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the biggest source of failure in paramedicine comes from the fact that our patients do not look like our mannequins nearly 50 of a male population have facial hair whilst our monarchies are still like this thats really matter yes because you cannot ventilate a beaded patient like the one who is shaved so in this video I will show you the most effective techniques for proper management of the beaded Airway my name is Alex Hepner and this is group call oh is the idea of mechanical ventilation was born in 17th century the first proper medical Publications regarding Airway Management in beaded patients can be found in 2005. for the last 18 years we know that the facial hair is an independent predictor of impossible BVM ventilation and we still teach our clinicians to ventilate shaved mannequins sending them to fail in field are we doomed yes no there are things you can do the first one is ventilation through nose with use of a newborn mask suggested by Dr Rao and his team The Mask extends