What Is a Breathing Barrier and Why Is It Used?

A breathing barrier is a specialized device used during cardiopulmonary resuscitation (CPR) or rescue breathing to establish a physical separation between a rescuer and the person needing assistance. This allows for the delivery of rescue breaths while safeguarding both individuals and creating a hygienic interface for ventilation.

Why They Are Essential

Breathing barriers play a significant role in protecting rescuers from potential exposure to infectious diseases during emergency ventilation. When administering rescue breaths, there is a possibility of contact with bodily fluids, such as saliva, blood, or vomit. This contact can facilitate the transmission of various pathogens, including those causing hepatitis, HIV, and respiratory infections. Barriers minimize the risk of respiratory droplets and aerosols reaching the rescuer, reducing cross-contamination. Using these barriers also provides a sense of security for rescuers, encouraging more individuals to provide immediate aid without hesitation in a critical situation.

Common Types and Their Features

The most common types of breathing barriers are face shields and pocket masks. Face shields are thin, transparent plastic sheets that are lightweight, disposable, and highly portable, often found attached to keychains. These shields feature a one-way valve or filter, allowing air to pass to the person while blocking contaminants from the rescuer.

Pocket masks, by contrast, are more durable and often reusable, designed to fit snugly over both the mouth and nose. They create a secure seal around the person’s face, ensuring that delivered breaths are directed efficiently into the airway. Like face shields, pocket masks incorporate a one-way valve to prevent fluid transfer back to the rescuer. Some models also include an oxygen inlet, which allows for the delivery of supplemental oxygen when available, enhancing rescue breath effectiveness.

When and How to Use Them

Breathing barriers are primarily used during rescue breathing, a component of cardiopulmonary resuscitation (CPR), or when a person is not breathing adequately on their own. The general application involves positioning the barrier correctly over the person’s mouth and nose. Once positioned, the rescuer must create a proper seal between the barrier and the person’s face to prevent air leakage during breaths. Breaths are then delivered through the one-way valve, with the rescuer observing the person’s chest to ensure it rises, indicating that air is entering the lungs. While these devices offer protection and facilitate ventilation, their proper use requires specific training, typically acquired through first aid and CPR certification courses.