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When using a hand grip, what do I do if the seal at the lips is leaking?
If leaking from the nose, confirm proper placement of the shields notched upper edge, compressed up into the nostrils. Then, using the Velcro fastener, slightly increase tension on the upper strap. If the leak continues, apply the provided nose clip.
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Are there different IOM sizes?
No, the IOM will accommodate all adults down to about age seven comfortably. The OPA comes in both Large and Medium. The Large should accommodate most adults. A smaller pediatric/newborn size IOM and OPA will be developed.
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Do I need to use the OPA with every patient?
No, the OPA is necessary if the patientís airway cannot be maintained with head extension and chin lift. Jaw thrust can be tried as well but will often require a second provider. The OPA is inserted first, and then followed by insertion of the IOM as described above.
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What do I do if my hand grip is slipping?
If the patients face is slippery due to emesis/oil/blood, use the finger/fingers under the jaw line to help anchor the grip, and apply a small amount of additional downward pressure over the lips and nose. FAQs
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Can I use other OPAs?
No, the intraoral placement of the IOM precludes proper placement of other OPAs. An IOM compatible NuMask OPA is supplied with each kit, except the basic one-way-valve CPR kit.
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How is the OPA inserted?
The OPA is inserted in one of the two standard methods. A tongue blade may be used or the OPA is inserted in an inverted manner and then rotated 180 degrees. As with all OPAs make sure the tongue is not pushed back, potentially causing an obstruction.
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Will the OPA fall back into the throat?
For single rescuer CPR, the side of victim position is ideal because there is no need to reposition between compressions and rescue breaths. The IOM should be left in place during compressions to further speed transition between compressions and rescue breaths.
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What are the ideal 2-rescuer positions when using the CPR IOM?
For 2-rescuer CPR, the side of victim position is ideal for both rescuers (on opposite sides of victim) because there is no need to reposition when changing compressor role. The IOM should be left in place throughout CPR to further speed the transitions.
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Can I use the IOM and OPA in patients with no teeth or dentures?
Yes, the IOM can still be used just as effectively as in patients with teeth. The seal may be enhanced by pulling back gently on the IOM while applying the grip.
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Can the IOM and OPA be used in those with dentures?
Yes, it is best to leave them in place if they are securely affixed, and the IOM and OPA can be inserted as usual. If dentures are loose, they should be removed first.
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What do I do with those patients who have little or no alveolar ridge?
If there is no significant alveolar ridge, the OPA should not be used as there may be an increased risk of it sliding out of position. The IOM, however, can still be used. Pull back gently on the IOM while applying the grip to enhance the seal.
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Do I ventilate the patient the same way I did before NuMask was invented?
Yes, but due to the increased seal, there is no need to try and overcome leaks inherent in the older mask styles. This is a very important issue. Attention to smooth rhythmic ventilation is important to provide the optimal results. Rapid harsh ventilations can
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Can the IOM be used in patients with latex allergies?
Yes, the NuMask product line does not contain latex.
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Are the IOM and OPA reusable?
No, the IOM and OPA are one-time use disposable devices. They need to be properly disposed of after use or after being opened. The materials are NOT designed to tolerate an autoclave or chemical sterilization.
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