PERFORMANCE IMPROVEMENT (PI) MONITORING

POPULATION OF INTEREST

All patients with an advanced airway requiring mechanical ventilation during transport.

INTENT (EXPECTED OUTCOMES)

1. Initial tidal volume is based on ideal body weight, targeting 6cc/kg.
2. EtCO2 is monitored, targeting a range between 35-45 mmHg.
3. Adjustments to respiratory rate, tidal volume, FiO2, and PEEP are based on clinical indicators (i.e. oxygen saturation, peak airway pressure, EtCO2) and documented on the DD 3104
4. All patients in the population of interest arrive with PaCO2 35-45mmHg.

PERFORMANCE/ADHERENCE MEASURES

Number and percentage of patients with an advanced airway that arrive with initial PaCO2 35-45mmHg.

DATA SOURCES

- Patient Record
- Department of Defense Trauma Registry (DoDTR)

SYSTEM REPORTING & FREQUENCY

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the JTS Chief and the JTS PI Branch.

RESPONSIBILITIES

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance, and PI monitoring at the local level with this CPG.