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Capnography

Clinical Indications:

    Capnography shall be used when available with the use of all invasive airway procedures including but not limited to endotracheal, nasotracheal, cricothyrotomy, or Blind Insertion Airway Devices (BIAD). Capnography shall be used on all patients in significant respiratory distress and all patients undergoing procedural sedation.

Procedure:

    1. Attach capnography sensor to the BIAD, endotracheal tube, or oxygen delivery device.

    2. Note CO2 level and waveform changes. These will be documented on each respiratory failure, cardiac arrest, or respiratory distress patient.

    3. The capnometer shall remain in place with the airway and be monitored throughout the prehospital care and transport.

    4. Any loss of CO2 detection or waveform indicates an airway problem or device malfuntion and should be documented.

    5. The capnogram should be monitored as procedures are performed to verify or correct the airway problem.

    6. Document the procedure and results on/with the Patient Care Report (PCR).

Competency Based Skill Requirements:

    Maintain knowledge of the indications, contraindications, technique, and possible complications of the procedure.

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