Quiz: Respiratory compromise from opioid overdose
By Sean Hulsman As EMS battles the rising trend of opioid abuse and subsequent respiratory arrest, lives are being saved through competent control of airway and breathing. It is important that providers understand not only the mechanism and drawbacks of naloxone, but also the best way to monitor respiratory status. Waveform...
Quiz: Use of Capnography in the assessment of sepsis patients
By Sean Hulsman Sepsis carries a greater mortality rate than many diseases we consider common place like breast cancer and AIDS. Surprisingly, EMS has only recently begun to broaden training on diagnosis and treatment of patients suffering from sepsis in the field. The physiology of sepsis is very much within the realm of...
Prognostication of out-of-hospital cardiac arrest patients by 3-min end-tidal capnometry level in emergency department
Objective To evaluate the role of initial ETCO2 value in prognostication of OHCA patients in an Asian-Chinese cohort. Design Prospective cohort study. Setting Emergency departments of two regional hospitals in a cluster of Hong Kong. Patients: Patients were recruited prospectively from the local cardiac arrest registry from July...
End-tidal capnometry during emergency department procedural sedation and analgesia: a randomized, controlled study
BACKGROUND: This prospective, randomized trial was undertaken to evaluate the utility of adding end-tidal capnometry (ETC) to pulse oximetry (PO) in patients undergoing procedural sedation and analgesia (PSA) in the emergency department (ED). METHODS: The patients were randomized to monitoring with or without ETC in addition to...
Association between Prehospital CPR Quality and End-Tidal Carbon Dioxide Levels in Out-of-Hospital Cardiac Arrest
Introduction: International Guidelines recommend measurement of end-tidal carbon dioxide (EtCO2) to enhance cardiopulmonary resuscitation (CPR) quality and optimize blood flow during CPR. Numerous factors impact EtCO2 (e.g., ventilation, metabolism, cardiac output), yet few clinical studies have correlated CPR quality and EtCO2 during...
Cardiogenic Oscillations on VM-2500V capnograph pulse oximeter
An example of cardiogenic oscillations on a dog. This monitor and mainstream sensor are so quick the capnograph is actually counting and measuring each peak of the oscillations. https://youtu.be/5e2oM35RFOE
Capnography and Sepsis in the Prehospital Environment
Join us for an introduction to Sepsis and the role capnography plays in its recognition in the prehospital environment. Sepsis is a significant cause of death and may be more frequently seen by prehospital providers than previously thought. About the webinar: This webinar will review recognition of sepsis, prehospital interventions...
5 things to know about capnography and respiratory distress
Bob SullivanEMS1 ContributorUnderstand how monitoring end-tidal carbon dioxide helps assess and treat a patient in respiratory distress Respiratory distress is one of the most common patient complaints. Waveform capnography is a valuable tool to determine the cause and severity of respiratory distress, to guide treatment decisions, and...
