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Gathering of Eagles 2018 Naloxone

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

May 16, 2019 Darryl Gebien MD Queens Park Bill 105 ‘Police Naloxone training’ quoted over and over “Rescue breathing” Darryl sorry you lost your Mother but don’t insult EMS they know exactly what to do no Naloxone available respiratory assist. Cardiac arrest secondary to respiratory arrest requires ACLS methods prognosis very poor brain death oxygen deprivation causes the heart to stop. 

 

Update from Darryl May 19 quote ‘Rescue breathing first ESSENTIAL …. this is insane”  Truly insane MDs are being murdered any of the 100’s of causes breathing emergency and say nothing https://youtu.be/3Y8ggrU8lng

 

May 16, 2019 Natalia Kusendova RN Conservative politician trying to save everyone’s life At 5 min 45 seconds Quote staff “Don’t know the numbers (non ODs murdered) we are aware errors are being made” The coroners office has been burying the info for years. “Gary you are saving lives”

Bill 105 https://www.ola.org/en/legislative-business/bills/parliament-42/session-1/bill-105

Phone call May 15, 2019 College of Physicians and Surgeons quote “We would not teach that. Not in our mandate to give clinical advice” CPSO it’s your powerpoint https://youtu.be/gd9yPUCmVvI

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

Gathering A 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

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MY INSERT NEXT TWO SLIDES 

 

Monograph Nasal1

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FDA phone call https://youtu.be/FAxzaRnQ3s8

David Renwick General Manager Adapt Pharma agrees we are all being murdered

Naloxone and cardiac arrest https://roguemedic.com/2012/04/naloxone-in-cardiac-arrest-with-suspected-opioid-overdoses/

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Pulmonary Edema https://en.wikipedia.org/wiki/Pulmonary_edema

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MY INSERT SLIDE 18 Original a photo Kieth Richards

THRA BreathsB.jpg

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

Gathering of Eagles Slide 20

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)

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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
https://pdfs.semanticscholar.org/cfa9/6120a3ec5f8269c605bcf456b387ddc79be9.pdf

SLIDE 21 ORIGINAL ON RIGHT

Gathering of Eagles Slide 21

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

CPSO website

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
http://www.tdsb.on.ca/Leadership/Boardroom/Agenda-Minutes/Type/A?Folder=Agenda%2F20171123&Filename=171123+Opioid+3266.pdf

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Dyspnea https://en.wikipedia.org/wiki/Shortness_of_breath

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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.”

ABCDE1

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”

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Dr. Lewis Goldfrank discusses the New Edition of Goldfrank’s Toxicologic Emergencies https://youtu.be/jWXg_mbGV1w

Goldfranks566

My comment H & S Foundations Official Site https://youtu.be/Wy3eEES511E

Letter H&S Foundation blank

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
https://pdfs.semanticscholar.org/cfa9/6120a3ec5f8269c605bcf456b387ddc79be9.pdf

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Respiratory Failure

Has been known about since the dawn of humankind also poisons nor drugs did not magically change their chemical structure Poisons and drugs still cause death respiratory failure.  Breathe for them or die, every second anyone from any cause is under oxygenated they are dying.

Training video if we can’t understand at 9 minutes that person is alive (could be any breathing emergency) and in need of rescue breathing ASAP then something is wrong with our ability to THINK

Journal Intensive Care Medicine 2004 19(4):183-93
https://www.ncbi.nlm.nih.gov/pubmed/15296619

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Ontario 50,000 poisoning per year 28,000 are children and poisoning is just one cause of respiratory emergency, rescue breaths essential. Ontario’s population 14 million
http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html

Teach millions how to murder your children if they suffer any breathing emergency, done on purpose

Sick Kids Hospital home of the Ontario Poison Centre ‘Compressions only’ http://www.ontariopoisoncentre.ca/pdf/72758-GenPubguidelines_naloxone_v2.pdf

Laurie Morrison MD [co-author 2010 AHA Guidelines ‘Toxic ingestions’ next link]  quoted 15,000 out of hospital cardiac arrests per year Ontario a lot less sudden witnessed, the only time compressions only may work

