Things you shouldn't say to the ER doctor when you bring in a patient
Posted 15 December 2012 - 03:09 PM
Paramedic "I'm not sure if the tube is in right."
60s y/o male who coded in front of family. FD first responders did CPR for a minute and got a pulse back. Upon EMS arrival, pt was still unconscious and they were able to drop a tube. 15 minutes out from the hospital the pt goes into arrest again. Asystole upon arrival at the ER. We hear a whooshing sound when we are bagging. At this point the paramedic makes the above comment. Take a look and the balloon is sitting in the back of the throat. Pt pronounced shortly after arrival.
Take home point: If you are not sure the tube is good, make it good or get it out. NEVER have a questionable tube.
Posted 15 December 2012 - 03:14 PM
Posted 15 December 2012 - 03:32 PM
Posted 15 December 2012 - 05:06 PM
- Watch the tube pass through the cords
- Look at the measurement on the tube and compare it to the teeth, not the lips.
- Watch for chest rise and fall
- Watch for fogging in the tube during exhalation
- Listen to the lungs
- etCO2 Capnography
Posted 15 December 2012 - 05:34 PM
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