Week 5 – Introduction to RSI
RSI, or Rapid Sequence Intubation, is the process of chemically paralyzing someone so that they can be intubated to protect their airway. This technique couples sedation to induce unconsciousness (induction) with muscular paralysis.
Below is a link to a podcast done by Dr. Jeffrey Guy who is a professor of surgery and director of the burn center at Vanderbilt University School of Medicine. Please listen to the podcast and then answer the questions that are listed below.
Link:
http://cl.ly/0F0R3v2F322k30450G1p
Practical Exercise
1. What does Dr. Guy say are the key components that are listed to this technique:
a. Short acting Barbiturates and muscular paralytics
b. Provider knowledge and proper equipment
c. GCS < 8 and supporting MOI
d. Proper medications and supporting protocols
2. RSI has three goals. Which of the following is not a goal of RSI:
a. Overcome potential barriers of intubation;
b. Provide protection to normal physiological responses to intubation;
c. Provide humane conditions;
d. Increase and stabilize vital signs in traumatic patients.
3. 3. What is the different in goals between Rapid Sequence Induction and Rapid Sequence Intubation?
4. Before administration of the drugs to perform an RSI, which equipment is NOT necessarily required to be nearby and ready:
a. Functional suction and O2 supply;
b. Functional laryngoscope;
c. Medical Control authorization;
d. End tidal CO2 and pulse oximetry
5. What are some anatomical problems that could interfere with an ability to provide ventilations via BVM to the patient?
a. Cold sores or snoring respirations;
b. Dentures or Hemiglossectomy;
c. Facial hair or facial trauma;
d. Cleft lip or cleft palate
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