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Rescue pathway

Crisis map

Start here if the tube is in and the patient is worse.

What is failing?Choose the visible problem.HypoxiaSpO₂ falling.HypotensionMAP falling.No EtCO₂No waveform or low waveform.

First four moves

  • Call for help and assign roles.
  • Disconnect from ventilator and bag with 100% O₂/PEEP if unstable and appropriate.
  • Verify tube position/depth and waveform EtCO₂.
  • Search DOPES: displacement, obstruction, pneumothorax/patient, equipment, stacked breaths.

Do not miss

  • Right mainstem, esophageal tube, tube obstruction, tension pneumothorax, auto-PEEP, medication-related hypotension, RV failure.