Outline & Notes (.docx)

Rapid Sequence Intubation (RSI) is an essential skill for all emergency personnel, and represents perhaps one of the most succinct examples of what are capable of.  This presentation examines the overall process necessary for good patient outcomes, and dispels some airway mythology as well.

Learning Outcomes:

  • Review the Concepts of RSI
  • Review the "7 P's" of RSI
  • Discuss the evidence and use of medications in RSI
  • Discuss "Human Factors" involved in RSI


Video: Rabbit lungs with and without PEEP

Amazingly informative post with video, references, and links via EMCrit

Breaking on Apneic Oxygenation:

Caputo N et al. EmergeNcy Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial (the ENDAO Trial). Acad Emerg Med 2017. [epub ahead of print]. PMID: 28791755

Salim Rezaie's take on the ENDAO trial, with some links at the bottom to the usual other pundit's takes. 

My $0.02:

Maximal pre oxygenation is the way to go.  In a small subsection of emergent RSI, ApOx may provide benefit, and there is no clear harm for the vast majority of patients.  So go ahead and leave the O's flowing, but you don't have to be obsessive about it!!!

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Contact: rich@emergrn.com


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the modern emergency nurse