Reality Training: Patient is weak and dizzy
This patient's capnography waveform is normally shaped, but the ETCO2 level is well-below normal. The ECG has abnormalities associated with hyperkalemia. Interventions for this patient should focus on...
View ArticleReality Training: Patient is weak and dizzy
The incident: Patient is weak and dizzy What happened: You are called for a 60-year-old that is “weak and dizzy” and may have passed out. You and your partner find the patient seated on the porch of...
View Article10 steps to implement capnography in your EMS system
The following is paid content sponsored by Covidien By Chris Cebollero Capnography has revolutionized how paramedics diagnosis, treat and manage patients. If your organization has not already...
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EMS1 Poll Results: How do you use capnography?
Capnography is widely available to EMS providers for patient assessment and monitoring. We asked EMS1 readers to share their knowledge and use of capnography. These are the results of our capnography...
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Rogue capno waves: Resuscitation team notes unusual waveform during CPR
By Mike McEvoy A 52-year old man collapsed at a fitness center while running on a treadmill. Bystanders initiated CPR and delivered one shock with the facility AED. Your team has been providing ALS...
View ArticleCardiogenic 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.
View ArticleUse capnography for a patient in cardiac arrest
Jon Schonert, MD, discusses uses of capnography in cardiac arrest patient assessment and care.
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Teaching Capnography: Sequence instruction from pathophysiology to advanced...
By Chris Cebollero Since the introduction of the 12-Lead EKG to EMS in the late 90’s has there been a more important piece of equipment then capnography? Your cardiac monitor with capnography...
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5 medical conditions where capnography can affect BLS care
By Bob Sullivan Waveform capnography is an additional vital sign that can influence treatment and transport decisions. Capnography measures end-tidal CO2 (ETCO2), which is the amount of CO2 present in...
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Rogue capno waves: Abrupt onset of rapid expiratory oscillations
Your team intubated a 38-year-old woman who was found unresponsive following a poly-substance drug overdose. Intubation was performed without difficulty and no medications were necessary. Waveform...
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Capnography for kids: 5 applications for EMS providers to consider
By Bob Sullivan Assessing and caring for pediatric patients can be a challenge for EMS providers. Small children cannot verbalize what is bothering them, and the assessment depends heavily on a...
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5 things to know about capnography and 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,...
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5 things to know about capnography in cardiac arrest
By Bob Sullivan Waveform capnography provides continuous feedback on CPR quality, confirmation of airway placement, ventilation, and a return or loss of circulation. Here are five things you should...
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3 things to know about capnography and advanced airways
Placement of an advanced airway device in critically ill and injured patients is a high-risk procedure, and permanent disability or death is likely if the airway is misplaced and not recognized. Here...
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Capnography and the CQI process
By Chris Cebollero Capnography has become part of the standard of care for many of the patients we encounter. Capnography gives the EMS provider a rapid and reliable assessment of their patient’s...
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How your CQI program defines successful clinical practices
By Chris Cebollero Capnography has become part of the standard of care for many of the patients we encounter. Capnography gives the EMS provider a rapid and reliable assessment of their patient’s...
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5 FTO tips for teaching capnography
By Chris Cebollero Capnography is an essential tool for all paramedics. The Field Training Officer (FTO) plays a critical role in helping paramedics learn about capnography, meet basic competencies,...
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Capnography: What EMS chiefs and leaders need to know
By Chris Cebollero As EMS leaders, we put a team around us to handle areas of specialization from operations to communications and clinical care to education. Trusting that team to accomplish the...
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How capnography can be used to identify sepsis
By Kelly Grayson Sepsis is a worldwide public health issue. In developing nations, sepsis accounts for nearly 80 percent of deaths [1]. Here in the U.S., sepsis kills far more citizens than AIDS,...
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