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I have completed bits of my EM training from India. Currently I am boarded with credentials from Christian Medical College, Vellore and also from the prestigious Royal College of Emergency Medicine, UK.  I am currently working in London as an A&E doctor, trying to appreciate the differences in the practise and culture of Emergency Medicine across different healthcare systems. I have always been an avid FOAMed supporter because FOAMed played an indispensable role during the days of my initial training. Through this blog, I aspire to disseminate knowledge and stay up to date with the EM literature. 

Monday, December 14, 2015

Is CE technique the best way to do BVM - May be not!!

We all are familiar with the CE technique that is used to deliver BMV. This is what we routinely learn during the ED/ Anesthesia/ critical care rotations and also at the life support courses. Is this the best way to deliver ventilation? May be not!

Another technique that can be used is the "The two thumbs down technique" or "The thumbs up technique" that has potential advantages over the standard CE technique.

You might get a weird look from those who are not familiar with this technique. Let people know what you are doing and why you are doing this OR just show them this video (by Rueben Strayer, emupdates).


Take Home: BMV is always a 2 person procedure (regardless of technique used) - Skilled person holds the mask and anyone else can provide the breaths + Consider the 2 thumbs down technique for BMV instead of the CE clamp.
And Believe it or Not - Learning BMV is more important than mastering Laryngoscopy !!
DO check out this link (if you have not already) - emupdates

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