Board of Health 20/03/’17

My deputation March 20, 2017 Read comment box YouTube https://youtu.be/uz7GBCZrRek

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

Quotes Mayor Tory 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.”  Correct John anyone with any breathing emergency are getting this life threatening intervention, laypersons are eager to follow orders in the belief they are saving lives.

Darryl J. Gebien MD emergency physician also made a deputation.  Song written and sung by Darryl “The Air I Breathe” https://soundcloud.com/darryl-j-gebien

Canadian Red Cross phoned the next day March 21 quote “Gary you want to make a formal complaint?” CRC follow your mandate save lives.  

March 21CRC

Copy of information package handed out to all members BOH

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See correspondence from Doctor Morrison slide down

 

SIGNS of CARDIAC & RESPIRATORY ARREST

Reference #26 2010 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 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

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/

‘How to kill your own Grandma & Mother her own child’ https://youtu.be/1a_SRu82jlw

Part 1 https://youtu.be/aZ2SPcHUsvA

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%”

Public Health can’t follow what their bosses said Jan 9, 2017 Mayor John Tory (knows his friends and family that never used a drug are being murdered and said something) Barbara Yaffe MD Medical Officer of Health quote drug OD issue “Ventilations (rescue breathing) most important” Not chest compressions as tens of thousands have been taught in Ontario. Drug OD mimics any breathing emergency rescue breaths ASAP your life depends on this.   Read comment box YouTube https://youtu.be/CycS5GeylbM

Quotes Mayor Tory above press conference “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.” Yes John everyone with any breathing emergency is getting murdered in this province I know of many OD’s and non OD’s alike.

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?

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 and/or FEAR!

Agnotology the deliberate fomenting of ignorance and doubt, how they control the masses. Google @GaryCPR for more info

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Ontario Poison Control Health

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Letters from Public Health Dr. Rita Shahin etc found comment box https://youtu.be/QhsDjmI9H9c

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59 Minutes SAVE A LIFE

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‘CPR’ K. P. McDonald EMS

K. Patrick McDonald 30 years as EMS author ‘Paramedic Heretic’ and ‘America’s Dumbest Doctors’  Scroll to page 182-5 shocking case report uxoricide (drug OD) by a Doctor and treatment for overdose any breathing emergency.

The following is costing the taxpayer a fortune many left with permanent brain damage, multiple organ dysfunction syndrome etc. that never used a drug in their lives.  Causing needless stress and creates a dysfunctional society.

Jan 23, 2017 my two moderated comments Patrick McDonald’s Blog. Patrick’s edit (Healthcare protocols need to) Plus he added a link Agnotology [deliberate fomenting of ignorance or doubt in society]        https://medicalmiscreants.com/2017/01/23/two-more-doctor-drug-pushers-locked-up-some-things-just-never-change/comment-page-1/#comment-55315

Jan 9, 2017 Press conference  Toronto’s Mayor John Tory and acting Medical Officer of Health Dr. Barbara Yaffe quote “Ventilations (rescue breaths) most important” for any of the hundreds of causes breathing emergency ASAP your life depends on breaths https://youtu.be/CycS5GeylbM

Finally after five years of teaching ten’s of thousands chest compressions only, still being taught!!  Mayor John Tory’s Facebook the overdose issue hyperlink
https://jgarythompson.wordpress.com/2017/01/16/torontos-mayor-tory-fentanyl-o-d/

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Photo 2017 Launch ‘First Aid for Mental Health’

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Signs Public Health Ontario has taught ten’s of thousands of layperson’s prove the heart is beating and could be any of the hundreds of causes breathing emergency.  Give rescue breaths ASAP their 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

Don’t do the worst possible thing Public Health teaches

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.

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

James Roberts MD Cardiac arrest from respiratory emergencies a totally different animal than cardiac arrest from heart disease, patient is “F**Ked”
http://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx

Dr. 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/

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Sign Toronto Public Health head office Feb 5, 2017  Chest compressions only

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

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

Langes ‘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

Heart & Stroke Foundation Official site read the only moderated comment https://youtu.be/Wy3eEES511E
Letter from H & S Foundation http://www.slideshare.net/GaryThompson11/heart-and-stroke-foundation-letter

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Feb 27, 2017 I took this training Toronto Public Health nurse just about had a coronary when I told her my name as she filled out the Naloxone prescription.

