rapid sequence intubation guidelines 2013

Any delay in the latter two phases lead to compromised patient outcomes. Rapid Sequence Intubation is the cornerstone of emergency airway management and it consists of three phases - Preoxygenation, Endotracheal tube placement and Confirmation of Tube Placement. Hence, any failure to promptly secure an adequate airway in the already compromised trauma victim can accelerate his journey on the road to further morbidity and mortality. It has been found that majority of trauma deaths usually occur within the first hour from the time of occurrence or 'the Golden Hour'. Airway-Breathing-Circulation in that particular order of precedence.

The first and the most important task of every Emergency physician is the management of his patient’s 'A-B-C's, i.e. The results of this study have proved that POCUS is a useful adjunct to the Emergency physician to improve quality of care in trauma patients. Conclusion: POCUS detected oesophageal intubations and confirmed proper tube position in less time when compared to standard techniques such as five-point auscultation and capnography. Oesophageal intubations were detected in the PA arm in 22 seconds vs 114 seconds in CE arm with a p< 0.0001 and the time taken for effective reintubation was 26.67 vs 55 seconds in the PA and CE arm with a p value < 0.007 respectively. Results: In our study we found the mean procedure time for ETT placement was less in the PA arm compared to the CE arm (45 vs 91.36 seconds, p<0.0001). The time taken and efficacy of confirmation of tube placement is recorded and compared in two arms. Methodology: A prospective, randomized single-centred study was conducted in 100 trauma patients requiring emergent airway management, presenting to the ED. Proper placement of the endotracheal tube and confirmation of the same was also assessed and compared with the conventional technique.

Aims & Objectives: Primary Objectives - Time taken for airway evaluation and identifying potentially fatal conditions using POCUS guided Intubation Algorithm (PA) during RSI. This study was done to evaluate the utility of POCUS in RSI and its efficacy in confirming tube placement as compared to conventional methods. Introduction: Rapid Sequence Intubation (RSI) is the definitive modality of airway management when resuscitating trauma patients in the Emergency Department (ED).

Rapid sequence intubation guidelines 2013