What do you think about this?

[Guest guest]

http://www.myfoxdfw.com/myfox/pages/News/Detail?contentId=6184207 & version=3 & loca\

le=EN-US & layoutCode=TSTY & pageId=3.5.1

There are lots of potholes in the road of life

---------------------------------

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[Guest guest]

Not so fast, . Here in Tucson, and in Phoenix and in several other

centers they are not doing aggressive ventilations in the EMS system. Here

they do 200 compressions, followed by a shock, then 200 more compressions, then

a shock, and only then do they begin to think about ventilations. They have

increased the save rate three-fold since they started that. Now they're

adding hypothermia. There is no reason to interrupt compressions to do

ventilations for the first 4 minutes or so.

GG

>

> As a professional rescuer in the eyes of the AHA, your role and skills in

> CPR do not change. Hands off CPR is intended for the lay person who either is

> not comfortable with mouth to mouth or is not comfortable in the all CPR

> skills. They also stipulate that Hands off CPR is not intended for victims

where

> cardiac arrest was cause by asphyxiation. It is intended mainly for witnessed

> arrests where the first few minutes of CPR is most important. All this comes

> from the AHA instructor site.

>

> W. Vondran EMT-P, HCP BLS Instructor

>

> To: texasems-l@yahoogrotexasems-l@: momedic95@...: Wed, 2 Apr 2008

> 17:55:42 -0700Subject: Re:What do you think about this?

>

> Very interesting. At least something is better than nothing and many people

> refuse to do mouth to mouth. Maybe this will get bystanders involves and

> helping out if they realize it is not necessary onhteir part. At least blood

will

> be circulating. Do I agree iwht hands only? No but it is better than nothing

> especially if the victim/patint may have a s3cond chance on life. (I carry a

> microshield on my keychain just for that purpose.)Anita ;

> NREMTP/LPTake care and stay safe always. " Commit to the Lord whatever you do,

and your

> plans will succeed. " (Proverbs: 16:3)May God Smile on you today.------ Very

int

> Very int Very int Very interesting. At least somet Very interesting. At

> least something is better than nothing and many people refuse to do mouth to

> mouth. Maybe this

>

> ____________ ________ ________ ________ ________ ________

> Get in touch in an instant. Get Windows Live Messenger now.

>

>

http://www.windowslhttp://www.windohttp://www.http://wwwhttp://wwwhttp://www.htt\

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>

>

[Guest guest]

While I agree an HCP is an HCP even walking in the mall but no one expects

anyone to do " true " mouth to mouth on a stranger and I doubt no one would fault

and or hold in anyway liable an HCP that did their best in that situation

but of course who knows what some legal beagle might do or try to do.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(Home Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

In a message dated 4/2/2008 8:11:27 P.M. Central Daylight Time,

mvondran@... writes:

As a professional rescuer in the eyes of the AHA, your role and skills in

CPR do not change. Hands off CPR is intended for the lay person who either is

not comfortable with mouth to mouth or is not comfortable in the all CPR

skills. They also stipulate that Hands off CPR is not intended for victims

where cardiac arrest was cause by asphyxiation. It is intended mainly for

witnessed arrests where the first few minutes of CPR is most important. All

this

comes from the AHA instructor site.

W. Vondran EMT-P, HCP BLS Instructor

To: texasems-l@...: momedic95@...: Wed, 2 Apr 2008

17:55:42 -0700Subject: Re:What do you think about this?

Very interesting. At least something is better than nothing and many people

refuse to do mouth to mouth. Maybe this will get bystanders involves and

helping out if they realize it is not necessary onhteir part. At least blood

will

be circulating. Do I agree iwht hands only? No but it is better than nothing

especially if the victim/patint may have a s3cond chance on life. (I carry a

microshield on my keychain just for that purpose.)Anita ;

NREMTP/LPTake care and stay safe always. " Commit to the Lord whatever you do,

and your

plans will succeed. " (Proverbs: 16:3)May God Smile on you

today.---------------------------------You rock. That's why Blockbuster's

offering you one month

of Blockbuster Total Access, No Cost.[Non-text portions of this message have

been removed]

_________________________________________________________________

Get in touch in an instant. Get Windows Live Messenger now.

http://www.windowslive.com/messenger/overview.html?ocid=TXT_TAGLM_WL_Refresh_g

etintouch_042008

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[Guest guest]

I keep one in my truck and have some in places here and there but I stopped

carrying one ages ago. I always had a mask on me while I was on shift but I'm

lazy these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(Home Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

In a message dated 4/2/2008 9:07:43 P.M. Central Daylight Time,

mvondran@... writes:

I carry a one time use face shield in my wallet, just in case. I recommend

them to any one who is CPR trained, HCP or otherwise

To: texasems-l@...: lnmolino@...: Wed, 2 Apr 2008

21:59:28 -0400Subject: Re: Re:What do you think about this?

