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Rapid sequence induction in the emergency department: a strategy for failure
S D Carley1, C Gwinnutt, J Butler
1Hope Hospital, Salford, UK. s.carley@btinternet.com
Emergency Medicine Journal : EMJ
|March 21, 2002
Summary
Emergency physicians face challenges with failed intubation during rapid sequence induction (RSI). This study provides a tailored drill for managing this critical event in the emergency department.
Area of Science:
- Emergency Medicine
- Anesthesiology
- Critical Care
Background:
- Rapid sequence induction (RSI) is a common emergency department procedure.
- A significant complication of RSI is the inability to intubate and ventilate.
- Existing intubation drills may not be suitable for the emergency department setting.
Purpose of the Study:
- To develop a specific drill for managing failed adult intubation in the emergency department.
- To provide emergency physicians with a structured approach to a feared complication.
Main Methods:
- Literature review was conducted.
- Consensus knowledge among experts was utilized.
Main Results:
- A novel drill for failed adult intubation in the emergency department has been constructed.
- The drill offers a predetermined course of action for emergency physicians.
Conclusions:
- Failure to intubate during RSI is a critical emergency department complication.
- A standardized drill is essential for managing this event effectively.
- The presented guidelines are specifically designed for emergency physician practice.
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