Laurie Morrison MD co-author 2010 AHA Guidelines part 12:7 Toxic Ingestions pages 840-1
Toxidromes
Quote “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.” [Meaning signs of overdose can mimic many breathing emergencies through illness or injury]

Opioid Toxicity Quotes “Naloxone has no role in the management of cardiac arrest” “ventilation should be assisted by a bag mask followed by administration of naloxone and placement of an advanced airway if there is no response to naloxone.”
https://www.ahajournals.org/doi/full/10.1161/circulationaha.110.971069

Laruie Morrison MD credited bottom first page right hand corner ‘CHEST COMPRESSIONS ONLY’  Taught to millions laypersons  https://pdfs.semanticscholar.org/cfa9/6120a3ec5f8269c605bcf456b387ddc79be9.pdf

2015 ERC Guidelines for Resuscitation
Section 4. ‘Toxins’ pages 165-6

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.” [Means Naloxone has no role in the management of cardiac arrest]
https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c78115e61585a053d7bce/files/S0300-9572_15_00329-9_main.pdf

Gold Standard textbook Lange ‘Poisoning & Drug OD’ https://jgarythompson.wordpress.com/2018/08/12/stimulant-overdose/

Quote “Support of oxygenation and ventilation is the initial treatment,for severe respiratory depression from any cause”

INCHEM The world experts on poisoning drug OD
http://www.inchem.org/documents/antidote/antidote/ant01.htm#SubSectionNumber:2.12.3

Dr. Lewis Goldfrank discusses the New Edition of Goldfrank’s Toxicologic Emergencies https://youtu.be/jWXg_mbGV1w

Goldfranks566

 

ABCDE1

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

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Matt Johnson & Zoe Dodd 168 case reports “oxygen” (rescue breathing) thus saving any the 100s of causes breathing emergency.  Stimulation Matt refers to is rubbing the patient they are aware of what’s going on patient is comatose, therefore alive.

SRCHC rescue Breaths

May 16, 2019 Darryl Gebien MD Queens Park legislature ‘Naloxone training’ quoted over and over “Rescue breathing”

Update from Darryl May 19 “Rescue breathing first ESSENTIAL ….. breathing is not taught for some insane reason” Truly insane the MDs are getting themselves murdered any of the 100’s of causes breathing emergency  https://youtu.be/3Y8ggrU8lng

May 16, 2019 Natalia Kusendova RN Conservative MPP trying to save everyone’s life Quote staff at 5 min 45 seconds “Don’t know the numbers (non ODs killed) we are aware errors are being made” That’s because the coroner has been burying the info for a long time  “Gary you are saving lives”  Not really they are still teaching millions murder

Phone call May 15, 2019 College of Physicians and Surgeons quote “We would not teach that. Not in our mandate to give clinical advice” CPSO it’s your powerpoint https://youtu.be/gd9yPUCmVvI

Phone call David Renwick General Manager Adapt Pharma quote “Gary keep up the good work”

Saint Joseph’s University ‘Institute for Clinical Bioethics’ liked my comment “This injustice negates all things positive” https://youtu.be/x7C8NHvzFlg

‘Gathering of Eagles 2018’ Medical Directors quoted “rescue breaths first” essential for a hundred sound medical reasons any breathing emergency
https://jgarythompson.wordpress.com/2019/03/14/gathering-of-eagles-2018-naloxone/

CBC’s Diana Swain; Barbara Jaffe MD & Mayor of Toronto John Tory quoted “Breaths most important” Mayor “This is what causes people to lose their lives quite literally.” https://youtu.be/_eUqXct3s_E

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

Haddad and Winchester’s Clinical Management of Poisoning and Drug Overdose 4th Edition
https://www.amazon.com/Winchesters-Clinical-Management-Poisoning-Overdose/dp/0721606938

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Current Medical Diagnosis and Treatment – Lange

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Empower millions of laypersons what they have been told is a life saving technique 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”

Psychological terrorism workplace harassment and bullying Common quotes Pharmacists; EMS; MDs and RNs while crying “I know they are increasing morbidity and mortality any respiratory emergency patient with chest compressions and/or oxygen deprivation”

Drug Users Bible Resuscitation

Can’t say I am impressed vital information left out (rescue breathing) thus increasing morbidity and mortality users and non users.

