EMSJ – Transesophageal Echo (TEE) Protocol

Please refer to our TEE introduction and video guides in the resources at the bottom of this page

EMSJ MD Protocol

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Information for Nursing and Respiratory Therapy

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  • 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


  • 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


Introduction to TEE Guide

Introduction to Transesophageal Echo – Basic Technique

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