Training medical students in bag-valve-mask technique as an alternative to mechanical ventilation in a disaster surge setting.
OBJECTIVE
The objective of this study was to evaluate the rapid training of medical students and their ability to provide effective manual ventilation using the bag-valve-mask technique.


METHODS
A rapid training session highlighting essential aspects of the correct bag-valve-mask technique was given to 31 medical students. This was followed by a simulated experience with a certified respiratory therapist, monitored according to a checklist of essential bag-valve-mask (BVM) competency requirements. Pre-test and post-test surveys assessed the medical students' knowledge and ability to provide adequate BVM technique.


RESULTS
Thirty-one students participated. Pre-survey results demonstrated a clear identification of the potential risk for a disaster (pandemic, natural, bioterrorist) with 55% of students responding that a definite risk did exist. Their usefulness in such an event also was ascertained with 55% of students replying they would assist with basic medical tasks, assist doctors, or assist with cardiopulmonary resuscitation. Post-survey results administered after a 30-minute didactic session on the basic features of resuscitation equipment and the essential components of BVM technique demonstrated that a majority of students knew the proper head positioning maneuvers in cases not involving trauma (93%) and in cases involving trauma (72%). All students completed and passed the competency checklist.


CONCLUSIONS
Medical students can be rapidly trained and be utilized as a potential resource to carry out the potentially lifesaving task of manual ventilation using the BVM technique in a disaster situation in which the availability of mechanical ventilators and respiratory therapists may be limited.
Lin
Janet Y
JY
Department of Emergency Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. jlin7@uic.edu
Bhalla
Naina
N
King
Reneé A
RA
D002983:Clinical Competence; D003625:Data Collection; D004189:Disaster Planning; D004501:Education, Medical; D004521:Educational Measurement; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D008397:Masks; D040841:Resource Allocation; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods; D013337:Students, Medical; D014947:Wounds and Injuries