Years ago am lined up at a coffee shop St. Michael’s Hospital Doctor in front of me in scrubs Me “Did you know millions of layperson’s have been taught Coma; Chyene-Stokes respirations; Cyanotic; Miosis give chest compression’s only?” Her response “There is no MD that is that insane” Tried to hand her a few pages of protocol taught, she looks at me as though I have three heads. Silly doctor is attending needless emergency codes her so-called doctor friends have caused. Can’t think she could wind up on the receiving end of this malfeasance,
Summer 2014 Public Health conference two St. Michael’s Hospital ED nurses quote to Public Health “Stop teaching chest compression’s we are getting all kinds of patients damaged from chest compression’s they were never to receive and/or oxygen deprivation”
Too funny as a ten year old child knows any of the 100’s of causes breathing emergency gets rescue breaths ASAP not murder everyone with chest compression’s.
PRIMUM NON NOCERE FIRST DO NO HARM
Adult has to breath in 0.5 liter air every five seconds to stay alive. Breath in anything less for a short period for any of the 100’s of causes breathing emergency someone has to give rescue breaths ASAP.
Put your hands under your rib cage breath deep, that’s your diaphragm moving which controls your breathing. Ever been hit in the stomach, chest, throat or back makes it hard to breath.
Pathophysiology drugs or poisons: Not toxic in of themselves it’s the affect of respiratory depression/insufficiency that causes the blood to become toxic.
Causes hypercapnia; high or low sugar; potassium; calcium; sodium and oxygen deprivation which is killing every cell tissue and organ. Supply rescue breathing normalizes the blood chemistry and keeps the heart beating. Hypoxia can cause ‘Nonketonic Diabetic Coma’ a respiratory emergency thus compounding the issue.
The above takes place in any of the 100’s of causes breathing emergency. Anyone who has a compromised immune system suffers any breathing emergency and does not receive prompt respiratory assist the preexisting condition is compounded.
Oxygen deprivation usually causes tachycardia [racing heart] Side effect Naloxone administration can cause tachycardia compounding the issue. Give rescue breaths slows the heart rate. Naloxone can cause fulminated opioid withdrawal syndrome, rescue breaths lessens this condition.
Under ventilate any breathing emergency can cause ‘non carcinogenic pulmonary edema’ which can kill you hours or days later.
Complications of chest compression’s are endless a drastic measure only to be preformed on a cardiac arrest. If your heart stops because of a respiratory emergency prognosis is very poor Patient needs Advanced Cardiac Life Support methods, beyond the scope of laypersons. 14.3 million people in Ontario, less than 15,000 out of hospital cardiac arrests per year, over a million taken to hospital in need of respiratory assist per year.
Thanks for asking my feedback, my very informal response. Good idea Anees train clinicians in opioid OD response and prevention. One other related personal experience ‘One complication pain Medication Reduction’ https://youtu.be/vIgtw04i92E
Empower millions of laypersons what they think is a life saving technique (chest compression’s and/or oxygen deprivation to a person alive) they are eagerly following a clinicians instructions increasing morbidity and mortality any respiratory emergency patient. 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”
My letter Emergency Medicine News Dec. 2015 With hyperlinks Public Health’s training literature https://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx
Aaron Orkin MD Criminally insane, insult to everyone’s intelligence. Rescue breathing is taught Boy Scouts and Girl Guides [Note article bottom this blog] http://www.cbc.ca/player/play/1204516931551
Aaron Orkin MD video from this story. There is no controversy never has been never will be Self evident truth any breathing emergency needs rescue breaths only. “Ontario makes controversial change on how to help overdose victims” http://www.cbc.ca/news/canada/ottawa/ontario-changes-rescue-breathing-opioid-overdoses-1.4608089
Aaron Orkin MD et al ‘Development and implementation of an opioid overdose prevention and response program in Toronto, Ontario.’ Can. J. Public Health 2013;104(3):e200-4 http://journal.cpha.ca/index.php/cjph/article/view/3788
Aaron Orkin MD co-author 2015 AHA guidelines Part 10:3 http://circ.ahajournals.org/content/132/18_suppl_2/S501
My moderated comments 2015 AHA & ILCOR guidelines BLS 891 ‘Overdose response education’ https://jgarythompson.wordpress.com/2016/07/06/opioid-overdose-response-education-bls-891/
70++ references 2015 AHA & ILCOR Guidelines all say rescue breathing https://aliascpr.wordpress.com/2015/12/13/2015-ilcor-and-aha-references-opioid-od/
Toronto District School Board See page 15 http://www.tdsb.on.ca/Leadership/Boardroom/Agenda-Minutes/Type/A?Folder=Agenda%2F20171123&Filename=171123+Opioid+3266.pdf
Training given TDSB; Public Librarians; City Staff and general public https://youtu.be/h2cXb1FqxSI
Nearly a 1,000 MDs and other health providers signed a letter Premier Wynne & Eric Hoskins MD et al Loose quote “Stop murdering everyone” https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson/
Per all medicine thus saving any breathing emergency, as any ten year old should understand.
