Given the overwhelming evidence of improved outcomes, prehospital CPAP belongs in every EMS toolbox.
Acute respiratory distress is a serious emergency. Good patient outcomes require a skilled assessment of the airway, breathing and oxygenation.
This column will explain how you can use end tidal CO2 measurements to titrate and evaluate the effectiveness of CPAP.
Once you’ve decided to use CPAP, and convinced your patient to cooperate, you’ll need to monitor the effectiveness of CPAP. It may be necessary to adjust your CPAP pressure, resolve significant mask leaks, reassure your patient or progress to assisted ventilation when CPAP fails.
Mike McEvoy shares some tips on delivering medicine to a patient for using a small-volume nebulizer.