Answer: The most current OBHG Considerations for Paramedics Managing Patients During the COVID-19 Pandemic recommendations (here) state to withhold manual ventilation in any spontaneously breathing patient unless severe hypoxia (SpO2 < 85%) is not improving with other therapies. So, if they are unconscious and still breathing, then utilize other therapies first (ex – high concentration oxygen via Flo2Max, HiOx, Tavish Non-Rebreather etc.) and if unsuccessful in adequate oxygenation AND the patient’s SpO2 is less than 85% despite these treatments, proceed with manual ventilation with oral airway.