Mailing List Archive

Mailing List: techdiver

Banner Advert

Message Display

Date: Wed, 24 Nov 1999 06:19:29 -0800 (PST)
From: Esat Atikkan <atikkan@ya*.co*>
Subject: Positive pressure ventilation
To: techdiver@aquanaut.com
I am not sure what the author means by 'in the field',
but in the field, but out of the water, +ve pressure
ventilations can B provided using

Mouth to mouth or nose
Pocket mask, w/ or w/o O2 enrichment, to mouth
Bag valve mask
Demand valve used in the +ve pressure mode.

Current practice limits in water ventilations to mouth
to mouth or mouth to snorkel.  Some advocate the use
of a pocket mask.

The scuba regulator appears impractical for a number
of reasons - especially since it is relatively
cumbersome to seal nose while feathering gas delivery
all w/ one hand w/ 3 finger mitts.  I thnk it will B
cumbersome w/ gloves.

The scuba regulator is alos assailed for its high flow
rates & high pressure.  The latter probably is not as
great an issue as some make as demand valves have back
P settings of 60 cm of H2O.  Flow rate due to gastric
insuflation that could ensue becomes an issue, again
best kept below 40 l/min.

Despite an eloquent treatise recently posted on
restoring O2 rapidly to restore Hb (no correlation
:-), Hb is restored through inducing erythropoeitin
wh/ is induced via hypoxia) & the rapid loss of blood
O2 below 100 mm Hg (100 mm Hg of what? Not arterial
pO2 as the Bohr cooperativity curve maintains 80% sat
of HbO2 @ pO2arter of 40 mm Hg), there is no question
that rapid restoration of 'fresh air' is imperative. 
However at no time should the dictum - do no further
damage be forgotten.

Safe bubbles

Esat Atikkan
 
Safe bubbles
 
Esat Atikkan
> > >
> > >(Quote)
> > >Only one device allows for the delivering of
> > artificial ventilation in the
> > >field. This is the pocket mask with an oxygen
> inlet
> > valve. This also allows
> > >for the use of mouth-to mouth assistance without
> > the unpleasant (and
> > >possibly dangerous) aspects of direct oral
> contact.
> > Regulators would also
> > >have difficulty in controlling the inspiratory
> > volume and can lead to
> > >overpressure injuries.
> > >(unquote)
> > >
> > >I would like to think that I have provided more
> > than enough evidence to
> > >support my case, and that the debate could stop
> > here. However I have a
> > >sneaking suspicion that there are some who will
> > simply choose not to listen
> > >and will continue to advocate this dangerous and
> > unproven practice.
> > >         
> > >         I hope you all will think carefully on
> > this issue, and if you haven't
> > >already done so get some proper training from DAN
> > (or similar organisation)
> > >so that you WILL know what to do if the need
> > arises. Thanks also to those
> > >of you who have emailed me privately with your
> > support.
> > >
> > >Safe Diving,  David.
> > >
> > >-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
> > >Ocean Internet - "The Quality ISP"
> > >http://www.ocean.com.au/info.html
> > >
> > >--
> > >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'.
> > 
> 
> __________________________________________________
> Do You Yahoo!?
> Thousands of Stores.  Millions of Products.  All in
> one place.
> Yahoo! Shopping: http://shopping.yahoo.com
> 

__________________________________________________
Do You Yahoo!?
Thousands of Stores.  Millions of Products.  All in one place.
Yahoo! Shopping: http://shopping.yahoo.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]