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April 6, 2011 at 2:51 pm #31123

rich5665

Did a search for Canoe forums and found two. Registered with both, this one looks to be the more active of the two

April 27, 2011 at 9:57 am #31124

paddleplacid

You’ll find more, but this is the only one I’ve found so far where the moderator allows free discussion.  The other moderators have had their own agendas which don’t allow posters to offer advice differeing from the moderators on important topics like, for instance, safety.  I’m 64 years old and have found the other moderators stuck in advice from the 60s and 70s .. but there has been a lot of research and real time experience done in the intervening years which contradict old advice.

May 3, 2011 at 12:46 am #31125

Dog_paddle

Paddleplacid enlighten us about your safety tips.  From what I have read of your posts you seem to be offering more dangerous advice than sound safety tips.  Air horns instead of Bear Spray, “Croc” gardening clogs that are 3 sizes to big for walking in the river…You speak like your an authority- what are your credentials?  what is your background in river rescue, wilderness medicine, leading expeditions, etc…

I have been a professional wilderness guide for 17 years, spent well over 3000 days paddling, am a certified Instructor of whitewater canoeing, certified instructor for Swiftwater Rescue Technician,  certified instructor for Red Cross Wilderness First Aid, worked several years as an Outward Bound expedition canoe instructor and have led Class V kayaking expeditions on multiple continents.  I am as up-to-date as a person can be on all these things and I find several of the things your saying to be bad advice, and dangerous. 

I have nothing against you- I just hate to see beginners being given mis-information or bad information that might endanger them.  You state your opinions to be facts- maybe just keep on stating your thoughts and advice- but phrase it in a way that newcomers can realize that its just one persons opinion- not the industry standard.

May 3, 2011 at 1:35 pm #31126

paddleplacid

Dog Paddle, your response displays why forum moderators, to have safe and effective forums, most allow free discussion.  I allow your right to say my advice is unsafe, and I leave it up to the individual reader to read all sources, including you and me, and make up their own minds.  I am not a beginner, am 64 years old, have been a professional writer so know how to phrase things properly generally; for the past 30 years have read only non-fiction which provides me a good education on a few topics including the outdoors (read ‘Bear Attacks’ by Stephen Herrero for the kind of education I provide myself), I have canoed and kayaked on the Atlantic and Pacific oceans including at Queen Charlotte Islands, I did two solos of the Montreal-Lake Huron Voyageur Route, soloed the 350 mile Ottawa-Montreal-Kingston-Ottawa route which includes the St. Lawrence Seaway, have not taken courses which will teach me unsafe practices like heeling a canoe and entertaining myself and others in dangerous whitewater, etc.  ‘Crocs’ watershoes are not gardening clogs as you state but are water shoes specifically designed as such.  I did not say bear spray was totally inefective, as you will see in my response to your other post on the air horn topic. In wilderness First Aid I corrected Doctors Jim Duff and Peter Gormly, two Australian writers of a Wilderness First Aid manual, on the difference in treatment for Rattlesnake bites as compared to Australian snakebites, they responded to my email to them on the subject by saying they would correct their website.  In river rescue I attempt through education to prevent crisis instead of creating crisis by promotion of unsafe water recreation like Class v kayaking, which I consider as suicidal as Russian Roulette.  I took my St. John Ambulance First Aid course 50 years ago in the Canadian Armed Forces, and am aware through my reading that a U.S. doctor has instituted a new method of recussitation which improves survival rate by up to 80 percent if ‘breaths’ are dispensed with but cocentrating on chest compression only .. the reason being the lungs are full of oxygen which needs to be circulated, no necessity of additional air until the heart begins pumping on its own.  So .. while I could hire myself out as a professional guide I decline as there are far too many instances of people guiding people to their deaths (read ‘Up the Creek – True Stories of Canoeists in Trouble’.

May 3, 2011 at 2:31 pm #31127

rich5665

Gentlemen, I do not believe this to be the proper thread for this discussion. But, I will add that a little common sense goes a long way when it comes to safety. The most educated man may not be the most intellegent. Even experienced Hikers get lost, experienced clinbers die, and those who consider themselves to know everything there is to know about white water will eventually discover they really don’t.

