Towards evidence based emergency medicine: PRIVATE Best BETs from the Manchester Royal Infirmary. BET 2: Use of end-tidal carbon dioxide indicators in prehospital intubations will reduce the number of incorrectly placed endotracheal tubes.

摘要

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.Medline via OVID interface: 1966 to May 2011.EMBASE 1980 to May 2011 Limit to HUMAN and English (paramedic.mp OR prehospital.mp OR out-of-hospital.mp) AND (exp Carbon Dioxide OR end-tidal, mp OR exp Capnography OR carbon dioxide.mp OR capnogrdollar.mp) AND (exp intubation OR intubation.mp OR intubat dollar.mp OR rapid sequence.mp).