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Pre-Hospital RSI Part II

Part II of a video run-through of pre-hospital care of patient requiring RSI

In this step, we will continue our RSI scenario video. In this part, we will see the RSI checklist in action, a standardised approach to intubation and post-intubation care.

Post-Video Exercise:

Watch the video first and then consider the following scenario challenges.

Scenario Challenges:

How would you manage the RSI differently if:

  • The patient had a BMI of 40?
  • The patient had facial injuries and anticipated difficult intubation?
  • The patient was a 1 year old child

Final challenge – for discussion!

Let’s bring everything together:

  • What if the patient was an obese, paediatric, peri-arrest, poly trauma patient, trapped in the vehicle with leaking fuel and the scene is at night, in the rain, on a live road, with multiple other casualties and drunk relatives threatening the clinical team?

This is not unrealistic and some of you may have faced similar scenarios in the past.

A structured, well-rehearsed, team-based approach is absolutely essential, bolstered by excellent CRM and driven by common goals.

Please discuss your own approach to this final scenario in the discussion board.

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