ETCO2 MONITORING NON-INTUBATED PATIENTS
|
|
|
- Brianna Russell
- 5 years ago
- Views:
Transcription
1 Although the standard of care in ETC02 is well established for intubated patients, there has been little emphasis on the use of capnography in nonintubated patients till now. In addition to confirming the placement of the endotracheal tube and monitoring the tube position during transport, capnography can provide qualitative and quantitative assessments of cardiac output, gauge the effectiveness of cardiopulmonary resuscitation during cardiac arrest, determine prognosis in cases of cardiopulmonary resuscitation and trauma, titrate end-tidal carbon dioxide (EtCO2) levels in patients with suspected increases in intracranial pressure, assess response to treatment in patients in acute respiratory distress, determine the adequacy of ventilation in patients with altered mental status (including drug-induced alterations in consciousness during non-operating-room anesthesia), assess the ventilatory status of actively seizing patients, and detect metabolic acidosis in patients with diabetes and gastroenteritis. The purpose of this protocol is to display the benefits of using capnography in nonintubated patients in emergency medicine, and to discuss recent advances in its application as a diagnostic monitoring modality. Page 1 of 6
2 Indications: Rapid assessment of airway, breathing, and circulation in critically ill or injured patients. Assessment of ventilatory status of actively seizing patients. Assessment and triage of victims of chemical terrorism. Page 2 of 6
3 Assessing response to treatment for patients in acute respiratory distress. Determining adequacy of ventilation in patients with altered mental status. Assessment of patients after application of any type of restraint to prevent positional asphyxiation. *** ANY time Physical Restraints are used (regardless of the type of restraint), the patient s status MUST be continuously monitored via Pulse Oximetry, Cardiac Monitoring, AND Nasal Capnography to avoid positional asphyxia. *** A Lifepak monitor strip displaying ETCO2 waveform must be printed out for the record. Procedure 1. A self test may take up to one minute to assure the display is on the screen. 2. Connect the airway adapter of the sampling sensor to the cannula and then to the LifePak Normal exhalation moisture will not affect the sampling. However, if bronchial secretions or vomit surrounds the sampling device, erroneous readings will occur. 4. The CO2 module will not recognize a breath where the ETCO2 value is less than 8 mm Hg. However the waveform remains valid and can be used to determine the ETCO2 measurement and the presence, if any, or respiration. 5. Attach the nasal cannula ETCO2 prongs to the patient. 6. A strip should be printed out for the record. ETCO2 normal values: 35 to 45 mm/hg Page 3 of 6
4 Special Information and Complications When CO2 is not detected, three factors must be quickly evaluated for possible causes: 1. Loss of ventilation Loss of Airway Function Improper tube placement Apnea 2. Loss of circulatory function Massive PE Cardiac Arrest 3. Exsanguination 4. Equipment Malfunction Page 4 of 6
5 Waveform examples: ETCO2 MONITORING The following are examples of ETCO2 waveforms that should be used to establish a baseline and to track the patient over time. Normal: Square and boxlike Hypoventilation: Can be due to sedation/analgesia, drug or alcohol intoxication, postictal states, headtrauma, CVA, CHF Page 5 of 6
6 Hyperventilation: Anxiety, panic attack, respiratory distress (well compensated) Bronchospasm: Diagnose the presence of bronchospasm, assess the severity of asthma and COPD and gauge the response to treatment Page 6 of 6
Capnography (ILS/ALS)
Capnography (ILS/ALS) Clinical Indications: 1. Capnography shall be used as soon as possible in conjunction with any airway management adjunct, including endotracheal, Blind Insertion Airway Devices (BIAD)
June 2011 Bill Streett-Training Section Chief
