r) 20.1000003815 (e) 0 (a) 14.6999998093 (t) 0 (m) 21.1000003815 (e) 0 (n) 15.5 (t) ] TJ
0 -1.2264000177 TD
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0.8156999946 -1.2264000177 TD
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-0.8156999946 -1.220600009 TD
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0 -1.2264000177 TD
-0.0003 Tc
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T*
0 Tc
[(o) 10.8999996185 (f) -299.1000061035 (th) 12.6000003815 (e) -293.5 (f) 0 (r) 18.1000003815 (o) 0 (s) 14.1000003815 (t) 21.2000007629 (bi) 16.3999996185 (tt) 19.2000007629 (en) -291.1000061035 (ti) 20.7999992371 (ss) 17.8999996185 (ue) -290.5 (af) 14.8999996185 (te) 16.8999996185 (r) -296.1000061035 (r) 0 (e) 17.8999996185 (w) 0 (a) 15.8999996185 (r) 0 (m) 16.2999992371 (i) 11.1999998093 (ng) -288 (ca) 14.6999998093 (n) -298.3999938965 (p) 0 (r) 20.8999996185 (e) 0 (d) 17.7000007629 (i) 0 (c) 18.6000003815 (t) -302.799987793 (de) 17.7000007629 (pt) 19.8999996185 (h) ] TJ
0 -1.220600009 TD
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0 -1.2264000177 TD
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/F2 1 Tf
7.9998998642 0 0 7.9998998642 56.6929016113 753.2786254883 Tm
(Handford) Tj
/F8 1 Tf
4.2449002266 0 TD
[(et) -296.8999938965 (al.) -301.299987793 (Extreme) -297.1000061035 (Physiology) -291.799987793 (&) -295.700012207 (Medicine) ] TJ
/F2 1 Tf
50.6767997742 0 TD
[(Page) -297.8999938965 (2) -297.8999938965 (o) 0 (f) -294.799987793 (1) 0 (0) ] TJ
ET
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1 0 0 1 213.6300048828 752.5900268555 Tm
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(2014, 3:7) Tj
ET
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1 0 0 1 56.6899986267 742.6199951172 Tm
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(http://www.extremephysiolmed.com/content/3/1/7) Tj
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[(fluids) -269 (\() ] TJ
/F10 1 Tf
2.7304999828 0 TD
-0.0177999996 Tc
[(recommend) -17.7999992371 (a) 7.0999999046 (t) -2.4000000954 (ion) -269.299987793 (g) -1 (r) 10.1000003815 (a) 4.0999999046 (de) -267.1000061035 (1) -3.7000000477 (C) ] TJ
/F5 1 Tf
10.5460996628 0 TD
-0.0153999999 Tc
(\).) Tj
/F9 1 Tf
9.2000999451 0 0 9.2000999451 56.6929016113 84.9260025024 Tm
0 Tc
[(Rewarmin) -10.8999996185 (g) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 56.6929016113 72.9637985229 Tm
[(Rewarm) -11.8000001907 (ing) -479.200012207 (is) -483.1000061035 (ben) -8.3000001907 (eficial) -486.299987793 (if) -484.5 (the) -9 (re) -479.6000061035 (rema) -9.6000003815 (ins) -480.700012207 (a) -484.3999938965 (partially) -492.299987793 (or) ] TJ
0 -1.2264000177 TD
[(fully) -578.700012207 (frozen) -577.0999755859 (part) -575.4000244141 (and) -575.799987793 (is) -575.5999755859 (ideally) -576.0999755859 (accompl) -15 (ished) -572.299987793 (usin) -9.1000003815 (g) -568.0999755859 (a) ] TJ
25.3094997406 44.0819015503 TD
[(whirlp) -8.6999998093 (ool) -314 (bath) -316.299987793 (set) -315.3999938965 (at) -312.799987793 <3338B043> -315.5 (with) -314.700012207 (added) -313 (an) -7.5999999046 (tiseptic) -317.700012207 (solution) ] TJ
0 -1.2264000177 TD
[(\(povi) -9 (done) -744.200012207 (iodine) -744.9000244141 (or) -742.200012207 (chlorhexidin) -12.5 (e\).) -742.700012207 (The) -735.200012207 (Wilderness) ] TJ
0 -1.220600009 TD
[(Me) 14.5 (di) 21.6000003815 (ca) 14.6999998093 (l) -422.6000061035 (S) 0 (o) 17.6000003815 (c) 0 (i) 18.6000003815 (e) 0 (t) 16.8999996185 (y) -426.5 (an) 15.5 (d) -423.5 (S) 0 (t) 16.2999992371 (a) 0 (t) 16.8999996185 (e) -426.5 (o) 10.8999996185 (f) -426.299987793 (Al) 19.2000007629 (ask) 18.7999992371 (a) -426.5 (C) 0 (o) 16.7999992371 (l) 11.1999998093 (d) -429.299987793 (I) 0 (n) 17.2000007629 (j) 12.8000001907 (ur) 19.2999992371 (y) -426.5 (G) 0 (u) 18.8999996185 (i) 0 (d) 15.8000001907 (e) 0 (-) ] TJ
0 -1.2264000177 TD
[(l) 11.1999998093 (i) 0 (n) 19.3999996185 (e) 0 (s) -330.799987793 (rec) 13.6000003815 (o) 10.8999996185 (m) 0 (m) 17.2999992371 (e) 0 (n) 15.5 (d) -336.799987793 (a) -339.799987793 (t) 0 (e) 16.8999996185 (m) 11.5 (pe) 17.7000007629 (ra) 17.8999996185 (tu) 12.6000003815 (re) -329.200012207 (o) 10.8999996185 (f) -339.6000061035 (37) 22.2999992371 ] TJ
