What is Capnography?
Riding the Waves ... The Role
of Capnography in EMS
Capnography is a noninvasive method for
monitoring the level of carbon dioxide in exhaled breath (EtCO2), to
assess a patient's ventilatory status. A true capnogram produces an
EtCO2 value as well as a waveform, or capnogram. On Critical Care
transports, capnograms are useful for monitoring ventilator status,
warning of airway leaks and ventilator circuit disconnections.
Capnography is also useful for ensuring proper endotracheal tube
placement. Capnography also helps clinicians diagnose specific medical
conditions, make tratment decisions, and assess efficacy of code
efforts and predict outcome.
Capnography offers numerous clinical
uses, but technical limitations have prevented EMS personnel from
embracing its use outside the operating room. Today, technological
advances have made it possible for these devices to be used in the
demanding setting of the prehospital environment.
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Learning
Objectives
At the completion
of this lesson, the participant should be able to:
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Describe the
structure and function of the upper and lower airways. |
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Describe the
mechanics and science of ventilation and respiration. |
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Describe
the basic physiology of perfusion. |
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Describe the
relationship between ventilation and perfusion. |
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Describe the
principles behind CO2 measurement. |
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Describe the
various methods of EtCO2 measurement including quantitative and
qualitative capnometry and capnography. |
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Describe the
technology of EtCO2 measurement including mainstream, sidestream and
microstream sampling. |
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Identify the
components of a normal capnogram waveform. |
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Identify abnormal capnogram
waveforms as related to various airway, breathing and circulation
problems. |
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Discuss the various clinical
applications of capnography in the field. |
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Given various cases, discuss the
role of capnography in identifying the problem and in the management of
the patient. |
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What is Multi-Lead Medics™?
Multi-Lead Medics™ is a nationally recognized trademark program
developed by Bob Page. This one-day workshop is designed to
give paramedics, nurses, and other participants the information needed
to use their standard 3-lead monitors or today’s 12-lead ECG machines
to further assess patients with cardiac or other complaints.
Multi-Lead Medics™ is presented in
a hands-on, audience participation format that allows you to use the
information immediately in the field, ED, or other settings.
Course handouts contain easy-to-use charts and illustrations designed
to help the user rapidly identify conditions that may lead to further
compromise of the patient. Early diagnosis of MI’s in or out of
the hospital setting using 12-lead or multi-lead ECG’s has been shown
to dramatically reduce the time to treatment in the patient with an
Acute Myocardial Infarction. Out-of-hospital 12 leads will soon
become the standard of care nationwide.
Multi-Lead Medics™ can help
paramedics, nurses, and other participants ease into the change of
12-lead ECG’s in the field.
Multi-Lead Medics™ course is
presented by Bob Page. Bob is a critical care paramedic and
educator who has been teaching and using the multi-lead approach for 15
years. He delivers the workshop in a relaxed, often humorous
manner that builds confidence in the ability of the learner. Bob
also presents numerous case studies that illustrate the benefits of the
multi-lead approach to ECG’s.
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Lesson
Focus
For years, paramedics and other
practitioners have relied upon a single lead to determine heart rate
and rhythm. There is much information that can be gained using a
multi-lead approach to assessing and monitoring the patient with
cardiac or other unexplained complaints. This lesson builds upon
your fundamental knowledge of basic ECG interpretation, adding a
practical, user-friendly approach to acquiring and interpreting the
9,-12,-15,- lead ECG.
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Learning
Objectives
At the completion
of this lesson, the participant should be able to:
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Describe the
difference between monitoring and assessing a patient using an ECG
machine. |
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Demonstrate
proper lead placement for a 9,-12,- or 15-lead ECG. |
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Using a
simple chart and leads I, II, III determine electrical axis and the
presence of fascicular blocks (hemiblocks). |
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Using lead
V1 (MCL-1), determine bundle branch blocks. |
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Describe the
clinical significance of hemiblocks and bundle branch blocks in the
cardiac patient. |
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Describe a
strategy for identifying V-Tach in wide complex tachycardia. |
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On a 9,-12,-
or 15-lead ECG, identify ST and T wave changes relative to myocardial
ischemia, injury, and infarction. |
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Describe a
systematic “assessment” of a 12-lead ECG. |
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| Attendees
Workshops are open to anyone who wants to
further their knowledge in the use of standard 3-lead monitors, or
today’s 12-lead ECG machines, to further assess patients with cardiac
or other complaints.
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Continuing Education Credits
and CECBEMS
These continuing education workshops are approved by
UMBC, an organization accredited by the Continuing Education
Coordinating Board for Emergency Medical Services (CECBEMS).
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| Registration
Early registration is encouraged to ensure space
availability.
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Tuition
| Tuition for the course is: |
$ 60.00 for Capnography |
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$125.00 for Multi-Lead Medics™ |
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$175.00 for Capnography &
Multi-Lead Medics™ |
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| Cancellations/Refunds
All cancellations and request for refunds must be
made in writing at least three (3) weeks prior to the course start
date. A $45.00 admininstrative withdrawal fee will be charged. All
tuition will be forfeited after that date.
A $45.00 fee will be charged for any returned check.
UMBC reserves the right to cancel any course due to
insufficient enrollment. In the event of cancellation tuition will be
refunded or transferred to another course date at UMBC's expense.
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| Lodging Information
A wide variety of hotels are located near
Baltimore-Washington International Airport and are convenient to the
UMBC campus. Several hotels in the area offer weekly rates. Check out
our web site for a current listing of hotels in the area.
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| Additional
Information
If you would like information concerning other
schedule courses we offer through our department or if you would like
to sponsor a course at your location, please contact:
Attention:
Sandra
Hubbard, Administrator
Professional and Continuing Education
Emergency Health Services
University of Maryland, Baltimore County
1000 Hilltop Circle
Baltimore, Maryland 21250
(410) 455-6241
(410) 455-6713 (fax - for information only)
(410) 455-1344 (fax - all registrations)
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