Category Archives: Uncategorized

Public Health Assoc living in denial

July 4, 2017 rejection of abstract can’t save their own lives nor soul.  Have talked with them in person long ago living in denial as any ten year old should know a breathing emergency is not cardiac arrest. My understanding would not matter how eloquent an abstract sent would be denied SOCIOPATHS.

My letter ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ EMN 2015; 37(12):31 With hyperlinks to Public Health Ontario’s training literature, and also the proper protocol.

Jan 9, 2017 Toronto’s Mayor John Tory and Barbara Yaffe MD quoted “Ventilation’s (rescue breathing) most important” Chest compression’s only still being taught!! Read comment box YouTube Medical info hyperlinked

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.”
http://www.citynews.ca/2017/01/09/officials-meet-in-toronto-to-tackle-fentanyl-issues/

234 Doctors, other health care professionals and myself signed a letter April 26, 2016 Ontario’s Premier Kathleen Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening intervention.  See meaningless response from Premier.  Dr. Hoskins has no response as of July 2017  See photo at end this word press

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Three Stooges NEW EDIT

OD training June – Aug 31, 2017

Eventbrite free OD training June 8 thru Aug 31 2017 Public Health is still teaching how to increase morbidity and mortality to anyone with any breathing emergency.  Get your tickets above hyperlink, capacity 1,250 people no Naloxone being given out but attendees will tell all their friends all the signs of breathing emergency, then give chest compression’s.

ORIGINAL POWER POINT which was given to all Board of Health members, my June 12, deputation  read comment box hyperlinks

June8NO NALOXONE

Dr. Eric Hoskins sociopath https://youtu.be/jkBTyAqvzqI  Medical info hyperlinked

THRA minutes June 9

Ten’s of thousands in Ontario, Canada taught all the signs of breathing emergency drug OD then trained to give chest compression’s only. Empower laypersons what they think is a life saving technique they are eagerly following a clinicians instructions increasing morbidity and mortality any breathing emergency patient. Increases mental and physical illness drug use and abuse, dysfunctional society. Loss of trust in the medical profession, addictions councilors and harm reduction.  Grade school science ‘How the Heart and Lungs work”

Just simple logic suffer any of the HUNDREDS OF CAUSES BREATHING EMERGENCY?
A) Rescue Breaths
B) Chest Compression’s
THINK, ITS A VERY HARD QUESTION

Information package I gave all participants June 8 training including case reports

Start of Power Point ‘Opioid Overdose Education, Prevention and response’ created by Toronto Public Health. My notes in red

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Sick Kids home of the Ontario Poison Centre 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 ‘Street Opioid Resuscitation Recommendations’ For Pre-Hospital and Hospital Care    http://www.ontariopoisoncentre.ca/pdf/72759-Hopsitalguidelines_naloxone_v2.pdf

Quote Ontario Poison Centre

“For the non-responsive patient with a pulse, but NOT BREATHING

1. Attempt to stimulate respirations.
2. Assist respirations using Bag-Valve-Mask set-up [rescue breaths for layperson italics mine]
3. If no response to respiratory stimulation, administer naloxone 0.4 mg IV/IM
4. IF NO RESPONSE in 3 minutes, administer naloxone 2 mg IV/IM
5. IF NO RESPONSE in a further 3 minutes, administer naloxone 4 mg IV/IM
6. Anticipate doubling the dose until a cumulative dose of 12 mg has been given. If still no response, intubation and ventilation will be required [continuous rescue breathing pre hospital and when admitted italics mine]
7. Some fentanyl analogues have longer half-lives than that of fentanyl or heroin. Repeated dosing of naloxone may be necessary. As usual, an intravenous infusion of naloxone at 2/3 wake-up dose per hour, can be initiated and titrated based on patient response
8. The patient must be monitored:
a. For at least 6 hours after the last dose of naloxone AND
b. Vital signs have returned to baseline vitals AND
c. Normal GCS AND
d. At least 24 hours after the initial overdose
9. Call the OPC for further recommendations.

For the PATIENT IN CARDIAC ARREST suspected to be as a result of an opioid overdose. [patient most likely brain dead (oxygen deprivation), prognosis very poor. It’s not a simple cardiac arrest from heart disease italics mine]

1. For EMS providers: Follow local EMS protocols and “patching” procedures
2. Start compressions, bag-valve-mask ventilations and follow usual ACLS protocols for the pulseless victim
3. Once good resuscitative measures are in place, administer naloxone 2 mg IM/IV
4. Anticipate the need for increasing doses of naloxone; naloxone dosing can be doubled every 3 minutes if no response, to a maximum of 12mg. Continue usual ACLS protocols
5. Call OPC for further recommendations

 

