Manual of U.S. Cave Rescue Techniques, third edition, edited by Anmar Mirza. 
National Cave Rescue Commission, 2015. ISBN 2370000230362. Approximately 250 
pages, 8.5 by 11 inches, softbound, $50.

This book, a much-needed and thorough revision of the 1988 second edition, is a 
bound version of a collection of chapters, with pages numbered independently, 
that are used in looseleaf form during cave-rescue courses offered by the 
National Cave Rescue Commission of the NSS. The thirty-six chapters have 
version numbers, like software, ranging from 1.2 to 2.3, and presumably the 
looseleaf versions have been evolving and will continue to do so, but it is 
valuable that a bound book is available for permanent reference. Twenty authors 
are listed, plus whoever wrote the thirteen anonymous chapters. The numerous 
illustrations are clear and a lot better than those in the second edition.

The National Cave Rescue Commission is charged with coordination between cavers 
and civil agencies, and a large fraction of its training customers are 
professional emergency personnel, so catering to them is not surprising. There 
are references to local protocols and Form 205 and even a few mentions of 
half-inch rope, which cavers haven't used since the Manila Age. I'd like to be 
there when a fireman encounters a 9-millimeter rope hanging in a pit.

But there is a lot in the book that should be of interest even to cavers who 
hope never to be involved in a 911 emergency situation. There are succinct 
descriptions of various vertical systems and a good discussion of knots. A lot 
of the material about rigging is pertinent to any vertical caving, as long as 
one recognizes what some of it is important only when one is lifting a loaded 
litter with attendant. There is little about first-aid beyond stopping major 
blood loss and preventing hyperthermia, but realistically there is little that 
can be done in the cave. CPR is not likely to work in cases of trauma. There is 
a chapter on small-party self-rescue, and a lot of other things in the book are 
relevant to that, too, such as ways of lowering a person immobilized on rope 
besides the dangerous and "last-resort" pickoff. One thing worth noting is that 
a Gibbs-type ascender, rather than the toothed-cam sort, is preferable for many 
hauling uses, and a caving party might have a couple along, plus a small pulley 
or so, even if none is part of anyone's climbing system. Of course a large part 
of the book is devoted to packaging a patient in a litter and hauling it out of 
the cave. If it comes to that, the guys with flashing lights and their 
parasites the press will almost certainly be involved.

I recommend the Manual of U.S. Cave Rescue Techniques to any serious caver, 
perhaps to be read selectively. Some precautions are in order. Parts will 
appeal most to caves who were in the military and enjoyed it, the reader will 
frequently encounter more than just a whiff of lawyers, and anyone who knows 
that "a patient should have their" is not good English will be driven mad.
—Bill Mixon













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