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CapnoColumnist

Dr. Joelle Donofrio-Odmann discusses diseases of the upper and lower airways
Learn what the guidelines say about titration, selecting a sedation agent and monitoring sedation
Always keep the patient’s context in mind in any situation when you’re utilizing waveform capnography
EMS providers need to understand the importance of airway management and monitoring for respiratory compromise along with naloxone administration for opioid overdoses
Quantitative waveform capnography can help EMS providers recognize bronchospasm, spot ventilation derangements, and gauge the effectiveness of therapy
Asthma, a leading cause of respiratory compromise, can be assessed with capnography and effectively treated with BLS and ALS medications
Quantitative waveform capnography can be a reliable surrogate for lactate monitoring in detecting metabolic distress in sepsis patients
Use this information to engage your field providers about how capnography improves patient care and outcomes
The field training officer is responsible for ensuring new paramedics achieve competency with capnography use and interpretation
Apply waveform capnography to make informed clinical decisions before, during, and after cardiac arrest patient care
Understand how monitoring end-tidal carbon dioxide helps assess and treat a patient in respiratory distress
Understand how waveform capnography can be used to assess and treat ventilation, perfusion and metabolic emergencies in children
Cardiogenic oscillations (COS) of the capnography waveform match the patient’s heart rate and are caused by pulmonary artery pulsations
Waveform capnography provides real-time feedback that BLS providers can use to make treatment decisions and improve care
Students need to know that capnography is part of the standard of care and is one of the most important diagnostic tools at their disposal
Researchers theorize that an oscillating waveform may be caused by air movement from chest compression and recoil
Capnography has revolutionized prehospital patient care and assessment should be part of every EMS system
The greatest clinical invention of our time confirms and monitors airway placement
Understand the importance of monitoring end-tidal carbon dioxide and the valuable information it provides for patient assessment and treatment