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July 7, 2025 60 mins

In this episode of EMTprep Pulse Check, we explore the use of CPAP (Continuous Positive Airway Pressure) and BiPAP (Bilevel Positive Airway Pressure) in prehospital care. These non-invasive ventilation techniques can be lifesaving in patients experiencing respiratory distress from conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), or acute pulmonary edema.

The episode breaks down the indications, contraindications, and physiological effects of both CPAP and BiPAP. Listeners will learn how these tools help improve oxygenation and reduce the work of breathing, as well as how to assess patients for appropriateness and monitor for complications during use. Practical insights help bridge the gap between textbook guidelines and field application, giving EMTs and AEMTs the confidence to deploy these tools when seconds count.

What You’ll Learn:
  • The differences between CPAP and BiPAP and how each works

  • When and how to apply CPAP in the prehospital setting

  • Clinical indicators for respiratory support with positive airway pressure

  • Patient assessment, monitoring, and safety considerations

Key Takeaways:
  • Non-invasive positive pressure ventilation is a powerful early intervention that can prevent intubation

  • Proper selection, application, and monitoring are key to effective CPAP/BiPAP use

  • EMTs and AEMTs must recognize when respiratory distress requires escalated airway support

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