Ontario Chiefs Police ‘Face the Fentanyl’

Jan 9, 2017 Toronto’s Mayor John Tory (knows his friends and family that never used a drug are being murdered and said something) Barbara Yaffe MD Medical Officer of Health Quoted drug OD issue “Ventilations (rescue breathing) most important” Not chest compressions as tens of thousands have been taught in Ontario.
Read comment box YouTube. Chest compressions still being taught!! https://youtu.be/CycS5GeylbM

Quotes Mayor above press conference at 37 minutes “When you have a CRISIS…one thing that often stands in the way…different protocols people have…that they have protocols that are well agreed upon…this person didn’t tell me that…we have a different system here…this is what causes people to lose their lives quite literally.” Drug OD mimics any breathing emergency rescue breaths ASAP your life depends on this. http://www.citynews.ca/2017/01/09/officials-meet-in-toronto-to-tackle-fentanyl-issues/

Correct method Dr. Nicholas Etches Medical Officer of Health http://www.cbc.ca/player/play/895066691568/

‘Face the Fentanyl’ Talked with the art department Professor at Humber College owners of the FB account.    He said “Let me talk to the nursing Prof’s at Humber.” Then a post, the FB comment bottom of this article.  Humber had nothing to do with the resuscitation protocol. See video Teva Canada Pharmaceuticals (Manufactures of Fentanyl); Chiefs of Police Ontario and Councillor Joe Cressy (Chair Toronto Drug Strategy). Every police officer has his/her first aid and knows you don’t give chest compression’s to any respiratory patient. Silly province and police majority of harm is happening to non OD’s.  The more people trained the odds increase a cops family member will be killed with this.   https://youtu.be/T7AvAIwWCV8  Over a million people presented to Ontario hospitals with a breathing emergency per year.  Less than ten thousand out of hospital cardiac arrest per year Ontario.

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Phoned Chief’s media liaison March 2016 “Jesus Gary will take this up with the higher ups!” 

Next photos from ‘Face the Fentanyl’ http://www.facethefentanyl.ca/ The signs of overdose could be any of the hundreds of causes respiratory emergency, proves heart is beating and dying lack of oxygen. Don’t need to check for pulse with these signs. Heart usually races during any respiratory emergency. Every second you delay rescue breathing all cells, tissues and organs are dying, lack of oxygen http://www.facethefentanyl.ca/signs-of-overdose

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Full CPR dead wrong. Rescue breathing then Naloxone continue rescue breathing as per all medicine. Any breathing emergency needs air not chest compression’s simple logic. Naloxone has no role in the management of cardiac arrest.  My comments in brackets http://www.facethefentanyl.ca/getnaloxone/

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Jan 9, 2017 Mayor of Toronto John Tory and MOH Dr. Barbara Yaffe Quoted Drug OD issue “Ventilations (rescue breathing) most important” Not chest compressions as tens of thousands have been taught.
https://youtu.be/CycS5GeylbM  Read comment box

My deputation BOH https://youtu.be/QhsDjmI9H9c Correspondence from Dr. Yaffe et al in comment box.  Public Health has not been able to supply any medical evidence for their protocol have been asking since Sept. 2011.  Literally 10’s of millions references say rescue breathing.

Waterloo Region Crime Prevention Council https://www.youtube.com/watch?v=znjKdfYRCGc Quote “Chest compression’s did not seem to do much good” Yes Joe the worst possible thing you could do to your childhood friend and these sociopaths that trained you this knew it. Unfortunately Wade passed away summer 2015. 20%+ of the time people leave the Naloxone elsewhere when they witness and OD. Patients in Ontario are getting chest compression’s only. Original ‘Eyes Wide Open’ https://www.youtube.com/watch?v=nYnTzI6sfs8 

Dr. James R. Roberts Dissecting the ACLS Guidelines on Cardiac Arrest from Toxic Ingestions http://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx Quote “In a patient not in cardiac arrest and following ventilation and airway control, naloxone may be considered. Because it essentially reverses respiratory depression and coma, the ED part of the opioid code is about finished when the endotracheal tube is placed.” In other words ’emergency department code is over when ventilation is started (rescue breathing – layperson) patient will wake up when the drugs wear off and starts breathing on their own. Rescue breathing first line defense, Naloxone is second line defense.’

