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In a trauma patient, correct placement of an endotracheal (ET) tube should be confirmed by which method as the gold standard?
Question

In a trauma patient, correct placement of an endotracheal (ET) tube should be confirmed by which method as the gold standard?

A.

Bilateral chest auscultation only

B.

Observation of chest rise

C.

Capnography (end-tidal CO₂ detection)

D.

Fogging in ET tube

Correct option is C

Capnography (end-tidal CO₂ monitoring) is the gold standard to confirm tracheal intubation, as chest rise and auscultation can be misleading in trauma patients.
Explanation of options: (a) ✘ Chest auscultation is supportive but not definitive. (b) ✘ Chest rise may occur with esophageal intubation (gastric inflation). (c) ✔ Correct; capnography is the most reliable confirmation. (d) ✘ Fogging can occur in esophageal intubation also.

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