/F7 1 Tf
16.6550998688 0 TD
<96> Tj
/F5 1 Tf
0.5958999991 0 TD
[(3) 14.1000003815 (9) 0 17.3999996185 (C) -11.3999996185 (,) -337.3999938965 (w) 0 (h) 11.6000003815 (i) 11.1999998093 (ch) -331 (de) 17.7000007629 (-) ] TJ
-17.2509994507 -1.2264000177 TD
[(cr) 17.8999996185 (eas) 17.7999992371 (es) -463.799987793 (th) 18.3999996185 (e) -472.799987793 (p) 0 (a) 17.7000007629 (i) 0 (n) -466.5 (e) 0 (x) 16.2000007629 (p) 0 (e) 17.7000007629 (r) 0 (i) 21.7999992371 (e) 0 (n) 15.5 (c) 13.1000003815 (ed) -468.299987793 (b) 10.8999996185 (y) -472.799987793 (th) 18.3999996185 (e) -472.799987793 (p) 0 (a) 17.7000007629 (t) 0 (i) 15.1000003815 (e) 13.1000003815 (nt) -468.1000061035 (wh) 17.2999992371 (i) 11.1999998093 (l) 11.1999998093 (s) 0 (t) -467.3999938965 (o) 10.8999996185 (nl) 19.3999996185 (y) ] TJ
0 -1.220600009 TD
[(sl) 20.2000007629 (ig) 15.8999996185 (ht) 18.3999996185 (l) 11.1999998093 (y) -362.8999938965 (sl) 14.3999996185 (o) 10.8999996185 (w) 0 (i) 14 (n) 14 (g) -365.6000061035 (re) 17.8999996185 (wa) 15.8999996185 (rm) 16.2999992371 (i) 11.1999998093 (n) 0 (g) -351.6000061035 (t) 0 (i) 15.1000003815 (m) 11.5 (e) -362.8999938965 ([) 3.7999999523 (1) 14.1000003815 (4) 0 (,) 18 (1) 0 (5) 16.5 (]) 0 (.) -356.700012207 (T) 23.8999996185 (he) -359.8999938965 (ti) 20.7999992371 (me) -357.200012207 (pe) 17.7000007629 (ri) 21.7999992371 (od) ] TJ
0 -1.2264000177 TD
[(fo) 18.3999996185 (r) -371.299987793 (o) 0 (p) 15.5 (t) 0 (i) 20.7999992371 (m) 0 (a) 13.1000003815 (l) -370.6000061035 (re) 17.8999996185 (wa) 15.8999996185 (rm) 22.1000003815 (in) 13.6999998093 (g) -377.200012207 (v) 0 (a) 14.1000003815 (r) 0 (i) 21.7999992371 (e) 0 (s) -365.5 (f) 0 (r) 18.1000003815 (o) 10.8999996185 (m) -376.1000061035 (1) 14.1000003815 (5) ] TJ
/F7 1 Tf
15.8509998322 0 TD
<96> Tj
/F5 1 Tf
0.5958999991 0 TD
[(30) -359.5 (mi) 17 (n) -373.6000061035 (u) 0 (p) -362.700012207 (t) 0 (o) -367.1000061035 (1) -367.799987793 (h) ] TJ
-16.4468002319 -1.2264000177 TD
[([) 9.6000003815 (1) 0 (6) 16.5 (]) 0 (.) -246.8000030518 (R) 0 (e) 19.7000007629 (w) 0 (a) 15.8999996185 (r) 0 (m) 16.2999992371 (i) 11.1999998093 (ng) -247.5 (sh) 17.7000007629 (ou) 13.8999996185 (l) 11.1999998093 (d) -255.8000030518 (co) 18.2000007629 (nt) 17.7999992371 (i) 11.1999998093 (n) 0 (u) 17 (e) -258.799987793 (un) 17 (ti) 20.7999992371 (l) -254.8999938965 (a) -258.799987793 (re) 17.8999996185 (d/) 15.6999998093 (pu) 19.1000003815 (rp) 20.8999996185 (le) -259.1000061035 (co) 18.2000007629 (lo) 16.3999996185 (ur) ] TJ
0 -1.220600009 TD
[(ap) 17.7000007629 (pe) 17.7000007629 (ar) 17.8999996185 (s) -280.299987793 (a) 0 (n) 15.5 (d) -278.8999938965 (th) 18.3999996185 (e) -281.8999938965 (e) 0 (x) 16.2000007629 (t) 0 (r) 20.1000003815 (e) 0 (m) 18.8999996185 (i) 0 (t) 15.1000003815 (y) -281.8999938965 (ti) 20.7999992371 (ss) 17.8999996185 (ue) -273.1000061035 (b) 10.8999996185 (eco) 14 (me) 18.8999996185 (s) -280.299987793 (p) 0 (l) 15.8000001907 (i) 11.1999998093 (ab) 12.5 (l) 11.1999998093 (e) -281.8999938965 ([) 9.6000003815 (1) 0 (4) 22.2999992371 (]) 0 (.) -275.700012207 (A) 19.6000003815 (c) 18.8999996185 (-) ] TJ
0 -1.2264000177 TD
[(ti) 20.8999996185 (ve) -471.799987793 (m) 11.5 (o) 0 (t) 14.6999998093 (i) 11.1999998093 (o) 10.8999996185 (n) -477.700012207 (du) 19.1000003815 (ri) 16 (ng) -461.5 (th) 12.6000003815 (e) -472.799987793 (r) 0 (e) 17.8999996185 (w) 0 (a) 15.8999996185 (r) 0 (m) 16.2999992371 (i) 11.1999998093 (ng) -467.299987793 (pr) 20.8999996185 (oc) 18.2000007629 (es) 16.2999992371 (s) -477 (i) 11.1999998093 (s) -477 (b) 10.8999996185 (en) 15.5 (ef) 20.6000003815 (ic) 12.8000001907 (i) 11.1999998093 (a) 0 (l) 18.6000003815 (,) ] TJ
T*
[(b) 10.8999996185 (u) 0 (t) -415.5 (c) 0 (a) 14.6999998093 (r) 0 (e) -410.200012207 (s) 0 (h) 17.7000007629 (o) 0 (u) 13.8999996185 (l) 11.1999998093 (d) -423.5 (b) 10.8999996185 (e) -420.799987793 (t) 0 (a) 16.8999996185 (k) 0 (e) 15.6000003815 (n) -419.8999938965 (to) -413.3999938965 (pr) 15.1000003815 (eve) 15.6000003815 (nt) -410.299987793 (th) 12.6000003815 (e) -420.799987793 (e) 0 (x) 16.2000007629 (t) 0 (r) 20.1000003815 (e) 0 (m) 18.8999996185 (i) 0 (t) 15.1000003815 (y) -420.799987793 (fr) 18.1000003815 (o) 10.8999996185 (m) ] TJ
