Archive

Tag: RSI

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

Background: The use of ketamine and etomidate for induction in rapid sequence intubation is heavily debated. The Ketased Trial (Jabre 2009) reported no significant difference between the two induction agents. However, recently the National Emergency Airway Registry reported ketamine is …

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Resuscitation

Rebellion21: Ketamine vs Etomidate for RSI via Rob J. Bryant, MD

Ketamine has been the recent go to for the hemodynamically compromised intubation. In this 18-minute presentation from Rebellion in EM 2021, Rob J. Bryant, MD reviews several studies of Ketamine vs Etomidate to clarify the current rationale for or against …

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ResuscitationThoracic and Respiratory

REBEL Cast Episode 65: Optimal Order of Drug Administration in Rapid Sequence Intubation

Background Information: The sequential administration of a sedative and neuromuscular blocking agent (NMBA) to facilitate the passage of an endotracheal tube is a common method of intubating in both the emergency department (ED) and intensive care unit (ICU). In fact, 85% …

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Procedures and SkillsResuscitationThoracic and Respiratory

PreVent: Bag-Mask Ventilation Prior to Intubation

Background: Rapid Sequence Intubation (RSI)  is a common procedure performed by both emergency clinicians and intensivists. Although the procedure is complex, the major pieces are pre-oxygenation, administration of a sedative agent in close proximity with a paralytic, laryngoscopy and placement of …

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Resuscitation

REBEL Core Cast 4.0 – RSI Cheat Codes

Take Home Points Bed Up Head Elevated (BUHE) position is a simple intervention that can reduce the rate of intubation-related complications. The bougie should be considered standard practice in all intubations and has an NNT = 11 for 1st pass …

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Procedures and Skills

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