Rapid Sequence Intubation safety briefing
Attribution of photo Lufthansa attendant giving safety briefing
Dr Cliff Reid recently wrote an article about the concept of a resuscitation safety room officer, like a lifeguard. RESUS ROOM LIFE GUARD
Dr Andy Buck wrote on a similar concept.RESUS ROOM SAFETY OFFICER
They inspired me to write this…on a recent commercial flight.
This is to be delivered before each RSI by the designated safety officer
“RSI safety briefing
this is your resuscitation room safety officer speaking
You are shortly about to perform a rapid sequence intubation
This is the RSI safety briefing for that procedure.
Whilst you may have performed this procedure many times in the past, each one can be different so your attention to the briefing is greatly appreciated
By now your patient should be undergoing or about to under go preoxygenation, your airway equipment checked and ready and monitoring in place and recording.
I refer you to your RSI safety briefing card and checklist which you should take the time to peruse and complete prior to the procedure.
In the event of an airway emergency, ensure the patient and yourself are adequately placed into the position for maximal oxygenation and airway patency.
Oxygenation is your primary safety technique and it must be securely attained and maintained throughout the procedure
in the event of unexpected hypoxia, the monitor will alarm and the safety officer will announce the need for emergency oxygenation to occur. Please do so primarily via the standard mask technique offered to you. Do this before you do anything else
In the event that this fails or there is urgent need to deploy the secondary safety technique, then reach for your life airway device. It should be inserted into the patients mouth and rescue ventilation established. It may need to be manually inflated. ensure you insert the life airway device and attempt rescue ventilation prior to abandoning the procedure of RSI and exiting via the tertiary safety plan of a surgical airway.
In the event of need to exit the procedure urgently, ensure you are familiar with the nearest exit available to you and how to operate it, even if you are unable to see and need to perform the exit blindly.
There are only four exits to the RSI procedure
Face Mask ventilation and recovery
Establishment of orotracheal intubation
Establishment of supraglottic airway device
Establishment of tracheal access via the neck
Please familiarise yourself with each exit and the most suitable for your type of patient
There is no smoking permitted during this procedure and all personal electronic devices need to be switched off.
Thankyou for your attention and hope you have a pleasant and safe RSI
This is your resuscitation room safety officer speaking”
Can you come up with a better version? If so send in your suggested version and lets record a podcast of it! Write your own version , record a brief audio file of it and send it to me to post as a PHARM podcast!