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> Rapid Sequence Intubation
Rapid Sequence Intubation
Preparation
Confirm patient identification
Gather necessary equipment (intubation kit, suction, oxygen, medications)
Ensure proper positioning of patient
Confirm proper functioning of all equipment
Preoxygenation
Administer high-flow oxygen for 3-5 minutes
Monitor oxygen saturation during preoxygenation
Consider using a bag-valve-mask if needed
Induction
Administer induction agent (e.g. etomidate, propofol)
Administer neuromuscular blocking agent (e.g. succinylcholine, rocuronium)
Confirm adequate paralysis before proceeding with intubation
Intubation
Position patient for optimal intubation (sniffing position)
Insert laryngoscope and visualize vocal cords
Advance endotracheal tube through vocal cords
Confirm proper tube placement with capnography
Post-intubation
Secure endotracheal tube in place
Confirm bilateral breath sounds
Monitor oxygen saturation and vital signs
Prepare for transport to definitive care facility
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