Two case reports Naloxone ineffective in children, thousands more case reports like this in the literature. Marcia L. Buck “Naloxone for the Reversal of Opioid Adverse Effects” Pediatric Pharmacotherapy. 2002;8(8)1-5 Kept alive five days respiratory assist.  Doctors pumping massive doses Naloxone into children with no affect?? Children would have woken up when the drugs wore off and they started breathing on their own. Just like all medicine did before the invention of Naloxone, respiratory assist only. https://med.virginia.edu/pediatrics/wp-content/uploads/sites/237/2015/12/200208.pdf

More case reports Naloxone ineffective, kept alive rescue breathing http://www.slideshare.net/GaryThompson11/case-reports-children-women-57633650

Heart & Stroke Foundation Official site read my moderated comment and see videos linked AliasCPR  https://www.youtube.com/watch?v=Wy3eEES511E

Letter from H & S Foundation http://www.slideshare.net/GaryThompson11/heart-and-stroke-foundation-letter

My letter Emergency Medicine News Dec. 2015 http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Ontario’s Naloxone Training Video https://vimeo.com/68067103 Listen 9:20 seconds signs of respiratory emergency, proves heart is beating and dying lack of oxygen. Public Health Ontario training video http://www.youtube.com/watch?v=zlbkU5IK5Do Training Power Point Slide 23  https://www.cpso.on.ca/uploadedFiles/members/Meth-conf-POINT-PP.pdf

Harm Reduction Coalition Chest compressions only http://harmreduction.org/wp-content/uploads/2012/02/alert-hands-only-cpr.pdf Simple logic breathing problem gets rescue breaths only

Canadian Red Cross Chest Compressions only http://www.redcross.ca/training-and-certification/first-aid-tips-and-resources-/first-aid-tips/compression-only-cpr

Dr. Gordon Ewy the world expert on chest compression’s only. He phoned me “Gary don’t stop what you are doing”   Quote “Some doctors worry that bystanders can get confused and do only chest compression’s in drug-overdose and drowning cases [any asphixia or poisoning etc]. NOT TO BE GIVEN TO CHILDREN” http://www.azcentral.com/news/articles/2010/01/19/20100119cardiacdoc0119.html#ixzz3twj9cUQe

Email from Dr. Ewy https://aliascpr.wordpress.com/2016/06/25/email-dr-gordon-awy/

AHA 2016 HANDS-ONLY CPR FACT SHEET http://cpr.heart.org/AHAECC/CPRAndECC/Programs/HandsOnlyCPR/UCM_475604_CPR-Learn-More.jsp  CPR Resources Click 2016 Hands-Only CPR Fact Sheet Word

Where are the cases of rescue breathing barrier masks given to Public Health by the Ontario Harm Reduction Distribution Program??? http://www.ohrdp.ca/opioid-overdose-prevention/ Quote “the person is not responsive to stimulation and/or breathing is really shallow. This happens because opioids affect the body’s drive to breathe. If someone cannot breathe or is not breathing enough, the oxygen levels in the blood decrease and the lips and fingers turn blue- this is called cyanosis. This lack of oxygen eventually stops other vital organs like the heart, then the brain. This leads to unconsciousness, coma, and then death. With opioid overdoses, surviving or dying wholly depends on breathing and oxygen.” Any respiratory emergency, poisoning or drug OD ad fin item gets rescue breathing.

Public Health can’t even read the instructions from the manufacture Naloxone Hydrochloride Monograph http://www.drugs.com/monograph/naloxone-hydrochloride.html “Administration should be accompanied by other resuscitive measures such as administration of oxygen, mechanical ventilation, or artificial respiration.”

http://harmreduction.org/wp-content/uploads/2012/02/alert-hands-only-cpr.pdf Quote “Mouth to mouth resuscitation (rescue breathing) is essential when responding to an opioid overdose [any breathing emergency italics mine] because the victim is dying of lack of oxygen due to reduced or arrested breathing caused by the opioids. Rescue breathing, if initiated soon enough, provides oxygen which is essential to saving a life by keeping the heart pumping and preventing brain damage.”

‘Medscape’ Physicians most trusted site, my moderated comment https://jgarythompson.wordpress.com/2016/11/02/medscape-naloxone/

All 70+ references from 2015 CPR guidelines on opioid overdose and comments ALL SAY RESCUE BREATHING NO MENTION ANYWHERE CHEST COMPRESSIONS ONLYhttps://aliascpr.wordpress.com/2015/12/13/2015-ilcor-and-aha-references-opioid-od/

Over a million people presented to Ontario hospitals per year with a respiratory emergency, less than ten thousand out of hospital cardiac arrests per year in Ontario. Trained medical professionals can have a hard time distinguishing the cause of respiratory emergency, but know right away it’s not a cardiac arrest signs are completely different.

