1. On Tuesday, April 21, 2015 7:46 PM, "Shahab, Saqib HE0"
<Saqib.Shahab@health.gov.sk.ca> wrote:
Dear Mr Thompson
Thank you for your voicemail, e mail and links. At present SK does not
have a THN (Take Home Naloxone) program and if SK was to develop
one, training materials related to that would use the best information
and evidence regarding that including when and how to administer
Naloxone and additional appropriate interventions as required to
support airway, breathing and circulation.
Thank you once again for flagging your concerns
Sincerely
Dr Saqib Shahab FRCPC
Government of Saskatchewan
Chief Medical Health Officer
Ministry of Health, Population Health Branch
3475 Albert St, Regina SK S4S 6X6
E mail: sshahab@health.gov.sk.ca
Tel: 306 787 3220
From: Gary Thompson [mailto:jgary.thompson@mail.utoronto.ca]
Sent: Tuesday, April 21, 2015 2:43 PM
To: Shahab, Saqib HE0 Subject: Re: News article April 18
Dr. Shahab:
Read with grave concern your quote of April 18
"A key feature of the take home program is training users' family or
peers to recognize signs of overdose so they know when and how to
administer the antidote, perform CPR compression's and call 911"
http://www.thestarphoenix.com/health/Opiate+antidote+kits+possible+
Sask/10983748/story.html
I hope this does not mean chest compressions only? Contraindicated
for any respiratory emergency patient.
Still not correct rescue
breaths then Naloxone
continue breaths.

2. Read all moderated comments 2015 AHA & ILCOR guidelines [My
moderated comment video format https://youtu.be/PX0HQuaNS_I
'Opioid overdose Response Education' BLS 891 reopened for comment
Feb. 2017]
https://volunteer.heart.org/apps/pico/Pages/PublicComment.aspx?q=89
1
My response to Emily Oliver (awaiting AHA moderator)
Quote Emily "....use of naloxone into their education programs. More
research is needed regarding educational effectiveness..."
Do we need more research on opioid poisoning resuscitation
protocols? Clinicians see opioid poisoning daily in a clinical situation.
Terminally ill are kept "comfortable" to wit OD narcotics. Cause of
death acute respiratory failure.
European Resuscitation Council Guidelines for Resuscitation 2010
Section 8.b Poisoning
http://resuscitation-guidelines.articleinmotion.com/article/S0300-
9572(10)00441-7/aim/
Opioids
“Opioid poisoning causes respiratory depression followed by
respiratory insufficiency or respiratory arrest. The respiratory effects
of opioids are reversed rapidly by the opiate antagonist naloxone.”
Modifications for Advanced Life Support
“There are no studies supporting the use of naloxone once cardiac
arrest associated with opioid toxicity has occurred. Cardiac arrest is
usually secondary to a respiratory arrest and associated with severe
brain hypoxia. Prognosis is poor.”
Agnotology is the study of culturally induced ignorance or doubt,
particularly the publication of inaccurate or misleading scientific
[medical] data. Agnotology focuses on the deliberate fomenting of
ignorance or doubt in society.
http://issuu.com/garythompson81/docs/agnotologynote.docx

3. Not placing blame, change this protocol of Public Health Ontario. Have
talked with all these clinicians many times in person, they live in a
state of pure guilt.