A Systematic Approach to Capnography Waveforms

A Systematic Approach to Capnography Waveforms

Capnography was first proposed for use in the operating room in 1978 and has since become the standard of care for monitoring ventilation.1 Capnography is rapidly growing in use for intubated and non-intubated applications across hospital environments including the ICU, resuscitation, procedural sedation, and postoperative monitoring of patients receiving opioid analgesia. 1,2 When used appropriately, [...]
Report: Boom in Overdose-Reversing Drug Tied to Fewer Drug Deaths

Report: Boom in Overdose-Reversing Drug Tied to Fewer Drug Deaths

This July 3, 2018 file photo shows a Narcan nasal device which delivers naloxone in the Brooklyn borough of New York. On Tuesday, Aug. 6, 2019, health officials reported that prescriptions of the overdose-reversing drug naloxone are soaring, and experts say that could be a reason overdose deaths have stopped rising for the first time [...]
When CPAP Is Not Working

When CPAP Is Not Working

Assessing and Treating Deteriorating Respiratory Failure Patients Effectiveness of CPAP monitored with nasal capnography. Photo by Joe Hopple. Noninvasive positive pressure ventilation such as CPAP (continuous positive airway pressure) has become a standard of care for the prehospital respiratory distress patients. It helps prevent patients from intubation1, which is thought to improve patient outcomes. However, [...]

Prehospital cricothyrotomies in a helicopter emergency medical service: analysis of 19,382 dispatches

Creating a patent airway by cricothyrotomy is the ultimate maneuver to allow oxygenation (and ventilation) of the patient. Given the rarity of airway management catastrophes necessitating cricothyrotomy, sufficiently sized prospective randomized trials are difficult to perform. Our Helicopter Emergency Medical Service (HEMS) documents all cases electronically, allowing a retrospective analysis of a larger database for all cases of prehospital cricothyrotomy.