Airway

Question 1

Adult

Answer 1

1- Position and Suction
2- Pre- oxygenate
*15LPM or BVM
3- Premedicate
*Etomidate: 30mg or 0.3/kg IV/IO over 30-60 sec
may repeat x1
or
*Ketamine 200mg in a 50mL administer utilizing a 60 gtt set, run wide open
4- Paralyze if indicated
*Rocuronium 100mg or 1mg/kg IV/IO
5- Placement
*Direct or video Laryngoscopy
6- Proof of placement
*Lung sounds or Capnography
7- Post intubation sedation
*Versed 5mg IV/IO
*Ketamine 200mg in 50mL administer utilizing a 60 gtt set, run wide open

Question 2

Pediatrics >3

Answer 2

1- Position and Suction
2- Pre- oxygenate
*15LPM or BVM
3- Premedicate
*Etomidate: 0.3/kg IV/IO over 30-60 sec
may repeat x1, max dose 30mg
or
*Ketamine 2mg/kg in a 50mL administer utilizing a 60 gtt set, run wide open, may repeat x1, max dose 50mg
4- Paralyze if indicated
*Rocuronium 1mg/kg IV/IO
5- Placement
*Direct or video Laryngoscopy
6- Proof of placement
*Lung sounds or Capnography
7- Post intubation sedation
*Versed 0.1mg IV/IO
*Ketamine 2mg/kg in a 50mL administer utilizing a 60 gtt set, run wide open, may repeat x1, max dose 50mg

Question 3

Adults and pediatric paralysis indication

Answer 3

*Apneic Status epilepticus
*Trimus (lock jaw) or Clench teeth
*EMS Captain or Flight crew diections

Question 4

Adults and pediatric paralysis contradication

Answer 4

• Allergy to Rocuronium or other neuromuscular blocking agents
• Predicted difficult intubation
• Major facial trauma
• Pt who can not be assisted with BVM

Question 5

Adults and pediatric failed airway

Answer 5

1- Reattempt ETT placemet x1
2- Insert LMA
3- Attempt to oxygenate via BVM/NPA/OPA
4- Needle Cricothyrotomy

Question 6

Pediatrics < 3

Answer 6

1- Position and Suction
2- Pre- oxygenate
*15LPM or BVM
3- Premedicate
*Atropine: 0.02mg/kg IV/IO
*Etomidate: 0.3/kg IV/IO over 30-60 sec
may repeat x1
4- Paralyze if indicated
*Rocuronium 1mg/kg IV/IO
5- Placement
*Direct or video Laryngoscopy
6- Proof of placement
*Lung sounds or Capnography
7- Post intubation sedation
*Versed 0.1mg IV/IO