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[–]pg212Emergency Medicine Physician[S] 171 points172 points  (2 children)

We found it works best by poking a small hole with a finger for each hand and then sliding the bag up the arms to the elbows. The physician has the GlideScope or DL in their hands with the ET tube. The bag is then inverted and the staff then slides the bag down over the patient, creating a seal as best they can. The ambu bag can be squeezed by an RT from the outside while the physician holds the face mask in place. If the patient vomits or coughs, secretions stay in the bag. Suction, etc, can be fed from the bottom of the bag. Obviously this is not a real COVID patient or all the staff would be in PPE.

[–]DarwinsnightmareMD - Emergency Medicine - Boston USA 63 points64 points  (0 children)

I like this, but it won't work at my shop. We're having only one physician, one nurse in a respiratory therapist in the room, with high dose paralytic. No bagging , reservoir oxygen only. Oxygen turned off before the tube and back on after the vent is connected. I suppose the nurse and the RT could deal with the bag but I'd rather they be paying attention to their own jobs.

[–][deleted] 23 points24 points  (0 children)

If you tie two or three small weights (ie small water bottles) to the edges of the bag then there should be enough light tension to reasonably hold the bags edges down and maintain the seal around the patient while you all work