Emergency Medicine

Early Access to Defibrillation for Sudden Cardiac Arrest

Expanding Capnometry to Nontraditional Settings

Portable Capnometry in Detecting Inadvertent Esophageal Intubation


Early Access to Defibrillation for Sudden Cardiac Arrest

Sudden cardiac arrest (SCA) takes the lives of more than 350,000 Americans each year. Defibrillation administered within minutes of SCA is generally the only successful method of preventing a fatal outcome. A new generation of automatic external defibrillators (AEDs), with enhanced ease of use and maintenance, can now be deployed among a wider range of emergency responders, such as police and fire department personnel, significantly improving the survivability of SCA, as can its availability in workplaces, sports facilities, airplanes and other public areas.

Some related materials produced by Communicore:

White Paper
Sudden Cardiac Arrest: A Treatable Public Health Crisis

Issues Video
Sudden Cardiac Arrest: A Treatable Public Health Crisis

Articles
Welman, J. Who should defibrillate? JEMS Firefighter's News Supplement on Early Defibrillation. 1997; 16­19.

Stross, W. and Welman, J. AED: Automatic External Defibrillators Save Lives. Law & Order. June 1997.

 

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Expanding Capnometry to Nontraditional Settings

Deployment of microstream capnography in a variety of inpatient and outpatient settings now enables physicians to rapidly, accurately, and noninvasively detect changes in the status of patients suffering a variety of emergency, acute, and chronic cardiopulmonary conditions. Critical decisions to admit patients for treatment, to transfer patients from intensive care units, to switch from bi-level to mechanical ventilation, and to wean patients from ventilation can be made more objectively and cost effectively using microstream capnography.

Some related materials produced by Communicore:

White Paper
Microstream Technology--Expanding the Role of
Clinical Capnography

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Portable Capnometry in Detecting Inadvertent Esophageal Intubation

Endotracheal intubation is a basic airway management strategy in emergency resuscitation. Correctly placed, an endotracheal tube can be life saving; incorrectly placed and undetected, it can be life threatening. In the noise and distraction of an emergency setting, an effective procedure can all too easily become an unsafe procedure. When an endotracheal tube is misplaced in the esophagus--and this misplacement is detected late or not at all--the compromise of patient safety can be significant. End-tidal CO2 monitoring of correct tube placement offers a solution to this potentially life threatening problem, and is playing an increasing role in emergency medicine.

Some related materials produced by Communicore:

Issues Video
Endotracheal Intubation in the Emergency Setting:
Is Patient Safety Protected?

Article
Fries, N. Endotracheal intubation in the prehospital and operating room settings: A double standard of care. EMS Monitor. 1994; 2(1).

 

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