Capnography 102 June 2011 Bill Streett-Training Section Chief Terminology Capnography: the measurement and numerical display of end-tidal CO2 concentration, at the patient s airway, during a respiratory
Julie Zimmerman, MSN, RN, CCRN Clinical Nurse Specialist
Julie Zimmerman, MSN, RN, CCRN Clinical Nurse Specialist Objectives Define capnography vs. end tidal CO2 (EtCO 2 ) Identify what normal vs. abnormal EtCO2 values mean and what to do Understand when to
EMS System for Metropolitan Oklahoma City and Tulsa 2017 Medical Control Board Treatment Protocols
S O EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC 3H WAVEFORM CAPNOGRAPHY ADULT & PEDIATRIC Indications: 1. Medical General Assessment/General Supportive Care. 2. Trauma General Assessment/Trauma & Hypovolemic
Capnography for Pediatric Procedural Sedation Learning Module Last revised: February 18, 2014
Capnography for Pediatric Procedural Sedation Learning Module Last revised: February 18, 2014 Capnography 40 Non-invasive device that continually monitors EtCO 2 While pulse oximetry measures oxygen saturation,
3/30/12. Luke J. Gasowski BS, BSRT, NREMT-P, FP-C, CCP-C, RRT-NPS
Luke J. Gasowski BS, BSRT, NREMT-P, FP-C, CCP-C, RRT-NPS 1) Define and describe ETCO 2 2) Explain methods of measuring ETCO 2 3) Describe various clinical applications of ETCO 2 4) Describe the relationship
Capnography 101. James A Temple BA, NRP, CCP
Capnography 101 James A Temple BA, NRP, CCP Expected Outcomes 1. Gain a working knowledge of the physiology and science behind End-Tidal CO2. 2.Relate End-Tidal CO2 to ventilation, perfusion, and metabolism.
CAPNOGRAPHY. 1.1 To set forth the policy and procedure for performing continuous end-tidal waveform capnography.
OFFICE OF MEDICAL AFFAIRS DIRECTIVE 2009-02 CAPNOGRAPHY 1. PURPOSE 1.1 To set forth the policy and procedure for performing continuous end-tidal waveform capnography. 2. SCOPE 2.1 This procedure applies
ASPIRUS WAUSAU HOSPITAL, INC. Passion for excellence. Compassion for people. SUBJECT: END TIDAL CARBON DIOXIDE MONITORING (CAPNOGRAPHY)
Passion for excellence. Compassion for people. P&P REF : NEW 7-2011 ONBASE POLICY ID: 13363 REPLACES: POLICY STATUS : FINAL DOCUMENT TYPE: Policy EFFECTIVE DATE: 4/15/2014 PROPOSED BY: Respiratory Therapy
Capnography Connections Guide
Capnography Connections Guide Patient Monitoring Contents I Section 1: Capnography Introduction...1 I Section 2: Capnography & PCA...3 I Section 3: Capnography & Critical Care...7 I Section 4: Capnography
current practices: education series CAPNOGRAPHY IN RESUSCITATION: PEAKS, VALLEYS, AND TRENDS DO THEY SIGNAL THE END?
current practices: education series CAPNOGRAPHY IN RESUSCITATION: PEAKS, VALLEYS, AND TRENDS DO THEY SIGNAL THE END? Introduction Ninety-six minutes and 12 shocks. Those are the stats from a record-setting
How it Works. CO 2 is the smoke from the flames of metabolism 10/21/18. -Ray Fowler, MD. Metabolism creates ETC0 2 for excretion
CO 2 is the smoke from the flames of metabolism -Ray Fowler, MD How it Works Metabolism creates ETC0 2 for excretion ETC02 and Oxygen are exchanged at the alveolar level in the lungs with each breath.
Capnography: The Most Vital Sign
Capnography: The Most Vital Sign Mike McEvoy, PhD, NRP, RN, CCRN Cardiac Surgical ICU RN & Chair Resuscitation Committee Albany Medical Center EMS Coordinator Saratoga County, NY www.mikemcevoy.com CO
Capnography: Not just for confirmation
Capnography: Not just for confirmation Pennsylvania DOH ALS Protocol 2032-ALS Ernest Yeh, M.D. Division of EMS Department of Emergency Medicine Temple University Hospital and School of Medicine Medical
IFT1 Interfacility Transfer of STEMI Patients. IFT2 Interfacility Transfer of Intubated Patients. IFT3 Interfacility Transfer of Stroke Patients
IFT1 Interfacility Transfer of STEMI Patients IFT2 Interfacility Transfer of Intubated Patients IFT3 Interfacility Transfer of Stroke Patients Interfacility Transfer Guidelines IFT 1 TRANSFER INTERFACILITY
Don t let your patients turn blue! Isn t it about time you used etco 2?