May 3, 2011 at 4:07 pm #31128

Dog_paddle

Hi Rich, sorry to hijack your thread. Welcome to the forum. I am new here as well.  If I made a bad first impression- sorry, I understand….I didnt mean to come into your intro and raise hell….

i fully believe what you wrote, “Even experienced Hikers get lost, experienced clinbers die, and those who consider themselves to know everything there is to know about white water will eventually discover they really don’t.”….I by no means what to come off that I know “everything there is to know about whitewater”…..I just don’t like it when people post their opinions as “fact”…..facts have to be supported, and i can get a little confrontational when I see people dispensing what I feel as bad advice as fact.

May 7, 2011 at 11:42 am #31129

Bryan Hansel

paddleplacid – 3 days ago  » 
am aware through my reading that a U.S. doctor has instituted a new method of recussitation which improves survival rate by up to 80 percent if ‘breaths’ are dispensed with but cocentrating on chest compression only .. the reason being the lungs are full of oxygen which needs to be circulated, no necessity of additional air until the heart begins pumping on its own.

It’s being taught via one organization at a basic CPR and First Aid level. They were finding that people wouldn’t start CPR because they didn’t want to do the breathing. The theory is that there’s oxygen in the lungs when you start CPR and the chest compressions also compress the lungs to move air in and out. At a health care provider level, they still teach rescue breathing, etc… It’s 30:2 for one-person and 15:2 for two person in child and under.

I’m curious on where you read your 80% statistic, because it doesn’t agree with anything that I’ve heard. Maybe you mean an increase in CPR participation rate taught via the new method?

May 7, 2011 at 2:31 pm #31130

Always January (Randy)

I was recently re-certified for CPR from the American Red Cross, and the trainer said the idea behind this “new method” is that in urban environments trained help is usually only a few minutes from arriving.  The longer you apply compressions with no breaths, the less oxygen will be circulating.  This is not a method that should be used for Wilderness rescue, or any other place where help is not going to be there anytime real soon.  Compressions alone are better than nothing at all, but ultimately the longer this carries on the less effective it becomes.

May 7, 2011 at 9:16 pm #31131

Bryan Hansel

That was also discussed in the Wilderness First Responder recertification that I just took. It’s just not the ideal way to do it, but if it gets more people willing to try, then it’s good enough for me. CPR survival rates drop quickly when ALS doesn’t arrive quickly or CPR isn’t started right away. The stats that I have say if ALS takes 8 minutes, survival rates drop to below 20% and to 10% after 16 minutes. It’s 0 after 30 minutes. Even with a quick response from ALS, if CPR starts after 4 minutes, survival drops to 26% or less.

In the wilderness, I’d say it’s pretty ineffective, and you probably just do it to make yourself feel better. But, it’s still worth trying.

May 7, 2011 at 11:28 pm #31132

Dog_paddle

I am thinking about getting an AED and put it in a padded Otter box for multi-day trips.  Last year I lead a group of 12 senior citizens on a 5 day trip (youngest was 63- oldest was 75).  An AED greatly improves the odds of survival.  I know this is an out there idea….but, once upon a time sat phones, and personal locator beacons were to. Opinions requested- even Paddleplacid

May 8, 2011 at 7:56 am #31133

Bryan Hansel

I think there might be merit in that, but I’d talk to a Doc about it to see if it’s worthwhile.

May 8, 2011 at 5:19 pm #31134

Dog_paddle

Looked into it today…AEDs not any good for a wilderness setting, because after a person receives the shock they need to be on ALS, if you just do it and dont have follow up care, it doesnt really work

May 8, 2011 at 8:11 pm #31135

Aggroman

That’s good to know Dog Paddle, I had thought about it before. I mean, they have those things in grocery stores even.Oh well, it did sound good in theory though.

