AIRWAY, OXYGEN, VENTILATION SKILLS
BAG-VALVE MASK APNEIC PATIENT WITH PULSE
This station is designed to test your ability to ventilate a patient using a bag-valve mask. As you enter the station you will find an apneic patient with a palpable central pulse. There are no bystanders and artificial ventilation has not been initiated. The only patient intervention required is airway management and ventilatory support using a bag-valve mask. You must initially ventilate the patient for a minimum of 30 seconds. You will be evaluated on the appropriateness of ventilator volumes. I will inform you that a second rescuer has arrived and will instruct you that you must control the airway and the mask seal while the second rescuer provides ventilation. You may use only the equipment available in this room. Do you have any questions?
Takes or verbalizes body substance isolation precautions
Voices opening the airway
Voices inserting an airway adjunct
Selects appropriate size mask
Creates a proper mask-to-face seal
Ventilates patient at no less than 800 ml volume
THE EXAMINER MUST WITNESS FOR AT LEAST 30 SECONDS
Connects reservoir and oxygen
Adjust liter flow to 15 liters/minute or greater
The examiner indicates the arrival of second EMT. The second EMT is instructed to ventilate the patient while the candidate controls the mask and the airway.
Voices re-opening the airway
Creates a proper mask-to-face seal
Instructs assistant to resume ventilation at proper volume per breath
THE EXAMINER MUST WITNESS FOR AT LEAST 30 SECONDS
CRITICAL CRITERIA
Did not take or verbalize body substance isolation precautions
Did not immediately ventilate the patient
Interrupted ventilations for more than 20 seconds
Did not provide high concentration of oxygen
Did not provide or direct assistant to provide proper volume/breath
(more than 2 ventilations per minute are below 800 ml)
Did not allow adequate exhalation