EMS Airway Articles

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We Love Oxygen

We Love Oxygen

As a kid growing up in Fort Worth, Texas I had little interest in ambulances or medicine. I do remember one thing about the ambulances in the late 1960s in that they always had signs on the side that stated “oxygen equipped” in big letters.

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Monitoring the Effectiveness of CPAP

Monitoring the Effectiveness of CPAP

Once you’ve decided to use CPAP, and convinced your patient to cooperate, you’ll need to monitor the effectiveness of CPAP. It may be necessary to adjust your CPAP pressure, resolve significant mask leaks, reassure your patient or progress to assisted ventilation when CPAP fails.

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

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

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...

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When CPAP Is Not Working

When CPAP Is Not Working

Assessing and Treating Deteriorating Respiratory Failure Patients 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...

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CPAP: From the Beginning Until Now

CPAP: From the Beginning Until Now

Although originally intended to treat prehospital patients in pulmonary edema resulting from heart failure, CPAP is now indicated for virtually any condition resulting in significant dyspnea accompanied by signs and symptoms of increased work of breathing.

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Assessing Acute Shortness of Breath

Assessing Acute Shortness of Breath

Shortness of breath, or dyspnea, results from air hunger, a sensation that you’re not getting enough air. Here’s how to spot a patient with increased work of breathing, an important assessment for an EMS provider evaluating a patient with dyspnea.

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