May 9, 2011 at 9:51 am #31136

paddleplacid

Randy – 1 day ago  »  I was recently re-certified for CPR from the American Red Cross, and the trainer said the idea behind this “new method” is that in urban environments trained help is usually only a few minutes from arriving.  The longer you apply compressions with no breaths, the less oxygen will be circulating.  This is not a method that should be used for Wilderness rescue, or any other place where help is not going to be there anytime real soon.  Compressions alone are better than nothing at all, but ultimately the longer this carries on the less effective it becomes.

From the urls copied below.  The internet really does have great information.

“Despite continuous-chest-compression CPR being the method of<sup> </sup>choice for sudden unexpected collapse, conventional CPR with<sup> </sup>mouth-to-mouth breathing remains the appropriate rescue technique<sup> </sup>for patients who are in respiratory arrest. In respiratory arrest,<sup> </sup>which in most cases is caused by drug overdose, alcohol intoxication,<sup> </sup>carbon monoxide poisoning, a severe asthma attack, drowning,<sup> </sup>or choking, the primary problem is not the heart but a lack<sup> </sup>of oxygen (suffocation) that eventually leads to cardiac arrest.<sup> </sup>Note that in all these circumstances the collapse is neither<sup> </sup>sudden nor unexpected. Only 1 in 20 arrests is due to respiratory<sup> </sup>arrest.”  

http://circ.ahajournals.org/cgi/content/full/116/25/e566   this url inlcludes these paragraphs:  “In the past, it was recommended that bystanders perform CPR<sup> </sup>that alternates chest compressions with mouth-to-mouth ventilations.<sup> </sup>Research has shown that traditional CPR is not the best way<sup> </sup>to treat cardiac arrest. Unlike respiratory arrest, during which<sup> </sup>the victim does not get enough air and the heart eventually<sup> </sup>stops because it no longer receives oxygen, a person who collapses<sup> </sup>because of sudden cardiac arrest was usually breathing normally<sup> </sup>just seconds before. In this case, there is no point in delaying<sup> </sup>the start of chest compression by trying to deliver “rescue<sup> </sup>breaths” to a person whose blood and lungs are full of oxygen.<sup> </sup>Studies found that the blood of a cardiac arrest victim contains<sup> </sup>enough oxygen to sustain him or her for several minutes.<sup> </sup>

More important, mouth-to-mouth breathing takes valuable time<sup> </sup>away from urgently needed continuous-chest-compressions. Research<sup> </sup>has shown that lay individuals interrupt each set of chest compressions<sup> </sup>for an average of 16 seconds while they deliver the heretofore<sup> </sup>recommended “2 quick breaths.” Even if there are 2 or more bystanders,<sup> </sup>it is more helpful to trade off chest compressions than to have<sup> </sup>1 person breathe for the victim because compressing the chest<sup> </sup>hard and fast without stopping is very exhausting.<sup> </sup>

http://www.sja.org.uk/sja/first-aid-advice/life-saving-procedures/cpr.aspx

May 10, 2011 at 7:21 am #31137

Dog_paddle

paddleplacid- I am in a WFR course all week right now….what is being taught is USE BREATHS IN A WILDERNESS CONTEXT…at a rate of 30 compressions to 2 breaths.  In a quick response type of situation (urban) than yes you are correct compression only…but it a delayed response situation- BREATHS ARE NECESSARY.

You are not reporting the latest info.  Last year compression only was thought to be the best- now, the research is pointing that breaths are indeed necessary- but in a smaller amount than before

The biggest change in  the CPR protocol is the number of compressions- previously it was 15 compressions to 2 breaths…now it is 30 compressions to 2 breaths (at a rate of 100 compressions per minute)…and this is what the article you linked to is getting at- lots and lots of compressions are needed- especially right at the start of CPR- this new style is twice the rate of the old…

In the class CPR FOR THE RESCUE PROFESSIONAL (the highest CPR certification) Breaths are taught to still be used.  Compression only CPR is the most basic form. 

I suggest you dont take my word for it…or what you’ve read- TAKE A CLASS on it! This way you can get the entire story. The problem with just reading online is you quit reading once you believe you’ve gotten the info to prove your point.  Getting the info in a class will allow you to hear the entire story

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