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Annotated medical info ‘Naloxone’ and my moderated comments 14-15 Then follow trackback for more of my moderated comments http://roguemedic.com/?s=Naloxone

Read my 7 moderated comments Tim Noonan 30 years EMS blog http://roguemedic.com/2015/02/proposed-2015-acls-chest-compression-only-cpr-vs-conventional-cpr-recommendation/

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Naloxone video Toronto  Harm Reduction ‘NALOXONE: Saves lives, learn how, share the knowledge’ Read comment box Darryl Gebien MD quote “What I think Alias CPR is getting at, is that “rescue breaths” are not being taught in this and other opioid overdose scenarios. Lack of breathing (apnea) is the main issue in severe OD and occurs before cardiac arrest, so the correct treatment is to ventilate the patient and give compression’s if no heartbeat/pulse present. Health care professionals are taught (ACLS) to do so in opioid OD, but for some reason the public (bystanders, BLS protocol) is not.”  D. Gebien MD, MSc, ABEM   https://youtu.be/zlbkU5IK5Do

Darryl Gebien MD written, sung and recorded dedicated to his Mother who passed Fentanyl OD ‘The Air I Breathe’

RN in above video incident BMJ ‘Doc2Doc’ “Every worked with a psychopath”

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From page 8 large poster taped to wall

June 8 Large POSTER

Jan 9, 2017 Toronto’s Mayor John Tory and Barbara Yaffe MD quoted “Ventilation’s (rescue breathing) most important” Chest compression’s only still being taught!! Read comment box YouTube https://youtu.be/oelj408VmBU

Mayors quotes 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.” Mayor is pissed anyone with any breathing emergency is being murdered, you or you family may be next.
http://www.citynews.ca/2017/01/09/officials-meet-in-toronto-to-tackle-fentanyl-issues/

My letter ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ EMN 2015; 37(12):31 With hyperlinks to Public Health Ontario’s training literature, and also the proper protocol.
http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx

BREATHS per all medicine anything less is gross negligence for any breathing emergency Dr. Nicholas Etches Medical Officer of Health
http://www.cbc.ca/player/play/895066691568/

EMS rescue breathing until Naloxone takes affect and patient breaths adequately on their own.

Ontario Ministry of Health murderous protocol https://www.linkedin.com/pulse/ministry-health-od-protocol-gary-thompson

50,000 Ontarians are poisoned each year 28,000 children http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html

15,000 out of hospital cardiac arrests per year Ontario https://www.ices.on.ca/Newsroom/News-Releases/2014/Survival-rates-improving-for-out-of-hospital-cardiac-arrest-patients

Ontario Pharmacist Association ‘How to kill your own Grandma & Mother her own child’ https://youtu.be/1a_SRu82jlw
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 oxygen level 97% https://youtu.be/aZ2SPcHUsvA

Lange ‘Poisoning and drug OD‘ see page 1 ad fin item https://murdercube.com/files/Chemistry/Poisoning%20and%20Drug%20Overdose%20(4th%20Edition).pdf
Lange newer edition http://accessmedicine.mhmedical.com/content.aspx?bookid=391&sectionid=42069814

2010 American Heart Association Guidelines Part 12:7 Toxic Ingestion’s http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80   Quote AHA “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 .
Toxidromes
“Practically every sign and symptom observed in drug overdose can be produced by natural disease, and many clinical presentations associated with natural disease can be mimicked by some poison.“
Response: Any of the hundreds of causes respiratory emergency mimic an overdose, rescue breaths ASAP. 2015 AHA guidelines refer you to the 2010 guidelines, suggest everyone follow what 2010 says.

My moderated comments 2015 AHA & ILCOR guidelines ‘Opioid Overdose Response Education’ with hyperlinks Ontario Public Health protocols in comment box  https://youtu.be/PX0HQuaNS_I

All 70+++ references from 2015 AHA & ILCOR guidelines on opioid overdose quotes ‘rescue breathing only’
https://aliascpr.wordpress.com/2015/12/13/2015-ilcor-and-aha-references-opioid-od/

INCHEM.org Quote “it is extremely important to give oxygen and to support ventilation immediately while waiting for naloxone to be available for injection.”

2015 European Resuscitation Council Guidelines for Resuscitation
Section 4. ‘Toxins’ p.165
https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c78115e61585a053d7bce/files/S0300-9572_15_00329-9_main.pdf
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.”

