ED Intubation Checklist Prepare Team Prepare for Difficulty Prepare Patient Prepare Equipment Monitoring: Should you be Is difficulty anticipated? Pre-oxygenation Including ETCO2 performing this RSI? Difficult BVM? optimal? Difficult laryngoscopy? Add nasal cannulae, NIV Difficult surgical airway? or BVM with PEEP valve ED Consultant Spare cannula informed? Roles and plan Patient’s position Vasopressors? discussed with team optimal Out of hours, Post-RSI sedation including: anaesthetics contacted? Tube confirmation Patient haemodynamics Equipment: Team to call to move to optimal? Roles designated Suction (checked) back-up plan if SpO2 low Fluid bolus? including: BVM, O2 connected Pressors? Back-up plan discussed Second intubator OPA, NPA with team (PTO) External laryngeal Laryngoscope x 2 Plan A manipulation/cricoid Video laryngoscope pressure Plan B Bougie Plan C C-spine immobilisation Difficult airway kit: Anticipated problems LMA/iLMA – Surgical airway kit does anyone have questions or concerns? PLAN A INITIAL INTUBATION STRATEGY –
ED Intubation Checklist Prepare Team Prepare for Difficulty Prepare Patient Prepare Equipment Should you be performing this RSI? ED Consultant informed? Out of hours, anaesthetics contacted? Roles designated including: Second intubator External laryngeal manipulation/cricoid pressure C-spine immobilisation Is difficulty anticipated? Difficult BVM? Difficult laryngoscopy? Difficult surgical airway? Roles and plan discussed with team including: Tube confirmation Team to call to move to back-up plan if SpO2 low Back-up plan discussed with team (PTO) Plan A Plan B Plan C Anticipated problems – does anyone have questions or concerns? Pre-oxygenation optimal? Add nasal cannulae, NIV or BVM with PEEP valve Patient’s position optimal Patient haemodynamics optimal? Fluid bolus? Pressors? Monitoring: Including ETCO2 Spare cannula Vasopressors? Post-RSI sedation Equipment: Suction (checked) BVM, O2 connected OPA, NPA Laryngoscope x 2 Video laryngoscope Bougie Difficult airway kit: LMA/iLMA Surgical airway kit PLAN A – INITIAL INTUBATION STRATEGY
RSI_Checklist_Sunshine_2013_VIC_Western_Australia.docx