Emergency departments and resuscitation rooms use the Blackstone BVM resuscitator to breathe for patients in cardiac or respiratory arrest, and for those whose own breathing has become too weak. The adult size goes on the crash trolley with the child size beside it, so a team reaching for the bag also reaches the right mask. With an oxygen line running to the reservoir, each breath carries oxygen-enriched gas from the first squeeze, and the bag keeps refilling between breaths while the mask stays sealed.
Ambulance crews carry it in their kit bags, where it works without power and draws oxygen from a portable cylinder when one is connected. It also travels with patients moved between departments, so breaths continue by hand on the way. Paediatric emergency departments, children's wards and delivery suites keep the child and infant sizes, since a smaller bag limits the breath a full squeeze can give.
Operating theatres, recovery areas, endoscopy suites, dental surgeries and clinics keep it in their emergency kits for the rare moment it is needed, which suits a resuscitator with nothing to charge between uses.
Good ventilation depends on the person holding it. A seal over the nose and mouth keeps each breath going into the lungs, and two rescuers share the work when one cannot hold the seal alone. Squeezes that are too large or too fast can push air into the stomach, so give each breath steadily until the chest rises.
Patients who need ventilation for hours or days, and patients who breathe well enough and only need extra oxygen, call for a ventilator or an oxygen mask.