Part 12:7 2010 AHA CPR Guidelines ‘Tocic Ingestion’ Note Dr. Laurie Morrison co-author http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80

Quote Toxidromes “Practically every sign and symptom observed in drug overdose [poisoning] can be produced by natural disease, and many clinical presentations associated with natural disease can be mimicked by some poison.“

My response article CJPH 2013; 104(3)e200-4 Note Dr. Morrison’s name bottom right page 200 https://jgarythompson.wordpress.com/2016/07/04/response-cjph-20131043e200-4/

“A common mistake people make when trying to design something completely foolproof, is they underestimate the ingenuity of complete fools.” – Douglas Adams

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CPSO Response Jan 18, 2017

Silly Doctors the more people trained this malfeasance the more likely they or a family member will be killed and they know this.  Don’t suffer any of the hundreds of causes breathing emergency.

This is the basis of complaint  Chest compressions only being taught for acute respiratory failure, opioid poisoning.  https://jgarythompson.wordpress.com/2016/09/17/cpso-complaints/

Dr.  Klaiman’s  Power  Point Out take OPA’s literature ‘How to kill your own Grandma & Mother her own child’ https://youtu.be/1a_SRu82jlw

OPA Part 1 Case report Jake at 7:25 minutes. 4 breaths/min BVM=(rescue breathing ESSENTIAL) then Naloxone. Continue rescue breaths mandatory until next slide 14 breaths/min oximetry 97%  https://youtu.be/aZ2SPcHUsvA

OPA Part 2 https://youtu.be/dTqEwWjcQeU

OPA Part 3 Listen comments at end  https://youtu.be/VIOL17ZaOxY

POSTER IS STILL THERE AS OF FEB 22, 2017

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CPSO Response Jan 18, 2017 

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Toronto’s Mayor Tory ‘Fentanyl’ O.D.

Monday Jan 30, 2017 conference Toronto Public Health’s public consultations.  Which I received an e-mail Jan 26 from Public Health employee quote “Hey, these are TPH events for current drug user input to inform an overdue and needed overdose action plan. To memory, and I could be wrong, did you not tell me that you has some kind of do not interact order with TPH? My memory could be wrong on this. If this is the case, would your presence as a drug user be helpful to the process, or hinder a tricky consultation process? I ask this sincerely. I don’t know what the answer is. What are your thoughts?”  Trying to save this person’s life, very soul and sends the above.  Meeting open was to general public.

Mayor John Tory and Dr. Barbara Yaffe MOH both quoted “Rescue breaths most important” a way to save your life and the taxpayer an untold fortune. Jan 9, 2017 OD any breathing emergency is just that a breathing emergency, nothing wrong with heart. Read comment box https://youtu.be/CycS5GeylbM

TPH had me charged once trespassing for handing out literature on the public sidewalk.  Cops laughing his head off quote “Gary you come back here every day and hand out the literature” Cop after the tickets “Gary where you going?” “Got an appointment at City Hall”  Walk in the door at City Hall securities all lined up “Gary we want to shake your hand”  One of the guards tries giving me legal advice.  Went upstairs talked Joe Mihevc (Chair Board of Health) about the tickets etc. “Gary you are always getting in trouble” Joe leans over he is talking with my councillor John Fillion (past Chair BOH), John looks at me his eyes bugged out. Too much fun, fools self evident truth ‘breath or you die’  My deputation BOH https://youtu.be/QhsDjmI9H9c  Previous communication from Dr. Yaffe et al. link in comment box.

Court was a lot of fun Crown attorney “Mr. Thompson why do you keep going back to Public Health?” “Because it’s mass assault and murder”  “Your Honor we are dropping all charges, you are free to go”  Am waiting around Crown “What are you waiting for Mr. Thompson”  “You gave me paper work that brought me her I want paper work that says I can Go”  “Mr. Thompson there is no paperwork just Go”   Town’s to dumb can’t save their own lives.  Every police officer has first aid and knows what public health is teaching causes morbidity and mortality to any of the hundreds of causes breathing emergency.

