You are aiding a patient at the scene of a five car pile-up and discover that it is necessary to insert an endotracheal tube. After a few moments you hear grunting. What needs to be done to address the distress?
  1. Nothing. This is normal when using an endotracheal tube.
  2. Reposition the tube
  3. Take the tube out and find another way to get air for the patient
  4. All of the above
Explanation
Answer - B - If after placing an endotracheal tube you hear grunting, groaning, or any of the like, the tube needs to be repositioned. It should be assumed the tube has been missed placed in the esophagus. When this happens, the vocal cords in the larynx vibrate due to passing air. When an endotracheal tube is placed properly, the vocal cords should not vibrate.
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