0 -1.220600009 TD
[(to) 14.6999998093 (uc) 21.8999996185 (hi) 14.1999998093 (ng) -270.6000061035 (th) 18.3999996185 (e) -287.700012207 (s) 0 (i) 20.2000007629 (d) 0 (e) 17.7000007629 (s) -286.1000061035 (o) 10.8999996185 (f) -281.700012207 (th) 18.3999996185 (e) -287.700012207 (w) 0 (h) 17.2999992371 (i) 11.1999998093 (rl) 16 (po) 21.2999992371 (ol) 16.3999996185 (.) -285.299987793 (I) 14.8000001907 (t) -285.3999938965 (i) 11.1999998093 (s) -286.1000061035 (i) 11.1999998093 (mp) 16.1000003815 (o) 10.8999996185 (r) 0 (t) 14.3999996185 (a) 0 (n) 21.2999992371 (t) -285.3999938965 (to) -274.5 (pr) 20.8999996185 (o-) ] TJ
0 -1.2264000177 TD
[(vi) 18 (de) -312.1000061035 (go) 15.5 (o) 10.8999996185 (d) -325.200012207 (an) 21.2999992371 (al) 12.8000001907 (ge) 17.7000007629 (si) 20.2000007629 (c) -322.3999938965 (c) 0 (o) 18.2000007629 (v) 0 (e) 14.1000003815 (r) -319.200012207 (an) 15.5 (d) -319.3999938965 (i) 11.1999998093 (s) -326.6000061035 (l) 11.1999998093 (i) 11.1999998093 (k) 0 (e) 15.6000003815 (l) 11.1999998093 (y) -322.3999938965 (t) 0 (o) -315 (i) 0 (n) 19.3999996185 (c) 0 (l) 18.6000003815 (u) 0 (d) 13.3000001907 (e) -322.3999938965 (na) 21.2999992371 (rc) 17.8999996185 (ot) 14.6999998093 (i) 11.1999998093 (c) ] TJ
T*
[(me) 18.8999996185 (di) 15.8000001907 (ca) 20.5 (ti) 15.1000003815 (o) 10.8999996185 (n) -263.700012207 (\() ] TJ
/F10 1 Tf
5.1139998436 0 TD
[(re) 15.8000001907 (c) 12.6000003815 (o) 0 (m) 13.1000003815 (m) 13.6999998093 (en) 14 (dat) 17.2000007629 (io) 20.1000003815 (n) -263.1000061035 (g) 11 (r) 16.2999992371 (a) 0 (d) 19.1000003815 (e) -260.799987793 (1B) ] TJ
/F5 1 Tf
10.667599678 0 TD
(\).) Tj
/F9 1 Tf
9.2000999451 0 0 9.2000999451 304.7243041992 312.9447937012 Tm
[(Blisters) -306.799987793 (and) -303.3999938965 (dres) -9.1999998093 (sings) ] TJ
/F5 1 Tf
9.7999000549 0 0 9.7999000549 304.7243041992 300.9259033203 Tm
[(It) -345.799987793 (i) 11.1999998093 (s) -355.5 (i) 11.1999998093 (m) 0 (p) 16.1000003815 (o) 10.8999996185 (rt) 14.3999996185 (an) 21.2999992371 (t) -354.8999938965 (t) 0 (o) -349.700012207 (n) 0 (o) 19.1000003815 (t) 0 (e) -347.5 (t) 0 (h) 18.3999996185 (e) -351.299987793 (ty) 16.8999996185 (pe) -346.799987793 (of) -346 (an) 15.5 (y) -351.299987793 (b) 0 (l) 16.3999996185 (i) 11.1999998093 (st) 12.8000001907 (e) 13.1000003815 (r) 0 (s) -344.8999938965 (t) 0 (h) 18.3999996185 (a) 0 (t) -347.5 (f) 0 (o) 18.3999996185 (r) 0 (m) 16.2999992371 (;) ] TJ
0 -1.220600009 TD
[(th) 18.3999996185 (ey) -263 (ca) 14.6999998093 (n) -269.5 (b) 10.8999996185 (e) -281.8999938965 (c) 0 (l) 18.6000003815 (e) 0 (a) 14.6999998093 (r) 0 (/) 21.6000003815 (c) 0 (l) 18.6000003815 (o) 0 (u) 13.8999996185 (d) 0 (y) -260 (o) 10.8999996185 (r) -272.8999938965 (h) 0 (a) 16.1000003815 (e) 13.1000003815 (mo) 16.6000003815 (rr) 15.3000001907 (ha) 21.8999996185 (gi) 15.8999996185 (c) -270.299987793 (i) 11.1999998093 (n) -269.5 (n) 0 (a) 15.5 (t) 0 (u) 18.3999996185 (r) 0 (e) 17.8999996185 (.) -267.8999938965 (T) 18.1000003815 (h) 0 (e) 16.1000003815 (r) 0 (e) ] TJ
0 -1.2264000177 TD
[(i) 11.1999998093 (s) -517.5 (cu) 16.1000003815 (rr) 21.1000003815 (en) 15.5 (t) -516.799987793 (d) 0 (e) 17.7000007629 (b) 0 (a) 18.2000007629 (t) 0 (e) -509.5 (a) 0 (s) -521.700012207 (t) 0 (o) -505.8999938965 (w) 0 (h) 17.3999996185 (e) 0 (t) 16.8999996185 (h) 0 (e) 16.1000003815 (r) -515.9000244141 (bl) 16.3999996185 (i) 11.1999998093 (s) 0 (t) 12.8000001907 (e) 13.1000003815 (rs) -506.8999938965 (sh) 17.7000007629 (ou) 13.8999996185 (l) 11.1999998093 (d) -516.0999755859 (be) -514 (de) 17.7000007629 (-) ] TJ
T*
[(ro) 15.6999998093 (o) 10.8999996185 (f) 0 (e) 14.8999996185 (d) -498.700012207 (as) -504.299987793 (th) 18.3999996185 (i) 11.1999998093 (s) -500.1000061035 (ma) 13.1000003815 (y) -496 (d) 0 (e) 17.7000007629 (s) 0 (i) 14.3999996185 (c) 0 (c) 20.5 (a) 0 (t) 16.8999996185 (e) -501.799987793 (th) 18.3999996185 (e) -501.700012207 (u) 0 (n) 17 (d) 0 (e) 17.7000007629 (r) 0 (l) 16 (y) 13.1000003815 (in) 13.6999998093 (g) -498.700012207 (t) 0 (i) 20.7999992371 (s) 0 (s) 17.8999996185 (u) 0 (e) 16.1000003815 (,) -499.299987793 (bu) 13.8999996185 (t) ] TJ
