Adult Protocol - 4 - Airway Management

Question 1

Proceeding straight to definitive airway management (i-Gel/ETT) may be done when _____.

Answer 1

Pt’s LOC is low enough to warrant securing with ALS maneuvers.

Question 2

What is the indication for atropine as an RSI pre-medication?

Answer 2

Bradycardia prior to RSI procedure.

Question 3

What is the dose of atropine for adult RSI?

Answer 3

0.01 mg/kg IV

Question 4

What is the indication for lidocaine as an RSI pre-medication?

Answer 4

Suspected head trauma (mechanism?)

Question 5

What is the dose of lidocaine for RSI?

Answer 5

1 mg/kg IV

Question 6

For adult sedation in RSI, what are the medications and dosages?

Answer 6

Etomidate: 0.3 mg/kg IV
Ketamine: 1.5-2 mg/kg IV for longer sedation (Repeat as needed)

Question 7

For adult paralytic in RSI, what are the medications and dosages?

Answer 7

Succs: 1.5 mg/kg IV (100 mg minimum)
Vecuronium: 0.08-0.1 mg/kg IV

Succs at the above dose, THEN Vec 0.04-0.06 mg/kg for paralysis maintenance

Question 8

Always _____ before you _____.

Answer 8

EtomiDATE; Succ