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Date: Thu, 25 Nov 1999 18:51:59 -0800
To: techdiver@aquanaut.com
From: David Reinhard <reinhard@oc*.co*.au*>
Subject: Re: Legalities of purging someone
At 12:31 24-11-99 -0800, you wrote:
>It looks to me like both camps are right, depending
>on the situation.  Nakamura et al. choose to wait for
>professional assistance in spite of the consequences.

Michael, "Nakamura et al" have NOT advocated waiting for professional
assistance...NO, NO, NO. NEVER, NEVER, NEVER! I hate to think how many
times I have arrived at patients in cardiac arrest to find no one doing
anything for them. After our lengthy attempts to revive them we get no
response and pronounce them dead. But what if someone had done CPR in the
10 mins it took us to get there. Maybe that person would have
responded...maybe not...you can never know. But we do know that their
chances would have been improved if someone had given it a go. This does
not bother me so much when the patient is eighty years of age, but it sure
is tragic when the patient is forty, or thirty or twenty. I have attempted
to resus two babies in the last few months, one 3 weeks old, one 4 weeks
old. The parents did have a go at resus as instructed by our control room
staff over the phone. But...what if the parents had actually taken classes
to learn how to do it properly... maybe, just maybe, I would not have had
the heartbreaking job of telling them that their babies were dead. As a
parent of young children myself I find it very hard to find the words to
comfort people when they have suffered such a devastating loss. And let us
not forget that many divers are in an age group where they will have young
children themselves, a family who are eagerly waiting for dad or mum to
come home from that day of diving. Lets try to make sure sure they do come
home safely. Prevention first! Correct resus technique if something does go
wrong!

	Please...take a recognised course...learn proper approved techniques...and
maybe someone will live because you DID IT RIGHT!

	Nakamura et al ARE advocating that you take immediate action in these
circumstances!!!!!! Anything other than that would clearly be WRONG. The
difference of opinion is that we are advocating tried and tested methods of
resuscitation for which training is readily available as opposed to
untested, potentially dangerous methods for which no training is available
and which has never been endorsed by any expert body in this field.


>Irvine et al. choose to administer a technique that
>has worked for them.  Both choices would be defensible
>in court.

"Court" is a secondary issue (although not unimportant). The primary issue
is "are you taking the best possible course of action to save the victims
life".

Regards,    David.

  Personally, if I were drowning and George
>were my buddy, I would prefer his approach, especially
>if the boat and rescue team were not immediately
>available.  If Karen communicates to George before-
>hand that under no circumstances does she want to be
>rescued by purging, then George had better not attempt
>this, regardless of the consequences for Karen.  Also,
>consider what the "community standard" is in your
>particular area.  In the medical profession, if you
>act within your community standard, your case becomes
>solidly defensible, even if the victim's outcome is
>not optimal.  Lawyers can complicate matters as much
>as they want to, but it still helps to act in good
>faith, don't violate the victim's known wishes, and
>practice within your community standard.
>
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