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Toronto Mayor Fentanyl Crisis

Get ‘ready’ to deal with a fentanyl crisis, Vancouver’s mayor tells John Tory

http://www.cbc.ca/news/canada/toronto/programs/metromorning/fentanyl-toronto-vancouver-plan-get-ready-1.3923960

Metro Morning Radio CBC interview Mayor Tory above hyperlinked article 

Quote Mayor 2:45 minutes “Obstacles … different lines of communication … different protocols”  One correct protocol OD rescue breathing Naloxone continue rescue breathing.  Not as shown in the last article found addendum Jan 5, 2017 ‘chest compressions.’ Naloxone has no role in the management of cardiac arrest.

At 5:15 minutes “overdose situation can be resuscitated”  Naloxone is not resuscitation it’s an antidote, rescue breathing is resuscitation and is essential.

Toronto to hold meeting Monday Jan. 9, 2017 to come up with a plan to deal with the deadly drug

Toronto Mayor John Tory says he offered help to Vancouver, which is in the midst of a drug overdose crisis, and he received some timely advice instead.

“Be ready” for fentanyl, Tory was told.

Fentanyl, a synthetic opioid, is behind an alarming number of deaths in B.C. In November 2016, four British Columbians died from drug overdoses each day. In that month alone, 128 people died, with officials saying an increasing number of the overdose deaths are due to fentanyl.

Tory said Vancouver Mayor Gregor Robertson gave him a warning.

“Be ready. That was the number one piece of advice that Mayor Robertson had for me,” Tory told Metro Morning on Friday.

“It hasn’t yet come. These drug patterns over the years come from west to east in Canada. It hasn’t really come here to the same degree as it has in Vancouver.”

 

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My video out-take above photo with comments   https://youtu.be/zUO2TeeKC1E

Toronto police seized more than three kilograms of fentanyl last year, compared to a third of a kilogram in 2015.

Paramedics in the city administered 161 doses of naloxone — an injectable opioid overdose antidote — last year compared to 109 doses in 2015 and 110 in 2014.

“The number of paramedics now carrying naloxone has increased per the Ministry of Health in Ontario as have the protocols for administering it which may impact the current and historical statistics,” said Kim McKinnon, spokesperson for Toronto Paramedic Services, in an email to CBC News.

Anecdotally, front line workers are seeing more opiod overdoses amongst their clients in the community, according to Toronto Public Health.

Robertson told Tory that there isn’t much Toronto can do to help Vancouver but it can help itself by developing a strategy about how to deal with fentanyl now.

Tory plans to meet Monday with several municipal groups to draft a plan to deal with the drug, which far stronger than heroin.

“If you think about those numbers you just recited, four people a day, if that was going on with regards to a disease, like a SARS-type thing that we experienced many years ago, or even what we have seen with pedestrian traffic deaths, we would be saying, ‘Well, we’ve got to do more than what we’re doing,'” Tory said.

Monday meeting’s will build on work already done by Dr. Barbara Yaffe, the city’s medical acting officer of health, and Coun. Joe Cressy, who runs the city’s drug strategy. The meeting will look at the status of the problem and develop an action plan for Toronto.

Not confined to the west

“It’s one of those things that I think can sneak up on you,” Tory warned.

Robertson told Tory the fentanyl problem has spread from drug addicts to more recreational drug users and the crisis has deepened because of the inadequate treatment facilities for people with addiction issues.

“People are losing their lives,” Tory said. “This is not confined to the West.”

The meeting on Monday will include representatives from the Ontario coroner’s office, Toronto Police Service, Toronto Paramedic Services, Toronto Public Health, community groups, community service providers and the Centre for Mental Health and Addiction. It’s being hosted by public health officials.

“I want us to be ready if it comes east,” he said.

Jan 5, 2017 photo Toronto Public Healths head office incorrect ‘chest compressions’ “Inadequate oxygenation not inadequate Naloxonation”

http://www.theglobeandmail.com/news/national/toronto-moves-to-tackle-fentanyl-overdoses-before-city-reaches-crisis-point/article33508739/

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Pharmacy OD training Dec 2016

Filed a complaint with Shoppers Drug Mart and the owner of the store I took the training also escalated the complaint.  His store will no longer be handing out Public Health Ontario’s literature.  Quote the Pharmacists “Public Health makes us put their info in the kits”  Crazy someone tells you to murder people you do it??   

