Mailing List Archive

Mailing List: techdiver

Banner Advert

Message Display

From: <kirvine@sa*.ne*>
Date: Fri, 12 Nov 1999 08:11:05 -0500
To: Adriaan_Haine@ce*.be*
CC: techdiver@aquanaut.com
Subject: RULE NUMBER ONE AGAIN was Re: Legalities of being a stroke
Adriaan - it's easy, man: ask her how many times she has done this (
ZERO ). The discussion on here , despite this crap, has brought out the
real key points:

1) open the airway

2) make sure it is not blocked

3) watch for the pneumothorax - easy to spot in progress - gas will get
outside of the lung inside of the cavity and collapse it. That fix is a
real tough one and needs a trained person, but is better than dead.

4) watch chest compressing somebody that actually has a heartbeat

5) ignore the bullshit and do something fast - "rescue breaths" have at
best 17% oxygen, not going to cut it unless the person just happens to
start breathing again on their own, and you still need to get them on
oxygen immediately, and it needs to be a demand reg, not some DAN cheap
ass crap.

6) when you have the choice of hearing it from me who has BEEN THERE
DONE THAT or some ass bag that wants to take me on a show how stupid I
am and what a bad person I am, go with the track record. What I know is
worth a lot more than the guesswork of the novices and strokes, and what
they don't seem to get is that my sharing of that will not be slowed or
stopped by their petty personal problems with me. An idiot is an idiot,
a stroke is a stroke ,and that always comes out in the attitude which
they can not hide.

RULE NUMBER ONE - don't dive with strokes, and this Nagasaki chick just
showed you why in writing.

Adriaan_Haine@ce*.be* wrote:
> 
> Karen,
> 
> If I understand you correctly:
> 
> if I am not qualified as a rescue diver, I should just leave the victim alone
> and watch him or her  die? Because otherwise if she or he dies, I might be
sued
> because I tried to save a life and failed doing so?
> Is it not better to have tried and failed then to not even try?
> 
> confused,
> 
> Adri Haine
> 
> 
> 
> 
> 
> Hi -
> 
> The thread on using your reg's manual purge as a inspirator has many
> ramfications. There are medical and legal. I think someone else covered the
> medical issues fairly well:
> 
>  * danger of causing vomit forced inspiration
>  * danger of mediastinal blahdidah if they have a punctured lung
> 
> and one else:
> 
>  * Contrary to what one other poster said, there is a *BIG* difference
> between your purge
>     valve and the force inspiration bags that medics use. The bags are
> designed to carefully
>     only give about a liter or so of oxygen -- ie, the approximate tidal
> volume of an adult lung
>    and no more. There's so much danger of overinflating someone that the
> only safe methods
>    are your own recycled air (you, by definition, can't breathe more than
> your tidal volume into
>    a non-breathing victim) or the bag.
> 
> Given that any boat worth your $70 should have a DAN O2 unit, then please
> use the face mask with O2 inlet using your own breaths to inspire the
> victim. You will only get about 40% O2 into the victim, but it's better than
> killing them with a purge reg.
> 
> DAN used to sell O2 units with purge regs; now you'll notice they have the
> purge valves covered. Phone DAN up and ask them why.
> 
> If an O2 reg is all you got, I would advise:
> 
>  *   _YOU_ (the CPR giver) take breaths in from the O2 reg and administer
> CPR using those
>      breaths. You'll give about 96% O2 to the victim with no risk of
> overinflating
> 
> -------
> 
> Legal issues
> 
> This was covered in my rescue and O2 courses and Wilderness First Responder
> Courses. The "Good Samaritan" laws in most states will protect you if:
> 
>  *  You are a non-professional (not a DM, instructor; medic, doctor)
>  * You are operating within the scope of what you have been taught and
> standard protocol
> 
> So if you have taken a rescue course, you can only use the techniques that
> you learned in the rescue course. If you start using a demand purge reg to
> inflate the victim or go around punching holes in their chests using Bic
> (TM) pens, then you are outside the scope of your training and open to legal
> issues.
> 
> Karen Nakamura
> SSI Rescue Diver
> SOLO WFR
> 
> --
> Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'.
> Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.
> 
> --
> Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'.
> Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.

--
Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'.
Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.

Navigate by Author: [Previous] [Next] [Author Search Index]
Navigate by Subject: [Previous] [Next] [Subject Search Index]

[Send Reply] [Send Message with New Topic]

[Search Selection] [Mailing List Home] [Home]