5. Respiration of the chilled subject is rendered difficult due to the rigor of the respiratory musculature. 6. After removal from the cold water, the body temperature may continue to fall for 15 minutes or longer. This may be an explanation of deaths which occur after successful rescue from the sea. 7. Intensive rewarming never injures the severely chilled person. 8. Strophanthin treatment was not observed to have been successful. The question of the use of strophanthin remains open, however. Remedies which influence the peripheral circulation are definitely not advisable. 9. The most effective therapeutic measure is rapid and intensive heat treatment, best applied by immersion in a hot bath. 10. By means of special protective clothing, the survival time after immersion in cold water could be extended to double the survival time of subjects who were immersed without protective clothing. 11. Certain proposals for improvement of life jackets are being made. Concluded on 10 October 1942. [Signed] Prof. DR. HOLZLOEHNER DR. RASCHER DR. FINKE * * * * * _Behavior of the heart action under the influence of medication_ │ │Occurance of │ Therapy │Pulse becomes │ Total │ │ │Irregularity │ │ │ regular │ dura- │ Subj.│Water│ After│ At │ │ At│ After exper. │ tion │ │temp.│exper.│ body│ Mg. │ min.│time & admin. │of ir- │ Remarks │ [°C]│ time│ temp.│stroph.│[min.]│ strophanthin │ regu- │ │ │[min.]│ [°C]│ │ │ │larity │ │ │ │ │ │ │ │ │ * │ * │ * │ * │ * │ * │ * │ * │ * │ │ │ │ │ │ │ │ B. L │ 4│ 55│ 30│0.25 │ 65│ — │ — │Death in │ │ │ │ mg., │ │ │ │ the │ │ │ │ 4 cc.│ │ │ │ seventie │ │ │ │ coram│ │ │ │ th │ │ │ │ in. │ │ │ │ minute, │ │ │ │ │ │ │ │ ten │ │ │ │ │ │ │ │ minutes │ │ │ │ │ │ │ │ after │ │ │ │ │ │ │ │ removal │ │ │ │ │ │ │ │ from │ │ │ │ │ │ │ │ water. │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ │ L. H │ 4│ 30│ 31.5│0.25 │ 60│ — │ — │Death