While I agree an HCP is an HCP even walking in the mall but no one expects

anyone to do " true " mouth to mouth on a stranger and I doubt no one would

fault and or hold in anyway liable an HCP that did their best in that situation

but of course who knows what some legal beagle might do or try to do. Louis N.

Molino, Sr., CETFF/NREMT-B/FSI/EMSIFreelance

Consultant/Trainer/Author/Journalist/Fire Protection

ConsultantLNMolino@... (Cell

Phone) (Home Phone) (IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax) " A Texan with a Jersey Attitude " " Great minds discuss ideas;

Average

minds discuss events; Small minds discuss people " Eleanor Roosevelt - US

diplomat & reformer (1884 - 1962)The comments contained in this E-mail are the

opinions of the author and the author alone. I in no way ever intend to speak

for

any person or organization that I am in any way whatsoever involved or

associated with unless I specifically state that I am doing so. Further this

E-mail is intended only for its stated recipient and may contain private and or

confidential materials retransmission is strictly prohibited unless placed in

the public domain by the original author. In a message dated 4/2/2008 8:11:27

P.M. Central Daylight Time, mvondran@... writes:As a professional

rescuer in the eyes of the AHA, your role and skills in CPR do not change.

Hands off CPR is intended for the lay person who either is not comfortable with

mouth to mouth or is not comfortable in the all CPR skills. They also

stipulate that Hands off CPR is not intended for victims where cardiac arrest

was

cause by asphyxiation. It is intended mainly for witnessed arrests where the

first few minutes of CPR is most important. All this comes from the AHA

instructor site.W. Vondran EMT-P, HCP BLS InstructorTo:

texasems-l@...: momedic95@...: Wed, 2 Apr 2008

17:55:42 -0700Subject:

Re:What do you think about this?Very interesting. At least

something is better than nothing and many people refuse to do mouth to mouth.

Maybe

this will get bystanders involves and helping out if they realize it is not

necessary onhteir part. At least blood will be circulating. Do I agree iwht

hands only? No but it is better than nothing especially if the victim/patint

may have a s3cond chance on life. (I carry a microshield on my keychain just

for that purpose.)Anita ; NREMTP/LPTake care and stay safe

always. " Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs:

16:3)May God Smile on you today.---------------------------------You rock.

That's

why Blockbuster's offering you one month of Blockbuster Total Access, No

Cost.[Non-text portions of this message have been removed]

__________________________________________________________Get in touch in an

instant. Get Windows

Live Messenger now.http://www.windowslive.com/messenger/overview.html?

ocid=TXT_TAGLM_WL_Refresh_getintouch_042008[Non-text portions of this message

have

been removed]------------------------------------Yahoo! Groups

Links**************Planning your summer road trip? Check out AOL Travel Guides.

(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)[Non\

-text

portions of this message have been removed]

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**************Planning your summer road trip? Check out AOL Travel Guides.

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[Guest guest]

What I think is interesting is that so many places have developed their own

versions of what to do that deviate from strict AHA guidelines. This will

give the lawyers something to play with, but I expect AHA to do what Mr. Bledson

predicts. Compress 'em, zap em, and freeze 'em.

GG

> I hope I don't appear to be discounting compression only CPR, that is  not

> my intention, I was just trying to pass on the AHA's official position they

> have iterated to their instructors.  I do think there have been some amazing

> studies reflecting long held beliefs on resuscitation, and I can't wait to see

> how it all comes together.

>

>

>

>

> To: texasems-l@...: wegandy1938@...: Wed, 2 Apr 2008

> 21:51:08 -0400Subject: Re: Re:What do you think about this?

>

>

>

>

> Not so fast, . Here in Tucson, and in Phoenix and in several other

> centers they are not doing aggressive ventilations in the EMS system. Here

they

> do 200 compressions, followed by a shock, then 200 more compressions, then a

> shock, and only then do they begin to think about ventilations. They have

> increased the save rate three-fold since they started that. Now they're adding

> hypothermia. There is no reason to interrupt compressions to do ventilations

> for the first 4 minutes or so.GGIn a message dated 4/2/08 6:11:46 PM,

> mvondran@... writes:> > As a professional rescuer in the eyes of the

AHA,

> your role and skills in > CPR do not change. Hands off CPR is intended for the

> lay person who either is > not comfortable with mouth to mouth or is not

> comfortable in the all CPR > skills. They also stipulate that Hands off CPR is

> not intended for victims where > cardiac arrest was cause by asphyxiation. It

> is intended mainly for witnessed > arrests where the first few minutes of CPR

> is most important. All this comes > from the AHA instructor site.> > W.