0 -1.220600009 TD
[(th) 18.3999996185 (er) 17.8999996185 (e) -496 (i) 0 (s) -488.8999938965 (l) 11.1999998093 (it) 15.1000003815 (tl) 20.7999992371 (e) -507.5 (c) 0 (o) 12.5 (m) 11.5 (pa) 17.7000007629 (ra) 17.8999996185 (ti) 15.1000003815 (v) 12.6000003815 (e) -501.700012207 (da) 17.7000007629 (ta) -486.3999938965 (to) -488.6000061035 (se) 16.2999992371 (tt) 19.2000007629 (l) 11.1999998093 (e) -501.700012207 (th) 18.3999996185 (i) 11.1999998093 (s) -500.1000061035 (a) 13.1000003815 (r) 0 (g) 15.1999998093 (u) 0 (m) 20.2999992371 (e) 0 (n) 15.5 (t) 0 (.) ] TJ
0 -1.2264000177 TD
[(T) 18.1000003815 (h) 0 (e) -290.5 (rec) 13.6000003815 (o) 10.8999996185 (m) 0 (m) 17.2999992371 (e) 0 (n) 15.5 (d) 0 (e) 17.7000007629 (d) -296.299987793 (pr) 15.1000003815 (ac) 20.5 (ti) 15.1000003815 (ce) -291.8999938965 (i) 11.1999998093 (s) -303.3999938965 (th) 18.3999996185 (at) -289.700012207 (o) 10.8999996185 (f) -304.8999938965 (se) 22.1000003815 (lec) 14.3000001907 (ti) 15.1000003815 (v) 12.6000003815 (e) -299.299987793 (dr) 15.1000003815 (ai) 18.6000003815 (na) 15.5 (ge) -288.8999938965 (o) 10.8999996185 (f) ] TJ
T*
[(cl) 18.6000003815 (ea) 14.6999998093 (r/) 21.7000007629 (cl) 18.6000003815 (ou) 13.8999996185 (dy) -265.799987793 (bl) 16.3999996185 (is) 14.3999996185 (te) 22.7000007629 (rs) -269.700012207 (by) -271 (ne) 15.5 (ed) 17.7000007629 (l) 11.1999998093 (e) -281.8999938965 (as) 10.5 (pi) 15.8000001907 (ra) 17.8999996185 (ti) 20.7999992371 (on) -270.1000061035 (\(e) 16.8999996185 (sp) 19.2999992371 (eci) 14.3000001907 (al) 18.6000003815 (l) 11.1999998093 (y) -281.8999938965 (i) 11.1999998093 (f) -310.6000061035 (b) 10.8999996185 (u) 0 (l) 14.1999998093 (-) ] TJ
0 -1.220600009 TD
[(l) 11.1999998093 (a) 0 (e) -326.6000061035 (r) 0 (e) 17.8999996185 (s) 0 (t) 18.6000003815 (r) 0 (i) 21.7999992371 (c) 0 (t) -324.3999938965 (m) 0 (o) 16.6000003815 (v) 0 (e) 14.1000003815 (m) 11.5 (en) 15.5 (t\)) -322.1000061035 (an) 15.5 (d) -331 (t) 0 (o) -320.799987793 (l) 0 (e) 12.8000001907 (a) 18.8999996185 (v) 12.6000003815 (e) -334 (ha) 16.1000003815 (em) 18.8999996185 (o) 10.8999996185 (r) 0 (r) 15.3000001907 (h) 0 (a) 16.1000003815 (g) 0 (i) 21.6000003815 (c) -334 (b) 10.8999996185 (l) 0 (i) 16.7000007629 (s) 0 (t) 18.6000003815 (e) 0 (r) 17.8999996185 (s) ] TJ
0 -1.2264000177 TD
[(al) 18.6000003815 (on) 19.1000003815 (e) -305.1000061035 ([) 9.6000003815 (14) 22.2999992371 (].) -293 (Ho) 17.2999992371 (wev) 11.1000003815 (e) 13.1000003815 (r) 80 (,) -302.700012207 (w) 0 (e) -290.700012207 (w) 0 (o) 19.5 (u) 0 (l) 14.1999998093 (d) -296.299987793 (su) 17.7000007629 (gg) 15 (es) 16.2999992371 (t) -297 (t) 0 (h) 18.3999996185 (a) 0 (t) -295.5 (a) 0 (l) 18.6000003815 (l) -301.1000061035 (b) 10.8999996185 (l) 11.1999998093 (is) 14.3999996185 (te) 16.8999996185 (rs) -287.1000061035 (ar) 17.8999996185 (e) ] TJ
T*
[(de) 17.7000007629 (b) 10.8999996185 (r) 0 (i) 16 (d) 0 (e) 17.7000007629 (d) -348.299987793 (i) 11.1999998093 (n) -350.5 (th) 18.3999996185 (e) -351.299987793 (h) 0 (o) 19.7000007629 (s) 0 (p) 19.2999992371 (i) 0 (t) 15.1000003815 (a) 0 (l) -340.1000061035 (\() 0 (n) 17.7999992371 (o) 10.8999996185 (t) -349.1000061035 (i) 0 (n) -339.200012207 (t) 0 (h) 18.3999996185 (e) -351.299987793 (fi) 18.7999992371 (el) 18.6000003815 (d\)) -344.5 (b) 10.8999996185 (eca) 16.2000007629 (us) 17.7000007629 (e) -351.299987793 (w) 0 (e) -337 (b) 0 (e) 12.5 (-) ] TJ
0 -1.220600009 TD
[(l) 11.1999998093 (iev) 13.8000001907 (e) -276.1000061035 (i) 0 (t) -268.3999938965 (ass) 13.6999998093 (i) 11.1999998093 (sts) -273.299987793 (wi) 19.7999992371 (th) -270.8999938965 (wo) 13.6999998093 (un) 22.7999992371 (d) -278.8999938965 (c) 0 (a) 14.6999998093 (r) 0 (e) 17.8999996185 (.) -279.5 (S) 12.5 (eve) 15.6000003815 (re) -271.3999938965 (i) 11.1999998093 (n) 0 (j) 15.1999998093 (u) 0 (r) 19.2999992371 (i) 11.1999998093 (es) -267.200012207 (re) 17.8999996185 (qu) 13.3000001907 (i) 11.1999998093 (r) 0 (e) -271.3999938965 (d) 0 (e) 17.7000007629 (-) ] TJ
0 -1.2264000177 TD
