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Riding the Waves Handout R6 - Grand County EMS

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<strong>Riding</strong> <strong>the</strong> <strong>Waves</strong>…The Role of Capnography in <strong>EMS</strong><br />

THE PHYSIOLOGY OF PERFUSION<br />

Rule # 2 of Life<br />

Blood must go<br />

round and round.<br />

Fick principle: Oxygen Transport<br />

In order from adequate cellular perfusion to occur, <strong>the</strong><br />

following must be present:<br />

• Adequate number of Red Blood Cells (RBC’s)<br />

♦ Hemoglobin on <strong>the</strong> RBC’s carry <strong>the</strong> oxygen molecules<br />

• Adequate O 2<br />

♦ Patient must have adequate O 2 coming in. See Rule<br />

of Life #1<br />

• RBC’s must be able to offload and take on O 2<br />

♦ Some conditions such as carbon monoxide poisoning<br />

and cyanide poisoning affect <strong>the</strong> RBC’s ability to<br />

bind and release O 2 molecules.<br />

• Adequate blood pressure to push cells<br />

12

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