Prehospital Manual Ventilation: An NAEMSP Position Statement and Resource Document.
John W LyngFrancis X GuyetteMichael LevyNichole BossonPublished in: Prehospital emergency care (2022)
Manual ventilation using a self-inflating bag device paired with a facemask (bag-valve-mask, or BVM ventilation) or invasive airway (bag-valve-device, or BVD ventilation) is a fundamental airway management skill for all Emergency Medical Services (EMS) clinicians. Delivery of manual ventilations is challenging. Several strategies and adjunct technologies can increase the effectiveness of manual ventilation. NAEMSP recommends:All EMS clinicians must be proficient in bag-valve-mask ventilation.BVM ventilation should be performed using a two-person technique whenever feasible.EMS clinicians should use available techniques and adjuncts to achieve optimal mask seal, improve airway patency, optimize delivery of the correct rate, tidal volume, and pressure during manual ventilation, and allow continual assessment of manual ventilation effectiveness.
Keyphrases
- respiratory failure
- mechanical ventilation
- emergency medical
- aortic valve
- randomized controlled trial
- systematic review
- mitral valve
- healthcare
- palliative care
- extracorporeal membrane oxygenation
- intensive care unit
- heart failure
- primary care
- cardiac arrest
- acute respiratory distress syndrome
- aortic stenosis
- mental health
- coronary artery disease
- left ventricular
- obstructive sleep apnea
- atrial fibrillation
- ejection fraction