Letters from video

Video Watch this crazy training

Simple analogy The human body is like a car, engine (heart) will not run if air intake manifold (lungs) not working properly. Pushing on the motor (heart) will not fix lungs (manifold) in fact you will break the engine block (rib cage) ad fin item. Oil (blood) becomes fouled (lack of air) which damages all internal engine parts (humans cells, tissues and organs). Supply air (rescue breaths) by opening carburetor (wind pipe) by tilting head back, pinch nose) breathe air into lungs (manifold) which keeps the heart (motor) running and un-fouls the blood (oil). ‘ How Stuff Works ‘Manifold‘

HYPERLINKS TO MEDICAL TEXTBOOKS ETC. SCROLL BOTTOM it’s not rocket science

Training literature in Ontario, Canada can’t read the instructions but got funding to teach assault and murder
‘NALOXONE: Saves lives, learn how, share the knowledge’
Quote ‘Coma and stop breathing’ Better be giving breaths ASAP then Naloxone continue breaths as per all medicine

‘Naloxone training at Toronto Public Health’ Getting anyone with any breathing emergency assaulted and murdered at 9:20 minutes and 21:30 minutes

‘The POINT’ see slide 23

GradeTWOB

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

Leece P; Orkin A. quote “Opioid users deserve the same high-quality, evidence-based practice as other patients.” JAMA 2013;309(9)873 in response to Beletsky et al ‘Prevention of Fatal Opioid Overdose’  JAMA 2012; 308(18):1863-4

Quote Beletsky “During the time it typically takes some overdoses to turn fatal, it is possible to reverse the respiratory depression and other effects of opioids with the antagonist naloxone”

CJPH1

CJPH2

CJPH3

CJPH4

Heart & Stroke Foundation Official site read the only  my moderated comment AliasCPR

Letter H&S Foundation 001

Correspondence from Public Health etc found hyperlinked this Deputation Board of Health  letterSHOPKINSsept2013 001

LETTERMORRISON 002

Laurie Morrison MD 2010 AHA Guidelines Part 12.7

Laurie Morrison MD 2010 ILCOR 8.5 Drug Overdose and Poisoning
UNDOC/WHO 2013 Opioid overdose Page 7 layman’s language

Compressions only CPR AHA Guidelines 2010 Part 4
Canadian PA

Why did they not read the label monograph Naloxone?

CPSnaloxone1

CPS OD 2015A

TPHinsideOFFICEFixed

SIGNS of CARDIAC & RESPIRATORY ARREST

American Heart Association Guidelines Part 12.7: 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. 2015 AHA guidelines refer you to the 2010 guidelines, suggest everyone follow what 2010 says.

2015  AHA guidelines  Guidelines are published every five years in October.

One of my comments in the 2015 AHA & ILCOR guidelines

2015AHA Part10p1

Quote next article bottom left corner “Survival from cardiac arrest is not from Naloxone but from vigorous support of respiration’s” Patient [in cardiac arrest] is most likely brain dead lack of oxygen, that’s why give breaths early keeps the heart beating for any of the hundreds of causes breathing emergency.

Roberts, James R. ‘Intranasal Naloxone for Prehospital Opioid Overdose’ EMN 2014; 36(7)4-6  Following from this article

EMN 2013; 36(7)4-6

Tweet from Ontario Paramedics May 1, 2017  Hope your Grandma does not take an extra couple pain pills, or your young child to get into the medicine cabinet.

Ontario Paramedics

Naloxone Rx

Letters from Public Health etc hyperlinked in comment box

Feb 27, 2017 training literature

50,000 Ontarian’s 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 compression’s.

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 [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 http://accessmedicine.mhmedical.com/content.aspx?bookid=391&sectionid=42069814

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 http://www.inchem.org/documents/antidote/antidote/ant01.htm#SubSectionNumber:2.12.3

2015 European Resuscitation Council Guidelines for Resuscitation
Section 4. Cardiac arrest in special circumstances ‘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 diagnosising one respiratory emergency from another]

Roberts, James R. ‘InFocus: Dissecting the ACLS Guidelines on Cardiac Arrest from Toxic Ingestions’ EMN 2011; 33(10)16-18
http://journals.lww.com/em-news/Fulltext/2011/10000/InFocus__Dissecting_the_ACLS_Guidelines_on_Cardiac.7.aspx

DEAD WRONG Margaret Thompson MD Director Ontario Poison Centre ‘Street Opioid Resuscitation Recommendations’ For the General Public
http://www.ontariopoisoncentre.ca/pdf/72758-GenPubguidelines_naloxone_v2.pdf Accessed March 12, 2017

CORRECT Ontario Poison Centre Step 2 BVM = rescue breathing continue breaths all times. Start low dose naloxone’Street Opioid Resuscitation Recommendations’ For Pre-Hospital and Hospital Care
http://www.ontariopoisoncentre.ca/pdf/72759-Hopsitalguidelines_naloxone_v2.pdf Accessed March 12, 2017

Pulse oximeter https://youtu.be/AJeJjTjwLbQ

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

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/

Dec. 22, 2015 Public Health Ontario Grand rounds: GREY MEDICAL LITERATURE!! My comment at 7:30 minutes Note attendee Dr. Barbara Yaffe second in command Toronto Public Health
https://pho.adobeconnect.com/_a1158264515/p7bfeq33hj7?launcher=false&fcsContent=true&pbMode=normal

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/

College Physicians Surgeons Ontario does not bring a doctor in on a whim
https://jgarythompson.wordpress.com/2016/09/17/cpso-complaints/

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

https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-6-26 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.
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

Toronto Public Health taught ‘Direction 180’ this protocol Halifax CBC May 19, 2016 http://www.cbc.ca/news/canada/nova-scotia/naloxone-lifesaving-halifax-pilot-project-1.3588567
Signs prove heart is beating needs breaths ASAP Quote “The man’s lips were blue, his breathing was slow and he was in a confused state, the telltale symptoms of an opiate overdose. “I’m slapping the guy, I’m shaking him, right,” said Marshall. Marshall said he rolled his friend over, filled the syringe with naloxone, jabbed the needle into his friend’s backside and then started chest compression’s. Soon, his friend started to snap awake. During training, he learned that drug users often react violently when they emerge from an overdose.

Owner (a pharmacist) Shoppers Drug Mart  location I took the OD training Dec. 31 called “His store will no longer give out Public Healths OD protocol chest compression’s.” He has escalated the complaint about this murderous teaching.
https://aliascpr.wordpress.com/2017/01/01/pharmacy-od-training-dec-2016/

Women and children Naloxone ineffective kept alive rescue breathing kept them alive http://www.slideshare.net/GaryThompson11/case-reports-children-women-57633650

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

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

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

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

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/

Sent the following video etc to Dr. Ewy and contact info of Michael Parkinson of Waterloo Region Crime Prevention Council Original ‘Eyes Wide Open’ https://www.youtube.com/watch?v=znjKdfYRCGc
“My childhood friend was completely blue…. Started with chest compressions didn’t seem to have any real great effect”
Correct Joe you are quickening Wades death or anyone else with a breathing emergency. Sadly Wade pasted summer 2015

Dan Bigg on OD it’s not rocket science https://www.youtube.com/watch?v=7MYKYScL8L8 Rescue breathing first line defense Naloxone is second line defense
Original video @8 minutes https://www.youtube.com/watch?v=RcPB2Ybpyd8

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 for more info

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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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