50,000 poisoning per year 28,000 are children and poisoning is just one cause of respiratory emergency, rescue breaths essential. Ontario’s population 14 million
http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html

DUBible Cover

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Pathophysiology drugs or poisons are not toxic in of themselves it’s the affect of respiratory depression/insufficiency that causes the blood to become toxic.
Causes hypercapnia [high carbon diacid] 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.

Poisons nor drugs did not magically change their chemical structure over the million years they still cause death ARF

Acute Respiratory Failure from Abused Substances
Kevin C. Wilson MD, Jussi J. Saukkonen, MD Journal of Intensive Care Medicine 2004;19(4):183-193 https://journals.sagepub.com/doi/pdf/10.1177/0885066604263918

Acute respiratory failure

Matt Johnson & Zoe Dodd 168 case reports quoted “oxygen” (rescue breathing) thus saving any the 100s of causes breathing emergency.  Stimulate does not mean chest compressions it means shake them gentle while calling their name speaking softly you do not want to cause more trauma, they know you are there.

 

SRCHC rescue Breaths

 

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2015 ERC Guidelines for Resuscitation
Section 4. ‘Toxins’ pages 165-6

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.”
https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c78115e61585a053d7bce/files/S0300-9572_15_00329-9_main.pdf

Pierre Poirier Paramedic Association of Canada’s Executive Director
“The danger of not doing rescue breathing is that somebody will die” “You may actually have a brain death”
https://www.cbc.ca/player/play/1204466755851

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

ABCDE1

Cardiac arrest secondary to respiratory arrest is an entirely different animal than an arrest from heart disease, chance of survival very slim brain death lack of oxygen caused the heart to stop.  Vital give rescue breathing any breathing emergency ASAP.

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

Anesthetists OD people on many different compounds the only thing keeping you alive is ventilations (rescue breaths)

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 breaths layperson]”
https://www.ncbi.nlm.nih.gov/pubmed/1517651

‘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 which would help in saving patients life and preventing complications.” Rescue breaths keeps the patient alive and heart beating. 

 

Dr. Lewis Goldfrank discusses the New Edition of Goldfrank’s Toxicologic Emergencies [same basic info as older editions] https://youtu.be/jWXg_mbGV1w

Goldfranks566

Public Health Conference April 30, 2019

Sent an email these panel members and my MPP and conference administration ad fin item

Pamela Leece, Public Health Physician, Public Health Ontario Pamela.Leece@oahpp.ca

Robert Schwartz, Strategy Design and Evaluation Initiative, Dalla Lana School of Public Health; Executive Director, Ontario Tobacco Research Unit   Robert.Schwartz@utoronto.ca

Emily Taylor, Evaluation Coordinator, Strategy Design and Evaluation Initiative Emily.Taylor@camh.ca

Megan Deyman, Coordinator, Haliburton, Kawartha Lakes, Northumberland Drug Strategy info@peterboroughdrugstrategy.com

 

Hello:

I have some grave concerns for all Canadians

Public Health conference April 30, 2019 at 1600 hours Pamela Leece MD et al plenary see page 18 ‘APPROACHES TO EVALUATE COORDINATED COMMUNITY PLANS AND INITIATIVES TO PREVENT AND REDUCE OPIOID-RELATED HARMS IN CANADA’
https://www.cpha.ca/sites/default/files/uploads/conferences/2019/19-final-program.pdf

Pamela Leece MD et al ‘Chest compressions only?’
https://pdfs.semanticscholar.org/cfa9/6120a3ec5f8269c605bcf456b387ddc79be9.pdf

Training video start listening at 9 minutes 20 seconds https://vimeo.com/68067103

Thompson G. ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ EMN 2015; 37(12):31 With 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

 Haliburton, Kawartha Lakes, Northumberland Protocol

CAMH protocol https://www.camh.ca/-/media/files/5-steps-to-save-a-life-pdf.pdf

Jan 9, 2017 press conference at 37 minutes Mayor John Tory “protocols that are well agreed upon … this is what causes people to lose their lives quite literally”
At 39 minutes Barbara Jaffe MD acting Medical Officer of Health and John Tory both quoted “Ventilations (rescue breaths) most important”

[Not in email quick link quotes by Mayor Tory and Barbara Yaffe MD] https://youtu.be/_eUqXct3s_E

