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Date: Wed, 15 Dec 1999 13:21:25 -0800 (PST)
From: Esat Atikkan <atikkan@ya*.co*>
Subject: RE: Making Asses & Purging, Not Resuscitating.
To: john.taylor@cs*.co*.uk*, techdiver@aquanaut.com
No I am not confused about what +ve P ventilation
means.

I am talking about using a demand valve w/ a true fit
(or inflatable cuff) mask to deliver 100% O2 to a
unconscious victim.  To B used only after victim has
been extricated from water.

It is my understanding, via J Corry, the developer of
the NASAR O2 Adm & DAM course, that BSAC had adopted
the tech (this goes back some 15 y - I took my O2 ITC
in 1988).  So if that was in error, I apologize.

To repeat: Yes O2 can B administered via +ve P, w/ the
above caveats.  If BSAC does not approve it, again my
error.


Safe bubbles

Esat Atikan



--- "Taylor, John" <john.taylor@cs*.co*.uk*> wrote:
> So to use that information as an argument for
> positive pressure ventilation
> would be at least tenuous?
> 
> Since:
> 
> a) the regulator is non-standard and:
> b) does not use positive pressure to ventilate the
> lungs
> 
> --
> John Taylor
> CREDIT | FIRST
> SUISSE | BOSTON
> Equity Derivatives and Convertibles Unit
> * +852 2101 6927 (Office)
> * +852 2101 7698 (Fax)
> * +852 9031 6395 (Mobile)
> * mailto:john.taylor@cs*.co*.uk*
> * mailto:live4diving@ho*.co*
> 
> 
> 
> > -----Original Message-----
> > From:	Grant Jones
> [SMTP:grant@ow*.fr*.co*.uk*]
> > Sent:	Tuesday, December 14, 1999 4:17 AM
> > To:	techdiver@aquanaut.com
> > Subject:	Re: Making Asses & Purging, Not
> Resuscitating.
> > 
> > John,
> > 
> >     I think Esat, is getting + 02 pressure,
> confused with the
> > constant-flow
> > outlet on a 02 set that delivers around about 10
> Lt / min to a strapped on
> > face mask, when the patient breathes in they get a
> lung-full of 02,
> > otherwise the 02 just runs away - it's not forced
> at pressure down the
> > lungs. The mask can be used in this set up to
> enable enriched air EAR on
> > an
> > unconscious patient
> > 
> >     Grant
> > -----Original Message-----
> > From: Taylor, John <john.taylor@cs*.co*.uk*>
> > To: techdiver@aquanaut.com
> <techdiver@aquanaut.com>
> > Date: 13 December 1999 10:14
> > Subject: RE: Making Asses & Purging, Not
> Resuscitating.
> > 
> > 
> > >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
> > >--
> > >John Taylor
> > >CREDIT | FIRST
> > >SUISSE | BOSTON
> > >Equity Derivatives and Convertibles Unit
> > >* +852 2101 6927 (Office)
> > >* +852 2101 7698 (Fax)
> > >* +852 9031 6395 (Mobile)
> > >* mailto:john.taylor@cs*.co*.uk*
> > >* mailto:live4diving@ho*.co*
> > >
> > >
> > >
> > >> -----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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> > >> --
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> > >
> > >--
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> 
=== message truncated ===

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