Goldfrank’s ‘Toxicologic Emergencies’ p.566 etc.
http://freepages.school-alumni.rootsweb.ancestry.com/~dpok/Goldfrank%E2%80%99s%20Toxicologic%20Emergencies%209th%20Edition.pdf
Quotes “The consequential effects of acute opioid poisoning are CNS and respiratory depression. Although early support of ventilation and oxygenation is generally sufficient to prevent death, prolonged use of bag-valve-mask ventilation and endotracheal intubation may be avoided by cautious administration of an opioid antagonist.” “Differentiating acute opioid poisoning from other etiologies with similar clinical presentations may be challenging.” [previous means doctors have trouble diagnosing one respiratory emergency from another]

Annotated medical info ‘Naloxone’ and my moderated comments 13-14 Then follow comment 15 for more of my moderated comments http://roguemedic.com/?s=Naloxone

Heart & Stroke Foundation Official site read the only moderated my comment AliasCPR https://youtu.be/Wy3eEES511E
Letter from H & S Foundation which was CC’d to Dr. Laruie Morrison and Shawn Hopkins Manager ‘The Works’ http://www.slideshare.net/GaryThompson11/heart-and-stroke-foundation-letter

My response posted in ‘Rogue Medic’ aka Tim Noonan 30 years EMS “We keep making excuses for solutions that are neat, plausible, and wrong. Why don’t we start acting like responsible medical professionals and do what is best for our patients?”
http://roguemedic.com/2016/12/narcan-by-everyone-does-not-seem-to-be-such-a-good-idea/

Thank you to Gary Thompson of Agnotology for linking to this for me. https://aliascpr.wordpress.com/2017/01/24/cpr-k-p-mcdonald-ems/

Go read Response: ‘What happens when drugs become too powerful for overdose kits’ https://aliascpr.wordpress.com/2016/12/20/response-what-happens-when-drugs-become-too-powerful-for-overdose-kits/

Doctors increasing PTSD in EMS etc and no one says a word?
https://medicalmiscreants.com/2017/01/23/two-more-doctor-drug-pushers-locked-up-some-things-just-never-change/comment-page-1/#comment-55315

Medscape ‘Naloxone for the Reversal of Opioid Adverse Effects’  http://www.medscape.com/viewarticle/441915_4

First line quote “All patients considered to have opioid intoxication should have a stable airway and adequate ventilation established before the administration of naloxone.”

My peer reviewed comment above article

Live human study training layperson’s all the signs of opioid overdose, then telling them to give chest compression’s only http://journal.cpha.ca/index.php/cjph/article/view/3788

My response to AHA & ILCOR Opioid overdose response education plus Public Health’s training literature.  https://youtu.be/PX0HQuaNS_I

Response to Emily Oliver (awaiting AHA moderator) “….use of naloxone into their education programs. More research is needed regarding educational effectiveness…”

Do we need more research on opioid poisoning resuscitation protocols? Clinicians see opioid poisoning daily in a clinical situation. Terminally ill are kept “comfortable” to wit OD narcotics. Cause of death acute respiratory failure.

Michael Parkinson with Dan Bigg of Chicago Recovery Alliance on OD it’s not rocket science https://www.youtube.com/watch?v=7MYKYScL8L8

Rescue breathing first line defense Naloxone is second line defense
Above original video at 8 minutes https://www.youtube.com/watch?v=RcPB2Ybpyd8

Michael Parkinson of Waterloo Region Crime Prevention Council video Original ‘Eyes Wide Open’ https://www.youtube.com/watch?v=znjKdfYRCGc

“My childhood friend was completely blue…. Started with chest compression’s didn’t seem to have any real great effect”
Correct Joe you are quickening Wades death or anyone else with a breathing emergency, Wade’s heart was beating needed breaths ASAP.
Have talked in person with Joe. Sadly Wade pasted summer 2015

European Resuscitation Council Guidelines for Resuscitation 2010 Section 8.b Poisoning http://resuscitation-guidelines.articleinmotion.com/article/S0300-9572(10)00441-7/aim/

Naloxone left elsewhere http://www.harmreductionjournal.com/content/6/1/26

Quote “most participants did not carry the naloxone with them consistently and consequently it was generally not available if they witnessed an overdose.”
Other studies report same 20% > of the time Naloxone left elsewhere.  Probably means chest compression’s only used in Ontario?

Complications chest compression’s a drastic measure only to be preformed cardiac arrest, chest compression’s only secondary to respiratory arrest contraindicated.

Atcheson SG, Fred HL. ‘Letter: Complications of cardiac resuscitation’ Am Heart J. 1975 Feb;89 (2):263-5 http://www.slideshare.net/GaryThompson11/complications-chest-compressions-64269212

Read my six moderated comments
http://roguemedic.com/2015/02/proposed-2015-acls-chest-compression-only-cpr-vs-conventional-cpr-recommendation/

Your pet eats a poison or drug Veterinarian will give respiratory assist and any antidote, not torture them with chest compression’s only. Why would we allow this to our women and children?

It’s a mental illness called Anosognosia a severe form of denial. Anosognosia is quite different than simple or temporary denial. It is not simply denial of a problem, but the genuine inability to recognize that the problem exists. Usually this is caused by brain damage and/or FEAR!

