Remove all foreign objects from mouth and throat.
Clear twisted airways or correct the position to clear the airways.
Place the bag and mask tightly on the patient's mouth, making sure at the same time that the neck and head are open enough for the airways to remain free. It is very important to practice the correct fitting of the mask on the mouth before using the bag.
The frequency for adults is approximately 12-15/minute and children 18- 20/minute. Press the bag with one hand and abruptly let go to let the expired air come out via the patient valve, listen for the air expiring at the valve and watch movement of the chest.
Clear twisted airways or correct the position of head. Watch for spontaneous breathing. If this does not occur the patients airways or bag air valve may be blocked. Take immediate action by administering mouth to mouth resuscitation or clear the airways or obstruction. If the patient vomits, clear the airways by removing the vomit. Before re-using the respiration bag, squeeze bag several times. Cleaning of the valve by dismantling is not necessary during use.
Safety Procedure: The resuscitator and the mask must be cleaned and disinfected after each use. All parts can be sterilized in a steam sterilizer.
Important: After dismantling and cleaning, the resuscitator must be reassembled and tested to make sure that it works correctly.
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