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B) Present situation: Last year, MFR responded to more than 82,000 calls for assistance. Of these, 592
required ventilation with the usage of a BVM and 388 required intubated ventilation (usage of a BVM and an
intubation tube, of which 292 were cardiac arrest patients). All of our ALS units are currently equipped with
BVMs to perform mechanical ventilation on patients that need this procedure. MFR currently does not have
in place any device that can adequately and consistently provide the correct pressure and tidal volume
necessary for adequate ventilation.
C) Proposed solution: MFR wants to equip all of its ALS vehicles with Emergency Transport Ventilators
(ETVs), and to train each Paramedic in its use and importance. In controlled trials ETVs have been shown
to deliver efficient ventilation treatment that provides the correct pressure and tidal volume necessary for
adequate ventilation. In addition ETVs will allow our EMS personnel to concentrate on other critical
elements of resuscitation.
D) Consequences if not funded: The lack of this enhanced technology could have significant
consequences to the residents and visitors of the City. MFR will continue to utilize its current practice of
solely using BVMs to ventilate our patients, which will result in improper ventilation, a continued low saved
rate (of which most of these never leave the hospital alive), and limit our EMS personnel from concentrating
on other critical elements of resuscitation.
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