There is a need for evolving the manual resuscitator in order to ensure every provider can consistently deliver breaths at appropriate volumes and safe pressures.
Although the device still works as designed, is still in service and being used by well-intentioned clinicians, it should be on the shelf with the Medical Anti-Shock Trousers, LifePak 5 and Biophone. While change is sometimes slow, and healthcare providers can be described as conservatively fixed, lung protective ventilation is the current standard of care.
Rio Rancho (NM) Fire Rescue details how it implemented the ParaPAC® into its cardiac arrest algorithm.
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.”