EM Fundamentals

AIRWAY MANAGEMENT

Goals and Objectives Goals Resident will be comfortable with basic airway evaluation and common interventions Resident will be comfortable managing patients requiring rapid sequence intubation Learning Objectives Resident will be able to define rapid sequence intubation Resident will be able to list and explain indications for rapid sequence intubation Resident will be able to list and describe airway management equipment necessary for rapid sequence intubation Suction Oxygen delivery (including BVM) Airways (adjunct and definitive) Laryngoscopes (direct and video) Monitoring equipment (including EtCO2) Resident will be able to list and describe the steps of rapid sequence intubation Planning Preparation (equipment, drugs, staff) Pre-oxygenation Positioning Pretreatment Paralysis (with sedation) Placement Proof of placement Post-intubation Management Resident will be able to list and describe the medications used for rapid sequence intubation Sedatives Paralytics Adjuncts Resident will be able to recognize and describe basic airway anatomy Resident will be able to describe the basic steps of direct and video laryngoscopy Resident will be able to list and describe common scenarios that complicate rapid sequence intubation Trauma (including c-spine precautions, elevated ICP) Hypotension Hypoxia Hypercarbia Metabolic acidosis

Recommended Resources Prior to Conference RSI Preparation Vanderbilt Checklist Part One Vanderbilt Checklist Part Two Airway Anatomy Airway Anatomy Images (AirwayCam) RSI Medications  RSI Medications (J Emerg Nurs 2003) Additional Resources RSI Overview Intro to RSI LITFL on RSI LITFL “Own the Airway” ALIEM on RSI RSI and Laryngoscopy (MDAware) Advanced Airway Management Overview (EM Updates) Long RSI Discussion (EM:RAP 2005) RSI Set-up EMCrit Airway Checklist Additional Airway Checklists (EMCrit) Preoxygenation and Prevention of Desaturation During Emergency Airway Management (Annals of EM) (pdf) Preoxygenation (EMCrit) Laryngoscopy Airway Anatomy Images (AirwayCam) Laryngoscopy Technique (EMCrit) RSI Drugs RSI Medications (J Emerg Nurs 2003) RSI Medications (EM:RAP 2007) RSI Drugs (EM-in-5) Airway Devices Airway Devices: Direct Airway Devices: Video Post-Intubation Management Post-Intubation Package (EMCrit) Post-Intubation Sedation (EMCrit) Misc RSI Topics Pediatric RSI (Annals) (pdf) RSI in Hypotension (EMCrit) RSI in Severe Acidosis (EMCrit) Walls on RSI in Head Trauma (EM:RAP 2003) Braude on “RSI” with Bagging (EM:RAP 2010) RSI with Al Sacchetti When RSI isn’t the right SI (EM Updates) Apps The Difficult Airway App PediSTAT Textbooks Rapid Sequence Intubation and Rapid Sequence Airway by Darren Braude Manual of Emergency Airway Management by Ron Walls Airway Cam Textbook by Richard Levitan

Original Post by Eric Shappell on 7/20/2014
Reviewed by James Ahn on 7/25/2014
Last Updated by Eric Shappell on 02/18/2016 Contact / Feedback