Procedure Note
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Procedure: Endotracheal Intubation

Indication: [checkbox name="indication" value="cardiac arrest.|respiratory arrest. |unable to protect own airway. "][text name="indication" size = 55 default=" "]
Primary impression: [text name="O" size = 55 default=" "]
Preoygenation SPO2 level/method: [text name="oxygen" size = 45 default=" "]
Blade Size/Type: [text name="blade" size = 55 default=" "]
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 Intubation

Primary impression:
Preoygenation SPO2 level/method:
Blade Size/Type:
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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