Sept. 2011 meeting with two Public Health workers “Gary their is a lot of people in high places behind this, you could wind up dead” Laughed “You can’t kill me I don’t die when I die.  What corner what time you want me to stand there”  Clowns eyes bugged out of their heads protect these sociopaths as they kill you all on purpose, makes you and everyone else sick.

Am siting in a chair before the opening Jan 30th conference Mayor Tory walks in sits beside me we have a little chat.  End “Kevin give Gary my card tell him to call”  Kevin Moraes is Mayors lead on the OD issue  Councillor Joe Cressy (Chair Toronto Drug Strategy) actually smiled at me as I was talking to the Mayor, better than growling at me all the time Joe.  Can’t save his own life never mine yours.  Don’t suffer any of the hundreds causes breathing emergency murdering you all with chest compression’s.

From the Mayors Facebook Jan. 5 thru Jan 9, 2017  Globe and Mail story Note protocol Toronto Public Health’s head office this photo. Jan 5, 2017 by Kelly Grant ‘Toronto moves to tackle fentanyl overdoses before city hits crisis point’  http://www.theglobeandmail.com/news/national/toronto-moves-to-tackle-fentanyl-overdoses-before-city-reaches-crisis-point/article33508739/

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Quote photo on the wall Public Health’s head office. Protocol steps

1) Shake at shoulders, Shout their name
2) Call 911 if unresponsive
3) Naloxone Inject 1 ampule (1cc. 0.4mg) of Naloxone into arm or leg muscle
4) Chest Compressions Push hard and fast on the centre of the chest
5) Is it working? If no improvement after 3-5 minutes, inject a 2nd ampule (1cc. 0.4mg) of Naloxone and continue with chest compressions until EMS arrives.

Signs and symptoms prove the heart is beating and mimic any respiratory emergency.  Ten’s of thousands eager to follow the above, a clinicians orders in the belief they are saving lives.  BREATHS ASAP Life depends on this

•Can’t wake the person up
•Breathing is very slow, erratic or has stopped
•Deep snoring or gurgling sounds
•Fingernails or lips are blue or purple
•Body is very limp
•Pupils are very small

Dr. Gordon Ewy (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 asphixia or poisoning etc] NOT TO BE GIVEN TO CHILDREN.”
http://www.azcentral.com/news/articles/2010/01/19/20100119cardiacdoc0119.html  Email from Dr. Ewy https://aliascpr.wordpress.com/2016/06/25/email-dr-gordon-awy/

My Facebook comments to Mayor Tory

See Tory’s FB post Jan 5th photo “Toronto Public Healths head office incorrect ‘chest compressions’  “Inadequate oxygenation not inadequate Naloxonation”
Globe & Mail Oct. 26, 2016 ‘On the ground with Downtown Eastside firefighters battling opioid overdoses’ http://www.theglobeandmail.com/news/news-video/video-on-the-ground-with-downtown-eastside-firefighters-battling-opioid-overdoses/article32536522/?cmpid=rss1
Note person was bag valve masked (equals rescue breathing)  Then Naloxone continue rescue breathing. Naloxone was ineffective

My letter Emergency Medicine News 2015; 37(12):31 ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Hyperlinks to Public Health Ontario’s training literature
http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Lange Handbook ‘Poisoning and Drug OD’ First class pharmacy school student not allowed in any lab not knowing any poisoning or Drug OD gets rescue breathing ASAP
Read page 1 & 290 https://murdercube.com/files/Chemistry/Poisoning%20and%20Drug%20Overdose%20(4th%20Edition).pdf

Signs of OD and proper treatment, rescue breathing essential for any respiratory emergency. Continue rescue breathing until Naloxone takes affect and patient breaths adequately on their own.

Not placing blame, change Ontario’s OD protocol for the well being of all.  Stop needless suffering.  More info Google @GaryCPR

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Jan 9, 2017

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Monday Jan 9, 2017 Press conference City Hall quotes both Dr. Barbara Yaffe acting Medical Officer of Health  and Mayor Tory “ventilations for overdose” [rescue breathing]. Maybe they should start re-training the tens of thousands taught to assault and murder anyone with any breathing emergency with chest compressions.

A sad reflection on the state of affairs. I was the only citizen present at the press conference, as these people decide if you live or die.  Don’t forget to breathe, you maybe next.

Tuesday Jan 10 24 Hours news article

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Feb 2017 Another Public Health Office poster plain site of anyone who walks in the clinic.