[(ta) 16.8999996185 (i) 11.1999998093 (l) 0 (e) 18.6000003815 (d) -440.8999938965 (as) 10.5 (se) 16.2999992371 (ss) 17.8999996185 (me) 18.7999992371 (nt,) -429.5 (an) 15.5 (d) -435.1000061035 (i) 0 (t) -430.3999938965 (m) 0 (a) 18.7999992371 (y) -438.1000061035 (be) -433 (th) 18.3999996185 (at) -428.5 (th) 18.3999996185 (i) 11.1999998093 (s) -436.5 (ap) 11.8999996185 (pr) 20.8999996185 (ai) 18.6000003815 (sa) 16.2999992371 (l) -434.200012207 (a) 0 (n) 15.5 (d) ] TJ
T*
[(de) 17.7000007629 (b) 10.8999996185 (r) 0 (i) 16 (d) 0 (i) 15.8000001907 (n) 14 (g) -330.8999938965 (o) 0 (f) -357.6000061035 (b) 10.8999996185 (li) 16.7000007629 (st) 18.6000003815 (er) 17.8999996185 (s) -332.299987793 (m) 11.5 (ay) -326.6000061035 (b) 10.8999996185 (e) -334 (b) 10.8999996185 (e) 0 (s) 16.2999992371 (t) -331.700012207 (pe) 17.7000007629 (rf) 18.1000003815 (or) 15.6999998093 (m) 11.5 (e) 0 (d) -323.6000061035 (u) 0 (n) 17 (d) 0 (e) 17.7000007629 (r) -330.799987793 (a) -334 (g) 0 (e) 17.7000007629 (n) 0 (-) ] TJ
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4.0250000954 -3.9679999352 l
3.7980000973 -3.9679999352 l
3.742000103 -3.3450000286 l
3.5260000229 -1.8660000563 2.1940000057 -0.5080000162 0.6800000072 -0.2829999924 c
0 -0.2269999981 l
B*
Q
q
1 0 0 1 538.5830078125 699.7039794922 cm
0 0 m
0 -363.8550109863 l
-0.2269999981 -363.8550109863 l
-0.2269999981 0 l
B*
Q
q
1 0 0 1 538.5830078125 335.8489990234 cm
0 0 m
-0.057 -0.6800000072 l
-0.2479999959 -2.2000000477 -1.7300000191 -3.7400000095 -3.2880001068 -3.9119999409 c
-4.0250000954 -3.9690001011 l
-4.0250000954 -3.742000103 l
-3.3450000286 -3.6849999428 l
-1.8789999485 -3.4670000076 -0.5019999743 -2.0889999866 -0.2829999924 -0.6240000129 c
-0.2269999981 0 l
B*
Q
q
1 0 0 1 534.5570068359 331.8800048828 cm
0 0 m
-473.8389892578 0 l
-473.8389892578 0.2269999981 l
0 0.2269999981 l
B*
Q
q
1 0 0 1 60.7179985046 331.8800048828 cm
0 0 m
-0.7369999886 0.057 l
-2.2950000763 0.2290000021 -3.7769999504 1.7680000067 -3.9690001011 3.2880001068 c
-4.0250000954 3.9679999352 l
-3.7980000973 3.9679999352 l
-3.742000103 3.3450000286 l
-3.5230000019 1.8789999485 -2.1459999084 0.5019999743 -0.6800000072 0.2829999924 c
0 0.2269999981 l
B*
Q
q
1 0 0 1 56.6930007935 335.8489990234 cm
0 0 m
0 363.8550109863 l
0.2269999981 363.8550109863 l
0.2269999981 0 l
B*
Q
q
1 0 0 1 56.6930007935 699.7039794922 cm
0 0 m
0.057 0.6800000072 l
0.2479999959 2.2000000477 1.7300000191 3.739000082 3.2880001068 3.9119999409 c
4.0250000954 3.9690001011 l
4.0250000954 3.742000103 l
3.3450000286 3.6849999428 l
1.8309999704 3.4609999657 0.4990000129 2.1029999256 0.2829999924 0.6240000129 c
0.2269999981 0 l
B*
Q
/EmbeddedDocument /MC4 BDC
/Document /MC5 BDC
q
127.5589981079 697.1779785156 340.1010131836 -347.0429992676 re
W
n
q
340.3559875488 0 0 347.1960144043 127.5419998169 350.0069885254 cm
/Im1 Do
Q
Q
0.2705900073 0.4745100141 0.721570015 RG
0 J
0.5149999857 w
/GS3 gs
q
1 0 0 1 253.4859924316 693.5700073242 cm
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0 1.9930000305 1.6150000095 3.6080000401 3.6080000401 3.6080000401 c
70.6169967651 3.6080000401 l
72.6090011597 3.6080000401 74.2239990234 1.9930000305 74.2239990234 0 c
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74.2239990234 -16.4260005951 72.6090011597 -18.0410003662 70.6169967651 -18.0410003662 c
3.6080000401 -18.0410003662 l
1.6150000095 -18.0410003662 0 -16.4260005951 0 -14.4320001602 c
0 0 l
s
Q
BT
/F11 1 Tf
6.845099926 0 0 6.8452000618 261.7752990723 687.0186157227 Tm
0 0 0 rg
-0.0007 Tc
0.0105999997 Tw
[(Im) -7.6999998093 (m) -8.6999998093 (e) -0.6999999881 (di) 4.4000000954 (ate hospital ) ] TJ
3.2409999371 -1.1445000172 TD
0.001 Tc
0 Tw
(care) Tj
ET
q
1 0 0 1 166.8910064697 643.8870239258 cm
0 0 m
0 1.4359999895 1.1679999828 2.6050000191 2.6050000191 2.6050000191 c
28.7689990997 2.6050000191 l
30.2049999237 2.6050000191 31.3729991913 1.4359999895 31.3729991913 0 c
31.3729991913 -10.4259996414 l
31.3729991913 -11.8620004654 30.2049999237 -13.029999733 28.7689990997 -13.029999733 c
2.6050000191 -13.029999733 l
1.1679999828 -13.029999733 0 -11.8620004654 0 -10.4259996414 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 176.5621948242 636.6287841797 Tm