Agnotology is the study of culturally induced ignorance or doubt, particularly the publication of inaccurate or misleading scientific [medical] data. Agnotology focuses on the deliberate fomenting of ignorance or doubt in society.

Not placing blame, change this protocol for the well being of all. Stop needless suffering Google @GaryCPR more info

 

911 Dispatch error

Story link ‘Are opioid overdose victims getting rescue breathing they need?’ Patient a presumed OD, signs of OD can mimic any of the hundreds of causes breathing emergency.  Rescue breaths ASAP your life depends on breaths.   Watch stories video clip St. John Ambulance employee holding breathing barrier masks one in each hand. 

911 dispatch following protocol from Director Manitoba and Ontario Poison Centre??  straight from the puzzle factory.  

‘Winnipeg mail carrier says he was pressured to perform CPR on unconscious woman’

‘I don’t feel comfortable, there’s white stuff on her shirt:’ Carrier worried woman had overdosed on fentanyl

Caroline Barghout · CBC News  May 25, 2017

Corey GallagherA

Canada Post mail carrier Corey Gallagher, 30, found an unconscious woman in the lobby of a Manitoba Housing building on Tuesday morning. (Photo by Corey Gallagher Postal Worker)

A Winnipeg mail carrier wants to know why a 911 dispatcher repeatedly instructed him to give CPR to an unconscious woman, even after he told the dispatcher that he was concerned she had overdosed.

Corey Gallagher, 30, didn’t know the woman, but told the CBC he feared she may have been using fentanyl. He doesn’t recall if he used those specific words when he called 911, but remembers saying he was worried she had overdosed.

“I’m a pretty calm person. It’s just in that situation, I was getting anxiety, ’cause I didn’t want to touch her. I was getting nervous, and just that was a horrible feeling,” said Gallagher.

Gallagher, who has worked for Canada Post for nine years, was delivering mail in the south end of the city Tuesday morning when he came across a woman lying in the lobby of a Manitoba Housing building at Beliveau Road and Eric Street.

At first, he thought she was intoxicated and had passed out, but he soon realized it was something more serious.

“Usually you can startle them if you’re walking in,” said Gallagher. “So I went in, delivered the mail, kind of called to the lady. [She was] unresponsive, didn’t look like she was breathing or anything.”

He called 911 and said the dispatcher put him through to an emergency services worker, who stayed on the phone with him until an ambulance arrived.

“He was trying to give me instructions on what to do. I told him, ‘This person, I’m pretty sure, is overdosed,'” said Gallagher.

Watch Corey’s Video St. John Ambulance holding 2 breathing masks

Told to perform CPR

Gallagher said the emergency worker wanted him to perform CPR on the unconscious woman, but he didn’t touch her — especially after noticing white powder on her shirt.

Gallagher doesn’t know if the woman survived.

“[He] kept telling me, ‘I’m gonna need you to do this, you’re gonna have to do this, get close, I need you to do this, I need you to put your hand here, hand there,'” Gallagher said.

“I’m like, ‘I don’t feel comfortable … there’s white stuff on her shirt.'”

He said a short while later, a female resident entered the lobby and informed him the unconscious woman was a known drug addict, which added to Gallagher’s hesitation to make physical contact.

“It’s not that I’m a germaphobe or anything, it’s just with the fentanyl stuff, I hear so much about it,” Gallagher said.

“I follow the news, and you read about it, and it’s actually really scary. I think it was a few days ago I saw three cops OD’d on it, ’cause they reported to a crash or something, and hearing just stuff like that, it really sticks with you.”

A spokesperson for the City of Winnipeg wasn’t able to comment on this specific case but said: “911 forwards these types of calls to [Winnipeg Fire Paramedic Service]-specific 911 operators. All WFPS 911 operators hold a paramedic licence.”

According to the statement from the spokesperson, “911 call takers may ask the caller to assist the person requiring help until paramedics arrive.

“If the caller does not want to provide mouth-to-mouth, 911 call takers would ask the caller to continue to assist the person with CPR only. If the caller does not want to assist, 911 call takers would ask the caller to stay on-scene until the paramedics arrive.”

Safety first

The Lifesaving Society Manitoba wouldn’t comment on the incident, but said it’s important Good Samaritans put their safety first.

“The first thing we teach to anyone who’s taking our first aid or lifesaving training is they have to ensure safety and that safety starts with themselves,” said public education co-ordinator Christopher Love.

“Safety for the rescuer, for a lay rescuer, is the No. 1 priority, and if you cannot ensure your safety then you should not be entering the scene.”

Love said every rescuer needs to evaluate for themselves if a situation is safe, and that no one else can do it for them.

“You need to see what you see and then make a decision based upon what you know,” Love said.

