the 46-second Demonstration & Training Video
Component - Read Training Curriculum, first 12 Questions/Answers
(second 12 are elective)
Component - Read
Deployment Session - Perform
HERE to fill out Affirmation Form, after completing
steps 1 through 4
may contact us for related questions & for after-use debriefing
Training Curriculum documents are printable, as needed, in sections
is first aid oxygen so important during a medical emergency?
oxygen levels (not enough oxygen to tissues and organs) usually accompany
life-threatening medical emergencies. If this progresses, the brain
will begin to die first, with other organs following. Additionally,
low oxygen levels to the heart may lead to cardiac arrest. This is
by far the most common cause of cardiac arrest in children (e.g.
should receive first aid oxygen?
of a suspected serious to life-threatening illness or injury – without
exception. Examples include; difficulty breathing, altered consciousness,
chest pain, major trauma, etc. etc.
EMS provides oxygen for almost everything serious they respond to!
should first aid oxygen be started?
should be started IMMEDIATELY AFTER a clear & open AIRWAY is
established. However, if there is a delay retrieving the oxygen unit
and CPR is required, conventional mouth-to-mouth (or mouth-to-barrier)
rescue breathing should be performed until the oxygen unit is available.
(see Q/A 11 for chest compression-only CPR)
providing oxygen substitute for rescue breathing?
the non-breathing victim, application of oxygen without rescue breathing
will not benefit the victim (exception: see Q/A 11, chest compression-only
CPR). It must be coupled to the rescue breathing via a CPR mask.
oxygen still indicated after the arrest victim revives from CPR?/AED?
should be continued until the EMS arrives. Maintaining oxygen on
the revived victim may prevent relapse into cardio-respiratory arrest.
oxygen still be provided after the victim who is breathing improves
should be continued until the EMS arrives. Maintaining oxygen on
the apparently improved or recovered victim may prevent lapse into
emergency first aid oxygen substitute for the Heimlich maneuver?
No. The airway must be cleared of the obstructing food or object.
Oxygen alone will not help the victim. Once the obstruction is cleared
(or partially cleared) (A=AIRWAY), oxygen should be applied until
the victim “recovers” or EMS arrives.
I am not sure whether the victim is breathing, should I perform rescue
breathing or should I put the oxygen mask on the victim and wait & see
is unclear whether the victim is breathing, start rescue breathing
(preferably enriched with emergency oxygen). By responding in this
manner, you will not harm the person if they are breathing. Do not
just put the oxygen mask on and “wait & see”. If
they are not breathing or breathing is inadequate, they may deteriorate
to full arrest without rescue breathing.
the victim appears to have difficulty breathing, should I apply emergency
first aid oxygen?
the victim has labored breathing, applying emergency oxygen is one
of the most important responses you can make to potentially prevent
the victim can’t tolerate the oxygen mask on their face, what
should I do?
mask just adjacent to the face. Most of the oxygen will still get
into the victim’s mouth & nose.
chest compression-only CPR can oxygen help?
oxygen to the face of the victim may increase the oxygen concentration
of the victim’s recoil inhalations between compressions & any
agonal (gasp) inhalations that occur. However, do not delay chest
compressions (or rescue breaths if also providing) if the oxygen
unit is not immediately available. Employ it when brought by another
person to the scene.
I am not sure whether to give first aid oxygen, what should I do?
It is far better to over-use it than to under-use it & miss an
opportunity. Remember, it is not harmful & may save a life &/or
CLICK HERE TO PRINT
ALL 24 Q/As - ACADEMIC COMPONENT
Q/A’s (if time allows) 13-24
is emergency first aid oxygen employed?
victim who is breathing, emergency oxygen via a mask increases the
oxygen concentration of the inhaled air. For the victim who requires
rescue breathing, emergency oxygen fed into a CPR mask enriches the
oxygen concentration of the breath being blown into the victim by
the rescuer. In either case, the amount of oxygen available to the
victim is greatly increased.
first aid oxygen ever be harmful during a medical emergency?
provided at the flow-rate and endurance of a Lif-O-Gen unit is NEVER
harmful during a medical emergency. It increases the likelihood of
a better outcome for the victim. The potential harmful effects of
oxygen occur at higher flow rates or after prolonged use (more than
5 hours). Pulse oximetry is not necessary to administer Lif-O-Gen.
The medical literature & publications now state that oxygen DOES
NOT suppress respiratory drive (in COPD), and is important to almost
all victims of sudden life-threatening illness or injury.
emergency oxygen require a doctor’s prescription?
is a drug when given in concentrations beyond what is in ambient
air (20.8%) & when used for medical treatment. The Food & Drug
Administration (FDA), the regulating government agency for medical
oxygen, requires a prescription, but has EXEMPTED this requirement
for emergency applications IF the user has had training in its use.