-0.0015 Tc
(Yes) Tj
ET
0.309799999 0.5058799982 0.7411800027 RG
0 j
1.375 w
8 M
q
1 0 0 1 229.1979980469 638.4370117188 cm
0 0 m
-30.892999649 0 l
S
Q
1 j
q
1 0 0 1 290.6050109863 675.5490112305 cm
0 0 m
0 -24.7409992218 l
S
Q
0.7372499704 0.2705900073 0.2588199973 RG
0.5149999857 w
q
1 0 0 1 229.2250061035 641.508972168 cm
0 0 m
0 5.126999855 4.1510000229 9.2779998779 9.2779998779 9.2779998779 c
114.4300003052 9.2779998779 l
119.5569992065 9.2779998779 123.7080001831 5.126999855 123.7080001831 0 c
123.7080001831 -37.1119995117 l
123.7080001831 -42.2389984131 119.5569992065 -46.3899993896 114.4300003052 -46.3899993896 c
9.2779998779 -46.3899993896 l
4.1510000229 -46.3899993896 0 -42.2389984131 0 -37.1119995117 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 237.1994934082 636.3812255859 Tm
0.0001 Tc
-0.0001 Tw
[(Untreat) -7.9000000954 (ed s) -14.8999996185 (y) 17.1000003815 (st) -9.8000001907 (em) -18.8999996185 (ic h) -6.9000000954 (y) 18.2999992371 (pot) -10 (h) -7.8000001907 (erm) -23.1000003815 (i) 5.1999998093 (a) ] TJ
7.1203999519 -1.1565999985 TD
0.0049999999 Tc
0 Tw
(OR) Tj
-0.9757000208 -1.1565999985 TD
0.0176999997 Tc
[(Tr) 15.6999998093 (a) 17.7000007629 (u) 33.7999992371 (ma) ] TJ
0.9757000208 -1.1446000338 TD
0.0049999999 Tc
(OR) Tj
-4.3253002167 -1.1476000547 TD
0 Tc
-0.0001 Tw
[(Unstab) -5.9000000954 (le com) -19 (orbiditi) 6.0999999046 (es) ] TJ
ET
0.2705900073 0.4745100141 0.721570015 RG
q
1 0 0 1 278.1929931641 565.7379760742 cm
0 0 m
0 1.4229999781 1.1549999714 2.5769999027 2.5769999027 2.5769999027 c
22.6800003052 2.5769999027 l
24.1030006409 2.5769999027 25.2579994202 1.4229999781 25.2579994202 0 c
25.2579994202 -10.3090000153 l
25.2579994202 -11.732000351 24.1030006409 -12.8859996796 22.6800003052 -12.8859996796 c
2.5769999027 -12.8859996796 l
1.1549999714 -12.8859996796 0 -11.732000351 0 -10.3090000153 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 286.4342041016 558.2603149414 Tm
0 Tw
(No) Tj
ET
0.309799999 0.5058799982 0.7411800027 RG
1.375 w
q
1 0 0 1 291.0870056152 567.8209838867 cm
0 0 m
0 27.3190002441 l
S
Q
0.309799999 0.5058799982 0.7411800027 rg
290.3989868164 501.8259887695 1.375 53.1090011597 re
f
q
1 0 0 1 291.5679931641 526.4119873047 cm
0 0 m
0 1.375 l
-112.78099823 1.375 l
-112.78099823 -16.1000003815 l
-111.40599823 -16.079000473 l
-111.40599823 0 l
0 0 l
f
Q
q
1 0 0 1 412.8349914551 527.7869873047 cm
0 0 m
-121.2659988403 0 l
-121.2659988403 -1.375 l
-1.3739999533 -1.375 l
-1.3739999533 -17.1979999542 l
0 -17.1979999542 l
0 0 l
f
Q
0.2705900073 0.4745100141 0.721570015 RG
0.5149999857 w
q
1 0 0 1 355.0310058594 498.8469848633 cm
0 0 m
0 6.4879999161 5.25 11.7379999161 11.7370004654 11.7379999161 c
100.5240020752 11.7379999161 l
107.0120010376 11.7379999161 112.2620010376 6.4879999161 112.2620010376 0 c
112.2620010376 -46.9339981079 l
112.2620010376 -53.4199981689 107.0120010376 -58.6710014343 100.5240020752 -58.6710014343 c
11.7370004654 -58.6710014343 l
5.25 -58.6710014343 0 -53.4199981689 0 -46.9339981079 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 363.7247924805 498.041595459 Tm
0 0 0 rg
0.0003 Tc
[(Bli) 5.4000000954 (s) -3.7000000477 (ters) ] TJ
2.8073000908 -1.2288999557 TD
0 Tc
[(If) -9.1000003815 ( clear c) -13 (o) 0 (nsi) 5.0999999046 (d) -8.1000003815 (er ) ] TJ
0.8104000092 -1.1565999985 TD
0.0005 Tc
[(aspi) 7.5999999046 (rat) -13.6000003815 (i) 5.5999999046 (on) ] TJ
-0.8104000092 -1.2288999557 TD
0.0004 Tc
-0.0003 Tw
[(If) -8.6999998093 ( haem) -20.6000003815 (orrhagi) 7.5 (c ) -6.1999998093 (consi) 5.5 (d) 0.400000006 (er ) ] TJ
0.8104000092 -1.1567000151 TD
-0.0044999998 Tc
0 Tw
[(le) -4.5 (a) -10.3999996185 (v) 0.400000006 (i) -9.5 (n) -4.4000000954 (g ) ] TJ
4.453400135 0 0 4.453499794 412.0744934082 468.8467102051 Tm
0.0170000009 Tc
(18) Tj
6.845099926 0 0 6.8452000618 382.9407043457 457.0538024902 Tm
-0.0024999999 Tc
0.0026 Tw
[(Sim) -25.3999996185 (p) -2.5 (le n) -8.3999996185 (o) -2.5 (n a) -9.3999996185 (d) -2.5 (hes) -17.5 (i) 2.4000000954 (v) -7.5 (e) -286.200012207 (dr) -27.6000003815 (y) ] TJ
0.1084999964 -1.1565999985 TD
0.0014 Tc
0 Tw
