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hi im mark from acls certification institute and in todays video presentation were going to talk about entitle capnography and how we use it in acls and especially during a cardiac arrest now what is internal capnography well its a quantitative measurement of a patients exhaled co2 which is the byproduct of cellular metabolism i kind of think of it like the exhaust in a car right fill the car up with gas the motor uses the gas and then kicks out exhaust if you get a notice from your emission center like i just got im going to take my van in and have the emission center check my exhaust and by evaluating the exhaust they can see if theres a problem with the motor this is exactly what were using end-tidal co2 for in acls remember the cells are going to use this oxygen create this co2 but i still have to have adequate cardiac output a working pump to pump that co2 all the way back to the lungs so it can be exhaled and measured now usually in the field im using end tidal to tweak