CBC Aaron Orkin MD quote “Rescue breathing is the hardest thing I do as an Emergency Physician”
http://www.cbc.ca/player/play/1204516931551

CBC Pierre Poirier Paramedic Association of Canada’s Executive Director
“The danger of not doing rescue breathing is that somebody will die” “You may actually have a brain death”
https://www.cbc.ca/player/play/1204466755851

CBC Michael Nolan, chief of the County of Renfrew Paramedic Service quoted “perform rescue breathing first”

CBC article quote “Heart & Stroke Foundation says compressions before Narcan” See attached letter from H & S F June 6, 2013

Above CBC videos and quotes from this story http://www.cbc.ca/news/canada/ottawa/ontario-changes-rescue-breathing-opioid-overdoses-1.4608089

March 30, 2019 Zoe Dodd see protocol at 40 seconds Zoe of Moss Park OPS does not use that protocol nor any other Safer Consumption Site.
https://globalnews.ca/video/5114824/outcry-over-cuts-to-toronto-overdose-prevention-sites

[This was not included in the email what any child should instinctively know what Matt and Zoe etc are doing is saving the lives of any of the 100s of causes breathing emergency.
Quotes “Oxygen” (rescue breaths layperson) “oxygen used more and more Naloxone less and less”] https://youtu.be/fc85iv3VQLM

Health Canada removed rescue breathing from their protocols Sept 2018 See email from Executive Director Health Canada Oct 1, 2018 attached
Health Canada wallet card https://www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/opioid-overdose-wallet-cards-public-events/full-wallet-card-eng.pdf

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

Gordon Ewy MD 20 years research chest compression’s only
Quote “Some doctors worry that bystanders can get confused and do only chest compressions in drug-overdose and drowning cases NOT TO BE GIVEN TO CHILDREN.”
http://www.azcentral.com/news/articles/2010/01/19/20100119cardiacdoc0119.html

Gathering of Eagle conference March 2018 http://gatheringofeagles.us/2018/Friday/315pmFridayClemencyNaloxone.pdf
See attached response slides 20 and 21

2010 AHA Guidelines part 12:7 Toxic Ingestions pages 840-1
Toxidromes
Quote “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.”

Opioid Toxicity Quote “ventilation should be assisted by a bag mask followed by administration of naloxone and placement of an advanced airway if there is no response to naloxone.”
https://www.ahajournals.org/doi/full/10.1161/circulationaha.110.971069

2015 ERC Guidelines for Resuscitation
Section 4. ‘Toxins’ pages 165-6

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.”
https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c78115e61585a053d7bce/files/S0300-9572_15_00329-9_main.pdf?

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

Please reply

Best Wishes

Gary Thompson

Attachments the four still photos

I am the only moderated comment on the H & S F YouTube Official Site video was not attached

Letter H&S Foundation 001

CJPH 2013; 104(3):e200-4 Pamela Leece MD et al ‘Chest compressions only?’

Health Canada email

Health Canada wallet card https://www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/opioid-overdose-wallet-cards-public-events/full-wallet-card-eng.pdf

Gathering of Eagle conference 2018 http://gatheringofeagles.us/2018/Friday/315pmFridayClemencyNaloxone.pdf

Gathering of Eagles Slide 20

 

Gathering of Eagles Slide 21

END NOTES NOT IN EMAIL

NOT SENT IN EMAIL THE PANELISTS THEY KNEW WHAT THEY WERE DOING WAS WRONG BEFORE THEY IMPLEMENTED IN 2011 FOOL MDs GETTING THEMSELVES KILLED LAYPERSONS ARE EAGERLY GIVING ANYONE COMATOSE CHEST COMPRESSION’S ANY DENYING THE ‘BREATH OF LIFE’

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Canadian Red Cross
Quote “Compression-only CPR should not be used when the oxygen in the person’s body has likely been used up, such as with a drowning incident or when a respiratory emergency may have caused the cardiac arrest.
When an infant or child’s heart stops, it’s usually because of a respiratory emergency, such as choking or asthma, which use up their body’s oxygen, therefore they would require full CPR, including rescue breaths.”
https://www.redcross.ca/training-and-certification/first-aid-tips-and-resources/first-aid-tips/compression-only-cpr

