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EMR
EMT
AEMT
Paramedic
Extended
Capnography
Clinical Indications:
All endotracheal or supraglottic airways, and any patient who is sedated.
Steps
Performed?
Yes No
1.
Attach capnography sensor to endotracheal tube or nasal cannula device.
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2.
Note CO2 level and waveform changes. These will be documented on reach respiratory
failure, sedated, or cardiac arrest patient.
Perfusing patients should have an ETCO2 of 35-45 mmHg
Maintain head injury patient’s ETCO2 above 20 mmHg
Maintain cardiac arrest patient’s ETCO2 above 10 mmHg
If fluid enters any type of CO2 detector, remove and replace.
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3.
The capnometer shall remain in place with the airway and be monitored throughout the
prehospital care and transport.
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4.
Any loss of CO2 detection or waveform indicates an airway problem and should be
documented.
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5.
The capnogram should be monitored as procedures are performed to verify or correct
the airway problem.
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6.
Document the procedure and results on the Patient Care Report (PCR)
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7.
If using colorimetric capnography, ensure color change from Purple to Yellow, and
document accordingly.
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Capnography