Emergency Medical Retrieval Service (EMRS)
www.emrs.scot.nhs.uk
Standard Operating Procedure
Title
EMMA Emergency Capnometer/ Finger Pulse Oximeter
Version
2
Related Documents
SOP-Medical and Equipment packs
Author
Stuart Daly; Phil Munro
Reviewer
C McKiernan
Aims
To ensure all EMRS team members are aware of the operation of the EMMA Emergency Capnometer and the SP300 Finger Tip Pulse Oximeter.
Application
EMRS team members SAS airwing Paramedics
Background
The EMMA Emergency Capnometer and SP300 Finger Tip Pulse Oximeter are carried in the Monitor Pack and can be used for back-up monitoring in the situation of MRX failure or where small and simple monitoring could be beneficial i.e. RTC entrapment on a HEMS mission.
P300 Digital Finger Tip Pulse Oximeter S
s
n make reading the display easier epending on your position in relation to your patient.
Prior to use remember to remove the cotton tape from battery compartment. This act as a circuit breaker in an attempt to improve battery life. The finger pulse oximeter is very simple to operate and only has one button. The device is switched on with a single press of this button. The oximeter defaults to screen 1, shown below and displays SpO2, pulse rate and SPO2 waveform. Further button presses will scroll through the display options show below, enabling you to adjust the screen orientation to
d
1 2 3
4 5 6
ess of the device will be tself off after 8 seconds if no signal detected. Please note: this evice has no alarms.
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If the power is depressed for longer than one second the brightn adjusted. There are 10 brightness levels; the default is level 4. The oximeter will switch i
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Potential problems/e odes
Problems Possible reason Solution The Oximeter can not be
powered on 1. The charge of the batteries may be inadequate 2. Batteries may be inserted incorrectly 3. The Oximeter might be damaged 1. Replace batteries 2. Reinstall the batteries 3. Please contact local customer service centre Indication lamps are suddenly
off 1. The product is automatically powered off when no signal is detected longer than 8 seconds 2. The charge of the batteries is inadequate 1. Normal 2. Replace the batteries
being shielded or damaged together with broken connector. 3. Mechanical misplace of infrared receive‐emission tube 4. Amp circuit malfunction. customer service centre 3. Please contact with local customer service centre 4 Please contact with local customer service centre “Error7” displayed on screen 1. Low power 2. Emission tube damaged. 3. Current control circuit malfunction. 1 Change batteries 2 Please contact with local customer service centre 3 Please contact with local customer service centre urther Information F
- Symbol indicates low power, change batteries attery life up to 30 hours
perating Temperature: 5-40°C torage Temperature: -10-40°C
urement range: 70-99%. Accuracy ±2% between 80%-99% and ±3% between %-80%.
ulse Rate measure range: 30-235 BPM Accuracy: ±2 BPM or ±2%.
anufacturer recommends the use of alcohol wipes to clean between patients.
MMA Emergency Capnometer B O S SpO2 meas 70 P M E
To begin using attach the Airway Adaptor to the EMMA monitor. It can only be fitted one way, with the bigger end of the tube to the bottom of the monitor. Next press the power button in the bottom left hand corner. The monitor will perform a short self-test and will display a ETCO2 value of 0 and the respiratory display will show “- -“. The monitor will automatically switch off 15 seconds after the Airway Adaptor has been removed from the device or w
on
hen no breath is detected 2 minutes after the alarm silence button has been ressed.
- 9.9kPa. The respiratory rate
mation and is intended to be used as an adjunct to the two
to provide graphical visual communication support of the two primary numeric displays.
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The monitor displays ETCO2 as a kPa value between 0.0 display shows breaths per minute between 3 - 150bpm.
The 14-segment red bar graph shows the current CO2 value. The table below illustrates the relation between the bar graph and the concentration of CO2 in kPa or mmHg. The bar graph provides qualitative infor
quantitative numeric displays.
The bar graph is non-linear, using smaller units of measure at the bottom and larger units of measure at the top. The bar graph is intended
ETCO2 values are displayed after one breath and have a continually updated breath average. RR is displayed after two breaths and the averaged value is updated every breath.
Adjusting Alarm Limits
To adjust the high ETCO2 limit press and hold the Alarm Silence button until the RR display shows “Hi” and the ETCO2 display shows the current high ETCO2 alarm limit. Release the button. To adjust the alarm limit: press the Alarm Silence button (▲) to
increase, or the Power On button (▼) to decrease the value. It is possible to switch off the high ETCO2 alarm by adjusting the limit above 9.9 kPa. EMMA Monitor will indicate this setting by showing "- -" on the ETCO2 display during the adjustment routine.
If no button has been pressed for a short period of time, EMMA Monitor will automatically resume normal operation.
To adjust the low ETCO2 press and hold the Power On button until the RR display shows “Lo” and the ETCO2 display shows the current low ETCO2 alarm limit. Release the button. To adjust the alarm limit: press the Alarm Silence button (▲) to increase, or the Power On button (▼) to decrease the value. It is possible to switch off the low ETCO2 alarm by
adjusting the limit down to 0. EMMA Monitor will indicate this setting by showing "- -" on the ETCO2 display during the adjustment routine.
Further Information Battery life up to 8 hours
Operating temperature -5 - +50°C Storage temperature -30 - +70°C ETCO2 Accuracy 0 - 5.3kPa +/-0.3kPa
5.3 - 9.9kPa +/- 6% of reading during normal conditions Respiratory Accuracy +/- 1bpm
High altitude measurements are affected by pressure broadening. To compensate for this effect, add offset to displayed ETCO2 value according to the following table based on altitude and range of ETCO2 being displayed by the EMMA Emergency Capnometer:
Manufacturer recommends the use of alcohol wipes to clean between patients
Full data sheets for both devices can be found in the equipment folder on the shared drive.