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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 />

INTRODUCTION<br />

Capnography is a noninvasive method for monitoring <strong>the</strong><br />

level of carbon dioxide in exhaled breath (EtCO 2 ), to<br />

assess a patient’s ventilatory status. A true capnogram<br />

produces an EtCO 2 value as well as a waveform, or<br />

capnogram. On Critical Care transports, capnograms are<br />

useful for monitoring ventilator status, warning of airway<br />

leaks and ventilator circuit disconnections. Capnography<br />

is also useful for ensuring proper endotracheal tube<br />

placement. Capnography also helps clinicians diagnose<br />

specific medical conditions, make treatment decisions,<br />

and assess efficacy of code efforts and predict outcome.<br />

Capnography offers numerous clinical uses, but technical<br />

limitations have prevented <strong>EMS</strong> personnel from<br />

embracing its use outside <strong>the</strong> operating room. Today,<br />

technological advances have made it possible for <strong>the</strong>se<br />

devices to be used in <strong>the</strong> demanding setting of <strong>the</strong><br />

prehospital environment.<br />

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