Moss Park Toronto overdose prevention site Naloxone partially effective 15% of cases at 55 minutes 30 seconds 168 OD case reports oxygen (rescue breaths layperson) Naloxone is second line defense. http://ocap.ca/wp-content/uploads/2018/02/The-Overdose-Crisis-the-War-on-Drugs.mp3?_=1
Ask a Paramedic https://youtu.be/jym7F9PQHy0
Nathan Harig EMS https://youtu.be/35lBf5s-iro
Annotated info Naloxone http://roguemedic.com/?s=Naloxone
Psychological terrorism common quotes Pharmacists; EMS; MDs and RNs while crying “I know they are increasing morbidity and mortality anyone alive, including respiratory emergencies with chest compression’s and/or oxygen deprivation”
Please feel free to contact me
END OF MY COMMENT GOOGLE @GaryCPR more info
2010 AHA Part 12:7 ‘Opioid Toxicity’
“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” [MDs can’t tell the cause of respiratory emergency through illness or injury. Give breaths ASAP diagnose then treat any of the 100s of underlying causes. Don’t murder everyone with chest compression’s]
“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”
ADDENDUM REFERENCES 9-12
Ref 9) Connelly P, Wu H Methadone overdose and withdrawal in a tetraplegic patient: A case report 2014;6(8):759–760
Ref 10) Farsi D, et al.: The correlation between prolonged corrected QT interval with the frequency of respiratory arrest, endotracheal intubation, and mortality in acute methadone overdose. Cardiovasc. Toxicol. 2014;14(4):358–367
Ref 11) Hendrikson H, Hansen M: Methadone and prescription drug overdose. NCSL Legisbrief. 2014; 22(45): 1–2
Quote “inadvertently overdosing because of the discrepancy between short-term pain relief and the longer-term respiratory depression and cardiac effects” Methadone has long been known to be toxic and cumulative. Can cause heart arrhythmia. Overdose is acute respiratory failure has nothing to do with the heart.
Ref 12) Wunsch MJ, Nuzzo PA, Behonick G, et al.: Methadone-related overdose deaths in rural Virginia: 1997 to 2003. J. Addict. Med. 2013; 7(4): 223–229
Anesthetists OD patient many different substances the only thing keeping you alive is ventilations
Carl Hug MD ‘Opioids: clinical use as anesthetic agents’
Quote “allowing administration of enormous doses intraoperatively when the patient’s ventilation is supported mechanically” [Rescue breathing layperson]
Whole room full off experts at 25 minutes 30 seconds American Heart Association 2015 CPR Guidelines Release Quote Robin “I see as first aid like epi-pen [rescue breaths]” Robin shrugs her shoulders shakers her head “It’s in the CPR section?” My response ‘CPR section’ she puzzled, because cardiac arrest jumps to ACLS secondary to respiratory arrest. NOTE just before the 25 minute mark they discuss ‘agonal breathing’ cardiac arrest which is totally different than ‘Chyene-Stokes respiration’ during OD respiratory emergency.
