A patient in the emergency department has an endotracheal tube in place and is on the ventilator. His relative comes running to you telling you that the patient has pulled the tube out of his mouth. What would be your next step?
1
Apply face mask with high flow oxygen
2
Sit the patient up and consider chest physiotherapy to get the secretions out
3
Reinsert tube immediately under sedation
4
Pull the tube out completely, bag and mask the patient and assess spontaneous breathing efforts