Deputants & Medical Consensus

NEWS FLASH

Jan 9, 2017 Toronto’s Mayor John Tory Barbara Yaffe MD MOH Quoted drug OD issue “Ventilations (rescue breathing) most important”
Chest compressions still being taught!! Read comment box YouTube https://youtu.be/CycS5GeylbM

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

Start of Deputations BOH etc 

Sept. 22, 2015 Toronto Board of Health Item HL6.4  http://app.toronto.ca/tmmis/viewAgendaItemHistory.do?item=2015.HL6.4

Appendix A: Municipal Drug Strategy ‘Prescription for Life’ June 1, 2015 http://www.toronto.ca/legdocs/mmis/2015/hl/bgrd/backgroundfile-83430.pdf

City Hall’s recording https://www.youtube.com/watch?v=js_lcEerYo0#t=3m10s

Deputing Donna D. May (Founder of Jac’s Voice http://www.jacsvoice.com)@ 1 hr. 20 min Donna you are right Medical profession has lost the moral code. Rescue breathing till drugs wear off, patients wakes up and starts breathing on their own.

Deputing Dennis Long CEO Breakaway Addictions @ 1 hr 30 min. See his resuscitation video next hyperlink.  Quote Public health “And so they will try to revive or shake and shout to try to get them to wake up,” she says. “If they can’t wake them up and they have signs of overdose — blue lips, they’re not breathing or their respiration is very slow — then they call 911, administer one dose of the naloxone and do chest compressions”   Shaun Hopkins Manager the ‘WORKS’ Toronto Public Health Those signs could be caused by any of the hundreds of causes breathing emergency and they prove the heart is beating.

Following patient probably brain dead without respiratory assist 4-5 minutes it took Naloxone to start working. After brain dead then your heart stops, chest compressions only does nothing but make sure you stay dead. Print article published in major newspapers across Canada. CTV news the only source with the video attached  http://www.ctvnews.ca/health/health-headlines/program-gives-volunteers-kits-to-stop-fatal-drug-overdoses-for-opiate-abusers-1.1691063

My deputation @1:42min  Live human study  Aaron Orkin et al ‘Development and implementation of an opioid overdose prevention and response program in Toronto, Ontario.’ CJPH 2013;104(3)e200-4 http://journal.cpha.ca/index.php/cjph/article/view/3788
My response
https://jgarythompson.wordpress.com/2016/07/04/response-cjph-20131043e200-4/

Chairperson Councillor Joe Mihevc @ 2hr 5 min. Fire Dept. uses respiratory assist only, works fine. Patient wakes up when the drugs wear off.

NEW DEVELOPMENT Sept 23, 2015 @ 38 minutes Michael Parkinson quote “Respiratory Failure” co-author ‘Prescription for Life’ Sent thanks to Michael keep speaking the truth. http://tvo.org/video/programs/the-agenda-with-steve-paikin/ontarios-opioid-problem

My response ‘Prescription for Life’ https://www.linkedin.com/pulse/prescription-life-june-1-2015-gary-thompson

END OF DEPUTATIONS

Letter sent to Premier Kathleen Wynne and Dr. Eric Hoskins Minister of Health signed by 234 Doctors other health providers and myself April 26, 2016 and response from Premier. What took these clinicians so long??  https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson?trk=prof-post

A. Orkin et. al. 2015 AHA Part 10 ‘Special Circumstances of Resuscitation’ My articles BLS 891 & ALS 441 etc. Quote page 501 third paragraph “The following topics were last updated in 2010: Part 12.7 Toxic effects” EVEN THOUGH POISONING (drug OD) is ten times more prevalent than out of hospital cardiac arrests.  See Part 10:3 https://circ.ahajournals.org/content/132/18_suppl_2.toc

Quote:  “opioid toxicity is associated with central nervous system (CNS) and respiratory depression that can progress to respiratory and cardiac arrest”  “It is reasonable to base this training on first aid and non–healthcare provider BLS recommendations”  “should support ventilation and administer naloxone to patients”  “Bag-mask ventilation [rescue breathing same] should be maintained until spontaneous breathing returns”

Dr. Aaron Orkin, P. Leece ‘Opioid Overdose Fatality Prevention‘ JAMA 2013;309(9)873   Quote “Opioid users deserve the same high-quality, evidence-based practice as other patients.”

Response don’t suffer any breathing emergency Orkin and Leece et al are teaching chest compression’s only.

2010 AHA & IlCOR guidelines ‘Toxic Ingestions’
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. Why is the section on poisoning left out of the 2015 AHA guidelines, poisoning is ten times more prevelant than out of hospital cardiac arrests? 2015 AHA guidelines refer you to the 2010 guidelines, suggest everyone follow what 2010 says.

One of my moderated comments 2015 CPR guidelines BLS 891 My response Michael Dailey https://jgarythompson.wordpress.com/2016/07/06/opioid-overdose-response-education-bls-891/

2015 ILCOR Part 3 ‘Adult Basic Life Support and Automated External Defibrillation’ My hyperlinks BLS 891 & ALS 441 Page 5 ‘Opioid Overdose Response Education’  https://circ.ahajournals.org/content/132/16_suppl_1/S51.full.pdf+html

Treatment Recommendation
“No treatment recommendation can be made for adding naloxone to existing BLS (Basic Life Support) practices for the BLS management of adults and children with suspected opioid-associated cardiac or respiratory arrest in the prehospital setting.”

