I interview Canadian ED Physician Yen Chow on RSI! Here is Yen below!
These are some notes Yen sent me after the interview. Thanks YEN!
This is my short crash-intubation-equipment checklist “BLTS” that I pronounce “blitz” for best attempt first pass crash intubation success
Here is the checklist that I keep in my head, adopted from CAEP AIME
STOP IC BARS
Suction (also makes me think about FB assists like McGills Meconcium aspirator for bloody airways)
Oxygenate (Sat>95%, deN2ate, ApOx, Position head up)
Prepare Preoxygenate Preload (fluids) Pretreatment Paralysis Position Pass tube Proof Post intubation management
Cardiac CO2 monitoring
Best attempt 1st pass success, BVM/OPA/NPAs Bougie Blades
Alternate intubation method (nasal, VL, AirTraq, straight blade etc)
Rescue oxygenation/ventilation #1 BVM/OPA/NPA #2 SGA
Surgical (scalpel bougie 6.0 ETT)
The rest …Its all on the podcast below. Tune in!
Show note references:
- The Original RSI article by Stept & Safar 1970
- Rapid Sequence Induction and Intubation:
Current Controversy Review article 2010
- AIME Course – Airway Interventions and Management in Emergencies
- AIRWAYCAM TEXTBOOK BY DR LEVITAN
- EmCrit ED intubation checklist
- Dr Toby Fogg’s Airway Registry RSI checklist
- Rapid Sequence Induction 2005 review
- Dr Bill Hinckley’s DASH1A concept for RSI
But before the podcast, I love this talk by Dr Karel Habig on RSI in Retrieval medicine. Checkit!
Now on to the Podcast
Right Click and Choose Save-as to Download the Podcast.