Don t let your patients turn blue! Isn t it about time you used etco 2? American Association of Critical Care Nurses National Teaching Institute Expo Ed 2013 Susan Thibeault MS, CRNA, APRN, CCRN, EMT-P
Nihon Kohden America. Capnography Monitoring with the CapONE CO2 Sensor For use with the BSM 2300/4100/5100 and the BSM 6000 Series Bedside Monitors
Nihon Kohden America Capnography Monitoring with the CapONE CO2 Sensor For use with the BSM 2300/4100/5100 and the BSM 6000 Series Bedside Monitors Self Study Training Packet August 2011 Table of Contents
They aren t the same thing. Daniel Dunham
They aren t the same thing Daniel Dunham Capnometry Displays the value (as a number) of the partial pressure of CO2 Capnography Waveform capnography shows (as a wave) the change in CO2 over time Both are
Capnography- A Review and Renewed Perspective of its Uses and Limitations
Capnography- A Review and Renewed Perspective of its Uses and Limitations Prepared and Presented by: Christine Hardie and Dr. Matt Davis December 2014 Learning Objectives Upon completion of this webinar
Interesting Capnography Cases
Interesting Capnography Cases Mike McEvoy, PhD, NRP, RN, CCRN Cardiac Surgical ICU RN & Chair Resuscitation Committee Albany Medical Center EMS Coordinator Saratoga County, NY www.mikemcevoy.com Outline
OWN THE AIRWAY. Airway Management Bruce Barry, RN, CEN, CPEN, TCRN, NRP. Paramedic Program
OWN THE AIRWAY Airway Management Bruce Barry, RN, CEN, CPEN, TCRN, NRP The largest detriment to airway management has nothing to do with the patient, but everything to do with you as a provider. PRACTICE..PRACTICE.PRACTICE.
Capnography: The Most Vital of Vital Signs. Tom Ahrens, PhD, RN, FAAN Research Scientist, Barnes-Jewish Hospital, St. Louis, MO May, 2017
Capnography: The Most Vital of Vital Signs Tom Ahrens, PhD, RN, FAAN Research Scientist, Barnes-Jewish Hospital, St. Louis, MO May, 2017 Assessing Ventilation and Blood Flow with Capnography Capnography
Capnography. Capnography. Oxygenation. Pulmonary Physiology 4/15/2018. non invasive monitor for ventilation. Edward C. Adlesic, DMD.
Capnography Edward C. Adlesic, DMD University of Pittsburgh School of Dental Medicine 2018 North Carolina Program Capnography non invasive monitor for ventilation measures end tidal CO2 early detection
Safe Use of Opioids in Hospitals: Addressing The Joint Commission Sentinel Event Alert
Safe Use of Opioids in Hospitals: Addressing The Joint Commission Sentinel Event Alert Physician-Patient Alliance for Health & Safety (PPAHS) www.ppahs.org Panelists Michael Wong, JD - Physician-Patient
By Mark Bachand, RRT-NPS, RPFT. I have no actual or potential conflict of interest in relation to this presentation.
By Mark Bachand, RRT-NPS, RPFT I have no actual or potential conflict of interest in relation to this presentation. Objectives Review state protocols regarding CPAP use. Touch on the different modes that
Capnography Could Make You a Rock Star!
Capnography Could Make You a Rock Star! Mike McEvoy, PhD, RN, CCRN, NRP Staff RN CTICU and Resuscitation Committee Chair Albany Medical Center, New York EMS Coordinator Saratoga County, New York EMS Editor
NOTE: CONTENT CONTAINED IN THIS DOCUMENT IS TAKEN FROM ROSEN S EMERGENCY MEDICINE 9th Ed.