Hal Newman the most decorated EMS in North America. One incident five overdoses same room lined them up head to head kept them alive rescue breathing
Women and children dead without rescue breathing Naloxone ineffective.
‘Management Respiratory Emergencies’ Take a guess A) Rescue Breathing B) Chest compression’s 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 [anitode] which would help in saving patients life and preventing complications.” [Breaths stops the cardiac arrest from happening]
Toronto Star May 18, 2017 ‘Sherbourne Health Centre latest to offer naloxone in midst of opiate crisis’
“How to recognise 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.”
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.”
Email from Dr. Ewy https://aliascpr.wordpress.com/2016/06/25/email-dr-gordon-awy/
My 20 moderated comments Tim Noonan 30+ years EMS ‘Proposed 2015 ACLS Chest compression only CPR vs conventional CPR Recommendation’
50,000 poisoning per year Ontario 28,000 are children. Poisoning drug OD is just one of the 100s of causes breathing emergency
My comment Medscape ‘Naloxone for the Reversal of Opioid Adverse Effects’ Two case reports Naloxone ineffective infants kept alive respiratory assist. Lots more cases like this in the medical literature.
I made a deputation Toronto Public Library Board
Union President CUPE 4948 Maureen O’Reilly can’t get an answer why her members were taught to murder everyone.
Phoned Peterborough Police’s Jessica Penner about their training “Gary I know Cops are getting their own family members killed that suffer any breathing emergency” Link cops training
I talked with the Chiefs media person He knew straight away training is wrong
Chief’s of Police Ontario teaching how to murder their own family members
Laurie Morrison MD 15,000 out of hospital cardiac arrests per year Ontario
“35,000 to 45,000 Canadians each year” that’s 15,000 in Ontario [population 14.3 million] a lot less sudden witnessed the only time compression’s only maybe of help by a person never trained. Note H&S Foundation CCd L. Morrison MD below
I am (Alias CPR) the only moderated comment on the Heart and Stroke Foundations official site about this mass murder
2015 European Resuscitation Council Guidelines for Resuscitation
Section 4. ‘Toxins’ p.165
Quotes “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.”
Protocol as outlined in the ERC guidelines above
Stage three cardiac arrest from respiratory emergencies is an entirely different animal than a simple arrest from heart disease, prognosis is very poor. ACLS methods required.
Roberts, James R. MD ‘Dissecting the ACLS Guidelines on Cardiac Arrest from Toxic Ingestions’
Sick Kids Hospital home of the Ontario Poison Centre ‘Compressions only’
Sick Kids Hospital 50,000 poisoning per year Ontario 28,000 are children. Poisoning drug OD is just one of the 100s of causes breathing emergency
No controversy ever just sociopaths
EXPERT ADVISERS?? at 2 minutes Peter Selby MD (past Chief of Addictions CAMH); Deb Matthews (past Minister of Health); Kathleen Wynne (past Premier of Ontario) & Eric Hoskins MD (past Minister of Health Ontario)
Peter Selby MD quoted “COMA”? proves heart beating BREATHS ASAP Not per email chest compression’s
Marijuana OD article makes no mention acute respiratory failure
CBC Aug 28, 2018 ‘Spike in cannabis overdoses blamed on potent edibles, poor public education’
‘Concerns about accidental child poisonings grow as pot legalization looms’
Quote “Symptoms in children can include drowsiness, elevated heart rate and trouble breathing.” Don’t give tachycardia chest compression’s rescue breaths should slow heart rate.
Kevin C. Wilson, MD; Jussi J. Saukkonen, MD ‘Acute Respiratory Failure from Abused Substances’ Journal of Intensive Care Medicine 2004;19(4):183-193
TDSB killing their students any breathing emergency See page 15