Since September 1996 the FDA requires all medical oxygen sold in
the U.S. to bear the following statement on the label: “For
emergency use only when administered by properly trained personnel
for oxygen deficiency & resuscitation. For all other medical
applications, Rx Only”. In order to be considered an over-the-counter
(OTC) device, i.e. “non-prescription” device, the oxygen
delivery system must be capable of providing a minimum flow rate
of 6 liters per minute for a minimum of 15 minutes. This OTC status
refers to the empty unit only, i.e. the device, & not the oxygen.
With regard to a unit filled with oxygen, the supplier of a filled
unit or an oxygen refiller may ask the recipient for evidence of
training within the past 24 months per compliance with the exemption,
can provide emergency first aid oxygen?
properly trained in its use (as stated in the above FDA labeling
requirement). FDA, OSHA, & other concerned agencies do not define
what constitutes proper training. FDA has advised that providers
should be familiar with the manufacturer’s directions & instructional
materials & be trained on the specific device to be used.
are the legal requirements for maintaining a first aid oxygen unit?
regulations (under the DOT) regarding refillable oxygen cylinders
require hydrostatic pressure testing (or equivalent) of the cylinder
every five (5) years, but only if & when the cylinder is refilled.
This is accomplished by the refilling agency. For the owner/user
there is no requirement or reason to pull a unit from service for
this unless there has been an incident of cylinder abuse. Additionally,
periodic (5 yr) confirmation of the regulator flow parameters is
recommended & can be done at the time of a forthcoming fill.
Again, there is no requirement to remove the unit from service for
oxygen dangerous? Can’t it catch fire and explode?
does not “catch fire” or explode. It supports and accelerates
existing combustion. In the Lif-O-Gen Automated unit it is contained
and compressed in a high pressure cylinder with safety features built-in.
It is perfectly safe when properly handled & used for life saving.
much oxygen should I have on-hand?
minimum is 15 minutes but a good rule of thumb is to determine what
the average EMS response time to your facility is, and have enough
to last twice as long as the response time. In most circumstances
a 30 to 45 minute supply is sufficient.
OSHA have any specific regulations regarding first aid oxygen units?
must be stored and handled in compliance with all compressed gases.
There are no special instructions or record keeping required by OSHA.
The FDA however, has recommended compliance with an observation & function
checklist for each unit to help ensure dependability.
about the OSHA Bloodborne Pathogen policy (CFR Title 29. part 1910.1030)?
it is not specifically a part of the standard, it is important to
follow the standard should your unit or its components (i.e., CPR
mask, tubing) become contaminated with blood or other potentially
infectious materials, & dispose of and replace as required.
Lif-O-Gen is it necessary to remove the (flowing) oxygen mask from
the victim’s face prior to an AED shock?
the mask flowing on the victim’s face, oxygen concentration
in the surrounding area is down to ambient (20.8%) at 3 inches distance
from the mask. There is no excess oxygen in the area of AED electrodes
to increase fire risk.
you get a shock by touching the Lif-O-Gen unit or tubing with mask
on Victim’s face during an AED shock?
testing, the mask & tubing are not conductive at the energy outputs
of any AED.
first aid oxygen administration covered under the Good Samaritan
laws? Other liability coverage?
the Good Samaritan law applies, it is covered as a component of first
aid. Additionally, the manufacturer Allied Healthcare Products provides
INDEMNITY for the facility that provides & the responders that
administer Lif-O-Gen Automated First Aid Oxygen.
Demonstration & Student
Lif-O-Gen Automated First Aid Oxygen Trainer-Demo unit
(Alternatively, may use existing mounted unit at facility.)
unit is automated, meaning just pulling the unit out of its cradle
turns on the oxygen flow & deploys the tubing & mask, ready
to use. No adjustments, no assembly.
out components of unit; (lift mask compartment door) showing mask/tubing,
then red/ green flow indicator showing red, & time-remaining
gauge showing actual reading in minutes remaining.
the unit. Point out flow indicator now green & note oxygen hiss.
Point out one-way valve on mask. Point out strap. Stop flow with
portable pin, then remove to restart.
if rescue breathing not to be provided, may remove the one-way valve.
If infant or small child, rotate mask half circle to fit over nose
and mouth. If mask aversion, hold just adjacent to mouth. If rescue
breathing to be provided, use mask as taught in CPR training.
unit back in cradle ready for students.
on mask cleaning or disposal/replacement.
instructor holding back handles firmly student pulls unit out of
cradle & notes flow indicator in green.
stores unit back in cradle.
reads time-remaining gauge.
Documentation of Attendance
CLICK HERE TO PRINT
in USA by:
Healthcare Products Inc. — St
Louis, MO ~
Allied manufactures critical care respiratory support equipment, eg: