Guest Post: Medical Advice From Gavin

Gavin has good advice about the prevention of choking on food, using his many years of experience in the Ambulance Service in London, and New Zealand.

Hi folks, 2 things I feared most when I was in the ambulance service. One was asthma & the other similar was choking. I was the first in NZ to teach the Heimlich manoeuvre & got into trouble for it. I’m pleased to see in the video in the news story courtesy of Wellington Free, they have brought it back.

(This is not the video clip mentioned, just an illustration of the technique-Pete.)

Some advice
Never sneak up on someone while they are eating or give them a fright, such as saying HI by slapping them on the back. Eat small bites of steak and not chewy bits – no need to be polite, spit them out. And don’t forget Oranges. The meat on that is a regular choker as the acid can make you gulp. For children, eating oranges like we did at half time is safest, not peeled or Mandarins are better.

Only advanced paramedics have the equipment & can do cricothyroid punctures, certainly not in rural areas. An off duty doctor would struggle without the right gear but a midwife did it successfully in the Hawkes Bay a few years ago.

https://www.stuff.co.nz/the-press/news/131578891/super-fit-dadoftwo-dies-after-choking-on-steak-at-family-barbecue

An Alphabet Of my Life: S

S=Science

This S is about the applications of science in my lifetime. Things that were unimaginable when I was born are commonplace now. Some of those are materials; things like Teflon, Polyurethane, Velcro, Waterproof Fabrics, Memory Foam, Polyester. They have provided advances in comfort, ease of use, preserving and cooking food, and in safety wear for those working outside. Unfortunately, they have also contributed to landfill, the pollution of the oceans, and even microparticle contamination of human bodies.

Everything we invent comes with a price, it seems.

Medical science has exceeded all expectations since my birth in 1952. Birth control, In Vitro Fertilisation, Open-Heart Surgery, Genetics, DNA, Artificial Valves, Pacemakers, Organ Transplantation, and Micro-Surgery. The eqipment and expertise to care for a premature baby that would previously have died. Drugs to control Diabetes, Epilepsy, and many other life-changing or life-threatening conditions. Add to that the advances in Scanning, Medical Lasers, the ability to operate on babies in the womb, and an adult from 1952 would find it hard to comprehend the amazing possibilities 70 years later.

Life expectancy has extended significantly since I was born. Average life expectancy in 1952 in Britain (male and female lifespans combined) was 69.17 years. 70 years later, it is now 81.65 years. That has brought with it a huge number of problems. The increase in elderly people with Dementia. The problems of caring for the elderly and disabled in their own homes, or in dedicated old people’s homes. Hospitals full of old people who cannot be easily discharged after breaking bones or having major surgery. The cost of paying pensions to so many more people who lived much longer than expected, and the reduced birth rate failing to supply enough working people to pay the National Insurance and Taxation required to fund such an ageing population.

Back to everything we invent coming with a price.

There are other scientific achievements in my lifetime that were less desirable.

Atom bombs were replaced by nuclear bombs, and those in turn replaced by thermo-nuclear bombs. Military weapons became more advanced, and the ability to kill more people from a greater distance is the darker side of ‘progress’ during the last 70 years.

(Technology will be dealt with in ‘T’.)