EMT Curriculum

2.03.C - ATV / MTV

Equipment for this station: - Pneupac VR1 Transport Ventilator with regulator - Oxygen System - Quality BLS manikin such as Little Anne

- Quality Child Manikin (optional) - Quality Infant Manikin (optional)

Precautions: Do not let the station deteriorate into chatter. Continue rotating them through one at a time until everyone has set up the ATV

Objectives: Demonstrate the use of a manually triggered ventilation device to assist in delivering artificial ventilation to the patient. (pp 360– 361) Demonstrate the use of an automatic transport ventilator to assist in delivering artificial ventilation to the patient. (p 361) Setup: Place the manikin in the middle of your space and have students huddle around. Demonstrate how to: • Use the device as a manually triggered ventilator • Set rate and volume (approx. 6ml/kg or 400-600 for an adult patient) • Use the device as an automatic transport ventilator • Then let them try ventilating the patient. Change to a pediatric or infant manikin when available to play with more settings.

Instructions to be read to students: “I am going to demonstrate how to set up a transport ventilator”

Please note the following:

- This station is about setting up an automatic transport ventilator. Is it mostly a skills lab with little scenario action, but you MUST emphasize that manual ventilation (with a BVM or an MTV) should precede the ATV use. Have students being ventilating (2 rescuer BVM is ideal) and have a third student se up and use the ATV. Rotate positions until every student has set up the ATV. Students should understand the difference between MTV and ATV modes, and how to set rates and volumes. - You must confirm the manikin you selected has a good lung capacity and produces easily visible chest rises. DO NOT use a cheaper 1:1 ratio CPR manikin such as Prestan.