2015 Trumbull Memorial Hospital Demo
Rapid Sequence Induction Rapid Sequence Induction
Universal Patient Assessment
You must be a Paramedic specifically approved by your agency’s chief and medical direction to perform RSI!
Adult Airway Protocol
Adult IV or Humeral IO Ensure patency and secure well
Cardiac Monitor
RSI Preparation Procedure
Prepare for 3 Plans (in order from A to C with BVM and OPA attempt between)
#3
#2
#1
Plan A RSI Procedure
Plan B Rescue Airway
Plan C Emergency Airway
Inability to secure patent airway
RSI Procedure 1 attempt at laryngoscopy
RSI Procedure Fails
Supraglottic Airway
Melker or Surgical Cricothyrotomy Procedure
No
Able to ventilate? Airway Secure?
No
Patent Airway?
Yes
Yes
Secure and maintain airway Continuous reassessment of patency
Secure supraglottic device and continue ventilating while reassessing patency
49
EMR
EMT
AEMT
Paramedic
Extended
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