Chapter 5 Monitoring the Emergency Patient NOTE: CONTENT CONTAINED IN THIS DOCUMENT IS TAKEN FROM ROSEN S EMERGENCY MEDICINE 9th Ed. Italicized text is quoted directly from Rosen s. Key Concepts: 1. Monitoring
Identification of patients at risk for Opioid-Induced Respiratory Depression
Identification of patients at risk for Opioid-Induced Respiratory Depression 2015 Objectives: Discuss the significance of Opioid Induced Respiratory depression (OIRD) Review the patient characteristics/risk
Respiratory Rate. Disclosure: Research grants and honoraria from Masimo Corp
Respiratory Rate Acoustic Monitoring Michael Ramsay MD Chairman, Department of Anesthesia Baylor University Medical Center President, Baylor Research Institute Professor, Texas A&M Health Science Center
Guidelines Administrative Practice X Clinical Practice Professional Practice
Guidelines Administrative Practice X Clinical Practice Professional Practice End Tidal CO 2 (EtCO2) Monitoring Using the Zoll Monitor/Defibrillator Page 1 of 4 Scope: Outcome: Respiratory Therapists (RT),
Airway Management Essentials Self-Study Guide
Airway Management Essentials Self-Study Guide Fourth Quarter 2010 Self-Study Guide Learning Objectives Cognitive Domain 1. Describe the various conditions that cause concern during treatment in the field
Waitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider
Waitin In The Wings Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider 1 CombiTube Kit General Description The CombiTube is A double-lumen tube with
Appendix D An unresponsive patient with shallow, gasping breaths at a rate of six per minute requires:
Answer Key Appendix D-2 1. An unresponsive patient with shallow, gasping breaths at a rate of six per minute requires: a. oxygen given via nasal cannula b. immediate transport to a medical facility c.
Advanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
CAPNOGRAPHY DR JOHN ROOS
CAPNOGRAPHY DR JOHN ROOS Abraham Lincoln If you want me to speak for an hour give me a moment s notice if you want me to speak for five minutes give me a week. Missed oesophageal intubation Many studies
INTUBATION/RSI. PURPOSE: A. To facilitate secure, definitive control of the airway by endotracheal intubation in an expeditious and safe manner
Manual: LifeLine Patient Care Protocols Section: Adult/Pediatrics Protocol #: AP1-009 Approval Date: 03/01/2018 Effective Date: 03/05/2018 Revision Due Date: 12/01/2018 INTUBATION/RSI PURPOSE: A. To facilitate
NIV - BI-LEVEL POSITIVE AIRWAY PRESSURE (BIPAP)
Introduction NIV - BI-LEVEL POSITIVE AIRWAY PRESSURE (BIPAP) Noninvasive ventilation (NIV) is a method of delivering oxygen by positive pressure mask that allows for the prevention or postponement of invasive
County of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy #700-M12: Continuous Positive Airway Pressure CONTINUOUS POSITIVE AIRWAY PRESSURE Effective: February 8, 2013TBD Replaces: NewFebruary 8,
Capnography: Creating a Culture of Safety! An Interview With Peggy Lange, RT!
