VENTILATION

Mouth-to-snout resuscitation may be attempted if there is only a single rescuer (rate of 30 compressions to 2 breaths). In MWDs that may pose risk to the rescuer (e.g., potential zoonotic disease, illicit drug or HAZMAT exposure), perform chest compression-only CPR.

Intubate (with a cuffed endotracheal tube) as soon as possible after initiating chest compressions. DO NOT STOP chest compressions to achieve intubation (intubate in lateral recumbency). Inflate the cuff and secure the tube.

Perform a tracheostomy or cricothyrotomy (see Emergency Airway Management K9 CPG) if airway cannot be obtained (while continuing chest compressions).

Supply 100% oxygen during CPR when possible.

Rate: 10 breaths per minute. Each breath should be 1 second long, with full release after each breath.

Tidal volume: 10 mL/kg is recommended and can be achieved using a 1 second inspiratory time with a bag valve mask (BVM) / AMBU bag.