[(dres) -4.5 (si) 6.5 (n) -6.5 (g) 1.3999999762 (s) ] TJ
ET
q
1 0 0 1 127.888999939 498.3320007324 cm
0 0 m
0 6.5980000496 5.3460001945 11.9440002441 11.9409999847 11.9440002441 c
91.763999939 11.9440002441 l
98.361000061 11.9440002441 103.7089996338 6.5980000496 103.7089996338 0 c
103.7089996338 -47.7589988708 l
103.7089996338 -54.3559989929 98.361000061 -59.702999115 91.763999939 -59.702999115 c
11.9409999847 -59.702999115 l
5.3460001945 -59.702999115 0 -54.3559989929 0 -47.7589988708 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 136.5487060547 480.4755859375 Tm
-0.0015 Tc
[(Ana) -7.5 (l) 3.5 (g) -9.3999996185 (e) -1.5 (sia) ] TJ
2.8097000122 -1.2289999723 TD
-0.0009 Tc
0.0109000001 Tw
[(Ibuprof) -11.8999996185 (en 400m) -20 (g) -280.3999938965 (B) 3.0999999046 (D) ] TJ
0 -1.2288999557 TD
0.0041 Tc
-0.0041 Tw
[(Op) 4.0999999046 (i) 11.1000003815 (a) 4.0999999046 (te) 4.0999999046 (s) -278.3999938965 (a) 4.0999999046 (s re) 4.0999999046 (q) 8.1000003815 (u) -3.9000000954 (i) 9.1000003815 (r) 2.0999999046 (e) 4.0999999046 (d) ] TJ
ET
0.309799999 0.5058799982 0.7411800027 rg
q
1 0 0 1 291.7049865723 448.6659851074 cm
0 0 m
-1.375 0.0299999993 l
-1.375 -20.3939990997 l
0 -20.3540000916 l
0 0 l
f
Q
q
1 0 0 1 166.8910064697 612.0250244141 cm
0 0 m
0 1.4440000057 1.1679999828 2.6119999886 2.6119999886 2.6119999886 c
28.7619991302 2.6119999886 l
30.2049999237 2.6119999886 31.3729991913 1.4440000057 31.3729991913 0 c
31.3729991913 -10.4460000992 l
31.3729991913 -11.8900003433 30.2049999237 -13.0579996109 28.7619991302 -13.0579996109 c
2.6119999886 -13.0579996109 l
1.1679999828 -13.0579996109 0 -11.8900003433 0 -10.4460000992 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 174.5001983643 604.7739257812 Tm
0 0 0 rg
-0.0020000001 Tc
0 Tw
[(T) -16.8999996185 (r) -4 (eat) ] TJ
ET
0.309799999 0.5058799982 0.7411800027 RG
0 j
1.375 w
q
1 0 0 1 229.1979980469 607.5100097656 cm
0 0 m
-30.892999649 0 l
S
1 0 0 1 -46.9410018921 23.9169998169 cm
0 0 m
0 -16.4260005951 l
S
Q
0.7372499704 0.2705900073 0.2588199973 RG
1 j
0.5149999857 w
q
1 0 0 1 241.56199646 492.9710083008 cm
0 0 m
0 4.8930001259 3.9579999447 8.8520002365 8.8520002365 8.8520002365 c
96.3000030518 8.8520002365 l
101.1920013428 8.8520002365 105.1510009766 4.8930001259 105.1510009766 0 c
105.1510009766 -35.3880004883 l
105.1510009766 -40.28099823 101.1920013428 -44.2400016785 96.3000030518 -44.2400016785 c
8.8520002365 -44.2400016785 l
3.9579999447 -44.2400016785 0 -40.28099823 0 -35.3880004883 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 255.4253997803 488.6395874023 Tm
-0.0003 Tc
0.0003 Tw
[(Re) -9.1999998093 (w) 10.8000001907 (arm) -23.3999996185 (i) 4.8000001907 (n) -0.3000000119 (g of) -7.1999998093 ( extrem) -19.3999996185 (i) 4.8000001907 (t) -0.3000000119 (i) 5.5999999046 (e) -0.3000000119 (s) ] TJ
0.0362000018 -1.1446000338 TD
-0.0005 Tc
0.0093999999 Tw
[(i) 4.5999999046 (n) -0.5 ( waterb) -8.3999996185 (a) -0.5 (th at ) 12 (3) -8.3999996185 (7) -10.1999998093 (-39) ] TJ
4.453400135 0 0 4.453499794 320.1799926758 484.2697143555 Tm
0 Tc
0 Tw
(o) Tj
6.845099926 0 0 6.8452000618 322.6539916992 480.8046875 Tm
(C) Tj
4.453400135 0 0 4.453499794 327.6029968262 484.2697143555 Tm
0.0173000004 Tc
(16) Tj
6.845099926 0 0 6.8452000618 251.1363983154 472.8887023926 Tm
-0.0007 Tc
0.0092000002 Tw
[(with add) -8.8000001907 (e) -0.6000000238 (d ) 8.5 (ch) -8.8000001907 (l) 4.4000000954 (orh) -11.6999998093 (exadine o) -8.6000003815 (r) -2.7000000477 ( ) ] TJ
0.7953000069 -1.1567000151 TD
0.0001 Tc
0.0099999998 Tw
[(popo) -5.8000001907 (vi) 5.1999998093 (do) -12.3999996185 (ne i) 5.1999998093 (o) 0.1000000015 (d) -5.8000001907 (i) 5 (n) -8 (e) -283.6000061035 (f) -9.8000001907 (or ) 10 (30 ) ] TJ
0.8916000128 -1.1446000338 TD
-0.0008 Tc
0 Tw
[(m) -20.7000007629 (i) 4.0999999046 (nutes) ] TJ
4.453400135 0 0 4.453499794 286.7651977539 460.5997924805 Tm
0 Tc
(20) Tj
6.845099926 0 0 6.8452000618 293.6091918945 457.1358032227 Tm
-0.0005 Tc
-0.0026 Tw
[(to 1 ) -11 (hour) ] TJ
4.453400135 0 0 4.453499794 320.674987793 460.5997924805 Tm
0.0001 Tc
0 Tw
(14) Tj
ET
0.2705900073 0.4745100141 0.721570015 RG
q
