The role of pulse oximetry in the accident and emergency department.

Lambert, Margareta; Crinnion, J. N.

doi:10.1136/emj.6.3.211

Cited by 25 publications

(8 citation statements)

References 9 publications

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“…Some patients may have peripheral cyanosis due to poor peripheral circulation in the presence of normal Sa o 2 . Several studies have shown that hypoxaemia is often not recognised by emergency medical service providers, especially if the patient does not complain of respiratory distress 139 – 141. A systematic review of the literature in 2005 reported that most hypoxaemic patients had at least one vital sign abnormality but skin colour was a poor indicator of hypoxaemia compared with pulse oximetry 31.…”

Section: Section 7: Clinical and Laboratory Assessment Of Hypoxaemia mentioning

confidence: 99%

BTS guideline for emergency oxygen use in adult patients

O’Driscoll

Howard

Davison³

2008

Thorax

534

535

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Section: Section 7: Clinical and Laboratory Assessment Of Hypoxaemia mentioning

confidence: 99%

BTS guideline for emergency oxygen use in adult patients

O’Driscoll

Howard

Davison³

2008

Thorax

534

535

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“…In addition to the initial signs and symptoms of trauma, neurological symptoms typically progress over the course of several hours to days, likely due to the propagation of a thrombus or distal embolization. As high-energy trauma has been shown to be an important contributor to mortality, physicians should monitor patients closely for the presence of undiscovered fatal injury, even those with a clear consciousness and minor physiological findings [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Ohsaka

Jitsuiki

Yanagawa

2019

Cureus

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A 50-year-old man driving a motorcycle at 100 kph crashed at a curve on a racing course. On arrival, he had clear consciousness, and his vital signs showed mild hypertension and tachycardia. His chief complaint was general pain. The only physiological finding was a labile injury. Whole-body computed tomography only showed fluid collection at the left maxillary sinus. While waiting on the results of a blood examination in the emergency room (ER), monitoring triggered an alarm due to a reduction in the percutaneous oxygen saturation. When a nurse checked him, he lost consciousness and entered respiratory arrest, showing left conjugated deviation and a palpable radial artery. He underwent indwelling tracheal intubation with mechanical ventilation. On the second hospital day, he regained consciousness and respiration and was therefore extubated. Brain magnetic resonance imaging revealed cerebellar infarction due to occlusion of a right vertebral artery, probably due to traumatic dissection. He was ultimately discharged on foot. This is a rare case of sudden-onset coma with respiratory arrest in the ER after a traffic accident due to occlusion of the right vertebral artery despite a clear consciousness on arrival. Physicians should closely monitor high-energy traffic accident victims, even when the patient has a clear consciousness and only minor physiological findings.

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“…However, its role in the emergency department has been widely studied. In one study looking into its role, this instrument measured the arterial oxygen saturation in 50 patients in A&E; the oximeter identified 21 patients (42%) with clinically unsuspected hypoxia (6). The usefulness of the oximeter in this setting may also be applicable to general practice in detecting hypoxia.…”

Section: Recognition Of Hypoxiamentioning

confidence: 99%

Pulse oximetry in general practice: How would a pulse oximeter influence patient management?

Potter

2007

European Journal of General Practice

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The pulse oximeter is a vital piece of equipment in secondary care for the non-invasive monitoring of oxygen saturation. With the increasing affordability of the oximeter and recognition of its clinical applications, there is an increasing interest in its role in primary care. The decision was made that a systematic review was not feasible due to the lack of data concerning the influence of pulse oximetry on patient management and on the extent of oximetry use in the general practice setting. In this article, a selection of studies is presented looking into its clinical use and limitations. The role and potential of the oximeter as a screening tool and aid in the assessment of hypoxia in a variety of clinical situations in primary care is discussed.

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The role of pulse oximetry in the accident and emergency department.

Cited by 25 publications

References 9 publications

BTS guideline for emergency oxygen use in adult patients

BTS guideline for emergency oxygen use in adult patients

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Pulse oximetry in general practice: How would a pulse oximeter influence patient management?

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