> Vondran EMT-P, HCP BLS Instructor> > To:

texasems-l@yahoogrotexasems-l@:

> momedic95@...: Wed, 2 Apr 2008 > 17:55:42 -0700Subject:

> Re:What do you think about this?> > Very interesting. At least something is

> better than nothing and many people > refuse to do mouth to mouth. Maybe this

> will get bystanders involves and > helping out if they realize it is not

> necessary onhteir part. At least blood will > be circulating. Do I agree iwht

> hands only? No but it is better than nothing > especially if the victim/patint

> may have a s3cond chance on life. (I carry a > microshield on my keychain

> just for that purpose.)Anita ; > NREMTP/LPTake care and stay safe

> always. " Commit to the Lord whatever you do, and your > plans will succeed. "

> (Proverbs: 16:3)May God Smile on you today.------ Very int > Very int Very int

Very

> interesting. At least somet Very interesting. At > least something is better

> than nothing and many people refuse to do mouth to > mouth. Maybe this> >

> ____________ ________ ________ ________ ________ ________> Get in touch in an

> instant. Get Windows Live Messenger now.> >

>

http://www.windowslhttp://www.windohttp://www.http://wwwhttp://wwwhttp://www.htt\

p://www.http:/> > [Non-text

> portions of this message have been removed]> > > **************Planning your

> summer road trip? Check out AOL Travel

>

Guides.(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv000300000000\

16)[Non-text portions of this message

> have been removed]

>

>

>

>

>

>

> _________________________________________________________________

> Pack up or back up–use SkyDrive to transfer files or keep extra copies.

> Learn how.

> hthttp://www.windowslive.com/skydrive/overview.html?ocid=TXT_TAGLM_WL_Refresh

> _skydrive_packup_042008

>

>

[Guest guest]

Very interesting. At least something is better than nothing and many people

refuse to do mouth to mouth. Maybe this will get bystanders involves and helping

out if they realize it is not necessary onhteir part. At least blood will be

circulating. Do I agree iwht hands only? No but it is better than nothing

especially if the victim/patint may have a s3cond chance on life. (I carry a

microshield on my keychain just for that purpose.)

Anita ; NREMTP/LP

Take care and stay safe always.

" Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs: 16:3)

May God Smile on you today.

---------------------------------

You rock. That's why Blockbuster's offering you one month of Blockbuster Total

Access, No Cost.

[Guest guest]

As a professional rescuer in the eyes of the AHA, your role and skills in CPR do

not change. Hands off CPR is intended for the lay person who either is not

comfortable with mouth to mouth or is not comfortable in the all CPR skills.

They also stipulate that Hands off CPR is not intended for victims where cardiac

arrest was cause by asphyxiation. It is intended mainly for witnessed arrests

where the first few minutes of CPR is most important. All this comes from the

AHA instructor site.

W. Vondran EMT-P, HCP BLS Instructor

To: texasems-l@...: momedic95@...: Wed, 2 Apr 2008

17:55:42 -0700Subject: Re:What do you think about this?

Very interesting. At least something is better than nothing and many people

refuse to do mouth to mouth. Maybe this will get bystanders involves and helping

out if they realize it is not necessary onhteir part. At least blood will be

circulating. Do I agree iwht hands only? No but it is better than nothing

especially if the victim/patint may have a s3cond chance on life. (I carry a

microshield on my keychain just for that purpose.)Anita ; NREMTP/LPTake

care and stay safe always. " Commit to the Lord whatever you do, and your plans

will succeed. " (Proverbs: 16:3)May God Smile on you

today.---------------------------------You rock. That's why Blockbuster's

offering you one month of Blockbuster Total Access, No Cost.[Non-text portions

of this message have been removed]

_________________________________________________________________

Get in touch in an instant. Get Windows Live Messenger now.

http://www.windowslive.com/messenger/overview.html?ocid=TXT_TAGLM_WL_Refresh_get\

intouch_042008

[Guest guest]

I won't be surprised if compressions only CPR becomes the standard in 2010,

including healthcare providers.

