EMS Airway Articles

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Vintage Manual Ventilation: The 1,500 mL BVM (Bag-Valve-Mask Manual Resuscitator)

Although the device still works as designed, is still in service and being used by well-intentioned clinicians, it should be on the shelf with the Medical Anti-Shock Trousers, LifePak 5 and Biophone. While change is sometimes slow, and healthcare providers can be described as conservatively fixed, lung protective ventilation is the current standard of care. 

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Pediatric BIPAP

Deployment of CPAP and BIPAP in EMS has evolved over the last decade and is arguably first line intervention for acute respiratory distress for multiple adult populations. Despite these advances, we have left children behind for no reason. Pediatric patients are well known for their ability to compensate until respiratory arrest, without a declining period, [...]

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A Systematic Approach to Capnography Waveforms

Capnography was first proposed for use in the operating room in 1978 and has since become the standard of care for monitoring ventilation.1 Capnography is rapidly growing in use for intubated and non-intubated applications across hospital environments including the ICU, resuscitation, procedural sedation, and postoperative monitoring of patients receiving opioid analgesia. 1,2 When used appropriately, [...]

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When CPAP Is Not Working

Assessing and Treating Deteriorating Respiratory Failure Patients Effectiveness of CPAP monitored with nasal capnography. Photo by Joe Hopple. Noninvasive positive pressure ventilation such as CPAP (continuous positive airway pressure) has become a standard of care for the prehospital respiratory distress patients. It helps prevent patients from intubation1, which is thought to improve patient outcomes. However, [...]

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