PMID- 28910470
OWN - NLM
STAT- MEDLINE
DCOM- 20171221
LR  - 20220603
IS  - 1553-9768 (Print)
IS  - 1553-9768 (Linking)
VI  - 17
IP  - 3
DP  - 2017 Fall
TI  - A Comparison of Ventilation Rates Between a Standard Bag-Valve-Mask and a New 
      Design in a Prehospital Setting During Training Simulations.
PG  - 59-63
LID - 6Q5D-6CL6 [pii]
LID - 10.55460/6Q5D-6CL6 [doi]
AB  - BACKGROUND: Excessive ventilation of sick and injured patients is associated with 
      increased morbidity and mortality. Combat Medical Systems(R) (CMS) is developing a 
      new bag-valve-mask (BVM) designed to limit ventilation rates. The purpose of this 
      study was to compare ventilation rates between a standard BVM device and the CMS 
      device. METHODS: This was a prospective, observational, semirandomized, crossover 
      study using Army Medics. Data were collected during Brigade Combat Team Trauma 
      Training classes at Camp Bullis, Texas. Subjects were observed during manikin 
      simulation training in classroom and field environments, with total duration of 
      manual ventilation and number of breaths given recorded for each device. Analysis 
      was performed on overall ventilation rate in breaths per minute (BPM) and also by 
      grouping the subjects by ventilation rates in low, correct, and high groups based 
      on an ideal rate of 10-12 BPM. RESULTS: A total of 89 Medics were enrolled and 
      completed the classroom portion of the study, with a subset of 36 evaluated in 
      the field. A small but statistically significant difference in overall BPM 
      between devices was seen in the classroom (rho < .001) but not in the field (rho > 
      .05). The study device significantly decreased the incidence of high ventilation 
      rates when compared by groups in both the classroom (rho < .001) and the field (rho = 
      .044), but it also increased the rate of low ventilation rates. CONCLUSION: The 
      study device effectively reduced rates of excessive ventilation in the classroom 
      and the field.
CI  - 2017.
FAU - Costello, Joseph T
AU  - Costello JT
FAU - Allen, Paul B
AU  - Allen PB
FAU - Levesque, Robert
AU  - Levesque R
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - J Spec Oper Med
JT  - Journal of special operations medicine : a peer reviewed journal for SOF medical 
      professionals
JID - 101158402
SB  - IM
MH  - Cross-Over Studies
MH  - *Emergency Medical Services
MH  - Equipment Design
MH  - Humans
MH  - *Masks
MH  - Military Medicine/*education
MH  - Prospective Studies
MH  - Respiration, Artificial/adverse effects/*instrumentation
MH  - *Simulation Training
EDAT- 2017/09/15 06:00
MHDA- 2017/12/22 06:00
CRDT- 2017/09/15 06:00
PHST- 2017/09/01 00:00 [accepted]
PHST- 2017/09/15 06:00 [entrez]
PHST- 2017/09/15 06:00 [pubmed]
PHST- 2017/12/22 06:00 [medline]
AID - 6Q5D-6CL6 [pii]
AID - 10.55460/6Q5D-6CL6 [doi]
PST - ppublish
SO  - J Spec Oper Med. 2017 Fall;17(3):59-63. doi: 10.55460/6Q5D-6CL6.