Capnography: Creating a Culture of Safety An Interview With Peggy Lange, RT Pat Iyer Hi, this is a podcast from the Physician-Patient Alliance for Health & Safety. The podcast that we're presenting today
Northwest Community EMS System Continuing Education Class Credit Questions Respiratory Assessment January 2012
Name (PRINT): Date submitted: Affiliation: Rating: [ ] Complete [ ] Incomplete Reminder: You must schedule to take the class post-test with your assigned hospital EMS Coordinator/educator or their designee
HOSPITAL PROCEDURE Collaborative Practice Committee
Title: Capnography (ETC0 2 ) Monitoring Code: CPC-2012AUG-1.C.35 HOSPITAL PROCEDURE Collaborative Practice Committee Title of Responsible Party: Director of Medical-Surgical Services Origination Date:
Anesthesia Monitoring. D. J. McMahon rev cewood
Anesthesia Monitoring D. J. McMahon 150114 rev cewood 2018-01-19 Key Points Anesthesia Monitoring: - Understand the difference between guidelines & standards - ASA monitoring Standard I states that an
Non-Invasive Assessment of Respiratory Function. Chapter 11
Non-Invasive Assessment of Respiratory Function Chapter 11 Pulse Oximetry Laboratory measurements of ABG s are the gold standard for measuring levels of hypoxemia, however since these are performed intermittently
1. When a patient fails to ventilate or oxygenate adequately, the problem is caused by pathophysiological factors such as hyperventilation.
Chapter 1: Principles of Mechanical Ventilation TRUE/FALSE 1. When a patient fails to ventilate or oxygenate adequately, the problem is caused by pathophysiological factors such as hyperventilation. F
The Role of Capnography in EMS. By Bob Page, AAS, NREMT-P, CCEMT-P, I/C
The Role of Capnography in EMS By Bob Page, AAS, NREMT-P, CCEMT-P, I/C Riding the Waves The Role of Capnography in EMS By Bob Page, AAS, NREMT-P, CCEMT-P, I/C Table of Contents Page(s) Introduction and
Health Tech Symposium Fall, Dan Sommers P.E. EMT-P
Health Tech Symposium Fall, 2009 Dan Sommers P.E. EMT-P Human Physiological Signals Simple Explanations for Complicated Systems Ref: Atlas of Human Anatomy, 4 th Edition Simple Schematic RA LA RV LV PCR
Pediatric Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on
NON INVASIVE LIFE SAVERS. Non Invasive Ventilation (NIV)
Table 1. NIV: Mechanisms Of Action Decreases work of breathing Increases functional residual capacity Recruits collapsed alveoli Improves respiratory gas exchange Reverses hypoventilation Maintains upper
End Tidal CO2 Not All Its Cracked Up To Be The Limitations of PETCO2 In Sedation Analgesia
End Tidal CO2 Not All Its Cracked Up To Be The Limitations of PETCO2 In Sedation Analgesia Tidal Volume Noninvasive monitoring of ventilation and exhaled carbon dioxide of a patient End Tidal CO2 Produces
Pediatric Shock. Hypovolemia. Sepsis. Most common cause of pediatric shock Small blood volumes (80cc/kg)
Critical Concepts: Shock Inadequate peripheral perfusion where oxygen delivery does not meet metabolic demand Adult vs Pediatric Shock - Same causes/different frequencies Pediatric Shock Hypovolemia Most
STATE OF OKLAHOMA 2014 EMERGENCY MEDICAL SERVICES PROTOCOLS
3K NON-INVASIVE POSITIVE PRESSURE VENTILATION (NIPPV) ADULT EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC Indications: 1. Dyspnea Uncertain Etiology Adult. 2. Dyspnea Asthma Adult. 3. Dyspnea Chronic
Correlation Between Partial Pressure of Arterial Carbon Dioxide and End Tidal Carbon Dioxide in Patients with Severe Alcohol Withdrawal
ORIGINAL RESEARCH The Ochsner Journal 15:418 422, 2015 Ó Academic Division of Ochsner Clinic Foundation Correlation Between Partial Pressure of Arterial Carbon Dioxide and End Tidal Carbon Dioxide in Patients
Foundation in Critical Care Nursing. Airway / Respiratory / Workbook
Foundation in Critical Care Nursing Airway / Respiratory / Workbook Airway Anatomy: Please label the following: Tongue Larynx Epiglottis Pharynx Trachea Vertebrae Oesophagus Where is the ET (endotracheal)
Appendix E Choose the sign or symptom that best indicates severe respiratory distress.
