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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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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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  • Linked articles 200541, 200543, 200544.

  • Provenance and peer review Commissioned; internally peer reviewed.

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