Intubation Chart
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=" "] Sedative: 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: 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=" "]
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