{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T07:13:07Z","timestamp":1695625987171},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:00Z","timestamp":1484092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Resuscitation Council - Victorian Branch"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2017,2]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>Lifesavers in Australia are taught to use pocket mask (PM<\/jats:styled-content>) rescue breathing and bag valve mask (BVM<\/jats:styled-content>) ventilation, despite evidence that first responders might struggle with these devices. Novices have successfully used the Laryngeal Mask Airway (LMA<\/jats:styled-content>) Supreme and iGel<\/jats:styled-content> devices previously, but there has been no previous comparison of the ability to train lifesavers to use the supraglottic airways compared to standard techniques for cardiac arrest ventilation.<\/jats:p><\/jats:sec>Methods<\/jats:title>The study is a prospective educational intervention whereby 113 lifesavers were trained to use the LMA<\/jats:styled-content> and iGel<\/jats:styled-content> supraglottic airways. Comparisons were made to standard devices on plastic manikins. Successful ventilation was defined as achieving visible chest rise.<\/jats:p><\/jats:sec>Results<\/jats:title>The median time to first effective ventilation was similar between the PM<\/jats:styled-content> (16\u2009s, 95% confidence interval 16\u201317\u2009s), BVM<\/jats:styled-content> (17\u2009s, 16\u201317\u2009s) and iGel<\/jats:styled-content> devices (18\u2009s, 16\u201320\u2009s), but longer for the LMA<\/jats:styled-content> (36\u2009s, 33\u201338\u2009s). The iGel<\/jats:styled-content> frequently failed to achieve ventilation (10%) compared with the PM<\/jats:styled-content> (1%, P<\/jats:italic>\u2009<\u20090.01) and LMA<\/jats:styled-content> (3%, P<\/jats:italic>\u2009<\u20090.01) but was not worse than the BVM<\/jats:styled-content> (3%, P<\/jats:italic>\u2009<\u20090.57). Hands\u2010off time was similar between the BVM<\/jats:styled-content>, LMA<\/jats:styled-content> and iGel<\/jats:styled-content> (10\u2009s for each device), but worse for the PM<\/jats:styled-content> (13\u2009s, P<\/jats:italic>\u2009=\u20090.001).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Lifesavers using the PM<\/jats:styled-content> and BVM<\/jats:styled-content> perform ventilation for cardiopulmonary resuscitation<\/jats:styled-content> well. There appears to be a limited role for supraglottic airway devices because of limitations in terms of time to first effective ventilation and reliability. Clinical validation of manikin data with live resuscitation performance is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12719","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T07:59:48Z","timestamp":1484207988000},"page":"63-68","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Competence in the use of supraglottic airways by Australian surf lifesavers for cardiac arrest ventilation in a manikin"],"prefix":"10.1111","volume":"29","author":[{"given":"Lachlan","family":"Holbery\u2010Morgan","sequence":"first","affiliation":[{"name":"Life Saving Victoria, Melbourne, Victoria Australia"},{"name":"Ambulance Victoria Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara","family":"Angel","sequence":"additional","affiliation":[{"name":"Ambulance Victoria Melbourne, Victoria, Australia"},{"name":"School of Medicine Deakin 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