Conversation with David Renwick General Manager Adapt Pharma agrees lack of rescue breathing is increasing morbidity and mortality non ODs and ODs Read YouTube comment box links

 

50,000 poisoning per year Ontario 28,000 are children poisoning is just one cause of respiratory emergency. Trained millions deny rescue breaths and give compression’s and they tell their friends do same.   http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html

Sick Kids Hospital home of Ontario Poison Centre ‘Compressions only’ http://www.ontariopoisoncentre.ca/pdf/72758-GenPubguidelines_naloxone_v2.pdf

This is the way to treat any poisoning or drug OD These signs taught millions proves your heart is beating give breaths ASAP or you die. Coma, shallow or short breaths, gurgling or snoring sounds with breathing, pinpoint pupils, lips and fingertips turning blue.

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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

Anesthetists OD patient many different substances the only thing keeping you alive is ventilations [rescue breaths layperson]
Carl Hug MD ‘Opioids: clinical use as anesthetic agents’
Quote “allowing administration of enormous doses [Fentanyl usually becauses it’s short acting] intraoperatively when the patient’s ventilation is supported mechanically [rescue breaths layperson]”
https://www.ncbi.nlm.nih.gov/pubmed/1517651

‘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 which would help in saving patients life and preventing complications.” [Rescue breathing keeps the heart beating and the brain etc alive]

Laurie Morrison MD Works out to 15,000 out of hospital cardiac arrest per year Ontario a lot less are sudden witnessed. Over a million people taken to hospital per year in Ontario in need of oxygen (respiratory assist.) https://www.macleans.ca/society/health/the-heart-of-the-matter/

Complications chest compressions https://jgarythompson.wordpress.com/2016/06/23/complications-chest-compressions/

Gold standard textbook Poisons nor drugs did not magically change their chemical structure they still cause death by ‘Respiratory failure’

Goldfranks566

THINK people Self evident truth as any child should understand

SRCHC rescue Breaths

Thousands of case reports just like these Naloxone ineffective, would have woken up same timeline without the Naloxone.  https://aliascpr.wordpress.com/2017/06/08/sociopath-doctors/

My comment Medscape article two case reports infants naloxone ineffective kept alive respiratory assist https://www.medscape.com/viewarticle/441915_4

Dan Bigg aka Mr Naloxone quote “No brain’er rescue breathing is what it’s all about. Chest compressions are not helpful but harmful” https://youtu.be/7MYKYScL8L8

Matt Johnson and Zoe Dodd of Moss Park Overdose Prevention Site quote “Oxygen” (rescue breaths layperson) Quoted “oxygen used more and more Naloxone less and less” https://youtu.be/fc85iv3VQLM

One minute video “We watched our son die, there was nothing we could do” Rescue breathing would have saved your son and many others in a respiratory emergency https://youtu.be/w_Er4QCj2ZM

 

Toronto Indigenous Overdose Strategy

Toronto Board of Health Feb 25, 2019 ‘Toronto Indigenous Overdose Strategy’ Note page 9-10 no mention rescue breaths the most important part of any breathing emergency  https://www.toronto.ca/legdocs/mmis/2019/hl/bgrd/backgroundfile-129421.pdf

Speakers start at 14 minutes myself at 38 minutes  At 1 hr 9 minutes Reed Siemieniuk MD quote “I am sick of telling parents their children are dead” ‘Michael’ case report permanent brain damage lack of rescue breaths. That’s what happens any of the 100s of causes breathing emergency, when you deny breaths.

Myself filming the Chair at 38 minutes https://youtu.be/jiGrT7Scdfw

Bird has brains friend was knocked unconscious opening up the airway only. Stop confusing first aid respiratory emergency for cardiac arrest CPR
https://youtu.be/lpue4HEkiOI

Dog giving water to fish so they can breathe, fishes heart are beating don’t kill them with chest compressions
https://www.youtube.com/watch?v=gBx1bi9BHDg

Animals saving other animals
https://www.youtube.com/watch?v=pieJ-GSdyx

Slide one

CJPH 2 Protocol 2011

Life threatening training materials

TPH start listening at 9 minutes https://vimeo.com/68067103

TPH video https://www.youtube.com/watch?v=zlbkU5IK5Do

TPH See slide 23 College of Physicians and Surgeons Ontario removed their Power Point after my deputation See below for copy https://www.cpso.on.ca/uploadedFiles/members/Meth-conf-POINT-PP.pdf