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Poster found in many health districts in Ontario, Canada also issued with the Naloxone kits.  Got to like that nice cyanotic blue

Feb 5, 2017 Public Health’s Head office sign chest compressions only!!

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Canadian Addiction Treatment Centres contraindicated OD protocol

Canadian Addiction Treatment Centres not very business savvy. Killing all their potential clients, as sly as foxes their treatment recommendation for overdose increases drug use and abuse creates a dysfunctional society. My response below

Mission http://canatc.ca/about-us/

Our mission is to improve the lives of individuals living with the devastating effects of drug addiction, thereby lessoning the adverse impact on families and society as a whole.  We will achieve this by providing a range of harm reduction strategies and supportive treatment modalities.  We will provide our patients with the finest medical care, clinical and pharmacy services, that we are able to muster both individually and collectively.

Signs of overdose  http://canatc.ca/overdose-facts/

A person may have overdosed if:

  • they are not breathing at all or are breathing very slowly
  • their lips and fingertips are turning blue or purple
  • they are asleep and making an unusual gurgling or loud snoring sound
  • they can’t be woken and/or don’t respond to pain (e.g., pinching)
  • the person is “on the nod” (falling asleep).

What to do if someone has overdosed

  • Call 911 right away and ask for an ambulance.
  • Shake the person and shout their name.
  • Give the person Narcan (naloxone) if available.
  • Turn them on their side to prevent choking.
  • Stay with the person until help arrives.

My response:

Signs prove the heart is beating could be any of the hundreds of causes respiratory emergency. Patients require rescue breaths ASAP life depends on this.

Tens of thousands lay persons taught all the signs of breathing emergency (drug OD). Then trained to give chest compression’s. Laypersons are eager to follow clinicians orders in the belief they are saving lives.

My Letter Emergency Medicine News 2015; 37(12):31 ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Hyperlinks to Public Health Ontario’s training literature   http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Dec 31, 2016 Shoppers Drug Mart teaching the general public a contraindicated OD resuscitation protocol. https://aliascpr.wordpress.com/2017/01/01/pharmacy-od-training-dec-2016/

Lange Handbook ‘Poisoning and Drug OD’ First class pharmacy school student not allowed in any lab not knowing any poisoning or Drug OD gets rescue breathing ASAP

Read page 1 & 290 https://murdercube.com/files/Chemistry/Poisoning%20and%20Drug%20Overdose%20(4th%20Edition).pdf

April 26, 2016 234 Doctors, other health care professionals and myself signed a letter to Ontario’s Premier Kathleen Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening resuscitation intervention.

See meaningless response from Premier https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson

Pet eats a poison or drug Veterinarian will give rescue breathing then antidote continue rescue breathing. Not torture them with chest compression’s. Why do we allow this to our women and children??

Not placing blame, change this OD protocol for the well being of all. Stop needless suffering.

Rescue breathing is first line defense. Naloxone is second line defense. “Inadequate oxygenation not inadequate Naloxonation.” – Tim Noonan Rogue Medic top EMS

OVERDOSE PROTOCOL  http://canatc.ca/overdose-protocol-2/

Background

Methadone hydrochloride is a synthetic, long-acting µ-opiod receptor agonist, available in Canada for oral use, usually mixed with orange juice. Peak blood levels after oral ingestion occur at 2 to 6 hours. Because of significant protein binding (>90%), levels are constant over 24 hours.

In non-tolerant individuals, there is a biexponential decline in serum concentration with a primary half-life of 14 hours and a secondary half-life of 55 hours.

In tolerant individuals, the half-life ranges from 13 – 47 hours (average 25 hours)

The toxicity of methadone depends on the amount consumed and the tolerance of the individual.

In non-tolerant individuals, 10 mg is enough to kill a child and 50 mg is enough to kill an adult.

The clinical presentation of methadone overdose is that of a gradual onset that is prolonged. There is a triad of respiratory depression, central nervous system depression and pin point pupils. In order to save lives, a high index of suspicion is needed! Do not rely on urine toxicology tests for treatment. If ordering, ask for urine EDDP levels (the metabolite of methadone).

All patients with a significant methadone overdose should be admitted to the hospital for at least 24 hours and watch for the development of CNS or Respiratory depression, Non-cardiogenic pulmonary edema.

If above occurs, intubation is necessary followed by a Naloxone infusion (admission to the ICU is necessary)..