1 0 0 1 221.6999969482 415.550994873 cm
0 0 m
0 7.0510001183 5.7179999352 12.767999649 12.7690000534 12.767999649 c
129.4949951172 12.767999649 l
136.546005249 12.767999649 142.2649993896 7.0510001183 142.2649993896 0 c
142.2649993896 -51.0579986572 l
142.2649993896 -58.1100006104 136.546005249 -63.8269996643 129.4949951172 -63.8269996643 c
12.7690000534 -63.8269996643 l
5.7179999352 -63.8269996643 0 -58.1100006104 0 -51.0579986572 c
0 0 l
s
Q
BT
6.845099926 0 0 6.8452000618 237.2825012207 412.9309997559 Tm
0.0005 Tc
-0.0005 Tw
[(Assess) 6.5999999046 (m) -19.5 (e) 0.6000000238 (nt of) -9.3999996185 ( sev) 7.5999999046 (erit) -19.5 (y) -270.3999938965 (-) -281.200012207 (G) -3.4000000954 (rades 1-4) ] TJ
-0.6387000084 -2.5422000885 TD
-0.0002 Tc
0.0002 Tw
[(Docum) -19.2999992371 (e) -0.1000000015 (nt sev) 6.9000000954 (erit) -20.2000007629 (y) 17.8999996185 ( f) -9.1000003815 (or c) -6.3000001907 (o) -0.1000000015 (m) -7.1999998093 (p) -0.1000000015 (ari) 4.9000000954 (s) -5.1999998093 (on ) -10.1000003815 (af) -8.1999998093 (ter ) ] TJ
7.084499836 -1.1565999985 TD
-0.0004 Tc
0 Tw
[(therap) -19.3999996185 (y) ] TJ
-6.0360999107 -2.5453000069 TD
-0.0006 Tc
0.0006 Tw
[(Phot) -10.5 (ogra) -8.5 (ph or ) -12 (D) -8.5 (i) 4.5 (a) -8.6999998093 (gram) -305.1000061035 (of) -8.6000003815 ( ) 12.1000003815 (af) -8.5 (f) -10.6999998093 (e) -0.5 (cted ) ] TJ
5.2769999504 -1.1565999985 TD
0.0005 Tc
0 Tw
[(extrem) -18.5 (i) 5.5999999046 (t) 0.5 (i) 6.5999999046 (e) 0.5 (s) ] TJ
ET
q
1 0 0 1 376.9010009766 490.5299987793 cm
0 0 m
-0.5849999785 0.9010000229 0.0109999999 2.2070000172 1.1390000582 2.0999999046 c
2.5940001011 1.9630000591 2.5610001087 -0.6719999909 0.7789999843 -0.4199999869 c
0.4379999936 -0.3720000088 0.4620000124 -0.123999998 0 0 c
f*
Q
q
1 0 0 1 376.9010009766 474.2099914551 cm
0 0 m
-0.5849999785 0.9010000229 0.0109999999 2.2070000172 1.1390000582 2.0999999046 c
2.5940001011 1.9620000124 2.5610001087 -0.6719999909 0.7789999843 -0.4199999869 c
0.4379999936 -0.3709999919 0.4620000124 -0.123999998 0 0 c
f*
Q
q
1 0 0 1 151.6609954834 472.950012207 cm
0 0 m
-0.5849999785 0.90200001 0.0120000001 2.2070000172 1.1399999857 2.0999999046 c
2.5940001011 1.9630000591 2.5620000362 -0.6719999909 0.7799999714 -0.4199999869 c
0.4390000105 -0.3720000088 0.4620000124 -0.123999998 0 0 c
f*
Q
q
1 0 0 1 151.6609954834 464.549987793 cm
0 0 m
-0.5849999785 0.9010000229 0.0120000001 2.2070000172 1.1399999857 2.0999999046 c
2.5940001011 1.9630000591 2.5620000362 -0.6719999909 0.7799999714 -0.4199999869 c
0.4390000105 -0.3709999919 0.4620000124 -0.123999998 0 0 c
f*
Q
q
1 0 0 1 376.9010009766 457.950012207 cm
0 0 m
-0.5849999785 0.90200001 0.0109999999 2.2070000172 1.1390000582 2.0999999046 c
2.5940001011 1.9620000124 2.5610001087 -0.6719999909 0.7789999843 -0.4199999869 c
0.4379999936 -0.3720000088 0.4620000124 -0.123999998 0 0 c
f*
Q
EMC
EMC
/GS1 gs
BT
/F1 1 Tf
7.9998998642 0 0 7.9998998642 62.7023010254 338.1164855957 Tm
0 0 0 1 k
0 Tc
[(Figure) -292.299987793 (1) ] TJ
/F4 1 Tf
3.9827001095 0 TD
[(Immediat) 10.6999998093 (e) -305 (hospita) 12.8000001907 (l) -302.799987793 (managem) 14.1999998093 (ent) -300 (of) -295.299987793 (frostbite) -295.6000061035 (injury.) ] TJ
ET
0 0 0 1 K
1 J
0 w
10 M
q
1 0 0 1 56.6930007935 185.3860015869 cm
0 0 m
481.8900146484 0 l
481.8900146484 -0.112999998 l
0 -0.112999998 l
B*
Q
538.5830078125 60.9449996948 -481.8900146484 0.1700700074 re
B*
180.2270050049 172.1199951172 -123.533996582 0.1133700013 re
B*
260.049987793 172.1199951172 -79.8239974976 0.1133700013 re
B*
340.3269958496 172.1199951172 -80.2770004272 0.1133700013 re
B*
438.0090026855 172.1199951172 -97.6819992065 0.1133700013 re
B*
538.5830078125 172.1199951172 -100.5729980469 0.1133700013 re
B*
BT
/F1 1 Tf
9 0 0 9 56.6929016113 189.4109954834 Tm
-0.0001 Tc
[(Table) -302.5 (2) -298.5 (Classification) -307.299987793 (scheme) -296.299987793 (for) -301.200012207 (the) -303.200012207 (severity) -301.3999938965 (of) -298.200012207 (frostbite) -301.700012207 (injury) -303 ([19]) ] TJ
/F4 1 Tf
7.9998998642 0 0 7.9998998642 56.6929016113 176.2581939697 Tm
0 0 0 rg
0 Tc
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