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Date: Fri, 3 Dec 1999 18:36:28 -0800 (PST)
From: Esat Atikkan <atikkan@ya*.co*>
Subject: Re: Experiment: Purge inflating
To: techdiver@aquanaut.com


--- Karen Nakamura <karen@gp*.co*> wrote:
> Folks -
> 
> There's been a lot of medical evidence against purge
> inflating an
> unconcious, non-breathing drown victim. The
> proponents of this dangerous
> practice haven't presented any evidence to the
> contrary. Nonetheless, there
> are still some folks who think it's both safe and
> practical.
> 

Karen,

1.  Please provide 1 or 2 examples of this medical
evidence against that using a demand valve in a +ve P
mode on an unconscious victim.

2.  Plz indicate why it is impractical on dry land or
boat (say hard surface) using a demand valve. 


> Here's an experiment to try in the safety of your
> own home. You will need:
> 
>   * Condom or large-mouth balloon
>   * Scuba regulator and tank (air is fine)
> 

If U thnk lungs R like condoms, I have very little
else to say to U.  Suggest picking up a book on
respiratory physiol & also one on anatomy.  Last I
looked neither the material they were made of nor
their structures were remotely similar.  


> Blow the condom/balloon up once or twice with your
> own breaths. Notice the
> size and shape. The condom will inflate so that it's
> almost balloon shaped
> when you've given it a good full breath.
> 
> Now put the mouth of the condom over your
> regulator's mouthpiece. Now, try
> to inflate the condom. If you don't have your hand
> over the regulator vents,
> the condom will become ... well ... semi-erect, but
> it won't balloon up to
> full lung size since there isn't sufficient
> pressure. 

As I indicated in an earlier post one has to clarify
the tool being used.  

A reg used in the +ve P mode in water appears
impractical for +ve P ventilation of an unconscious
victim.  A demand valve however is eminently practical
on 'dry land' for that same purpose.

>In order to get
> sufficient pressure, you have to close the
> mouthpiece vents, but this is
> much more difficult than it appears and it's hard to
> get enough coverage
> over the vents at the same time as applying just the
> right amount of
> pressure to the purge valve.
> 
> You'll get one of two results most of the time:  an
> underinflated condom
> (lung) or overinflated, burst condom (lung).


Hard to C the burst if total sealing is not possible
w/ a reg. 
> Now imagine trying to do this at the same pace as
> you'd be giving rescue
> breaths. Try imagine doing this while towing someone
> in the water. It just
> isn't very practical either in or out of the water.



Hey we teach & use mouth to snorkle.  Again each ResQ
is unique & #ous factors will determine what is the
most effective method to B applied.  @ times twoing
w/o resuscitaion may B better.  Other resQs call for
resuscitation.

Again do not throw in water resus using a scuba reg
into the same basket as the demand valve used in a +ve
P mode.


> This isn't even the full picture, in real life you'd
> also have to worry about:
>   * Making sure the mouthpiece seal is secure
>   * Making sure the victim's airway is open and
> clear
>   * Lung inflations aren't as visible as a condom
> inflating


If U R unable to do those don't parade as a resQer

> 
> Conclusion: take a rescue/CPR/O2 course and stick to
> what you know.

How about U taking an up to date one?  Where do U
live? I may B able to suggest a few that teach +ve P
ventilation.  

So instead of being pompous about it, how about some
reserach - talk to DAN maybe - even as conservative as
they R, they recognize the value of +ve P ventilation.
using a demand valve.

Safe bubbles

Esat Atikkan


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