If BVM is not effective perform the following:
Reposition Airway
Check correct mask size
Place OPA
Check for gastric distention
Monitor and transport
Place endotracheal tube or supraglottic airway
Assess:
ETCO2 Reading
Misting in tube
Equal breath sounds
Direct visualization of the cords if ETT used.
Monitor and transport
Check airway device
Tube dislodged?
Tube obstructed?
Pneumothorax?
Equipment<unk> ?
Contact online medical control for further instructions
EMS
Michael HoltzDaniel OstermayerRoss Donaldson
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Prehospital protocol pediatric respiratory failure
Prehospital protocol pediatric airway obstruction
Prehospital protocol pediatric anaphylaxis
Prehospital protocol croup
Prehospital protocol breathing difficulty
Prehospital protocol breathing difficulty 
Prehospital protocol pediatric airway management
Prehospital protocol pediatric seizure