“Our advice is, our training is, if it appears to be dangerous for yourself you should be summoning extra assistance from the professional side of things, but we wouldn’t recommend putting yourself at risk because again, that creates a larger number of victims or patients that need to be treated in the long run.”

‘Should I have done it?’

Gallagher said that shortly after leaving the scene, he began to question his reluctance to perform CPR.

“I was kind of like … did I overreact … should I have done it?” he said.

“Maybe I was being too judgmental in thinking everybody is on fentanyl, and maybe I’m blowing this way out of proportion.”

He said after talking to loved ones and co-workers, he was reassured he did the right thing.

“Most people that I talked to, they said they would have just turned around and would’ve left and let someone else deal with it because they don’t want to be in that situation,” said Gallagher.

“It’s not the first time I’ve ever called 911, and most likely it won’t be my last. I hope it is, though.”

My response found K. Patrick McDonald’s 30 years EMS

Gary Thompson     @GaryCPR                                                          January 23, 2017 at 6:36 am

Proof of a dysfunctional society.

Am personally a fond believer in Bruce Alexander’s ‘Rat Park Experiment’ Addicted lab rats did not use drugs if stress was removed and were allowed to be creative. http://www.brucekalexander.com/articles-speeches/rat-park/148-addiction-the-view-from-rat-park

The following live human study is creating needless stress, therefore and increases in drug use and abuse. Ten’s of thousands laypersons taught all the signs of opioid OD, then trained to give chest compressions only!!

Dr. Aaron Orkin (Co-author 2015 AHA guidelines toxic ingestions) Leece P. et al ‘Development and implementation of an opioid overdose prevention and response program in Toronto, Ontario.’ CJPH 2013; 104(3)e200-4

My response above article https://jgarythompson.wordpress.com/2016/07/04/response-cjph-20131043e200-4/

Read email from Dr. Laurie Morrison co-author of above protocol found my moderated comments in Tim Noonan’s Blog ‘Proposed 2015 ACLS Chest compression only CPR vs conventional CPR Recommendation’ http://roguemedic.com/2015/02/proposed-2015-acls-chest-compression-only-cpr-vs-conventional-cpr-recommendation/

All mad as hatters, don’t suffer a coma you may get the treatment.

When the medical profession fails to follow the moral codes tis a sure sign the civilization is crumbling painfully.

Reply

@GaryCPR says:                                                                       January 23, 2017 at 7:41 am

Above comments are playing havoc with the Brothers and Sisters in the EMS field etc. Common quotes “Gary we are showing up to calls people damaged from chest compression’s they were never to receive on a regular basis” Say nothing living in fear, therefore not living.

Jan 22, 2017 ‘First responders call for national strategy to tackle PTSD crisis’ http://www.cp24.com/news/first-responders-call-for-national-strategy-to-tackle-ptsd-crisis-1.3251919

Quote Patrick McDonald ‘Paramedic Heretic’ page xvii “So what is the purpose of the Paramedic Heretic? Simple. It is time for somebody in my field of expertise to shout “gardyloo!” from the belfry. It’s time that you – health care’s ultimate consumer – gain the perspective of just how distorted our corner of medicine has become.”

(Healthcare protocols need to) Stop feeding our women and children to a monster as it eats our very souls. Monster is just a bully full of hot air who lives in fear of wisdom.

Reply

‘CPR’ K. P. McDonald EMS – Agnotology says:            January 24, 2017 at 12:55 am

[…] Jan 23, 2017 read my moderated comments https://medicalmiscreants.com/2017/01/23/two-more-doctor-drug-pushers-locked-up-some-things-just-nev… […]

Reply

@GaryCPR says:                                                                       March 4, 2017 at 6:27 am

It is a mental illness called Anosognosia! It is a severe form of denial. Anosognosia is quite different than simple or temporary denial. It is not simply denial of a problem, but the genuine inability to recognize that the problem exists. Usually this is caused by brain damage!

January 19, 2017 Ontario Poison Centre [Chest compressions only] ‘Street Opioid Resuscitation Recommendations’ For the General Public
http://www.ontariopoisoncentre.ca/pdf/72758-GenPubguidelines_naloxone_v2.pdf

January 19, 2017 Ontario Poison Centre [Respiratory assist (rescue breaths)] ‘Street Opioid Resuscitation Recommendations’ For Pre-Hospital and Hospital Care
http://www.ontariopoisoncentre.ca/pdf/72759-Hopsitalguidelines_naloxone_v2.pdf

On Wednesday, April 10, 2013 3:58 PM, Margaret Thompson MD wrote:

Dear Sir,

I have no input into the Public Health training program.

The Canadian Association of Emergency Medicine has a position statement on Bystander CPR which suggests that compressions should be initiated by all and those trained should include mouth-to-mouth.