Appendix E-2 1. In Kansas EMT-B may monitor pulse oximetry: a. after they complete the EMT-B course b. when the service purchases the state approved pulse oximeters c. when the service director receives
Table 1: The major changes in AHA / AAP neonatal resuscitation guidelines2010 compared to previous recommendations in 2005
Table 1: The major changes in AHA / AAP neonatal guidelines2010 compared to previous recommendations in 2005 Resuscitation step Recommendations (2005) Recommendations (2010) Comments/LOE 1) Assessment
Other methods for maintaining the airway (not definitive airway as still unprotected):
Page 56 Where anaesthetic skills and drugs are available, endotracheal intubation is the preferred method of securing a definitive airway. This technique comprises: rapid sequence induction of anaesthesia
Biphasic Capnogram in a Single Lung Transplant Recipient A Case Report
TITLE PAGE Biphasic Capnogram in a Single Lung Transplant Recipient A Case Report Authors: Hardeep S. Rai, MD, Cleveland Clinic, Respiratory Institute, Cleveland, OH 44195 Justin Boehm, RRT, Cleveland
ADVANCED PATIENT MONITORING DURING ANAESTHESIA: PART TWO
Vet Times The website for the veterinary profession https://www.vettimes.co.uk ADVANCED PATIENT MONITORING DURING ANAESTHESIA: PART TWO Author : CARL BRADBROOK Categories : Vets Date : October 14, 2013
EMS System Key Performance Indicator Data Quality Rules Clinical Group/ Key Performance Indicators (KPIs)
EMS System Key Performance Indicator Data Quality Rules 1. Critical Trauma Patient Management 1.1 Percent of Step 1 and Step 2 trauma patients with an EMS scene time of less than 10 minutes. (arrival-to-departure
Emergency Department Guideline. Procedural Sedation and Analgesia Policy for the Registered Nurse
Emergency Department Guideline Purpose: To ensure safe, consistent patient monitoring and documentation standards when procedure related sedation and analgesia is indicated. Definitions: Minimal Sedation
What is the next best step?
Noninvasive Ventilation William Janssen, M.D. Assistant Professor of Medicine National Jewish Health University of Colorado Denver Health Sciences Center What is the next best step? 65 year old female
Incorporating Waveform Capnography into Resuscitation Practice: Why & How!
Incorporating Waveform Capnography into Resuscitation Practice: Why & How! NTI 2014 CLASS CODE: 150 NICOLE KUPCHIK RN, MN, CCRN, CCNS INDEPENDENT CLINICAL NURSE SPECIALIST STAFF NURSE, SWEDISH MEDICAL
MASTER SYLLABUS
MASTER SYLLABUS 2018-2019 A. Academic Division: Health Science B. Discipline: Respiratory Care C. Course Number and Title: RESP 2490 Practicum IV D. Course Coordinator: Tricia Winters, BBA, RRT, RCP Assistant
Interfacility Protocol Protocol Title:
Interfacility Protocol Protocol Title: Mechanical Ventilator Monitoring & Management Original Adoption Date: 05/2009 Past Protocol Updates 05/2009, 12/2013 Date of Most Recent Update: March 23, 2015 Medical
The Future of EMS as Revealed through Research. A Window into the Near Future
The Future of EMS as Revealed through Research A Window into the Near Future Raymond L. Fowler, M.D., FACEP Co-Principal Investigator National Institutes of Health Resuscitation Outcomes Consortium --------------------
Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole
Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence
This interdisciplinary clinical support document provides guidelines for the safe establishment of an artificial airway.