Slide two

TDSB protocol

Copy above found here Toronto District School Board and many health districts protocol “Compressions only!!” Signs prove the patient is alive See page 15
http://www.tdsb.on.ca/Leadership/Boardroom/Agenda-Minutes/Type/A?Folder=Agenda%2F20171123&Filename=171123+Opioid+3266.pdf

Slide 3

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Communication from Health Canada found here https://jgarythompson.wordpress.com/2018/10/06/health-canada-teaching-murder/

Slide 4

Health Canada C best

Above link https://www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/opioid-overdose-wallet-cards-public-events/full-wallet-card-eng.pdf

Slide 5

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Matt Johnson and Zoe Dodd of Moss Park Overdose Prevention Site quote “Oxygen” (rescue breaths layperson) Thus saving any breathing emergency https://youtu.be/fc85iv3VQLM

Brad Chapman coroners jury I cited deputation Board of Health https://jgarythompson.wordpress.com/2018/12/28/brad-chapman-jury-recommendations/

Link to report see pages 9-10 no rescue breathing which is essential for any of the 100s of causes breathing emergency ASAP it’s more important than Naloxone https://www.toronto.ca/legdocs/mmis/2019/hl/bgrd/backgroundfile-129421.pdf

Toronto Indigenous Overdose Strategy naloxone kit

 

Additional references

CPSO removed this power point after my deputation slide #23

CPSO website Slide 23

My comment Heart & Stroke Foundations Official site https://youtube/Wy3eEES511E

Letter H&S Foundation blank

Hopkins Shaun; Morrison Laurie MD et al ‘Development and Implementation of an Opioid Overdose Prevention and Response Program in Toronto, Ontario’ CJPH 2013; 104(3):e200-4 accessed here
https://pdfs.semanticscholar.org/cfa9/6120a3ec5f8269c605bcf456b387ddc79be9.pdf

Goldfranks566

 

Aaron Orkin MD quote “Rescue breathing is the hardest thing I do as an Emergency Physician” Blatant criminally insane, insult to everyone’s intelligence taught Boy Scouts & Girl Guides
http://www.cbc.ca/player/play/1204516931551

Pierre Poirier Paramedic Association of Canada’s Executive Director
“The danger of not doing rescue breathing is that somebody will die” “You may actually have a brain death”
https://www.cbc.ca/player/play/1204466755851

Michael Nolan, chief of the County of Renfrew Paramedic Service quoted “perform rescue breathing first”

Article quote “Until now, the government advised bystanders to follow the same model as the Heart and Stroke Foundation of Canada: perform chest compressions before giving naloxone.” Blatant lie
Heart & Stroke Foundation letter https://aliascpr.wordpress.com/2016/02/26/dr-a-orkin-overdose-training-and-naloxone-distribution/

Above videos and quotes from this story Protocol is still wrong ‘Breaths first’ http://www.cbc.ca/news/canada/ottawa/ontario-changes-rescue-breathing-opioid-overdoses-1.4608089

Jan 17, 2019 FDA Commissioner Scott Gottlieb, MD, said “This is the first time the agency proactively developed and tested a drug facts label [Naloxone] for an OTC product”

FDA read my comment FDA press release https://www.beckershospitalreview.com/pharmacy/fda-moves-to-fast-track-otc-naloxone.html

FDA Drug Facts Label ‘IN Narcan’ Protocol no breaths which is essential https://www.fda.gov/downloads/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/UCM629320.pdf

Jan 24, 2019 Bell Lets Talk Mental Health https://youtu.be/o75xi65a9Wo

Barbara Yaffe MD acting Medical Officer of Health Toronto and Mayor John Tory quoted “Ventilations (rescue breaths) most important”  Mayor  “This is what causes people to lose their lives quite literally”

2019 My tweet, retweet by Bob Arthur 38 years EMS Bob is spokesperson for Bell Lets Talk ‘Mental Health First Aid’ https://twitter.com/GaryCPR/status/1088617960510509067

