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echo: ems
to: GARY SAFFER
from: FELIX J. CIESLINSKI
date: 1997-04-24 18:21:00
subject: Re: PULSE-OXIMETERS

On 14 Feb 97 12:38pm, Gary threw in his 2 pennies and rumbled on about...
CN>>Ya know, I finally saw a case where there might have been a 50-50
CN>>percent chance that the pt's resp. arrest was caused by
CN>>overoxygenation. Severe COPDer, physician at E.R., also our med
CN>>control doc, said that it was that or it was just time for the pt. to
CN>>die. I would have figured the latter. Pt. hadn't been on NRB O2 but
CN>>for about 5 minutes and resp. arrested as the crew brought him out of
CN>>the back of the box (I was standing nearby and made them aware that
CN>>they're pt. "doesn't look good"). Anyways, that's the only one where
CN>>there was a chance that it was secondary to the O2 that the doctor
CN>>had been involved in. So, I don't put much stock in that theory...
 GS> I think that the doctor's theory is more likely. Everything that I have 
 GS> heard or read on the subject says that it takes a minimum of hours for 
 GS> O2 to shut down a COPDers respiratory drive. Remember also, that COPDers
 GS> can have other things go wrong with them as well, so it could have been
 GS> a combination of things that killed this person. 
 GS> Gary
 GS> X CMPQwk 1.42 129 XRead the docs. Wow, what a radical concept!
 GS> --- Silver Xpress Mail System 5.4P1a
Do not belive that. I have seen a pt. on O2 like a light switch. Know O2 pt.
ok. O2 pt. out. Know O2 pt. ok. This happen to me two times. With a pt.
                             Cat
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