Sick medical profession one minute video “We watched our son die. there was nothing we could do” Rescue breathing would have saved your son and many other causes breathing emergency https://youtu.be/w_Er4QCj2ZM
Original Power Point link Gathering of Eagles Following copy slides 13-27
My comments in red boxes I replaced slides 18-19 which are just photographs
Slide 19 Keith Richards his quote “If you going to get wasted, then get wasted elegantly”
Slide 20 photo person down, majority of cases person found down are ‘respiratory emergencies’
SLIDE 3
CBC; Barbara Yaffe MD acting Medical Officer of Health and Mayor John Tory quoted “Ventilations (rescue breaths) most important” Mayor Tory quote “This is what causes people to lose their lives quite literally” [as any child should understand THINK people drugs nor poisons did not magically change their chemical structure after millions of years, they still cause death respiratory failure Question suffer any breathing emergency A) Rescue breaths B) Chest compressions?]
https://youtu.be/_eUqXct3s_E
SLIDE 13
SLIDE 14
MY INSERT NEXT TWO SLIDES
FDA phone call https://youtu.be/FAxzaRnQ3s8
Naloxone and cardiac arrest https://roguemedic.com/2012/04/naloxone-in-cardiac-arrest-with-suspected-opioid-overdoses/
SLIDE 15
SLIDE 16
Pulmonary Edema https://en.wikipedia.org/wiki/Pulmonary_edema
SLIDE 17
MY INSERT SLIDE 18 Original a photo Kieth Richards
Co-author Laurie J. Morrison MD 2010 AHA Part 12:7 ‘Opioid Toxicity’
http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80
Toxidromes
“Practically every sign and symptom observed in poisoning can be produced by natural disease, and many clinical presentations associated with natural disease can be mimicked by some poison” [means signs of OD can mimic any breathing emergency through illness or injury]
Opioid Toxicity
“ventilation [rescue breaths layperson] should be assisted by a bag mask [rescue breaths same layperson] followed by administration of naloxone and placement of an advanced airway [rescue breaths layperson] if there is no response to naloxone”
Nicholas Etches MD http://www.cbc.ca/player/play/895066691568
Nathan Harig EMS https://youtu.be/35lBf5s-iro
Annotated info Naloxone http://roguemedic.com/?s=Naloxone
MY INSERT SLIDE 19 ORIGINAL PHOTO IS OF A PERSON DOWN
Hypoxia every second anyone is under oxygenated every cell tissue and organ is dying. Blood chemistry is becoming more and more toxic, give rescue breaths ASAP normalizes blood chemistry and keeps the heart beating https://en.m.wikipedia.org/wiki/Hypoxia_(medical)
SLIDE 20
Below protocol found here Leece P; Aaron Orkin MD et al ‘Development and Implementation of an Opioid Overdose Prevention and Response Program in Toronto, Ontario’ CJPH 2013; 104(3):e200-4
Click to access 6120a3ec5f8269c605bcf456b387ddc79be9.pdf
SLIDE 21 ORIGINAL ON RIGHT
Something is wrong with our ability to THINK some of the contraindicated life threatening training materials
TPH start listening at 9 minutes https://vimeo.com/68067103
Video out take webinar removed from the World Wide Web https://youtu.be/AaRP_LqG–Y
TPH video https://www.youtube.com/watch?v=zlbkU5IK5Do
College of Physicians and Surgeons removed their Power Point early in 2019 copy slide 23 [about time] https://www.cpso.on.ca/uploadedFiles/members/Meth-conf-POINT-PP.pdf
Centre Addictions Mental Health protocol Signs prove patient is alive could be any breathing emergency Rescue Breaths ASAP https://www.camh.ca/-/media/files/5-steps-to-save-a-life-pdf.pdf
Major newspaper Toronto Star May 18, 2017 ‘Sherbourne Health Centre latest to offer naloxone in midst of opiate crisis’
Quote “How to recognize and respond to an opioid overdose with naloxone:
Symptoms of opioid overdose include shallow or short breaths, gurgling or snoring sounds with breathing, pinpoint pupils, lips and fingertips turning blue, the body going limp and limited or no response to stimuli like pinching the clavicle or knuckles pressed on the sternum.
