Pre-Hospital RSI Part II
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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