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Date: Wed, 1 Dec 1999 22:39:51 -0800 (PST)
From: Esat Atikkan <atikkan@ya*.co*>
Subject: Re: Making Asses & Purging, Not Resuscitating.
To: techdiver@aquanaut.com
Easop wrote:

[snip]
>Listen to a doc or better yet a medic regarding
>resuscitation.  They have track records. Purging with
>02 is unsafe.  One anonymous MD who George quotes
>doesn't make it safe. 

It probably best to decide what the discussion is
about.

Many agencies, BSAC & DAN included, have +ve pressure
ventilation protocoles in place.  They use the
standrad demand valve, on a hard dry surface to
ventilate an unconscious victim w/ 100% O2.

In the US at least many EMSs do not include +ve P
ventilation via a demand vlave for a # of reasons.  As
a matter they don't musch like the demand valve.  They
rather use a non-rebreather mask for a spontaneously
bretahing victim & a bag valve mask, w/ intubation,
for an unconscious one.  Anyone who has any interest
or knowledge of the field knows this & reasoning
behind it.

The most obvious is that their 'on time' w/ victim is
short & they turn over the victim to definitive care.

Divers R trained w/ protocoles that look @ transit
times of some duration (1-2 h) & thus the tech
employed R a little different - hence the demand valve
for near 100% O2 adm, be it in the regular mode
(conscious victim) or +ve P mode (unconscious victim).

Now in water resuscitation using deco O2 through a
scuba reg is another matter.  Despite the prevalance
of the use of a demand valve on a hard (read out of
water) surface, the in water use of this system
remains unproven.  It may B effective, it may do some
damage where it is the lesser of the 2 evils.  

However it does not, currently, appear to be  in
widespread use.  

Effective sealing of reg & victim's nose, as well as
the adm of the gas @ less that 40 L/min while towing
remain issues.

IN many cases w/ short distance to shore or rapid p/u
by boat resuscitation may actually delay effective
TRT.

As it is obvious to those who have had the misfortune
of dealing w/ rescues & assists, in the field each is
unique & outside of the general principles (ABC's, do
no further harm, etc) the acumen to wing it when
necessary becomes important.

Safe bubbles

Esat Atikkan
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