In comatose patients with respiratory depression

  • Infants and children less than 5 years or less than 20 kg:
    • The recommended initial dose is 0.01 mg/kg, followed by 0.1 mg/kg if no response is elicited within 2 minutes.
  • Adults and children older than 5 years of age or more than 20 kg:
    • The initial dose should be 2.0 mg i.v. If no response is achieved a further 2 to 4 mg of naloxone should be repeated every 2-3 minutes until a total dose of 10 to 20 mg has been given. If no response is elicited, consider other causes of coma.

In comatose patients without respiratory depression

  • Infants and children less than 5 years or less than 20 kg:
    • The initial dose should be lower -0.1 to 0.8 mg I.v. to diagnose opioid overdose.
    • Thereafter the dose can be increased as above if no response is elicited.
    • Care should be taken not to induce severe acute withdrawal in opioid dependent patients.
  • If vascular access is not possible, intralingual, endotracheal, intramuscular, subcutaneous or intranasal routes can be used.
  • Absorption from i.m./s.q. sites may be erratic.

Infusion Dose

  • Follows an adequate bolus to reverse opioid overdose
  • Infusion of two-thirds of the bolus dose per hour should keep the patient alert.
  • In addition, one-half of the bolus dose should be administered (as a bolus) 15-20 min. after the start of the infusion to prevent a drop in naloxone levels.

Concentration of infusion

  • 4 mg (i.e. contents of a 10 ml multi-dose vial of 0.4 mg/ml) in 250 ml D5W or NS to minimize fluid overload

Rate of infusion

  • 25-50 ml/hr = 0.4 to 0.8 mg/hr.

Unused solution must be discarded after 24 hours

Titrate infusion to response of patient

  • End point of the infusion:
    • Adequate spontaneous respiration
    • An alert and awake patient
    • Dilated pupils and
    • Adequate oxygenation
  • If the patient is alert, breathing normally and ambulating without supplemental oxygen, it is unlikely that significant hypercapnia is present.

Other issues to Consider

  • GASTROINTESTINAL DECONTAMINATION
    • Ipecac should be avoided due to the risk of aspiration pneumonia.
    • Gastric lavage may be of benefit since methadone delays gastric emptying and some of the ingested drug may be aspirated. However, it is important to protect the airway before this is attempted.
    • Activated charcoal should also be given.

Instruction on Discharge

  • Risk of recurrence of overdose even without additional drug use.
  • They should abstain from alcohol and other drugs if possible.
  • They might be especially sensitive to opioids and might experience another overdose if they use their usual amount of drug.
  • They should be referred to appropriate treatment programs if they have an underlying addiction.
  • If the patient is in a methadone treatment program, the prescribing physician should be informed about the overdose.
  • Please notify the patient’s methadone prescriber immediately if the patient has received Naloxone, as this will typically necessitate decreasing a patient’s methadone dose after they are discharged from hospital.

Dec 30, ’16 Public Health of B.C.

Too much fun double speak from British Columbia   [B.C. training literature addendum] BC Response #1076122 if that’s any consequence.

Dec 30, 2016 3:13 PM  Population and Public Health HLTH:EX <hlth.pph@gov.bc.ca>

Dear Gary Thompson:

Thank you for your correspondence dated December 13, 2016, in which you expressed your approval of the Government of British Columbia’s efforts to expand supervised consumption services as a key component of its response to the rising number of illicit drug overdose deaths throughout the province. In your letter, you requested that the BC Ministry of Health share several resources questioning the appropriateness of the Toronto Board of Health’s teaching materials related to respiratory failure. I appreciate the opportunity to respond.

As you are aware, the Government of British Columbia recognizes that sufficient evidence exists demonstrating that the provision of supervised consumption services reduces the harms associated with illicit drug use and improves public health outcomes by reducing disease transmission and promoting engagement into treatment for substance use disorders. The Government of British Columbia remains committed to incorporating evidence-informed practices into the design and performance of the health system. As such, the BC Ministry of Health will share your resources internally, where appropriate.

Thank you for your interest in this important issue and sharing these resources.