Photo of contents my Take Home Naloxone from Shoppers Drug Mart Dec. 31, 2016.  Went through the training material very quickly Pharmacists knows I have some medical background and have been trained before.  Corrected her on a few items “Gary I see you know whats going on”  Why would any pharmacist disseminate inaccurate potential life threatening information?? Ten’s of thousands lay responders in Ontario, Canada eager to follow a clinicians instructions in the belief they are saving lives.

There is another large chain Pharmacy not ten doors down the street. Showed Pharmacist the info and had a chat with him. I said “Don’t forget to breathe” He responded “You bet ya, Jesus”

My article 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

Current edition Lange as per all medicine past present and future  http://accessmedicine.mhmedical.com/content.aspx?bookid=391&sectionid=42069814

These pharmacist should read the monographs Naloxone and overdose.

Part 10 Treatment OD Fentanyl https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ca7a8abd-9301-40f5-9300-6398f4d467b3#nlm34088-5 RESCUE BREATHING ASAP

Instructions Canada as the whole world monographs https://jgarythompson.wordpress.com/2016/06/29/monographs-naloxone-opioid-od/

2016 other Canadian provinces https://jgarythompson.wordpress.com/2016/08/15/canadian-provincial-naloxone/

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

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Page one was my 8.5 X 11 certificate.  Page two following was in black and white; standard widely distributed flyer and poster in colour below. Pharmacist not paying for colour copies, neither would I that ‘cyanotic blue’ background is an embarrassment to say the least. 

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Page three also in black and white.  Signs prove the heart is beating patient needs breaths ASAP.  

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Page four ‘SAVE ME’ protocol College Pharmacists B.C.  my comments in red

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Showed and talked to the Pharmacist about the following letter after my training.  Look of pure dread, eyes bugged out, lips puckered.  I said “You can keep this copy from the CPSO” Response “OH NO keep it for yourself”  Dr. Michelle Klaiman video   Dr. Klaiman’s full power point 

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Response: ‘What happens when drugs become too powerful for overdose kits’

‘Vice’ Magazine By: Blair Bigham MD Oct. 4, 2016 What-happens-when-drugs-become-too-powerful-for-overdose-kits  All clinician’s essential rescue breathing only his/her family or friends suffering any of the hundreds causes breathing emergency. Not assaulted or murdered with chest compression’s only, silly Doctors the more trained the odds go up you will be killed.

Quotes from article:
1) “stopped breathing after overdosing”
2) “Many are brain damaged even though their friends had given them naloxone”
3) “overdose victims can die from oxygen deprivation.”
4) “missing what a growing number of scientists say is a key part of saving an overdosed patient”
5) “naloxone is available over-the-counter through pharmacies across Ontario as well….they do not train in CPR”
6) See articles underlined hyperlink “rescue breathing”
7) “every naloxone kit handed out has a face mask”
8) “chest compressions are easier than rescue breathing, and don’t cause harm.” They also draw air into the lungs so that rescue breaths aren’t required.”
9) “The Heart and Stroke Foundation of Canada recommends chest compressions be delivered to unconscious overdose patients who are not breathing normally”
10) “as do the North American and European manufacturers of naloxone”
11) “Chest compressions are step four….in line with World Health Organization guidelines”
12) Dr. Sharon Stancliff “There is no clear consensus”
13) Adam Lund MD “There’s a gap between giving naloxone and naloxone working,” he says. “Chest compressions fill that gap.”

Response:
1) ’cause of death respiratory failure’ Physicians most trusted cite ‘Medscape’ Read my moderated comment.  Article quote “All patients considered to have opioid intoxication should have a stable airway and adequate ventilation established before the administration of naloxone.”
You may need permission to access ‘Medscape’ copied here

2) ‘lack of oxygen brain dead’ Supply rescue breathing ASAP no brain damage to the hundreds of causes brearthing emergency

3) ‘WILL die oxygen deprivation’ as in any of the hundreds of causes breathing emergency, nothing wrong with the heart.

4) ‘missing rescue breathing’ Self evident truth heart is beating and dying lack of oxygen

5) ‘Ontario Pharmacists Association does teach chest compressions and every pharmacists knows thats the worst thing you could do any breathing emergency. Stop confusing CPR for basic first aid recue breathing only, nothing wrong with the heart.
https://www.linkedin.com/pulse/license-kill-gary-thompson

6) Quote hyperlink “rescue breathing should be done as soon as possible” as in any of the hundreds of causes breathing emergency breaths ASAP their life depends on this.