2017 My tweet, retweet by Bob https://twitter.com/GaryCPR/status/823722957755269120

2018 Bell Lets Talk https://youtu.be/B-JvTNNOPwA

Jan 25, 2019 Phone call General Manager Adapt Pharma He knows people are dying needlessly himself included “Gary keep up the good work” https://youtu.be/6TihfBcSzCI

I know this RN quoted personally 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

Dan Bigg (aka Mr Narcan) quote “No brain’er rescue breathing is what it’s all about. Chest compressions are not helpful but harmful” https://youtu.be/7MYKYScL8L8

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

Canadian Red Cross https://www.redcross.ca/training-and-certification/first-aid-tips-and-resources/first-aid-tips/compression-only-cpr
Compression-only CPR should not be used when the oxygen in the person’s body has likely been used up, such as with a drowning incident or when a respiratory emergency may have caused the cardiac arrest.

Gary Thompson ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Emergency Medicine News 2015;37(12)31 With hyperlinks to Public Health’s training literature
https://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

Eric Hoskins MD (Past Minister of Health Ontario now Federal level ‘Pharma Care’) constituency office doorway bits of paper ‘chest compressions only’ Correct link “rescue breaths”
https://www.facebook.com/events/228133431047011/permalink/231032860757068/

As past, present and future 2010 AHA Guidelines part 12:7 Toxic Ingestions
Toxidromes
Quote “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 caused by illness or injury]

Opioid Toxicity Quote “ventilation should be assisted by a bag mask [rescue breaths layperson italics mine] followed by administration of naloxone and placement of an advanced airway [continue breaths layperson italics mine] if there is no response to naloxone.”
https://www.ahajournals.org/doi/full/10.1161/circulationaha.110.971069?

My moderated comments 2015 AHA & ILCOR Guidelines https://jgarythompson.wordpress.com/2016/07/06/opioid-overdose-response-education-bls-891/

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

Ontario Poison Centre ‘Rescue breathing only’ http://www.ontariopoisoncentre.ca/pdf/72759-Hopsitalguidelines_naloxone_v2.pdf
As per all medicine Bag Valve Mask (rescue breathing same layperson) contine BVM (breaths) essential.
Part 2 if your heat stops from any breathing emergency it’s because you are brain dead lack of oxygen Advanced Cardiac Life Support methods prognosis is very poor.

Laurie Morrison MD quoted 15,000 out of hospital cardiac arrests per year Ontario a lot less sudden witnessed, the only time compressions only may work
http://www.macleans.ca/society/health/the-heart-of-the-matter/

Over a million taken to hospital per year Ontario in need of respiratory assist.
‘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 which would help in saving patients life and preventing complications.”

Gold Standard textbook Lange ‘Poisoning & Drug OD’ https://jgarythompson.wordpress.com/2018/08/12/stimulant-overdose/

INCHEM The world experts on poisoning or drug OD
http://www.inchem.org/documents/antidote/antidote/ant01.htm#SubSectionNumber:2.12.3

Anesthetists OD patient many different substances the only thing keeping you alive is ventilations [rescue breaths layperson]
Carl Hug MD ‘Opioids: clinical use as anesthetic agents’
Quote “allowing administration of enormous doses [Fentanyl usually becauses it’s short acting] intraoperatively when the patient’s ventilation is supported mechanically [rescue breaths layperson]” 
https://www.ncbi.nlm.nih.gov/pubmed/1517651

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”

SELF EVIDENT TRUTH ANY CHILD KNOWS ‘BREATHE OR DIE’ NOTHING WRONG WITH THE HEART BREATHING EMERGENCIES

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The Honorable Asha Seth MD

Conversation with Senator Asha Seth MD Nov 11, 2017 thru Feb 14, 2019  You would think she would be interested in saving her own life.

