Responding to OD 04/21/2017

Seventy people attended the public forum.  Manager ‘The Works’ Shaun Hopkins a no show.

How painful was this presentation two EMS were present??

Ten’s of thousands in Ontario, Canada taught all the signs of breathing emergency (Drug OD), then trained to give chest compression’s. Empower laypersons what they think is a life saving technique they are eager to follow a clinicians instructions assaulting and murdering any breathing emergency patient. Increases mental and physical illness drug use and abuse, dysfunctional society.

‘Survival rates improving for out-of-hospital cardiac arrest patients’ http://www.ices.on.ca/Newsroom/News-Releases/2014/Survival-rates-improving-for-out-of-hospital-cardiac-arrest-patients
40,000 out of hospital cardiac arrest events each year Canada equals 15,000 in Ontario the only time you give CPR.  A lot less sudden witnessed cardiac arrests the only time chest compression’s only (read letter Heart & Stroke Foundation). Over a million people presented to Ontario hospitals per year with respiratory emergency. Chest compression’s for respiratory emergency is assault and murder, their heart is beating.  Rescue breaths ASAP your life depends on breaths.

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

April 21

Pamela Leece MD background April 21 Power Point follows

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

Leece P; Orkin A. quote “Opioid users deserve the same high-quality, evidence-based practice as other patients.” JAMA 2013;309(9)873 http://jamanetwork.com/journals/jama/article-abstract/1660372

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.

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/

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.

Lange [A gold standard of medical textbooks] ‘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 Lange http://accessmedicine.mhmedical.com/content.aspx?

Ontario Poison Centre Step 2 BVM (Bag Valve Mask) = rescue breathing continue breaths all times. Start low dose naloxone  Better find the patient pre cardiac arrest ‘Street Opioid Resuscitation Recommendations’ For Pre-Hospital and Hospital Care
http://www.ontariopoisoncentre.ca/pdf/72759-Hopsitalguidelines_naloxone_v2.pdf Accessed March 12, 2017

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

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

Naloxone ineffective 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.
https://med.virginia.edu/pediatrics/wp-content/uploads/sites/237/2015/12/200208.pdf

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

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%

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

James Roberts MD Cardiac arrest from respiratory emergencies a totally different animal than cardiac arrest from heart disease, chance of survival with an intact brain poor.
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/

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 https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson

Scripture quotes rescue breathing https://aliascpr.wordpress.com/2016/10/23/scripture-rescue-breaths/

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

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Note 6th slide Fentanyl Product  Monograph cf page 25 ‘Overdoseage’ quote “If the clinical situation warrants, establish and maintain a patent airway, administer oxygen and assist or control respiration as indicated, and use an oropharyngeal airway or endotracheal tube if necessary.”

Response: All those technical words mean rescue breathing for layperson essential, use a breathing barrier device. https://www.janssen.com/canada/sites/www_janssen_com_canada/files/product/pdf/durm08052014cpm2_nc.pdf

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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

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

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Samira Walji RN Power Point April 21

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

EMS video https://www.youtube.com/watch?v=35lBf5s-iro

Darryl Gebien MD written, sung and recorded by Darryl ‘The Air I Breathe’ https://soundcloud.com/darryl-j-gebien

Lange [The gold standard of medical textbooks] ‘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

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/

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?

Arrow with ‘Naloxone’ was an overlay pop-up done part way through the presentation.

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STOP CONFUSING CPR FOR BASIC LIFE SUPPORT RESCUE BREATHING ONLY FOR ANY OF THE HUNDREDS OF CAUSES BREATHING EMERGENCY IT’S NOT CARDIAC ARREST.

“You would think it brutal to withhold from the less capable [ANYONE] the air they need. The moment you begin discriminating against the less capable, you establish conditions that breed dissatisfaction and resentment: you invite envy, discord and strife.” Alexander Berkman “Life of an Anarchist” p.282

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

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@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

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