What year was the first documented prehospital RSI performed?
Hedges et al. made the first formal report of prehospital RSI in 1998, de- scribing 95 RSIs performed by paramedics in Thurston County, Washington.
What does RSI stand for in paramedic?
Objective: Rapid sequence intubation (RSI) is an advanced airway procedure for critically ill or injured patients. Paramedic-performed RSI in the prehospital setting remains controversial, as unsuccessful or poorly conducted RSI is known to result in significant complications.
What drugs are given before intubation?
 Common sedative agents used during rapid sequence intubation include etomidate, ketamine, and propofol. Commonly used neuromuscular blocking agents are succinylcholine and rocuronium. Certain induction agents and paralytic drugs may be more beneficial than others in certain clinical situations.
What drugs are used for RSI?
 RSI was performed with recommended doses of induction agents such as midazolam, etomidate, ketamine, propofol, followed by the administration of neuromuscular depolarizing blocker (succinylcholine 1–2 mg/kg) and/or non-depolarizing neuromuscular blocking agent (Rocuronium 0.9–1.2 mg/kg).
What is RSI in emergency room?
Background: Rapid sequence induction (RSI) is increasingly used by emergency physicians in the emergency department. A feared complication of the technique is the inability to intubate and subsequently ventilate the patient.
What is RSI medical intubation?
OVERVIEW Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway.
What order do you give RSI drugs?
RSI drugs; Resus drugs….Remembered as the 9Ps:
- Preparation (drugs, equipment, people, place)
- Protect the cervical spine.
- Positioning (some do this after paralysis and induction)
- Pretreatment (optional; e.g. atropine, fentanyl and lignocaine)
- Paralysis and Induction.
- Placement with proof.
What meds are used for RSI?
Muscle relaxants or paralytic agents include the following:
- Suxamethonium (succinylcholine): It is the most common muscle relaxant used in RSI.
- Rocuronium: It takes effect within 45-60 seconds.
- Pharmacological adjuncts include the following:
- Lidocaine (lignocaine)
What is modified RSI?
Modified rapid-sequence induction (RSI) techniques RSI is a commonly used procedure in patients with ‘full stomachs’ to minimize the risk of regurgitation and aspiration.
What are RSI drugs?
Is prehospital RSI for trauma patients safe and effective?
Conclusion: Prehospital RSI for trauma patients can be safely and effectively performed with low rates of complication and without significant delay in transport.
What is attempted RSI?
Attempted RSI was defined as any insertion of the laryngoscope into the oropharynx. Results: In all, 1,117 trauma patients were transported.
What is the prevalence of traumatic brain injury (RSI) in America?
One hundred and seventy-five had attempted RSI (74% male, mean age 31.1 +/- 19.2 years, 91% blunt trauma, 88% with Head/Neck AIS >or=2, mean Injury Severity Score 25.6, mean scene Glasgow Coma Scale score 4.8 +/- 2.4). One hundred and sixty-nine patients (96.6%) had successful scene RSI.