Inside this video right here, I'm going to tell you exactly when to use a BVM, a bag valve mask, and I'm going to give you patient examples. Here we go. I want to help decrease failure rates for NREMT, for EMT school, for paramedic school.
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Now I have some key points here. I'm gonna go through the key points first, then stay tuned to the end. I'm gonna give you a mnemonic to really make sure you never ever forget this, because I know that's why you're here.
In the middle of that, I'm gonna give you a patient scenario where you would use it. Maybe you have a test coming up. So here we go.
An arm breather mask, a nasal cannula, okay, that's a tool we're gonna use to give the patient more oxygen. The BVM, while yes it is attached to high flow oxygen, this tool is used to ventilate your patient, get carbon dioxide going out and oxygen coming in. Okay, that's step one.
You're going to use a BVM also on a patient that cannot control their own airway. So if they need airway assistance, then we need to use an OPA or an MPA. to make sure that airway stays patent and then we're going to use to get ventilations the BVM and I'm going to show you what a BVM looks like after I'm done here with the key points I'm just going to show it to you okay now the third thing we have here is too low or too high of a respiratory rate so Imagine you approach a patient unresponsive with a respiratory rate of 8. Let's say they're an adult patient.
Well, think about it. The normal respiratory rate is 12 to 20 in an adult. So 8 is too low. What if we have that same patient, unresponsive, and they can't control their own airway?
The respiratory rate is too high. Same thing, okay? Now, look down here. We have weak and sluggish respirations. What I mean by that is this.
I'm talking about exams. I'm also talking about in real life. If a patient has weak or sluggish respirations, like they're about to give up their ability to breathe, maybe they're semi-responsive or about to slip into unresponsiveness, you might want to think about using a BVM here.
If you put this all together, A BVM helps you ventilate your patients when they cannot do it themselves. That's why we use it. Now, if you're coming across this video and you've never seen what a BVM, an OPA, an NPA look like, I just want to show you what they look like.
So I'm going to come to the camera here. Here is what an NPA looks like. This obviously goes in the nose.
This gives you an airway through the nostril. This gives you an oral airway. Okay, so these two adjuncts are going to give you a, we call it BLS, basic life support airway. Now, here is the BVM. The device that we use to what?
To ventilate our patients, okay? So we grip it like this, okay? Now here is, you see this goes into the auction here. I'll show you here. Give me two secs.
That goes into the auction unit in the ambulance, okay? And then obviously you have, it's pretty simple here. We have the narrower side would be the nose. And obviously the wider side is the mouth. I'll give it one squeeze here so you can see it, okay?
And this is your BVM. Now right here I have two different scenarios. One patient is getting BVM ventilations, the other is not.
Let me know in the comments down below before I tell you which one, which one will get a BVM. And then let me know what would you give patient number one and patient number two in the comments down below. Here we go.
Now patient number one, 80 year old male, shortness of breath, the respiratory rate is 18. SpO2. 93% no COPD but the patient is speaking one or two word sentences patient number two is an 80 year old male unresponsive found at a park respiration of six SBO2 86% on room air and there's no verbal response which one of these tell me in the comments is Getting a BVM. Give me a 1, give me a 2. And then what would you do for each of these people?
Patient right here, protect their own airway when they're unresponsive. with a respiratory rate of six. So they're not ventilating right now, okay? And they're unresponsive, which means they check a few boxes.
They're unresponsive. They also cannot control their own airway. And their respiratory rate is low. This is a classic BVN case.
Now, this patient over here is awake, is talking to you. They're in one or two-word sentences. But their SpO2 is low.
They're having some sort of respiratory or cardiac emergency. they just need oxygen. So for this patient I probably start off with a nasal cannula and then work my way up to a non-breather if I needed to. Obviously I would check the lung sounds in this patient and you know if they were wheezing or ronchi or rails I might give other medications as well maybe do an EKG.
You see the difference there? This is an airway issue, this is an oxygen issue. If we have an airway issue we need that BVM right in front of our friend Tacky there.
Okay now this right here is my airway airway mnemonic. Anytime you have to use a BLS airway, I want you to go through this mnemonic here. It will save your butt to make sure you never miss anything when you're out in the field or on exam.
Make sure you follow this step by step. There's four steps. Now step one One, as you can see here, is going to be, we need to open the airway.
So, how do we open the airway? A medical call, head tilt chin lift, trauma call, a jaw thrust maneuver. Number two.
is we got to clear. So what does that mean? Is there something in the airway like an obstruction I need to get out or I'm doing a suction, your yank hour suction. So you always want to have suction available anytime you're dealing with a patient airway issue.
The third thing we need to do, we've opened, we've cleared. Now we have to keep it open. And that is where the NPA and the OPA, that's where they come in.
They're going to keep the airway pane and open. Okay. And now we have an airway. And the final.
thing we need to do is use the BVM to ventilate our patients. Remember to hook it up to high flow oxygen, 15 liters is good, and we're going to start to ventilate our patient, getting them back to the respiratory rate that they need to be at to maintain their functions. And there it is. So in summary my friends, four steps. What are we going to do?
We're going to, and feel free to put in the comments down below, it'll make you remember by typing it out. We're going to first open, clear, and then we're going to go ahead and do the next step. keep, ventilate. Open, clear, keep, ventilate. There it is.
I really hope this video finally cleared up for you in understanding the BVM, the bag valve mask. Now, if you're one of these three people, if you are getting ready for school, if you're in school right now, or you're getting ready for your national registry exams, click the link in the description down below. We'll say learn more, prepareforems.com.
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You need to pass school and national registry. This is where I send all of my students here online to that prep course. And I'm going to give you a lifetime access when you click down below right now. So my friends, I will see you in the next video.
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I want to help decrease failure rates for NREMT, for EMT school, for paramedic school. Watch these videos. watch this content and believe me you will start to understand EMS medicine.
Anybody out there that wants to serve their community as an EMT or a paramedic should be able to do that and I'm here as a paramedic coach to help you achieve that.