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> George,
> I want to keep this private for liability reasons and no desire to argue
> with the "experts".  The paramedics who parrot the AHA and whatever
> their medical directors tell them or the lawyers who spout medical
> absolutes based on hindsite/outcomes and the profit margin.
> Anyway, you are RIGHT.  Airway and breathing are the first two elements
> of the ABC's.  And positive pressure 100% O2  is the BEST choice in the
> apnic patient.  Sure an ET tube and an
> Ambu-bag with a trained professional working it would be ideal.  But
> after pulling a "dead" diver from the water, use the purge valve with
> the O2 and estimate the volume delivered by chest rise and fall.  The
> worst that could happen is that the victim stays dead with an additional
> pneumothorax and/or distend stomach.  Then again by the grace of God the
> diver might actually come back from the brink thanks to your "best
> effort".  It is definitely worth risks.  Don't be dissuaded by the BS.
> Hell, what do I know about running a code after 15 years in the ED and
> being boarded in Emergency Medicine :>)


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