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