PURPOSE This interdisciplinary clinical support document provides guidelines for the safe establishment of an artificial airway. POLICY STATEMENTS Endotracheal intubation will be performed by the Most
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac
ADVANCED AIRWAY MANAGEMENT
The Advanced Airway Management protocol should be used on all patients requiring advanced airway management procedures. This protocol is divided into three sections the Crash Airway Algorithm, the Rapid
Obstructive Sleep Apnea and the use of Capnometry
Obstructive Sleep Apnea and the use of Capnometry 1230-1330 Obstructive Sleep Apnea and Use of End Tidal CO₂ in the PACU Objectives: Define Obstructive Sleep Apnea (OSA) Define End Tidal CO₂. Describe
MANUAL MEDICAL DIRECTOR RESPIRATORY BOB MILLER, BS, RRT, RCP RESPIRATORY SERVICES DIRECTOR APPROVED BY
HOSPITAL RESPIRATORY SERVICES RESPIRATORY SERVICES TITLE: NON-INVASIVE CAPNOGRAPHY MONITORING POLICY # PAGES 1 OF 10 MANUAL RESPIRATORY SERVICES ATTACHMENTS: RESPIRATORY COMPROMISE RISK LEVELS RESPIRATORY
Therapist Written RRT Examination Detailed Content Outline
I. PATIENT DATA EVALUATION AND RECOMMENDATIONS 4 7 17 28 A. Review Data in the Patient Record 1 4 0 5 1. Patient history e.g., present illness admission notes respiratory care orders medication history
yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management
yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management Overview: Managing a patient s airway may be necessitated due to upper or lower airway obstruction, inadequate
Nassau Regional Emergency Medical Services. Advanced Life Support Pediatric Protocol Manual
Nassau Regional Emergency Medical Services Advanced Life Support Pediatric Protocol Manual 2014 PEDIATRIC ADVANCED LIFE SUPPORT PROTOCOLS TABLE OF CONTENTS Approved Effective Newborn Resuscitation P 1
Routine Patient Care Guidelines - Adult
Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures
OXYGEN USE IN PHYSICAL THERAPY PRACTICE. Rebecca H. Crouch, PT,DPT,MS,CCS,FAACVPR
OXYGEN USE IN PHYSICAL THERAPY PRACTICE Rebecca H. Crouch, PT,DPT,MS,CCS,FAACVPR Supplemental Oxygen Advantages British Medical Research Council Clinical Trial Improved survival using oxygen 15 hrs/day
POLICIES AND PROCEDURES
POLICIES AND PROCEDURES POLICY: 554.00 TITLE: EFFECTIVE: 02/13/2019 REVIEW: 02/2024 SUPERCEDES: APPROVAL SIGNATURES ON FILE IN EMS OFFICE PAGE: 1 of 11 GENERAL PROTOCOLS I. AUTHORITY Health and Safety
LVADs, Supraglottic Airways and CPAP
LVADs, Supraglottic Airways and CPAP David M. Landsberg, MD, FF/EMT-P, FACP, FCCP Chief of Medicine Crouse Hospital Associate Professor of Medicine and Emergency Medicine Upstate 38MD-1, 83MD-1, 98MD-4
Post Resuscitation (ROSC) Care
Standard Operating Procedure 2.10 Post Resuscitation (ROSC) Care Position Responsible: Medical Director Approved: Clinical Governance Committee Related Documents: This document is the intellectual property
Handling Common Problems & Pitfalls During. Oxygen desaturation in patients receiving mechanical ventilation ACUTE SEVERE RESPIRATORY FAILURE
Handling Common Problems & Pitfalls During ACUTE SEVERE RESPIRATORY FAILURE Pravit Jetanachai, MD QSNICH Oxygen desaturation in patients receiving mechanical ventilation Causes of oxygen desaturation 1.
