| Knowledge |
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States Relative Contraindications of procedure.
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| Preparation |
| Clinical Standards for Procedures and Interventions. |
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| Assessment |
| Rapidly assesses responsiveness, pulse, breathing, airway patency, and the clinical context; activates the emergency response system and initiates resuscitation when indicated. |
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| Preparation |
| Obtains a self-inflating bag, reservoir, correct-size mask, oxygen source and tubing, suction, airway adjuncts, monitoring, and backup advanced-airway equipment; verifies valves, connections, and bag recoil. |
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| Implementation |
| Opens the airway with head tilt-chin lift or an initial jaw-thrust approach when trauma is suspected while prioritizing oxygenation and ventilation. |
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| Inserts an appropriate airway adjunct when indicated and not contraindicated, clears visible obstruction or secretions, and positions the patient to optimize airway patency. |
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| Selects a mask covering the nose and mouth without the eyes, creates an effective seal, and uses a two-person technique when personnel are available or one-person ventilation is ineffective. |
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| Connects supplemental oxygen and reservoir and uses sufficient flow to keep the reservoir inflated during ventilation. |
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| Delivers each breath over approximately 1 second with only enough volume to produce visible chest rise, avoiding excessive ventilation, pressure, and gastric inflation. |
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| For an adult with a pulse but inadequate or absent breathing, provides 1 breath every 6 seconds; during adult CPR without an advanced airway, coordinates ventilations at 30 compressions to 2 breaths. |
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| After placement of an advanced airway during adult CPR, provides 1 breath every 6 seconds without pausing continuous compressions; follows the current age- and scenario-specific pediatric algorithm for infants and children. |
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| Monitoring & Modifications |
| Monitors visible chest rise, bilateral air entry, oxygen saturation, end-tidal carbon dioxide when available, heart rate, and patient response; reassesses after every correction. |
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| Corrects inadequate ventilation by repositioning the airway, improving mask seal, adding an airway adjunct, suctioning, using two-person ventilation, reducing leak, or escalating to a supraglottic or tracheal airway. |
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| Post-Intervention |
| Continues manual ventilation until adequate spontaneous ventilation, definitive airway support, transfer of care, or termination according to the resuscitation plan; documents the indication, oxygen, rate, response, and complications. |
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| Post-Intervention Management Steps. |
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