To create a standardized approach for understanding the fundamentals of positive end expiratory pressure (PEEP), the authors have developed the acronym “SOKET” for EMS clinicians at both the BLS and ALS level to remember the core principles of implementing PEEP in their practice.
Years ago, I authored an article in the Wisconsin EMS Association Journal titled “CPAP for Everyone.” At that time, “everyone” meant “everyone with respiratory distress.”
Barriers to CPAP adoption by BLS providers are finally falling, and BLS use of CPAP is now supported by the 2019 National EMS Scope of Practice Model.
EMS education often overlooks how thoracic negative pressure during inhalation significantly aids blood return to the heart.
To sustain life, we trust our training. But how do we remain centered?
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