Sincerely,

Margaret Thompson, MD, FRCP(C)
Medical Director, Ontario & Manitoba Poison Centres

All Canadians should respond and provide chest compressions (with or without mouth-to-mouth ventilation) whether they are trained or not, when an adult, child or infant suddenly collapses. Trained rescuers are encouraged to provide mouth-to-mouth after the initiation of chest compressions, especially in the case of children, infants, newborns.

From: James Thompson [mailto:jgary.thompson@mail.utoronto.ca]
Sent: Wednesday, February 20, 2013 12:47 PM
To: Margaret Thompson
Subject: A concerned student

Dr. Thompson:

I took Toronto Public Health’s naloxone training Sept. 2, 2011. When I asked during the 30 minute one on one training about rescue breathing was told “chest compression’s only is the new standard, for opiate O.D.”

TPH has trained over 530 people this in Toronto, and they are teaching this protocol all over the province. The only answer they give me is “it’s the new standard” I can’t find consensus anywhere.

TPH’s Power Point does not mention rescue breathing.https://www.cpso.on.ca/uploadedFiles/members/Meth-conf-POINT-PP.pdf cf. Slide #23

Please reply
Gary Thompson

My article Feb 17, 2017 Rogue Medic “We keep making excuses for solutions that are neat, plausible, and wrong. Why don’t we start acting like responsible medical professionals and do what is best for our patients?”
http://roguemedic.com/2016/12/narcan-by-everyone-does-not-seem-to-be-such-a-good-idea/

Thank you to Gary Thompson of Agnotology for linking to this for me. https://aliascpr.wordpress.com/2017/01/24/cpr-k-p-mcdonald-ems/

Go read Response: ‘What happens when drugs become too powerful for overdose kits’ https://aliascpr.wordpress.com/2016/12/20/response-what-happens-when-drugs-become-too-powerful-for-overdose-kits/

Don’t suffer any respiratory emergency in Ontario, Canada Laypersons are eagerly following orders in the belief they are saving lives.

END OF PATRICK’S BLOG

Ten’s of thousands in Ontario, Canada taught all the signs of breathing emergency drug OD then trained to give chest compression’s only.  Doctors not going to revive you after surgery with chest compression’s it’s respiration’s [rescue breaths laypersons] during and after surgery.

Empower laypersons what they think is a life saving technique they are eager to follow a clinicians instructions increasing morbidity and mortality any breathing emergency patient. Increases mental and physical illness drug use and abuse, dysfunctional society. Grade school science ‘How the Heart and Lungs work”

Jan 9, 2017 Toronto’s Mayor John Tory and Barbara Yaffe MD Medical Officer of Health Quoted drug OD issue “Ventilations (rescue breathing) most important” for any of the hundreds of causes breathing emergency. Chest compression’s still being taught!! Read comment box YouTube

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.”
http://www.citynews.ca/2017/01/09/officials-meet-in-toronto-to-tackle-fentanyl-issues/

City Hall May 17 Deputation I sat beside a cardiologist pre meeting told him about Public Health Ontario’s chest compression’s only, response “WOW nobody stops this?” READ COMMENT BOX https://youtu.be/5UWdcTfvbU8

Correct per all medicine anything less is gross negligence for any breathing emergency Dr. Nicholas Etches Medical Officer of Health for Calgary district
http://www.cbc.ca/player/play/895066691568/

April 21, 2017 ‘Open Dialogue on Vulnerability Preventing and Responding to Drug OD.’ Crazy The more people trained this the more likely these trainers will be assaulted and/or murdered with chest compression’s.
https://aliascpr.wordpress.com/2017/04/21/responding-to-od-04212017/

50,000 Ontarians are poisoned each year 28,000 children http://www.sickkids.ca/AboutSickKids/Newsroom/Past-News/2007/50000-Ontarians-are-poisoned-each-year-according-to-the-Ontario-Poison-Centre.html
May I suggest you teach people to save their lives instead of killing them all with chest compressions.

15,000 out of hospital cardiac arrests per year Ontario https://www.ices.on.ca/Newsroom/News-Releases/2014/Survival-rates-improving-for-out-of-hospital-cardiac-arrest-patients

Ontario Pharmacist Association ‘How to kill your own Grandma & Mother her own child’ https://youtu.be/1a_SRu82jlw
https://youtu.be/aZ2SPcHUsvA Case report Jake @7:25 minutes. 4 breaths/min BVM = (rescue breathing ESSENTIAL) then Naloxone. Continue rescue breaths mandatory until next slide 14 breaths/min oximetry 97%

Lange  ‘Poisoning and drug OD’ see page 1 ad fin item https://murdercube.com/files/Chemistry/Poisoning%20and%20Drug%20Overdose%20(4th%20Edition).pdf
Current edition http://accessmedicine.mhmedical.com/content.aspx?bookid=391&sectionid=42069814

