ALS Intubation Note

Procedure: Endotracheal IntubationIndication: [checkbox name="indication" value="cardiac arrest.|respiratory arrest. |unable to protect own airway. "][text name="indication" size = 55 default=" "]
Preoygenation SPO2 level/method: [text name="oxygen" size = 45 default=" "]
Ketamine Dose: [text name="ketamine" default="Not used"]
Fentanyl Dose: [text name="fent" default="Not used"]
Etomidate Dose: [text name="etomidate" default="Not used"]
Rocuronium: [text name="paralytic_dose" default="Not used"]
Succinylcholine: [text name="variable_1" default="Not used"]
Endotracheal Tube Size/Type: [checkbox name="size" value="cuffed. |uncuffed. "][text name="size" size = 55 default=" "]
Successful/Unsuccessful and # of attempts: [text name="success" size = 55 default=" "]
Methods of confirmation: [checkbox name="confirm" value="vocal cords visualized. | tube passed through vocal cords without difficulty .|colormetric color change. |wave form capnograpgy. |no gastric sounds. |lung sounds auscultated bilaterally. |mist in tube. "][text name="skin" size = 55 default=" "]
Complications: [checkbox name="complications" value="no complications.|esophageal intubation. |Bleeding. |Tooth damage. "][text name="complications" size = 55 default=" "]
Procedure performed by: [text name="name" size = 55 default=" "]
Procedure: Endotracheal IntubationIndication:
Preoygenation SPO2 level/method:
Ketamine Dose:
Fentanyl Dose:
Etomidate Dose:
Endotracheal Tube Size/Type:
Successful/Unsuccessful and # of attempts:
Methods of confirmation:
Procedure performed by:

Result - Copy and paste this output:

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