Patient presentation: an semi-responsive/confused patient, from a high speed atv accident without a helmet, was assessed with a glasgow coma scale (gcs) score of 9, indicative of severe consciousness impairment.Medical interventions: rapid sequence intubation (rsi) was performed to establish airway patency.The endotracheal tube (ett) was ventilated with an adult sunmed (af1100mb) manual resuscitator with a manometer, positive end-expiratory pressure (peep) valve set at 10 cmh2o, in-line end-tidal co2 (etco2) sensor and connected to a 15 umin oxygen source.Fic02 elevation issue: while using the sunmed manual resuscitator, the patient's fraction of inspired co2 (fico2) levels increased until the clinical team placed the patient on a ventilator.This increase began at 14:16.08 (figure 1) and peaked at 53 mmhg at 14:27.25 (figure 2).Fico2 levels fluctuated between 20 and 50 mmhg (figure 3) until the patient was transitioned to a ventilator at 14:31.30.The elevation in fico2 resolved once the ventilator was initiated (figure 4).Product problem: suspicions arise that the manual resuscitator may be the source of the abnormal fic02 elevation.The fic02 increase poses a risk of hypercapnia, which can significantly impact the patient's bodily functions, physical well-being, and potentially lead to life-threatening consequences.Furthermore, this inconsistency raises concerns regarding adherence to performance specifications and user expectations.Patient outcome: the patients outcome is unknown, as care was handed over to another provider.Refer to additional documents in i2k.
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