For BLS, I would say it depends on the device used.
Many prehospital CPAP devices are very simplistic with a 15 L/m flow, entrainment ports and a resistive valve. Some are better than others. If CPAP is from a mechanical device like a ventilator, then it definitely should be ALS.
As long as you have a grasp for the relationship between BP and CPAP, can clear an airway, by suctioning or however, and know when to move to plan B, EMT-Bs can probably do CPAP if they have the proper medical oversight.
Here is a good link:
http://www.johnmohler.com/documents/NLTFPD 2007/EMSCPAPLecture.pdf
The machine pictured in one of the slides is a Respironics Vision and is capable of 240 L/M of flow. There is no comparison between it and what is offered prehospital. Even on the LTV 1200 ventilator, I am only getting around 40 - 60 L/m with its internal PEEP/CPAP capabilities.
Many prehospital CPAP devices are very simplistic with a 15 L/m flow, entrainment ports and a resistive valve. Some are better than others. If CPAP is from a mechanical device like a ventilator, then it definitely should be ALS.
As long as you have a grasp for the relationship between BP and CPAP, can clear an airway, by suctioning or however, and know when to move to plan B, EMT-Bs can probably do CPAP if they have the proper medical oversight.
Here is a good link:
http://www.johnmohler.com/documents/NLTFPD 2007/EMSCPAPLecture.pdf
The machine pictured in one of the slides is a Respironics Vision and is capable of 240 L/M of flow. There is no comparison between it and what is offered prehospital. Even on the LTV 1200 ventilator, I am only getting around 40 - 60 L/m with its internal PEEP/CPAP capabilities.