IIRC, the studies of compression-only CPR showed better outcomes, and those that

look at 200 uninterrupted chest compressions before all else look equally

promising.

Re:What do you think about this?

Very interesting. At least something is better than nothing and many people

refuse to do mouth to mouth. Maybe this will get bystanders involves and helping

out if they realize it is not necessary onhteir part. At least blood will be

circulating. Do I agree iwht hands only? No but it is better than nothing

especially if the victim/patint may have a s3cond chance on life. (I carry a

microshield on my keychain just for that purpose.)

Anita ; NREMTP/LP

Take care and stay safe always.

" Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs: 16:3)

May God Smile on you today.

---------------------------------

You rock. That's why Blockbuster's offering you one month of Blockbuster Total

Access, No Cost.

[Guest guest]

I agree there will probably be changes in 2010. The initial 200 uninterrupted

round followed by a regular course of CPR seems most likely. They have already

moved towards the importance compressions over airway in ACLS and HCP BLS

To: texasems-l@...: Grayson902@...: Wed, 2 Apr 2008

21:13:18 -0400Subject: Re: Re:What do you think about this?

I won't be surprised if compressions only CPR becomes the standard in 2010,

including healthcare providers.IIRC, the studies of compression-only CPR showed

better outcomes, and those that look at 200 uninterrupted chest compressions

before all else look equally promising. Re:What do you think about this?Very interesting.

At least something is better than nothing and many people refuse to do mouth to

mouth. Maybe this will get bystanders involves and helping out if they realize

it is not necessary onhteir part. At least blood will be circulating. Do I agree

iwht hands only? No but it is better than nothing especially if the

victim/patint may have a s3cond chance on life. (I carry a microshield on my

keychain just for that purpose.)Anita ; NREMTP/LPTake care and stay safe

always. " Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs: 16:3)May God Smile on you today.---------------------------------You

rock. That's why Blockbuster's offering you one month of Blockbuster Total

Access, No Cost.

[Guest guest]

Also, in 2010, I doubt we will be administering any resuscitative

drugs--especially epinephrine and vasopressin. We'll shock, cool 'em and

transport.

BEB

Re:What do you think about this?Very interesting. At least something is

better than nothing and many people refuse to do mouth to mouth. Maybe this

will get bystanders involves and helping out if they realize it is not

necessary onhteir part. At least blood will be circulating. Do I agree iwht

hands only? No but it is better than nothing especially if the victim/patint

may have a s3cond chance on life. (I carry a microshield on my keychain just

for that purpose.)Anita ; NREMTP/LPTake care and stay safe

always. " Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs: 16:3)May God Smile on you

today.---------------------------------You rock. That's why Blockbuster's

offering you one month of Blockbuster Total Access, No Cost.[Non-text

portions of this message have been removed][Non-text portions of this

message have been removed]

_________________________________________________________________

Pack up or back up-use SkyDrive to transfer files or keep extra copies.

Learn how.

hthttp://www.windowslive.com/skydrive/overview.html?ocid=TXT_TAGLM_WL_Refres

h_skydrive_packup_042008

[Guest guest]

I hope I don't appear to be discounting compression only CPR, that is not my

intention, I was just trying to pass on the AHA's official position they have

iterated to their instructors. I do think there have been some amazing studies

reflecting long held beliefs on resuscitation, and I can't wait to see how it

all comes together.

To: texasems-l@...: wegandy1938@...: Wed, 2 Apr 2008

21:51:08 -0400Subject: Re: Re:What do you think about this?

Not so fast, . Here in Tucson, and in Phoenix and in several other

centers they are not doing aggressive ventilations in the EMS system. Here they

do 200 compressions, followed by a shock, then 200 more compressions, then a

shock, and only then do they begin to think about ventilations. They have

increased the save rate three-fold since they started that. Now they're adding

hypothermia. There is no reason to interrupt compressions to do ventilations for

the first 4 minutes or so.GGIn a message dated 4/2/08 6:11:46 PM,

mvondran@... writes:> > As a professional rescuer in the eyes of the

AHA, your role and skills in > CPR do not change. Hands off CPR is intended for

the lay person who either is > not comfortable with mouth to mouth or is not

comfortable in the all CPR > skills. They also stipulate that Hands off CPR is

not intended for victims where > cardiac arrest was cause by asphyxiation. It is

intended mainly for witnessed > arrests where the first few minutes of CPR is

most important. All this comes > from the AHA instructor site.> > W.

