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Note:
To Instructor: Q/A section is student handout. Discussion of Q/As is elective, time allowing. Q/A handout should be distributed prior to Student Practical Training so that students can review it while waiting their turn.

Expected training time is 5-7 minutes per student in groups of 6 or more. No maximum to group. Can train approximately 120 students on one full unit. Trainer unit version recommended for ease of instruction.

1.) Instructor should give a brief, generalized discussion about the importance and benefits of providing supplemental oxygen to the breathing victim of a serious or life-threatening medical emergency and to the non-breathing victim (as coupled to the rescue breathing) in respiratory or cardio-respiratory arrest. Emphasis should be on providing it as soon as possible—if not sure of victim’s status, provide it until EMS can evaluate. It may prevent an arrest.

2.) Emphasize integration and synergy of TXO2® AUTOMATED First Aid Oxygen unit with the AED. Point out the benefits of oxygen enriched rescue breathing (CPR) while the defibrillator is being retrieved and set up, and the value of maintaining the oxygen flow to the victim after a successful defibrillation. The oxygen must remain on the victim (may hold mask adjacent to mouth/nose if victim won’t tolerate mask on face) until EMS replaces it with their own.

Demonstration and Deployment

Instruction should begin by stating that TXO2® is an automated first aid oxygen unit, meaning that the unit turns on automatically and the mask and mask-line deploy automatically, simply by pulling the cylinder out of its cradle.

1.) Point out the time-remaining gauge – 40-45 min. endurance when full-color coded green, yellow, and red arcs.

2.) Point out flow indicator when in "red" unit is off.

3.) Show mask and tubing in mask compartment by lifting door of trainer.

4.) Pull cylinder out of cradle and show oxygen is now flowing by pointing out that the flow indicator is now in the "green" and an oxygen "hiss" is heard at mask.

5.) Demonstrate use of portable pin to turn off unit. State this is to save remaining oxygen AFTER use-not to save oxygen while on the way to the victim. Restore mask/tubing back into mask compartment, and close door.

6.) Comment: respect 2650 psi pressure in cylinder.

7.) Remove one-way valve from mask, and then put back on. Comment this may be removed in the case of the breathing victim to reduce resistance of breathing through the mask.

8.) Demonstrate removal or tubing from regulator to facilitate mask cleaning. Use twisting, pulling motion on connector to remove. Replace.

9.) Put cylinder back in cradle (base first) and push regulator on pin to re-set and stop flow. Restore mask and tubing back into mask compartment. Point out that the flow indicator is now red. Push door closed (Velcro).

Student Practical Training

Have each student:

1.) Pull the cylinder/mask out of the instructor held trainer unit.

2.) Observe flow indicator in green.

3.) Push in the portable pin and observe flow indicator in red.

4.) Pull out portable pin and restore cylinder back into cradle onto pin-observe flow indicator is red.

5.) Replace mask / tubing back into mask compartment, and then close door.

6.) Check and state how much O2 is left from time remaining gauge.

1.) Point out the mask/tubing is re-usable, don't throw it out. Remove one-way valve, then wash the mask thoroughly with soap and warm water or use a common disinfectant solution. Dry mask and replace one-way valve on mask before restoring. If the unit was used for rescue breathing, the one-way valve must be discarded and replaced with a new one.

2.) Point out the unit is legal to use for the next emergency if at least 15 minutes of O2 remain, but that it may be prudent to have more, depending on expected EMS response time. Get unit refilled anywhere medical oxygen is serviced ($20 - $35. currently) or send back to GT&S for mail-order servicing. (See Refill Services)

Maintenance/Inspection

Legal Requirement (FDA): Replacement parts, such as mask and tubing components must be as original. This is also a warranty requirement.

Non-Legal Requirement: Inspection, follow monthly and semiannual checks as per included Inspection Wall Chart. May coordinate with AED inspection when co-exist.

Static: At least once a month check time remaining is satisfactory, flow indicator is red, mask and tubing intact and solid connections and properly stored, unit clean and securely attached to wall or cabinet.

Ops: At lest every 6 months pull the cylinder out to check flow, Red to Green on the flow indicator.

Q/As

Give copy of the 21 Q/As to each student to review while waiting for Practical.