WSIB and Lifesaving Society See slide #10

WSIB slide10

FOLLOWING IMAGE JUST COMMON SENSE LACK OF OXYGEN IS WHAT CAUSED THE HEART TO STOP.  IT’S NOT A CARDIAC ARREST FROM HEART DISEASE.  TO PUT IT BLUNTLY ANY PATIENTS WHO’S HEART HAS STOPPED SECONDARY TO RESPIRATORY ARREST THEY ARE F**KED, PROGNOSIS VERY POOR 

Roberts, James R. MD ‘Intranasal Naloxone for Prehospital Opioid Overdose’ Emergency Medicine News 2014; 36(7)4-6  cf reference ‘AHA Guidelines for CPR and Cardiovascular Care’ Next image from this reference

EMN 2013; 36(7)4-6

American Heart Association Guidelines Part 12.7: Toxic Ingestions http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80  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.”

Toxidromes
“Practically every sign and symptom observed in drug overdose can be produced by natural disease, and many clinical presentations associated with natural disease can be mimicked by some poison.“
Response: Any of the hundreds of causes respiratory emergency mimic an overdose, rescue breaths ASAP. 2015 AHA guidelines refer you to the 2010 guidelines, suggest everyone follow what 2010 says.

My moderated comments 2015 AHA & ILCOR guidelines ‘Opioid Overdose Response Education’ with hyperlinks Ontario Public Health life threatening protocols in comment box  https://youtu.be/PX0HQuaNS_I

INCHEM.org Quote “it is extremely important to give oxygen and to support ventilation immediately while waiting for naloxone to be available for injection.”
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.”

Goldfrank’s Toxicologic Emergencies p.566 etc.
http://freepages.school-alumni.rootsweb.ancestry.com/~dpok/Goldfrank%E2%80%99s%20Toxicologic%20Emergencies%209th%20Edition.pdf

Quotes “The consequential effects of acute opioid poisoning are CNS and respiratory depression. Although early support of ventilation and oxygenation is generally sufficient to prevent death, prolonged use of bag-valve-mask ventilation and endotracheal intubation may be avoided by cautious administration of an opioid antagonist.” “Differentiating acute opioid poisoning from other etiologies with similar clinical presentations may be challenging.” [previous means doctors have trouble diagnosing one respiratory emergency from another]

Annotated medical info ‘Naloxone’ and my moderated comments 14-15 Then follow Trackback for more of my moderated comments

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 intervention.  See meaningless response from Premier

Scripture quotes rescue breathing

My letter ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ EMN 2015; 37(12):31 With hyperlinks to Public Health Ontario’s training literature, and also the proper protocol.
Heart & Stroke Foundation Official site read the only moderated my comment AliasCPR

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

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 compression’s in drug-overdose and drowning cases [any asphyxia or poisoning etc] NOT TO BE GIVEN TO CHILDREN.”
Email from Dr. Gordon Ewy The day 2015 AHA & ILCOR guidelines published Quote Dr. Ewy “unbelievable”

Your pet eats a poison or drug Veterinarian will give respiratory assist and any antidote, not torture them with chest compression’s only as done in Ontario. Why would we allow this to our women and children?

It’s a mental illness called Anosognosia a severe form of denial. Anosognosia is quite different than simple or temporary denial. It is not simply denial of a problem, but the genuine inability to recognize that the problem exists. Usually this is caused by brain damage and/or FEAR!

Agnotology is the study of culturally induced ignorance or doubt, particularly the publication of inaccurate or misleading scientific [medical] data. Agnotology focuses on the deliberate fomenting of ignorance or doubt in society.

Not placing blame, change this protocol for the well being of all. Stop needless suffering Google @GaryCPR more info

BOH May 17, 2017

Sat beside a cardiologist pre-meeting told him about Public Health Ontario’s chest compression’s only, response.  Deputation BOH May 17 link “WOW nobody stops this?” READ COMMENT BOX

Councilor Joe Cressy on issue at 36 minutes

Got this email from the LHIN’s May 18, 2017 the only response ever

LHIN May18

Pages given out to all Board of Health Members.  Public Health knew from the beginning Sept. 2011 this is mass assault and murder to any breathing emergency patient. 

LHIN May 16

My letter ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ EMN 2015; 37(12):31 With hyperlinks to Public Health Ontario’s training literature, and also the proper protocol.

Toronto’s Mayor John Tory and Dr. Barbara Yaffe quote drug OD issue “Ventilations (rescue breathing) most important” For any of the hundreds of causes breathing emergency NEVER chest compressions only, still being taught!! Read comment box YouTube

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.”

