According to a position paper published by the Journal of Emergency Medical Services (JEMS), there’s been much emphasis on the need for EMS to carefully titrate oxygen administration using pulse oximetry to avoid worse outcomes attributed to hyperoxia.

“Since EMS personnel are often called upon by members of the community for safety recommendations, it’s important they know the difference between their ‘EMS/fire/police unit oxygen’ and ‘public/first aid oxygen’ usage,” writes Pete Goldman, MD, a consultant to Allied Healthcare Products.

According to Goldman, “It’s unlikely that FDA-approved stock first aid oxygen units, with flow rates of 6-7 LPM, produce hyperoxia, as defined, and are probably safe to use without pulse oximetry.”