I have attended following Valentines swaray in the past

Two minute video ‘Great Valentines Day Gala Toronto 2019’ https://youtu.be/POprbitbeuA

First contact Dr. Seth 

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Ministry of Health protocol ‘Start with chest compressions’  See page 15 http://www.tdsb.on.ca/Leadership/Boardroom/Agenda-Minutes/Type/A?Folder=Agenda%2F20171123&Filename=171123+Opioid+3266.pdf

I know this RN quoted personally 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

Protocol has been all over the map since Sept 2011 

Dec 20, 2018 Coroners jury recommendations outcome ‘Save lives don’t deny the breath of life to anyone’
https://jgarythompson.wordpress.com/2018/12/28/brad-chapman-jury-recommendations/

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Get Naloxone kits free accessed Feb 16, 2019 Still wrong It’s breaths first then you may give Naloxone continue breaths.  Breaths thus saving any of the 100s of causes breathing emergency https://www.ontario.ca/page/get-naloxone-kits-free#section-4

Leece P, et al CJPH 2013; 104(3)e200-4 http://journal.cpha.ca/index.php/cjph/article/view/3788

Thompson Gary ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Emergency Medicine News 2015;37(12)31 With hyperlinks to Public Health’s training literature
https://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

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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

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Barbara Yaffe MD Toronto’s Medical Officer of Health and Toronto Mayor John Tory quoted “Ventilations (rescue breaths) most important” Mayor Tory quote “This is what causes people to lose their life quite literally” https://youtu.be/_eUqXct3s_E

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Aaron Orkin MD “Rescue breathing is the hardest thing I do as an Emergency Physician” Criminally insane, insult to everyone’s intelligence taught Boy Scouts & Girl Guides Aaron Orkin has taught millions to give chest compressions to anyone alive dying lack of rescue breathing
http://www.cbc.ca/player/play/1204516931551

Pierre Poirier Paramedic Association of Canada’s Executive Director
“The danger of not doing rescue breathing is that somebody will die” “You may actually have a brain death”
https://www.cbc.ca/player/play/1204466755851

Michael Nolan, chief of the County of Renfrew Paramedic Service quoted “perform rescue breathing first”

Above videos and quotes from this story Protocol is still wrong ‘Breaths first’ http://www.cbc.ca/news/canada/ottawa/ontario-changes-rescue-breathing-opioid-overdoses-1.4608089

Aaron Orkin MD et al ‘Compressions only’ Taught to millions of laypersons
http://journal.cpha.ca/index.php/cjph/article/view/3788

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MDs worse than Cops kill their own and say nothing

Great Valentines Gala 2019 https://youtu.be/rx7GsUw9Tzs

Bird has more brains than most humans
https://youtu.be/lpue4HEkiOI

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My comment Feb 14, 2019 Dr. Seth’s post on the ‘Great Valentines Gala 2019’

https://www.linkedin.com/feed/update/urn:li:activity:6501825375650353152/

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Orwellian ‘Good Samaritan Law’ Train millions withhold the ‘Breath of Life’

Jan 9, 2019 Executive Director Health Canada quoted “Rescue breathing; Chest compressions only or CPR” What is correct for any of the 100’s causes breathing emergency?
https://jgarythompson.wordpress.com/2018/10/06/health-canada-teaching-murder/

Darryl Gebien MD ‘The Air Breathe’ https://soundcloud.com/darryl-j-gebien/the-air-i-breathe

Darryl Gebien MD “This is the correct way to treat OPIATE OD, and not doing immediate chest compressions as taught by Ontario Public Health” [any of the 100’s of causes breathing emergency gets breaths only]
https://www.facebook.com/DarrylJGebs/posts/10153999250095729

Matt Johnson & Zoe Dodd Moss Park Overdose Prevention Site quoted “oxygen” (rescue breathing) thus saving any the 100s of causes breathing emergency
https://youtu.be/fc85iv3VQLM

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”

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Orwellian Jan 9, 2019 Executive Director Health Canada quoted “Rescue breathing; Chest compressions only or CPR” What is correct for OD or any of the 100’s causes breathing emergency?
https://jgarythompson.wordpress.com/2018/10/06/health-canada-teaching-murder/

Darryl Email Feb 12 BESTS

Darryl Gebien MD ‘The Air Breathe’ https://soundcloud.com/darryl-j-gebien/the-air-i-breathe

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Dan Bigg (aka Mr Naloxone) quote “No brain’er rescue breathing is what it’s all about. Chest compressions are not helpful but harmful”
https://youtu.be/7MYKYScL8L8

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

Complications chest compressions are endless https://jgarythompson.wordpress.com/2016/06/23/complications-chest-compressions/

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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”