TIP: Click on subject to list as thread! ANSI
echo: ems
to: CHRIS NOLD
from: GARY SAFFER
date: 1997-02-14 12:38:00
subject: PULSE-OXIMETERS

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...
I think that the doctor's theory is more likely. Everything that I have 
heard or read on the subject says that it takes a minimum of hours for 
O2 to shut down a COPDers respiratory drive. Remember also, that COPDers 
can have other things go wrong with them as well, so it could have been 
a combination of things that killed this person. 
Gary
þ CMPQwk 1.42 129 þRead the docs. Wow, what a radical concept!
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