emma and pulse_ox
TRANSCRIPT
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EMMA Emergency Capnometer&
Fingertip Sats MonitorGreater Sydney HEMS
ASNSWTraining Package
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Introduction
• Capnometry is the mainstay of ensuring:o Correct ETT placemento Adequate ventilationo Circuit patency
• Pulse Oximetry is essential in Respiratory monitoring.
• The Service has discontinued the use of the Nellcor Pulse Oximeter and Capnographer in favour of the EMMA and the Fingertip Pulse Ox.o Nellcor battery chargers have been discontinued.o Costs incurred by damage during recent operations.
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EMMA Monitor
• Quantative IR Capnometer.• Inline, with disposable sensor airway adapter. Single
Patient Use.• Powered by 2x AAA batteries, 8 hours normal use.• Weight 60g.• Alarms:
o Battery low, no adapter, check adapter.o Apnoea (Default 3bpm)o ET CO2 Low / High. (Default: Low = off / High = 50mmHg.)
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Buttons and Display
On/ Off button.
Alarm silence.(and upper limit EtCO2
adjustment)
CO2 Status Bar
Battery Status.(and lower limit ETCO2
Adjustment)
Alarm silence indicator,Yellow (not displayed here)
p ETCO2
mmHg
Disposable Airway adaptor
Respiratory Ratebpm
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Battery Change
• Cover Unlock.
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On / Off
• Press on/off button.• Insert airway adapter.
• Powers off automatically.o 15 sec after airway adapter disconnect.o In apnoea situation, 2 mins after apnoea alarm
cancelled, if no breath detected.
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Alarms
• Battery low – blinks with 30 mins life left.• No breath – blinking BPM display and 3
beeps every ~30 sec.o Default low RR = 3bpm.
• ET CO2 limits exceeded – CO2 display blinking display and single beep.o Default: Hi = 50mmHg, Lo = 0mmHg.
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USE
• Backup capnometer for the ZOLL monitor in pre-hospital RSI.
• Backup capnometer for the Propaq in transport and In Hospital intubations.
• Spontaneously breathing patients with LMA, following failed intubation etc.
• The Zoll and Propaq remain our primary monitors.
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Fingertip Pulse Oximeter
• Standard absorbance pulse oximetry @ 660/940 nm.
• Displays HR, Sats, plethysmograph wave or bar.
• Low power indicator on main screen when < 30 min Battery life.
On Button
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Use
• On button.• Repeated pushes
scrolls thru different orientations, and pleth waveforms / bar graph.
• Auto off after 15 sec of no signal.
Pleth wave
Pleth bar
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Specifications
• Sp O2: 70-99% o Accuracy: (+/- 2%: 80 – 100%, +/- 3%: 70-80%).
• Pulse rate: 3-325bpm.• Power consumption: 2xAAA batteries, 30
hours normal use. Low voltage indicator.• Operating range: 5-40°C• Weight 50g.
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Stowage• All equip held within
EMMA hard case.• Kept in the monitoring
pouch in Pre-Hospital pack 1.
• Contents:o 4 spare AAA batterieso 1 EMMA on lanyardo 1 Pulse ox on lanyardo 1 sealed airway
adapter• Extra airway adapter in
monitoring pouch.
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Training
• A training sample is available in Peter Leopold’s office, along with a comprehensive user manual.
• All staff need to familiarise themselves with it’s use and have completion recorded by the check and training officer.