Vondran EMT-P, HCP BLS Instructor> > To: texasems-l@yahoogrotexasems-l@:

momedic95@...: Wed, 2 Apr 2008 > 17:55:42 -0700Subject:

Re:What do you think about this?> > Very interesting. At least something is

better than nothing and many people > refuse to do mouth to mouth. Maybe this

will get bystanders involves and > helping out if they realize it is not

necessary onhteir part. At least blood will > be circulating. Do I agree iwht

hands only? No but it is better than nothing > especially if the victim/patint

may have a s3cond chance on life. (I carry a > microshield on my keychain just

for that purpose.)Anita ; > NREMTP/LPTake care and stay safe

always. " Commit to the Lord whatever you do, and your > plans will succeed. "

(Proverbs: 16:3)May God Smile on you today.------ Very int > Very int Very int

Very interesting. At least somet Very interesting. At > least something is

better than nothing and many people refuse to do mouth to > mouth. Maybe this> >

____________ ________ ________ ________ ________ ________> Get in touch in an

instant. Get Windows Live Messenger now.> >

http://www.windowslhttp://www.windohttp://www.http://wwwhttp://wwwhttp://www.htt\

p://www.http:/> >

[Guest guest]

I carry a one time use face shield in my wallet, just in case. I recommend them

to any one who is CPR trained, HCP or otherwise

To: texasems-l@...: lnmolino@...: Wed, 2 Apr 2008

21:59:28 -0400Subject: Re: Re:What do you think about this?

While I agree an HCP is an HCP even walking in the mall but no one expects

anyone to do " true " mouth to mouth on a stranger and I doubt no one would fault

and or hold in anyway liable an HCP that did their best in that situation but of

course who knows what some legal beagle might do or try to do. Louis N. Molino,

Sr., CETFF/NREMT-B/FSI/EMSIFreelance Consultant/Trainer/Author/Journalist/Fire

Protection ConsultantLNMolino@... (Cell Phone) (Home

Phone) (IFW/TFW/FSS Office) (IFW/TFW/FSS Fax) " A Texan

with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events;

Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 -

1962)The comments contained in this E-mail are the opinions of the author and

the author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I specifically state that I am doing so. Further this E-mail is intended only

for its stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author. In a message dated 4/2/2008 8:11:27 P.M. Central Daylight Time,

mvondran@... writes:As a professional rescuer in the eyes of the AHA,

your role and skills in CPR do not change. Hands off CPR is intended for the lay

person who either is not comfortable with mouth to mouth or is not comfortable

in the all CPR skills. They also stipulate that Hands off CPR is not intended

for victims where cardiac arrest was cause by asphyxiation. It is intended

mainly for witnessed arrests where the first few minutes of CPR is most

important. All this comes from the AHA instructor site.W. Vondran EMT-P,

HCP BLS InstructorTo: texasems-l@...: momedic95@...:

Wed, 2 Apr 2008 17:55:42 -0700Subject: Re:What do you think about

this?Very interesting. At least something is better than nothing and many people

refuse to do mouth to mouth. Maybe this will get bystanders involves and helping

out if they realize it is not necessary onhteir part. At least blood will be

circulating. Do I agree iwht hands only? No but it is better than nothing

especially if the victim/patint may have a s3cond chance on life. (I carry a

microshield on my keychain just for that purpose.)Anita ; NREMTP/LPTake

care and stay safe always. " Commit to the Lord whatever you do, and your plans

will succeed. " (Proverbs: 16:3)May God Smile on you

today.---------------------------------You rock. That's why Blockbuster's

offering you one month of Blockbuster Total Access, No Cost.[Non-text portions

of this message have been removed]

__________________________________________________________Get in touch in an

instant. Get Windows Live Messenger

now.http://www.windowslive.com/messenger/overview.html?ocid=TXT_TAGLM_WL_Refresh\

_getintouch_042008[Non-text portions of this message have been

removed]------------------------------------Yahoo! Groups

Links**************Planning your summer road trip? Check out AOL Travel Guides.

(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)[Non\

-text portions of this message have been removed]

_________________________________________________________________

Pack up or back up–use SkyDrive to transfer files or keep extra copies. Learn

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ydrive_packup_042008

[Guest guest]

Hey Guys and Gals,

Sorry about the typos, I thought I had proofread the message.

Anita

Take care and stay safe always.

" Commit to the Lord whatever you do, and your plans will succeed. "

(Proverbs: 16:3)

May God Smile on you today.

---------------------------------

You rock. That's why Blockbuster's offering you one month of Blockbuster Total

Access, No Cost.