Response: ‘existing BLS practices’ Means refer to 2010 CPR guidelines which state, rescue breathing then Naloxone continue rescue breathing until patient breaths adequately on their own.

2015 ILCOR & AHA CPR guidelines 70+ references on overdose https://aliascpr.wordpress.com/2015/12/13/2015-ilcor-and-aha-references-opioid-od/

Heart & Stroke Foundation Official site read my moderated comment and see videos linked AliasCPR.  Have a letter from H & S Foundation June 2013 They know chest compressions only is dead wrong  https://www.youtube.com/watch?v=Wy3eEES511E

2015 European Resuscitation Council Guidelines for Resuscitation CORRECT Section 4. Cardiac arrest in special circumstances TOXINS page 165 http://www.cprguidelines.eu/assets/downloads/guidelines/S0300-9572(15)00329-9_main.pdf

Cardiac arrest from any toxin is an entirely different animal than a simple cardiac arrest http://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx

Dr. Gordon Ewy world expert on chest compression’s only, 20 years of his research down the tubes.  Dr. Ewy phoned me Oct. 8, 2015 he is livid. Told 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 [any poisoning or asphyxia] and drowning cases.” “NOT TO BE GIVEN TO CHILDREN”

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

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

Heart & Stroke Foundation Letter chest compression’s only http://www.slideshare.net/GaryThompson11/heart-and-stroke-foundation-letter

Canadian Red Cross Chest Compression’s only Under ventilate any respiratory emergency patient can cause pulmonary edema which can kill you several hours later.

Physicians most trusted site Medscape ‘Naloxone for the Reversal of Opioid Adverse Effects’ First line quote “All patients considered to have opioid intoxication should have a stable airway and adequate ventilation established before the administration of naloxone.” Read my moderated comment

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.

Thousands more case reports like this in the medical literature. Women and children Naloxone ineffective kept alive rescue breathing. http://www.slideshare.net/GaryThompson11/case-reports-children-women-57633650

A. ORKIN, P. LEECE et al ‘An agenda for naloxone distribution research and practice’ J Addict Res Ther. 2015;6:212. see p.5 Figure 1 ‘BLS & Bystander resuscitation guidelines’ “NO CONSENSUS ON VENTILATION” nonsense we have known for 5,000 thousand years eat too much opium (any poisoning ad fin item) you stop breathing. http://www.emergencymedicine.utoronto.ca/Assets/EmergeMed+Digital+Assets/misc/an-agenda-for-naloxone-distribution-research-and-practice-meeting-report.pdf   Their References #28-29 state rescue breathing as per all medicine

Ref#28 p. 840-1 http://circ.ahajournals.org/content/122/18_suppl_3/S829.full#sec-80 Ref#29 p. 7 https://www.unodc.org/docs/treatment/overdose.pdf

Dr. Aaron Orkin Power Point Canadian Emergency Care Conference Feb 22, 2016  https://jgarythompson.wordpress.com/2016/07/08/dr-aaron-orkins-pp-feb-2016/

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

Dec 28, 2015 Metro News http://www.metronews.ca/news/toronto/2015/12/27/harm-reduction-partnership-irks-community.html   “So much of this is perceptions rather than the truth,” Thompson said

Toronto Star Jan 17, 2016 http://www.thestar.com/opinion/editorials/2016/01/17/fast-track-this-life-saving-antidote-editorial.html  Quote “These drugs kill by shutting down a victim’s breathing”

Alberta Feb 2, 2016 http://globalnews.ca/news/2493651/29-alberta-clinics-now-offer-naloxone-kits-for-fentanyl-overdose-treatment/ Quote “teaches mouth-to-mouth breathing and how to administer naloxone”

Globe and Mail March 18, 2016 ‘Toronto’s supervised injection sites offer start to reducing overdose deaths’ http://www.theglobeandmail.com/news/toronto/torontos-supervised-injection-sites-offer-start-to-reducing-overdose-deaths/article29297314/
Frank Coburn “overdosed on the drug fentanyl last year …. In a safe-injection site, it would never have gotten that far,” said Mr. Coburn
Frank’s story so true, safer consumption site nurse would have given him respiratory assist which would have prevented his heart from stopping. Frank is a very lucky man no brain damage etc?

Letters from Public Health etc. and medical consensus https://jgarythompson.wordpress.com/

Don’t Forget to Breathe @GaryCPR

St. John Ambulance 2016 Respiratory emergency which there are hundreds of causes is not a sudden witnessed cardiac arrest.  Respiratory emergencies, heart does not stop till sever brain hypoxia (death). Chance of survival very slim all organs have been destroyed lack of oxygen, right down to a cellular level.  Chest compression’s only is just going to make sure you stay dead.

ST John

LetterCNOconsultation 001letterCNO 001

Sent CNO a complaint about this nurse, she got let go at Public Health and now works at Saint Michaels Hospital.  Read comment #8 British Medical Journal ‘Doc2Doc’ “Have you ever worked with a psychopath?”  http://doc2doc.bmj.com/forums/open-clinical_general-clinical_ever-worked-psychopath?/  it’s the doctors that need to be held accountable

letterMOHapril30 001

Advertisements

Published by

@GaryCPR

EMN 2015; 37(12):31 http://journals.lww.com/em-news/Fulltext/2015/12000/Letter__Flaws_in_Toronto_s_Opioid_Overdose.14.aspx Article in the 2015 AHA & ILCOR guidelines 'Opioid OD' https://youtu.be/PX0HQuaNS_I

One thought on “Deputants & Medical Consensus”

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s