CAREvent ALS In-Service

Rotterdam Emergency Medical ServicesDouglas Hexel, AEMT-P, NYS CLI

Reasoning

• REMS has obtained the CAREvent ALS portable ventilators from RPD.

• The CAREvent ALS provides trained individuals with a safe and effective means of providing artificial ventilation during respiratory and/or cardiac arrest.

• They will be maintained separately in a box for the purpose of rapidly locating and implementing.

• Whether you have used these vents before at RPD or are new to them, this will serve as both a refresher and initial training.

Agenda

• New Box

• Contents

• CAREvent Orientation

• CAREvent Use Procedure

• Safety Guidelines

• CAREvent Cleaning

• CAREvent Storage

New Box

Contents

• (1) CAREvent ALS portable ventilator

• (1) Oxygen Hose

• (1) Disposable Ventilator Circuit

Contents

• CAREvent ALS: is a portable resuscitator only, not to be used in place of a transport ventilator. Designed for use with cardiac and respiratory arrest from the scene to the emergency room.

• Oxygen Hose: 6ft. Metal Hose to connect directly from the CAREvent to an oxygen supply source

• Ventilator Circuit: Allows the CAREvent to be secured during use and reduces strain on the ET tube.

CAREvent ALS

• Lightweight, portable, and extremely durable.

• Pneumatically powered, time/volume cycled ventilatory resuscitator with the added feature of a Manually Actuated, Automatic Ventilation Override Button.

• In addition the CAREvent ALS allows the breathing patient to “Demand Breathe” on 100% oxygen while their inspiratory efforts causes the automatic cycling to cease. – Should they stop breathing, the

ventilator will automatically restart cycling in the setting selected.

CAREvent ALS

Rate/Volume Selector Slide

Manual Activation Button

To Patient Connection(Vent circuit connection)

Rate/Volume Display Window

To Oxygen Source Connection

CAREvent ALS

• The CAREvent ALS allows users to select from one of six (6) rate/volume settings that are compatible with almost all adult and pediatric patients.

CAREvent ALSThe addition of a 3ft. Ventilator circuit eliminates the need for the vent to be connected directly to an ET tube, reducing stress on the tube.

CAREvent Procedures

1. Verify oxygen cylinder is full, in the on position, and capable of flowing oxygen.

CAREvent Procedures

2. Connect CAREvent to portable or ambulance oxygen supply via quick connect fitting.

CAREvent Procedures

3. With selector slide in “OFF” position, test for presence and flow of oxygen.

CAREvent Procedures

4. Move selector slide to desired rate/volume setting.

CAREvent Procedures

5. Attach ventilator tubing to CAREvent and to patient.

CAREvent Procedures

6. Ensure adequate ventilation with ventilator in use. Titrate ventilator settings via the selector slide if required.

7. Secure the CAREvent in a position where the ventilator circuit and oxygen supply hose are not impeded.

Safety Guidelines

• ALWAYS HAVE AN ALTERNATE MEANS TO VENTILATE A PATIENT (BVM)• DO NOT LEAVE THE PATIENT UNATTENDED.• WHEN NOT IN USE, ALWAYS TURN OFF THE CYLINDER.• NEVER ALLOW OIL OR GREASE TO COME INTO CONTACT WITH ANY PART

OF THE CYLINDER, REGULATOR OR RESUSCITATOR.• DO NOT DISASSEMBLE ANY PART OF THE RESUSCITATOR EXCEPT WHERE

DESCRIBED IN THIS TRAINING FOR THE PURPOSE OF CLEANING, AS ANY UNAUTHORIZED DISASSEMBLY WILL INVALIDATE THE WARRANTY.

• AFTER USE, ALWAYS ENSURE THAT ALL COMPONENTS ARE CLEANED IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED IN THIS TRAINING.

• ENSURE THAT ALL COMPONENTS ARE REASSEMBLED CORRECTLY AND THAT ALL ITEMS ARE REPLACED IN THE CARRYING CASE.

• AFTER USE, ALWAYS ENSURE THAT OXYGEN CYLINDERS ARE FILLED AND RETURNED TO THEIR STORAGE POSITIONS.

• WHEN CONNECTED TO A FULL “D” TANK, VENTILATOR WILL OPERATE FOR MINIMUM OF 30 MINUTES. WE WILL BE USING JUMBO “D” OR “M” (AMBULANCE) TANKS

CAREvent Cleaning

CAREvent Cleaning

1. Operate the CAREvent to blow out any contamination from the patient valve.

2. Disconnect from the oxygen source.3. Remove patient valve swivel-housing.4. Shake out any foreign material.5. Gently wash the patient valve swivel-housing.6. Gently wipe the CAREvent with disinfecting wipe and dry

thoroughly.7. Reassemble CAREvent.8. Reconnect to oxygen source to test function.9. Return to storage box and place in service on ambulance.

CAREvent Storage

• After use, the CAREvent will be returned to the orange box with all components and sealed.

• The seal number will be recorded on the daily ALS check sheet.

Remember…

• The addition of the 3ft ventilator circuit increases the mechanical deadspace, therefore you are delivering less tidal volume to the lungs than the ventilator is set at.

• The CAREvent is pneumatic, therefore it must ALWAYS be connected to an adequate oxygen supply to provide ventilations.

• Should ventilation quality decrease, disconnect the ventilator and use a BVM. Troubleshoot the problem later, when a patient is not at risk.

Conclusion

The presentation provides an in-service for those unfamiliar with the CAREvent or a refresher for those familiar with it.

The CAREvent is another mechanical device that can go wrong. When in doubt, ventilate manually.

Questions/Comments

Questions? Comments? Concerns?

Please direct them to me at dhexel@gmail.com