7) QUESTION “WHERE ARE THE CASES OF RESCUE BREATHING BARRIER MASKS SUPPLIED BY THE ONTARIO HARM REDUCTION DISTRIBUTION PROGRAM??”  Should supply two barrier masks (in Naloxone kits) rescue breathing can be tiresome, second mask for second responder.

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8) Complications chest compression’s a drastic measure only to be preformed cardiac arrest.
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

9) H & S Foundation Official site Read the only moderated comment https://youtu.be/Wy3eEES511E
Letter from H & S Foundation http://www.slideshare.net/GaryThompson11/heart-and-stroke-foundation-letter

10) Manufactures monographs https://jgarythompson.wordpress.com/2016/06/29/monographs-naloxone-opioid-od/ See part 10 treatment OD https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ca7a8abd-9301-40f5-9300-6398f4d467b3#nlm34088-5 RESCUE BREATHING ASAP

11) WHO guidelines Page 7 Rescue breathing only

Dr. Ewy (the world expert chest compression’s only) phoned me “Gary don’t stop what you are doing”
Article 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. Ewy

12) Dr Stancliff read your own 2016 paper first sentence a self evident truth  First sentence “Opioid overdose leads to respiratory depression and causes hypoxia culminating in cardiac arrest and death.” “Rescue Breathing. You best find anyone with any of the hundreds of causes respiratory emergency and supply rescue breathing before their heart stops. Cause cardiac arrest sever brain death.
Dr. the more trained the more likely one of your family members suffering any breathing emergency will be tortured to death.
Literally 10’s of millions articles in the medical literature ‘rescue breathing only’ Handfull of beyond grey medicine literature says chest compression’s

13) Dr. Lund Case reports children rescue breathing only hundreds more in the literature women and children Naloxone ineffective kept alive rescue breathing. Marcia L. Buck ‘Naloxone for the Reversal of Opioid Adverse Effects’ Pediatric Pharmacotherapy. 2002;8(8)1-5
See bottom page 1 children kept alive five days respiratory assist. Doctors pumping massive doses Naloxone into children with no affect? Both toddlers probably would have woken up and started breathing on their own in the same time period without all the Naloxone.
More case reports Naloxone ineffective women and children Kept alive respiratory assist

Addendum

Doctor C. Vaillancourt mentioned in article correspondence. https://aliascpr.wordpress.com/2016/02/18/e-mails-dr-christian-vaillancourt/

Doctor Aaron Orkin mentioned in article correspondence  Dr. Orkins power point Naloxone Feb 2016  his power point rescue breathing mentioned every reference

Brief video my article 2015 AHA & ILCOR guidelines opioid overdose response  See comment box hyperlink to 2015 guidelines

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

My four moderated comments here with links to medical journals. Comment #3 ‘Analogy car-lungs’ for a simple explanation.
http://roguemedic.com/2015/02/proposed-2015-acls-chest-compression-only-cpr-vs-conventional-cpr-recommendation/
Quote first paragraph from article “What do the AHA and ILCOR intend to recommend for ventilation of patients who appear to be adults and pulseless due to NON-RESPIRATORY conditions?”
Exactly the point chest compression’s only sudden witnessed cardiac arrest from NON-RESPIRATORY causes, because the blood is still oxygenated.

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.  Attached meaningless response from Premier  Majority of harm is happening to non OD’s. These people need counselling.

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

Too much fun comment box removed the day after I responded Dec 19, 2016, next photo. Did Dr. Sharon Stancliff have a hand in this removal?? I’ve talked with her long ago about the issue.  Her references  https://www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/docs/resuscitation_training.pdf
First paragraph “Rescue Breathing”

WHO 2014 Page 2 http://www.who.int/substance_abuse/publications/management_opioid_overdose/en/

WHO 2013 easier to understand for layperson Page 7 https://www.unodc.org/docs/treatment/overdose.pdf “Rescue breathing” Self evident truth the Assyrians wrote about poisoning and opium OD 5,000 years ago cause of death you stop breathing.

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Share widely, stop needless suffering. No blame change this teaching for the well being of all.
More info Google @GaryCPR