Home Paediatrics Feedback device lifts paediatric ventilation quality
Paediatrics
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.
More
- Topic: Paediatrics
- Daily scan: 21 October 2026
- Podcast: Paramedic Papers Daily, 21 October 2026
Related papers on Paediatrics
-
Paediatric deterioration in the field poorly defined
A scoping review of 28 studies found no standardised definition of paediatric out-of-hospital clinical deterioration and almost no research on how crews actually recognise it.
-
Paediatric care coordinators linked to fewer EMS errors
A US cross-sectional study of 2,219 paediatric EMS encounters found agencies with a paediatric emergency care coordinator delivered more procedures and medications, with fewer and less severe adverse safety events.
-
Infant carry slings rarely linked to OHCA
A five-year English regional registry review of 162 cardiac arrests in children under two found only two linked to infant carry slings, while co-sleeping featured in a third of cases.
-
Five scene findings flag kids needing blood
Retrospective national trauma registry analysis testing five EMS-observable findings for spotting injured children who need early blood — altered GCS (aOR 8.38), penetrating mechanism (aOR 5.87) and age-adjusted hypotension (aOR 5.39) led, and a three-tier decision tree put 36.8% of early transfusions into just 3.3% of kids.