Emergency Department

Each year, around 130 million patients visit Emergency Departments (ED) in the United Sates. Patients of all ages and medical conditions seek urgent care from the doctors, nurses, respiratory therapists, and other clinicians on staff. The staff treats and stabilizes patients in order based on the severity of illness or injury. Patients are then discharged to home, the general care floor, or the intensive care unit depending on their medical condition.

Many individuals that enter the ED experience respiratory distress. The list to the right outlines the more common respiratory ED admissions.

Vapotherm High Flow Therapy Treatment (HFT)

Vapotherm High Flow Therapy (HFT) provides fast, easy and comfortable stabilization of respiratory distress patients.

Vapotherm provides high acuity respiratory support through a simple nasal cannula. High flows of oxygenated, heated breathing gas delivered through a small prong cannula reduce work of breathing, while optimal humidification protects and soothes irritated respiratory tissue and mobilizes secretions.

The integrated Precision Flow system is easy to set up and operate in the Emergency Department environment, and provides rapid relief of hypoxia and hypercapnia to stabilize patients in acute distress. The rapid stabilization may reduce ICU admissions compared to NIPPV. The system delivers precisely heated and humidified air with the ability to adjust FiO2 from room air levels (21%) to 100% and adjust flow rates up to 40 LPM in order to optimize support for the individual patient.

Exhaled CO2 is flushed from the nasopharyngeal cavity at the end of each breath and is replaced with fresh gas that has been infused with medical grade vapor. The patient inspires from, rather than through, the upper airway to reduce the overall work of breathing. Temperature of the breathing gases is maintained through the delivery tube all the way to the patient to eliminate “rain-out" (condensation of the gas in the delivery tube).

Nursing care is simplified as there is no mask fitting or patient training required, and medication can be administered easily. In addition, the system includes patient-focused safety alarms that warn of therapy disruption before the patient experiences desaturation.

Once stabilized, patients can be easily transferred on full therapy using the Vapotherm Transfer Unit. The Vapotherm Transfer unit is the only device available designed for mobile delivery of high flow therapy within a hospital environment.

Read about individual patient experiences: Case Study 1 (Avoidance of NIV); Case Study 2 (Avoidance of NIPPV); Case Study 3 (CHF Patient)

For more information on the Precision Flow system and technology click here. Download a copy of our Emergency Department Pocket Guide.

To read the “High Flow Therapy in the Emergency Department: A Paradigm Shift?" an abstract presented at the American Thoracic Society's 2014 Convention, click here.



Common Emergency Department Applications:

  • Congestive Heart Failure
  • Pneumonia with hypoxemia & air hunger
  • Acute COPD or asthma exacerbation
  • Trauma & spinal injury patients
  • Dyspnea management
  • Patients not tolerant of mask therapy