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Rapid Sequence Intubation Made Short and Sweet

I made this simple slideshow to illustrate the basics of rapid sequence intubation for students in health care (pre-medical, nursing, health care policy, etc). It's an introduction, not a comprehensive analysis, where I modify the "Seven P's" of intubation without getting bogged down in drug dosing and choice.
I've removed any copyrighted material. For more details, check out UpToDate.com.
Hello to anyone from the Canadian Undergraduate Conference on Health Care (CUCOH)!

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Rapid Sequence Intubation Made Short and Sweet

  1. 1. Intubation Made Short & sweet by Melissa Yuan-Innes, MD, CCFP-EM www.melissayuaninnes.com
  2. 2. Prepare • SOAPME: (Suction, oxygen, airway, pharmacology, monitoring, equipment), or try • Suction • Oxygen • Airway set-up • Pharmacology: “What do you want?” • Mask yourself • Elevate patient (positioning)
  3. 3. Preoxygenate • 3 minutes at 100 percent • 8 deep (vital capacity) breaths • http://journals.lww.com/em-news/Fulltext/2006/08000/ Preoxygenation,_Critical_in_RSI,_Often_Negates.24.aspx
  4. 4. Premedicate LOA • Lidocaine (?“tight head/lungs”) • Opiates (“tight head/heart”) • Atropine (tiny infants) Or think ABC A: Asthma B: brains & babies C: cardiovascular
  5. 5. Pacify the patient • Etomidate: good for trauma (? not in sepsis) • Ketamine: asthma • Midazolam: seizures
  6. 6. Paralyze • Succinylcholine (or rocuronium) • go big or go home
  7. 7. Pass the Tube • get the epiglottis out of the way to see the vocal cords
  8. 8. Post-Intubation Check • CO2 detector • (visualization, condensation, auscultation) • Secure the tube • Chest X ray • Sedate patient
  9. 9. Read Up UpToDate Adults: http://www.uptodate.com/contents/ rapid-sequence-intubation-in-adults? UpToDate Children: http://www.uptodate.com/contents/rapid- sequence-intubation-rsi-in-children#H11 [gives error message if not logged in]

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