Please refer to our TEE introduction and video guides in the resources at the bottom of this page
EMSJ MD Protocol
Information for Nursing and Respiratory Therapy
Reminders:
- Please ensure the probe is sent for sterilization at the end of the procedure
- Please ensure it is returned to the Walmart HEPA cupboard when it returns (usually takes 1 hr)
- Please save the clips to Path and ensure it is coded as a TEE – for our database
Pearls:
- Resuscitative TEE requires 2 MDs. One to run the code, the other to exchange the EMS airway for an ETT and perform the TEE
- The TEE probe only works with the XPORTE
- Attach TEE probe and place the XPORTE at the head of the bed before the patient arrives
- Exchange Intubate the patient during first pulse check, immediately followed by passing the TEE
- Laryngoscopy can assist with directing TEE posterior to ETT, but the blade will need to be removed prior to advancing into esophagus (it gets in the way)
- Stand at the head of the bed to control the probe.
- Advance probe until the first view is obtained (ME4C)
- Follow protocol
- Defibrillation can be done with probe in situ
- Communicate findings with the team
Videos
- TEE Views (3min)– Dr. Chandra
- TEE Education Video (30mins)– Dr. Chandra
- Grand Rounds – Resuscitative TEE Evidence and Review (30mins) – Dr. Lewis
Introduction to TEE Guide
