Date Published

April 21, 2020

Updated For

ALS PCS Version ALS PCS Version 5.2

Question:

In a previous response to a question, it was mentioned that the SGA is an effective way to create a closed system and reduce risk of aerosolization when ventilating. Would it then be reasonable to go directly to the SGA in the setting of VSAs, to further protect all those involved in the resuscitation from possible aerosolization with an OPA/BVM?

Answer:

Per the latest recommendations (here) during the pandemic, consideration for SGA as the preferred method of advanced airway, in conjunction with your arrest management is recommended.  Depending on resources, priorities remain chest compressions, early analysis and defibrillation as indicated.  If resources allow (ex fire on scene providing BVM), BVM with a tight seal can be utilized until the SGA can be prepared and inserted as soon as feasible.

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