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John,
I can assure you that the BS-AC DO NOT include +ve pressure as a part of their
OO Adminstrators course.
Ace
______________________________ Reply Separator _________________________________
Subject: RE: Making Asses & Purging, Not Resuscitating.
Author: "Taylor; John" <john.taylor@cs*.co*.uk*> at INTERNET
Date: 13/12/99 11:51
Esat,
Please let me know me what the BSAC +ve pressure protocol is, since I have
attended the BSAC Oxygen Administrator course on several occasions, and
don't remember this being mentioned, let alone taught. May be the
instructors forgot? Or is this not part of the OA course? Where did you
attend your course?
Regards,
JT
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John Taylor
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> -----Original Message-----
> From: Esat Atikkan [SMTP:atikkan@ya*.co*]
> Sent: Thursday, December 02, 1999 2:40 PM
> To: techdiver@aquanaut.com
> Subject: Re: Making Asses & Purging, Not Resuscitating.
>
> 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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