Abstract
Patients in the emergency department are at high risk for deterioration after intubation. Using a systematic approach to assess these patients is key. The differential for the low pressure alarm includes a break in the circuity, anywhere from the ventilator to the lungs. The high pressure alarm similarly can arise from an issue anywhere from the patient to the ventilator. To quickly recall the differential diagnosis for deterioration on the ventilator, clinicians should recall the DOPES mnemonic. A separate, but related mnemonic, DOTTS, reminds clinicians of steps in assessing and treating the deterioration of an intubated patient.
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Suggested Reading
Archambault PM, St-Onge M. Invasive and noninvasive ventilation in the emergency department. Emerg Med Clin North Am. 2012;30(2):421–49, ix.
Wood S, Winters ME. Care of the intubated emergency department patient. J Emerg Med. 2011;40(4):419–27.
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Wilcox, S.R., Aydin, A., Marcolini, E.G. (2019). Troubleshooting the Ventilated Patient. In: Mechanical Ventilation in Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-98410-0_11
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DOI: https://doi.org/10.1007/978-3-319-98410-0_11
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