Anyone have comments/recommendations re: pulse oximetry for carbon monoxide? I've heard about these devices, want to know if other EDs are using (EMS, too!) because we're checking into getting one and there doesn't seem to be a lot of options out there.
I'm talking about (lighted/finger) pulse oximetry, NOT capnography (we already have/use that) and of course we have lots of regular pulse ox readers (in every room).
We use the pulse oximeters from Masimo which are available with a variety of different measurements.
The ones that can be used for SpCO and SpMet are kept in the Respiratory Therapy department for use on call anywhere in the hospital. The RTs can do an initial screening and then follow through with a co-oximetry blood gas as needed. This documentation and trending will then be established to follow the patient throughout their course of treatment in whatever area of the hospital they might go which can be the floors, ICU and/or HBO with Repiratory Therapy and Pulmonary following the patient on their service and protocols.
The SpMet also has it uses for screening or monitoring different patient using certain meds or gases such as NO (nitric oxide). It is particularly useful for monitoring SpMet for NO users either in the home or on transports.
The regular SpO2 pulse oximeters are throughout the hospital for the CNAs and nurses to use.
Last edit by GreyGull on Mar 17, '11