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If only 2 rescuers on scene, place a NRB mask with high flow O on patient for passive oxygenation until a third rescuer arrives. Two-handed 2 thumbs on BVM is essential for maintaining a good BLS airway. Choice of adjuncts, including nasal and oral airways should be based on the specific needs of the patient. Small tidal volume ventilations (approximately 100m L) should be administered on the upstroke of every 10I. An IO may be preferable limiting the interference with compressions. Medication administration should occur per protocol. Defibrillation should be attempted as soon as possible during the resuscitation A. Hover hands over chest during shock administration and be ready to compress as soon as shock delivered. Mechanical CPR devices (Auto Pulse and LUCAS) can ONLY be used after the initial 10 minutes of resuscitation, and generally only if rescuer fatigue is an issue. Defibrillation should be attempted as soon as possible during the resuscitation. High performance CPR begins immediately upon arrival.

REMEMBER: Do not stop chest compressions for ventilation, charging of manual defibrillator or ALS procedures.

During the resuscitation attempt to limit any pause to 3 seconds or less.

High performance CPR begins immediately upon arrival.

5-10 minutes on scene is reasonable to ensure rhythm stability. Ventilate the patient with 10 breaths per minute to achieve an ETCO sat of 94-98%.

REMEMBER: Do not stop chest compressions for ventilation, charging of manual defibrillator or ALS procedures.

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Our experience has proven that this is the best size for a Philmont crew.

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