BiLevel Pressure Device
PROCEDURE - Page 1 of 7 Purpose Scope Classes/ Goals Define indications and care settings for acute and chronic initiation of Noninvasive Positive Pressure Ventilation. Identify the role of Respiratory
Airway Management Adult
Airway Management Adult Goals: Provide effective oxygenation and ventilation; recognize and alleviate respiratory distress or failure; provide necessary interventions quickly and safely to patients who
Resuscitation Patient Management Tool May 2015 MET Event
OPTIONAL: Local Event ID: Date/Time MET was activated: Time Not Documented MET 2.1 Pre-Event Pre-Event Tab Was patient discharged from an Intensive Care Unit (ICU) at any point during this admission and
End-tidal carbon dioxide is associated with mortality and lactate in patients with suspected sepsis
American Journal of Emergency Medicine (2013) 31, 64 71 www.elsevier.com/locate/ajem Original Contribution End-tidal carbon dioxide is associated with mortality and lactate in patients with suspected sepsis
ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010
ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010 Jim Tibballs Officer, RCH Convenor, Paediatric Sub-Committee, (ARC) ARC Paediatric Representative International Liaison Committee on (ILCOR)
EMS System Key Performance Indicators / Clinical Measures Updated: Jan. 18, 2017 Clinical Group/ Key Performance Indicators (KPIs)
EMS System Key Indicators / Clinical Measures Updated: Jan. 18, 2017 Key Indicators (KPIs) 1. Critical Trauma Patient Management 1.1 Percent of Step 1 and Step 2 trauma patients with an EMS scene time
3. D Objective: Chapter 4, Objective 4 Page: 79 Rationale: A carbon dioxide level below 35 mmhg indicates hyperventilation.
1. A Objective: Chapter 1, Objective 3 Page: 14 Rationale: The sudden increase in acceleration produces posterior displacement of the occupants and possible hyperextension of the cervical spine if the
Capnography for Monitoring End-Tidal CO 2 in Hospital and Pre-hospital Settings: A Health Technology Assessment
CADTH HEALTH TECHNOLOGY ASSESSMENT Capnography for Monitoring End-Tidal CO 2 in Hospital and Pre-hospital Settings: A Health Technology Assessment Product Line: Health Technology Assessment Issue Number:
Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
Association for Radiologic & Imaging Nursing
Overview: Radiology and Imaging Nurses provide procedural sedation to a variety of patients. The administration of procedural sedation in the interventional radiology and diagnostic imaging suites presents
April 2009 Site Code #107200E-1209 The Patient with Dyspnea
April 2009 Site Code #107200E-1209 The Patient with Dyspnea Prepared by: Bill Hoover, Medical Officer, Wauconda Fire Department Review/revisions by: Sharon Hopkins, RN, BSN, EMT-P To view on the website
COMMISSION ON ACCREDITATION FOR RESPIRATORY CARE TMC DETAILED CONTENT OUTLINE COMPARISON
A. Evaluate Data in the Patient Record I. PATIENT DATA EVALUATION AND RECOMMENDATIONS 1. Patient history e.g., admission data orders medications progress notes DNR status / advance directives social history
US National Standards & Guidelines Capnography for Emergency Care
US National Standards & Guidelines 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 7.1: Adjuncts for Airway Control and Ventilation Even
Pedi-Cap CO 2 detector
Pedi-Cap CO 2 detector Presentation redeveloped for this program by Rosemarie Boland from an original presentation by Johnston, Adams & Stewart, (2006) Background Clinical methods of endotracheal tube
Challenging Cases in Pediatric Polysomnography. Fauziya Hassan, MBBS, MS Assistant Professor Pediatric Pulmonary and Sleep
Challenging Cases in Pediatric Polysomnography Fauziya Hassan, MBBS, MS Assistant Professor Pediatric Pulmonary and Sleep Conflict of Interest None pertaining to this topic Will be using some slides from
ITLS Pediatric Provider Course Basic Pre-Test
ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child
1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.
1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:
NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ]
![NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ]](/thumbs/76/73199826.jpg "NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ]")
s@lm@n NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ] https://certkill.com NBRC RPFT : Practice Test Question No : 1 Using a peak
Addendum D. Procedural Sedation Test MERCY MEDICAL CENTER- SIOUX CITY. Procedural Sedation Questions
Addendum D. Procedural Sedation Test MERCY MEDICAL CENTER- SIOUX CITY Procedural Sedation Questions Individuals applying for moderate sedation privileges must achieve a score of 80%. PRACTITIONER NAME
Oxygen Therapy. 7. Partial Initiation of therapy
Oxygen Therapy 1. Nasal Initiation of therapy Cannula 2. Alteration of therapy 3. Change of equipment 4. Simple Mask Initiation of therapy 5. Alteration of therapy 6. Change of equipment 7. Partial Initiation