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Date: Thu, 11 Nov 1999 15:05:40 -0500
To: techdiver@aquanaut.com
From: Rob Sluys <RSLUYS@nm*.ed*>
Subject: Second stage as an O2 DV
List,
I'm not Doc, or even a paramedic, but I was discussing the idea of using 
the purge button as a demand valve for O2 (which is what is anyway)  on an 
unconscious victim with a friend who's a paramed, and here's what I gleaned 
out:

1)   Obviously you don't want to overinflate your victim, but there are a 
couple of factors to take into consideration--  A)  Since you're most 
likely not intubating the victim before you shove the reg in his (we'll use 
the male pronoun here for simplicity)  mouth, one consideration is to make 
sure that you actually have an airway open, and not a direct line to the 
stomach.  Inflating the gastrointestinal area would do you no good at 
all.  B)  If the person is unconscious, they most likely were brought up 
quickly, and are possibly the recipient of a well placed pneumothorax 
(burst --> collapsed lung).  Inflating the chest cavity around a collapsed 
lung can be quite hazardous, maybe even resulting in some sort of 
medi-jargon that basically meant that the heart gets squished over away 
from the collapsed lung, ergo, the victim is in a worse bind than they were 
a minute ago.

2)     On the other hand, if you can get around these possibilities, or 
ensure they don't exist, have at it.  Just make sure you're not teaching 
yourself the finer points of this while you're administering it.... 
especially on me.  ;)

Like I said, I'm no doctor, but I know a good idea when I see it.

Safe Diving,
Rob Sluys



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