“If you suspect someone is in an overdose, call 911 ….
If you know how, begin chest compression’s.”
https://www.thestar.com/news/gta/2017/05/18/sherbourne-health-centre-latest-to-offer-naloxone-in-midst-of-opiate-crisis.html
Email from Executive Director Health Canada removed rescue breathing for breathing emergencies Sept 2018
https://jgarythompson.wordpress.com/2018/10/06/health-canada-teaching-murder/
Toronto District School Board and many health districts protocol “Compressions only!!” Signs prove the patient is alive See page 15
SLIDE 22
SLIDE 23
Dyspnea https://en.wikipedia.org/wiki/Shortness_of_breath
SLIDE 24
SLIDE 25
SLIDE 26
SLIDE 27
Cardiac arrest secondary to respiratory arrest prognosis is very poor, it’s not a simple arrest from heart disease Roberts, James R. MD ‘Dissecting the ACLS Guidelines on Cardiac Arrest from Toxic Ingestions’
https://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx
Gordon Ewy MD the world expert chest compression’s only, phoned me “Gary don’t stop what you are doing”
Quote “Some doctors worry that bystanders can get confused and do only chest compressions in drug-overdose and drowning cases [any asphyxia or poisoning etc] NOT TO BE GIVEN TO CHILDREN.”
http://www.azcentral.com/news/articles/2010/01/19/20100119cardiacdoc0119.html
Email from Dr. Ewy on the date 2015 AHA & ILCOR Guidelines published Quote Gordon “This is unbelievable” https://aliascpr.wordpress.com/2016/06/25/email-dr-gordon-awy/
2015 European Guidelines are still correct
Section 4. ‘Toxins’ p.165
https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c78115e61585a053d7bce/files/S0300-9572_15_00329-9_main.pdf?
Quotes “Prevention of cardiac arrest. Assess the patient using systematic ABCDE approach” “fewer adverse events when airway opening, oxygen administration and ventilation are carried out before giving naloxone” “Large opioid overdoses may require a total dose of up to 10 mg of naloxone” “In respiratory arrest there is good evidence for the use of naloxone, but not for any other adjuncts or changes in interventions.”
Cardiac arrest caused by a respiratory emergency is an entirely different animal than an arrest from heart disease, prognosis very poor.
Roberts, James R. MD ‘Dissecting the ACLS Guidelines on Cardiac Arrest from Toxic Ingestions’
https://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx
50,000 poisoning per year Ontario 28,000 are children. Poisoning drug OD is just one of the 100s of causes breathing emergency
http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html
‘Management Respiratory Emergencies’ Take a guess A) Rescue Breathing B) Chest compressions Your life depends on the right answer ASAP
Quote reference #64 “Conclusion Every patient diagnosed with life threatening respiratory emergency should receive the emergency care as early as possible including oxygenation [rescue breaths layperson], ventilatory support and appropriate pharmacotherapy [antidotes] which would help in saving patients life and preventing complications.” [Rescue breathing keeps your heart beating]
Empower millions of laypersons what they think is a life saving technique they are eagerly following a clinicians instructions increasing morbidity and mortality any respiratory emergency patient. Signs of OD proves the heart is beating and could be any of the 100’s of causes breathing emergency. Protocol increases mental and physical illness drug use and abuse loss of trust in the medical profession, addiction and harm reduction workers, dysfunctional society. Protocol you deny grade school science ‘How the Heart and Lungs work”
Psychological terrorism; workplace harassment and bullying common quotes while crying Pharmacists; EMS; MDs and RNs “I know they are increasing morbidity and mortality anyone alive, including respiratory emergencies with chest compression’s and/or oxygen deprivation”
Dr. Lewis Goldfrank discusses the New Edition of Goldfrank’s Toxicologic Emergencies https://youtu.be/jWXg_mbGV1w
My comment H & S Foundations Official Site https://youtu.be/Wy3eEES511E
Shawn Hopkins; Laurie Morrison MD et al “Chest compressions only” ‘Development and Implementation of an Opioid Overdose Prevention and Response Program in Toronto, Ontario’ CJPH 2013; 104(3):e200-4