EMT Lesson Plans

2.02 INSTRUCTOR GUIDANCE – BAG VAVE MASK

Objectives: Demonstrate the steps in performing the jaw-thrust maneuver. (pp 337–338) Demonstrate how to assist a patient with ventilations using the bag-mask device for one and two rescuers. (p 354)

Demonstrate how to position the unconscious patient. (pp 335–336, Skill Drill 9-2) Demonstrate the steps in performing the head tilt–chin lift maneuver. (p 337)

Setup: - Adult system: Oxygen tank, regulator, BVM (adult) - Child station: Oxygen tank, regulator, BVM (child) - Infant station: Oxygen tank, regulator, BVM (infant) - Make sure you are using good quality CPR manikins such as RESUSCI ANNE or RESUSCI BABY – please do not use cheap CPR manikins meant for 1:1 CPR ratio teaching Instructions to be read to students: “I am going to demonstrate BVM ventilation. We will all practice this multiple times until you are all comfortable with it and can do it without hesitation.”

Precautions: Do not let the station deteriorate into chatter. Continue rotating them through assemblies until time is up.

Please note the following:

- Students should be encouraged to ventilate patients from the cephalic position at all times as it generally improves airway opening and mask seals. Lateral position is taught for pocket mask (but no other device) since a student may one day be doing 1-Rescuer CPR with a pocket mask and be forced to operate from the patient’s side. - Have the students perform Jaw Thrust and attempt ventilations when they seem to have the hang of head-tilt/chin-lft ventilations - Assembling a BVM is NOT something people do quickly or easily if they have never done it. Be sure to do that portion, remembering that psychomotor skills don’t absorb fully in one attempt. Shoot for three turns or more at it. - DO NOT demonstrate all the skills at once and then have students practice them all together. It is not efficiently remembered by the students. - Setting up three stations (adult, child, infant) is ideal. When equipment does not permit it, set up multiple adult stations. Last resort would be to cycle all students through one station.

- Cycle through these skills:

o Assembling the BVM (a collapsed adult BVM is ideal. Make sure it has an accumulator)

o BVM 1-Rescuer

o BVM 2-Rescuer