Intubation "Rules"

Question 1

RODS

Answer 1

Difficulty in EGD insertion

R-restricted mouth opening
O-obstruction (of upper airway)
D-disruption/distortion-change to airway anatomy preventing adequate seal
S-stuff lungs/spine (cervical) - unable to properly position head for insertion

Question 2

MOANS

Answer 2

Difficult BVM management

M- mask is difficult to seal
O- obesity/obstruction
A- aged over 55 - deceased compliance and muscle tone
N- no teeth
S- stiff lungs/chest wall

Question 3

LEMONS

Answer 3

Difficulty laryngoscopy/intubation

L- look externally-large tongue, thick beard, etc.
E- evaluate the 3-3-2 -
M- Mallampati scale - 1 (good) to 4 (bad)
O- obstruction
N- no neck mobility
S- space/scene/skill

Question 4

Seven Ps of RSI

Answer 4

1) pre-oxygenate
2) pre-treat with meds to mitigate laryngospasm
3) paralysis
4) push the induction agent
5) protection/position
6) placement with proof
7) post-intubation management

Question 5

SHORT mnemonic

Answer 5

In a can’t intubate/can’t ventilate scenario, this IDs the possibility of a difficult surgical cricothyrotomy.

S- surgery of the neck
H- hematoma/infection
O- obese 
R- radiation therapy (distorts anatomy)
T- tumor (distorts anatomy)