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Profile: Gale Encyclopedia of Medicine

Gale Encyclopedia of Medicine was a participant or observer in the following events:

Excerpt from a diagram of a tracheotomy.Excerpt from a diagram of a tracheotomy. [Source: Gale Encyclopedia of Medicine]Steven Bradbury, the head of the Justice Department’s Office of Legal Counsel (OLC), issues a classified memo to John Rizzo, the senior deputy counsel for the CIA, the second of two memos issued on the same day by Bradbury to Rizzo (see May 10, 2005). This memo, a supplement to the first, considers interrogation techniques used in combination. Bradbury concludes, “Subject to the conditions and limitations set out here and in [the previous memo], we conclude that the authorized combined use of these specific techniques by adequately trained interrogators would not violate” US statutory law. The memo will not be released to the public for almost four years (see April 16, 2009).
Emergency Tracheotomy Procedures at Ready - The memo finds that, even though an earlier OLC memo had declared waterboarding to be a safe procedure (see August 1, 2002), a medical practicioner with a tracheotomy kit must be present to ensure the detainee is not injured or killed during the procedure. Bradbury writes: “[A] detainee could suffer spasms of the larynx that would prevent him from breathing even when the application of water is stopped and the detainee is returned to an upright position. In the event of such spasms, a qualified physician would immediately intervene to address the problem, and, if necessary, the intervening physician would perform a tracheotomy… we are informed that the necessary emergency medical equipment is always present—although not visible to the detainee—during any application of the waterboard.” In a heavily redacted section, the memo states: “In our limited experience, extensive use of the waterboard can introduce new risks. Most seriously, for reasons of physical fatigue or psychological resignation, the subject may simply give up, allowing excessive filling of the airways and loss of consciousness. An unresponsive subject should be righted immediately and the interrogator should deliver a sub-xyphoid thrust to expel the water. If this fails to restore normal breathing, aggressive medical intervention is required. Any subject who has reached this degree of compromise is not [REDACTED].” [Office of Legal Counsel, 5/10/2005 pdf file]
'Last-Resort Procedure' - According to the Gale Encyclopedia of Medicine: “A tracheotomy is a surgical procedure in which a cut or opening is made in the windpipe (trachea). The surgeon inserts a tube into the opening to bypass an obstruction, allow air to get to the lungs, or remove secretions.… A tracheotomy is performed if enough air is not getting to the lungs, if the person cannot breathe without help, or is having problems with mucus and other secretions getting into the windpipe because of difficulty swallowing.… Doctors perform emergency tracheotomies as last-resort procedures. They are done only if the patient’s windpipe is obstructed and the situation is life-threatening.” [Gale Encyclopedia of Medicine, 2009]

Entity Tags: Office of Legal Counsel (DOJ), Steven Bradbury, US Department of Justice, Central Intelligence Agency, Gale Encyclopedia of Medicine, John Rizzo

Timeline Tags: Torture of US Captives, Civil Liberties

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