1. CAREvent ALS In-Service
Rotterdam Emergency Medical Services
Douglas Hexel, AEMT-P, NYS CLI

2. Reasoning
• REMS has obtained the CAREvent ALS portable
ventilators from RPD.
• The CAREvent ALS provides trained individuals with a
safe and effective means of providing artificial
ventilation during respiratory and/or cardiac arrest.
• They will be maintained separately in a box for the
purpose of rapidly locating and implementing.
• Whether you have used these vents before at RPD or
are new to them, this will serve as both a refresher and
initial training.

3. Agenda
• New Box
• Contents
• CAREvent Orientation
• CAREvent Use Procedure
• Safety Guidelines
• CAREvent Cleaning
• CAREvent Storage

4. New Box

5. Contents
• (1) CAREvent ALS portable ventilator
• (1) Oxygen Hose
• (1) Disposable Ventilator Circuit

6. Contents
• CAREvent ALS: is a portable resuscitator only, not
to be used in place of a transport ventilator.
Designed for use with cardiac and respiratory
arrest from the scene to the emergency room.
• Oxygen Hose: 6ft. Metal Hose to connect directly
from the CAREvent to an oxygen supply source
• Ventilator Circuit: Allows the CAREvent to be
secured during use and reduces strain on the ET
tube.

7. CAREvent ALS
• Lightweight, portable, and extremely
durable.
• Pneumatically powered, time/volume
cycled ventilatory resuscitator with
the added feature of a Manually
Actuated, Automatic Ventilation
Override Button.
• In addition the CAREvent ALS allows
the breathing patient to “Demand
Breathe” on 100% oxygen while their
inspiratory efforts causes the
automatic cycling to cease.
– Should they stop breathing, the
ventilator will automatically restart
cycling in the setting selected.

8. CAREvent ALS
Rate/Volume
Selector Slide
Manual
Activation
Button
To Patient Connection
(Vent circuit connection)
Rate/Volume
Display Window
To Oxygen Source
Connection

9. CAREvent ALS
• The CAREvent ALS allows users to select from
one of six (6) rate/volume settings that are
compatible with almost all adult and pediatric
patients.

10. CAREvent ALS
The addition of a 3ft. Ventilator circuit eliminates the need for
the vent to be connected directly to an ET tube, reducing stress
on the tube.

11. CAREvent Procedures
1. Verify oxygen cylinder is full, in
the on position, and capable of
flowing oxygen.

12. CAREvent Procedures
2. Connect CAREvent to portable or
ambulance oxygen supply via quick
connect fitting.

13. CAREvent Procedures
3. With selector slide in “OFF” position, test for presence and
flow of oxygen.

14. CAREvent Procedures
4. Move selector slide to desired rate/volume setting.

15. CAREvent Procedures
5. Attach ventilator tubing to CAREvent and to patient.

16. CAREvent Procedures
6. Ensure adequate ventilation with ventilator in use. Titrate
ventilator settings via the selector slide if required.
7. Secure the CAREvent in a position where the ventilator circuit
and oxygen supply hose are not impeded.

17. Safety Guidelines
• ALWAYS HAVE AN ALTERNATE MEANS TO VENTILATE A PATIENT (BVM)
• DO NOT LEAVE THE PATIENT UNATTENDED.
• WHEN NOT IN USE, ALWAYS TURN OFF THE CYLINDER.
• NEVER ALLOW OIL OR GREASE TO COME INTO CONTACT WITH ANY PART
OF THE CYLINDER, REGULATOR OR RESUSCITATOR.
• DO NOT DISASSEMBLE ANY PART OF THE RESUSCITATOR EXCEPT WHERE
DESCRIBED IN THIS TRAINING FOR THE PURPOSE OF CLEANING, AS ANY
UNAUTHORIZED DISASSEMBLY WILL INVALIDATE THE WARRANTY.
• AFTER USE, ALWAYS ENSURE THAT ALL COMPONENTS ARE CLEANED IN
ACCORDANCE WITH THE INSTRUCTIONS PROVIDED IN THIS TRAINING.
• ENSURE THAT ALL COMPONENTS ARE REASSEMBLED CORRECTLY AND
THAT ALL ITEMS ARE REPLACED IN THE CARRYING CASE.
• AFTER USE, ALWAYS ENSURE THAT OXYGEN CYLINDERS ARE FILLED AND
RETURNED TO THEIR STORAGE POSITIONS.
• WHEN CONNECTED TO A FULL “D” TANK, VENTILATOR WILL OPERATE FOR
MINIMUM OF 30 MINUTES. WE WILL BE USING JUMBO “D” OR “M”
(AMBULANCE) TANKS

18. CAREvent Cleaning

19. CAREvent Cleaning
1. Operate the CAREvent to blow out any contamination
from the patient valve.
2. Disconnect from the oxygen source.
3. Remove patient valve swivel-housing.
4. Shake out any foreign material.
5. Gently wash the patient valve swivel-housing.
6. Gently wipe the CAREvent with disinfecting wipe and dry
thoroughly.
7. Reassemble CAREvent.
8. Reconnect to oxygen source to test function.
9. Return to storage box and place in service on ambulance.

20. CAREvent Storage
• After use, the CAREvent will be returned to
the orange box with all components and
sealed.
• The seal number will be recorded on the daily
ALS check sheet.

21. Remember…
• The addition of the 3ft ventilator circuit increases
the mechanical deadspace, therefore you are
delivering less tidal volume to the lungs than the
ventilator is set at.
• The CAREvent is pneumatic, therefore it must
ALWAYS be connected to an adequate oxygen
supply to provide ventilations.
• Should ventilation quality decrease, disconnect
the ventilator and use a BVM. Troubleshoot the
problem later, when a patient is not at risk.

22. Conclusion
The presentation provides an in-service for
those unfamiliar with the CAREvent or a
refresher for those familiar with it.
The CAREvent is another mechanical device that
can go wrong. When in doubt, ventilate
manually.

23. Questions/Comments
Questions? Comments? Concerns?
Please direct them to me at dhexel@gmail.com