Article Text
Best Evidence Topic reports
BET 2: Use of end-tidal carbon dioxide indicators in prehospital intubations will reduce the number of incorrectly placed endotracheal tubes
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- Resuscitation
- trauma
- tropical
- ultrasound
- paediatric resuscitation
- major incidents
- guidelines
- diagnosis
- cardiac care
- acute coronary syndrome
Report by: Henry Truong, Emergency Physician
Checked by: Zaffer Qasim, Specialty Registrar in Emergency Medicine/Critical Care
Three-part question
In (patients who require field intubation) does (the use of an end-tidal carbon dioxide indicator) reduce (the number of unrecognised misplaced intubations)?
Clinical scenario
An 83-year-old restrained female passenger involved in a head-on collision is brought to the ED via helicopter. The ED evaluation reveals an unidentified esophageal intubation. On questioning the helicopter paramedic crew, it is found that a carbon dioxide indicator was not used in the field.
Search strategy
Medline via OVID interface: 1966 to May 2011.
EMBASE 1980 to May 2011 Limit to …
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