EMN Dec 2015

Leece P. Orkin A. et al ‘Development and implementation of an opioid overdose prevention and response program in Toronto, Ontario.’ CJPH 2013; 104(3)e200-4

CJPH1

CJPH2

CJPH3

CJPH4

END OF HANDOUT

Canadian Medical Association phone call.  These conversations happen all the time.  Crazy thing is general public says nothing either and it’s grade school science info ‘How the heart and lungs work’  I have my grade two science school book and remember the teachers analogy.  Humans are like a furnace without oxygen the fire dies, our brain and every other organ, cell and tissue.  Adult breaths 20,000 times per day anything less you need supplemental oxygen (rescue breaths).  DENIAL MAKES YOU SICK

CMA May 9

50,000 Ontarians are poisoned each year 28,000 children
May I suggest you teach people to save their lives instead of killing them all with chest compressions.

Correct per all medicine Dr. Nicholas Etches Medical Officer of Health for Calgary district http://www.cbc.ca/player/play/895066691568/

Annotated medical info ‘Naloxone’ and my moderated comments 13-14 Click trackback more of my trackback comments http://roguemedic.com/?s=Naloxone

Lange [A gold standard of medical textbooks] ‘Poisoning and drug OD’ see page 1 ad fin item
Current edition

American Heart Association Guidelines Part 12.7: Toxic Ingestions http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80
Toxidromes
“Practically every sign and symptom observed in drug overdose can be produced by natural disease, and many clinical presentations associated with natural disease can be mimicked by some poison.“
Response: Any of the hundreds of causes respiratory emergency mimic an overdose, rescue breaths ASAP. 2015 AHA guidelines refer you to the 2010 guidelines, suggest everyone follow what 2010 says.

My moderated comments 2015 AHA & ILCOR guidelines ‘Opioid Overdose Response Education’ with hyperlinks Ontario Public Health life threatening protocols in comment box

Use your brain Drugs nor poisons did not magically change their chemical structure, nor did human evolve and breathing is no longer necessary.
Opioids Naloxone

2015 European Resuscitation Council Guidelines for Resuscitation
Section 4. Cardiac arrest in special circumstances ‘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.”

Goldfrank’s Toxicologic Emergencies p.566 etc.

Your pet eats a poison or drug Veterinarian will give respiratory assist and any antidote, not torture them with chest compression’s only. Why would we allow this to our women and children?

It’s a mental illness called Anosognosia a severe form of denial. Anosognosia is quite different than simple or temporary denial. It is not simply denial of a problem, but the genuine inability to recognize that the problem exists. Usually this is caused by brain damage and/or FEAR!

Agnotology is the study of culturally induced ignorance or doubt, particularly the publication of inaccurate or misleading scientific [medical] data. Agnotology focuses on the deliberate fomenting of ignorance or doubt in society. Google @GaryCPR for more info

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

Google @GaryCPR more info

Ontario Chiefs Police ‘Face the Fentanyl’

See bottom of this article response from ‘Face the Fentanyl’

Jan 9, 2017 John Tory Press conference (John knows his friends and family that never used a drug are being murdered and said something) Barbara Yaffe MD Medical Officer of Health quoted  “Ventilation’s (rescue breathing) most important” Not chest compression’s as tens of thousands have been taught in Ontario.
Read comment box YouTube. Chest compression’s still being taught!!

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.

Correct method Dr. Nicholas Etches Medical Officer of Health

Scripture quotes rescue breathing

‘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.  15,000 out of hospital cardiac arrest per year Ontario a lot less the sudden witnessed the only time you give chest compression’s only.

At 2 minutes 15 seconds Constable Nicole Rodgers Barrie Police quote “barely breathing” just like the hundreds of other causes breathing emergency BVM equals rescue breaths only, nothing wrong with the heart.

Sheriff Deputy Zach Sharp Feb 17, 2014 Respiration’s saved this person chest compression’s probably would have killed this patient or anyone else suffering any breathing emergency.  Same print article Toronto Public Health quote “give chest compression’s”

toronto-police-first-aid

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

FacetheFentanyl OD signs

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/

FacetheFentanyl treatment

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

canadian-pa

face-the-fentanyl

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

dr-klaiman-office-sept-12

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

Quotes Mayor above press conference at 37 minutes https://youtu.be/Ww-_Vg3GC1Q  “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.”  Many non OD’s breathing emergencies have received chest compression’s only, as the signs of OD mimic any breathing emergency.
http://www.citynews.ca/2017/01/09/officials-meet-in-toronto-to-tackle-fentanyl-issues/

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/

atoryjan5-tph

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

atoryjan5-comment

Jan 9, 2017

atoryjan9

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

24-hours-jan-10

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!!

tphinsideofficefixed

tph-signs-od-aug-2011-colour