Sincerely,

Warren O’Briain    [Best idea phone Premier & Minister of Health Ontario Stop ASAP or have them charged ‘Conspiracy to council mass murder’]
Executive Director
Public Health Services Branch

From: Gary Thompson [mailto:jgary.thompson@mail.utoronto.ca]
Sent: Friday, December 9, 2016 11:34 AM
To: Minister, HLTH HLTH:EX; Lake.MLA, Terry LASS:EX  [Minister of Health Dr. Terry Lake a Veterinarian knows not to kill your poisoned drug OD pets with chest compression’s. Why do we allow it our women & children??]
Subject: PPH – FYI:

Glad to hear Ministry Health B.C. is behind the safer consumption sites.

This teaching in Ontario, is costing all Canadians a fortune many left with permanent neurological impairment.

234 Doctors, other health care professionals and myself signed a letter to Ontario’s Premier Kathleen Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening intervention. https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson

Majority of harm is happening to non OD’s. Increases drug use and abuse dysfunctional society.

Emergency Medicine News Dec. 2016 ‘Managing Opioid Overdose in a New World’ http://journals.lww.com/em-news/Fulltext/2016/12000/InFocus__Managing_Opioid_Overdose_in_a_New_World.9.aspx  Quote “goal is to support respiration’s” as in any of the hundreds of causes breathing emergency ASAP.

My letter Emergency Medicine News 2015; 37(12):31  ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Hyperlinks to Public Health’s training literature here.  http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Read the instructions that come with Naloxone.  Don’t do as Ontario, Canada teaches chest compression’s that’s assault and murder.  https://jgarythompson.wordpress.com/2016/06/29/monographs-naloxone-opioid-od/

‘Medscape’ Physicians most trusted site, my moderated comment https://jgarythompson.wordpress.com/2016/11/02/medscape-naloxone/

My deputation Toronto Board of Health. Responses from CMO etc. hyperlinked in comment box. https://youtu.be/QhsDjmI9H9c

Ministry of Health and Long Term Care Ontario urges me to keep up the fight.

Please reply and share widely, stop needless suffering.

Best Wishes

Gary Thompson

Attached Letter from MOHLTC Dec 13, 2013 File No: HLTC 2966MC-2013-10270

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Addendum: 

Following Dr. Jane Buxton of the British Columbia Center for Disease Control. Like any ten year old should know any breathing problem is not a cardiac arrest. You learned how the heart and lungs work in grade 6 again in grade 8 and again in high school. Just common sense adult has to breathe once every five seconds to stay alive.   http://towardtheheart.com/naloxone/

Why give Breaths (because we have know for over 5,000 years poisoning or drug OD cause of death, you stop breathing. Hundreds of other cause of breathing emergency) http://towardtheheart.com/assets/naloxone/why-give-breaths-final_98.pdf

Manufactures instructions OD Part 10  RESCUE BREATHING ASAP

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Managing Opioid OD

Roberts  JR ‘Managing Opioid Overdose in a New World‘ Emergency Medicine News Dec. 2016
Quote ‘goal is to support respirations’as in any of the hundreds of causes breathing emergency ASAP.

Ontario, Canada has taught tens of thousands to give chest compression’s only for OD, worst possible thing you could do for any of the hundreds of causes breathing emergency and no one says a word?

My article Emergency Medicine News Dec. 2015 ‘Flaws in Toronto’s Opioid Overdose Prevention Program‘ Hyperlinks to Public Health’s training literature here.

Monographs  Naloxone Don’t do as Ontario, Canada teaches chest compressions that’s assault and murder.

Naloxone Medscape Physicians most trusted site, my moderated comment

234 Doctors, other health care professionals and myself signed a letter to Ontario’s Premier Kathleen Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening intervention.  Majority of harm is happening to non OD’s. Increases drug use and abuse dysfunctional society.

emn-dec-2016

My article Emergency Medicine News Dec. 2015 ‘Flaws in Toronto’s Opioid Overdose Prevention Program‘ Hyperlinks to Public Health’s training literature here.
emn-dec-2015

Globe & Mail comment

234 Doctors, other health care professionals and myself signed a letter to Ontario’s Premier Kathleen Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening intervention.  Increases drug use and abuse dysfunctional society.
https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson

My letter Emergency Medicine News Dec. 2015 ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Hyperlinks to Public Health’s training literature here.
http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Read the instructions that come with Naloxone Don’t do as Ontario, Canada teaches chest compressions that’s assault and murder. https://jgarythompson.wordpress.com/2016/06/29/monographs-naloxone-opioid-od/

‘Medscape’ Physicians most trusted site, my moderated comment https://jgarythompson.wordpress.com/2016/11/02/medscape-naloxone/

dr-g-globe-mail-comment