Hi folks, today I interview Dr Darren Braude, an emergency physician in New Mexico and the man most associated with the novel concept of the Rapid Sequence Airway
Dr. Braude’s Credentials:
Darren Braude, MD, EMT-P, FACEP
Medical Director, PHI Air Medical of NM
Attending Physician, Adult and Pediatric ED
Associate Professor of Emergency Medicine University of New Mexico School of Medicine
Author, Rapid Sequence Intubation & Rapid Sequence Airway
EM-News Columnist, “The Emergency Airway”
Co-Director, Airway911 Training Program
Co-Director, National Procedural Sedation Course
Did I just mispell RSI? What on earth is RSA and why would I need it?
I ask Darren to explain the concept of a Rapid Sequence Airway and what patients would benefit from it over RSI. I have performed RSA a few times and it is a resilient technique. The SGA goes in much quicker than most laryngoscopies, you connect your capnography up and ventilate away. If you got a SGA with a gastric drain channel and port then even better. Check out the YouTube video demo below!
James DuCanto mentioned this concept of using SGAs into emergency airway management in a much more comprehensive hybrid strategy on PHARM Podcast 010. A hybrid strategy combines optical enhanced technologies with supraglottic airways using RSI drugs. It offers advantages such as continuous ventilation during passage of a bougie into the trachea. It offers visual confirmation of correct tracheal placement and not just blind passage of a bougie through a SGA.
So the RSA concept is the first step in this new hybrid strategy. Pushing RSI drugs and dropping in a SGA then maximising oxygenation and improving ventilation.
Big thankyou to Darren for recording his thoughts and opinion on the RSA and explaining how you can become operationally resilient in your emergency airway management.
Links of Interest:
Stay safe and enjoy the podcast!
Now on to the Podcast
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