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BVM ventilation is an essential skill for all emergency medicine clinicians and
provides a rapid means to provide oxygenation and ventilation for children with
respiratory and/or circulatory failure.
Masks
The properly fit mask covers the tip of the chin, the mouth, and the nose, allowing
for a tight seal against the skin. Masks with a pneumatic cuff design allow for the
easiest and most efficient fit that avoids air leaks. When enough personnel are
available, a two-person technique may improve oxygen delivery and ventilation.
One person uses both hands to correctly position the mask on the face, creating a
good seal, while the other squeezes the bag, paying attention to ensure
appropriate chest rise and ventilation.
FIGURE 9.7 Self-inflating hand-powered resuscitator: compressible unit (A ), oxygen source
(B ), oxygen reservoir (C ), one-way valve assembly (D ), and mask with transparent body (E ).
Hand-Squeezed, Self-Inflating Resuscitators