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Feedback device lifts paediatric ventilation quality

Prehospital Pediatric Ventilation Quality Following Use of a Feedback Device: A Randomized Study
Pediatrics · 2026-10-20 · Added 21 October 2026

Randomised crossover simulation study with 123 EMS clinicians testing a ventilation feedback device on a paediatric manikin — guideline-adherent tidal volumes jumped from 16.2% to 87% of breaths with feedback, and rate adherence from 65% to 88.6%.

Study type
Simulation
Design
Randomised crossover simulation study
Participants
123 EMS clinicians across 5 agencies
Main finding
Guideline-recommended tidal volume in 87% of breaths with feedback vs 16.2% without; rate adherence 88.6% vs 65%; mask leak <30% in 88.4% vs 80%
Caveat
Manikin simulation of a 3-year-old at 5 US agencies — no patient outcomes, and real paediatric airways are less forgiving
Bottom line
Hypothesis-generating

Why it matters in Australia (High relevance). Bag-mask ventilation of children is core practice on every Australian ambulance and the age-based guideline targets are the same ones used here — the only real catch is that it was done on a manikin rather than patients.

Learning goal

Refine my paediatric bag-mask ventilation technique to deliver guideline-consistent tidal volumes and rates in prehospital care.

Open in dashboard Read the paper (DOI) PubMed

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