April 18, 1998

Mr. Jeff Burns
EMS USA

This is just a little bit about the EM-100 Oxylator that we purchased from you.
 
I placed the Oxylator onto our primary ambulance after the In-service training on April 15, 98. On April 17, 98 it was put to use by another EMT-1 and myself during a Cardiac Arrest. The call for help came in a little after 3:00 pm that afternoon for a possible dead person at on of our local Country Club Golf Courses, which is known to have retirees and seniors there most of the day. On our arrival we found an 83 year old male in the locker room apneic and pulseless with an ashen color. We placed the patient on the floor and started BLS procedures using the Oxylator with a mask on it at the time. Spartanburg EMS Medic 6 was our ALS back-up, he placed the patient on a LP 12 to show "PEA" and then intubated the patient. We changed the Oxylator from the mask to the ET tube. The patient was about 110 kg.. We started the Oxylator off at 25 cm of water pressure and had to gradually increase the settings up to 50 cm of water pressure to deliver the recommended 2 second inhalation time. Throughout the arrest the tube placement was monitored and checked by lung and gastric sounds. During the arrest no gastric distension was noted. After the patient was intubated and during transport to the hospital, his color improved to a normal "pink". The Oxylator worked just like it was designed to do, we just had to go back to how we were trained to do CPR "5:1" compression ratio to allow for the 2 second inhalation time. The Paramedic gave the patient Epinephrine 1:10,000 at two different times down the ET tube prior to an IV access, we had to then change the Oxylator from auto to manual to properly push the Epinephrine to the lungs. Despite our efforts, the patient was pronounced at the hospital.

After the call was over I asked the Paramedic that ran the call with us "what he thought about the Oxylator?" His reply was "I haven't seen a resuscitator like that before, but it seemed to do well since the patients color improved and his chest kept rising."

The Oxylator was used during the entire arrest and only used approx. 1000 psi's of Oxygen out of 2000 psi "D" cylinder.

Sincerely,



Tracy Taylor 
Co-Captain/EMT-1 
Croft Rescue Squad