BVM w/ OP/NP
EtCO2 waveform monitoring
Chest decompression
If indicated, follow protocol
Compressions with not be interrupted for airway placement
Open airway
Preformed by most experienced medic
if compromised sirway with vomitus or past 660 compressions and no V-fib
EtCO2 placed prior to first breath of advanced airway
Ventilate every 20 compressions w/ breath lasting 2 seconds
2 attempts max then move to different airway plan
Positive pressure ventilations
Maintenance of patent airway
is ET tube is dislodged, place a supraglottic airway
Use least amount of intervention needed
Proper ventilation with high flow O2
Modified jaw thrust
Head tilt/Chin lift
No ventilation related reduction to venous return/preload
O2 via NC @ 15 lpm prior to and throughout intubation
2 hand seal w/ 1 handed bag squeeze
Suction as needed
EtCO2 monitored from onset of ventilations and placed prior to first breath of advanced airway device