HEMS Airway Procedure Note

Procedure: Endotracheal Intubation

Indication: [checkbox name="indication" value="severe respiratory distress|respiratory failure|cardiac arrest|respiratory arrest |anticipation of ability to protect own airway |inability to protect own airway "][text name="indication" size = 55 default=" "]

Preparation: Patient was in the supine position, head elevated to 30 degrees, The patient was preoxygenated using a nasal cannula at 15lpm and BVM with PEEP set to 10. The patient is spontaneously breathing and responded by increasing their SpO2 to [text name="oxygen" size = 45 default=" "]. The preoxygenation continued throughout the preparation for the airway which is greater than 3 minutes. 


Equipment Checked/Prepared Prior to Procedure:
Glidescope
Blind-Insertion Airway Device
Surgical Airway Kit
Securing Device
Bougie
BVM with PEEP
10mL Syringe
Endotracheal Tube
DuCanto Suction Catheter
Orogastric Tube

Pre-procedure and emergency plan briefing performed, and [text name="variable_1" default=" "] assigned to watch the pulse oximeter, ECG, HR, and B/P during procedure. 

The airway procedure was started at [text name="variable_1" default=" "]

Induction Agent:
Ketamine Dose: [text name="ketamine" default="Not used"]
Fentanyl Dose: [text name="fent" default="Not used"]
Etomidate Dose: [text name="etomidate" default="Not used"]

Paralytic Agent:
Rocuronium: [text name="paralytic_dose" default="Not used"]
Succinylcholine: [text name="variable_1" default="Not used"]

The patient was intubated with a [text name="variable_1" default=" "] ETT [text name="variable_1" default=" "] at the teeth on the first attempt. Tube was place under Glidescope video laryngoscopy with a [text name="variable_1" default=" "] Blade and confirmed via [checkbox name="confirm" value="vocal cords visualized. | tube passed through vocal cords without difficulty .|colormetric color change. |wave form capnograpgy. |no gastric sounds. |symmetrical chest rise and fall.  |lung sounds auscultated bilaterally. |mist in tube. "][text name="skin" size = 55 default=" "]  [text name="variable_1" default=" "]OG tube placed at this time.  ETT cuff pressure set to 30mmhg, ETT secured with commercial tube securing device.  

Complications: [checkbox name="complications" value="no complications.|esophageal intubation. |Bleeding. |Tooth damage. "][text name="complications" size = 55 default=" "]

The airway procedure was completed at [text name="variable_1" default=" "]

Procedure performed by: [text name="name" size = 55 default=" "]