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Cardiac arrest
Real-time BVM feedback linked to better arrest ventilation
Ventilation Monitoring in Out-of-Hospital Cardiac Arrest Care
Resuscitation · 2026-10 · Added 31 October 2026
A US prospective before/after study in Milwaukee found real-time BVM feedback (Real BVM Help) was associated with the share of OHCA ventilations meeting both rate and tidal-volume targets rising from 7.5% to 39.0%.
- Study type
- Cohort
- Design
- Prospective before/after quality assurance study
- Participants
- 278 adults with OHCA (148 before / 130 after)
- Main finding
- Ventilations in-target for both rate and tidal volume rose from 7.5% to 39.0% with real-time feedback; with ETCO2 monitoring alone only 6.8% met both, and 58.2% of ventilations delivered a lower-than-target tidal volume
- Caveat
- Before/after design without randomisation, in a single US county system
- Bottom line
- Hypothesis-generating
Why it matters in Australia (High relevance). Bag-valve-mask ventilation and ETCO2 monitoring are core skills on every Australian ambulance, and most crews ventilate arrests with a BVM and little more than ETCO2 to go on.
Learning goal
Strengthen my ventilation technique during cardiac arrest resuscitation by using feedback to improve rate and tidal volume.
More
- Topic: Cardiac arrest
- Daily scan: 31 October 2026
- Podcast: Paramedic Papers Daily, 31 October 2026
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