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Life Flight > RSI > Flashcards

RSI Flashcards

1
Q

Adult ketamine dose for RSI

A

2 mg/kg

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2
Q

Pediatric Ketamine dose for RSI

A

2 mg/kg

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3
Q

How to preoxygenate for RSI

A

Non rebreather at max flow over nasal cannula at 6lpm for 5 minutes

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4
Q

Required equipment for RSI

A

Suction
ET tube and one smaller
Bougie
Cmac
Backup airway
Bvm
Etco2
Needle/cric kit

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5
Q

Patient positioning

A

Ramping- 30-45degrees
External auditory canal at sternal notch

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6
Q

Med for low bp in RSI

A

Push dose Epi

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7
Q

Increased icp and dose

A

Fentanyl
Adult and pediatric dose: 2-3mcg/kg over 30-60 seconds

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8
Q

How much before paralytic to give ketamine?

A

One minute

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9
Q

Ketamine Contraindications

A

Catecholamine deficient conditions (hypotensive septic patients)
<3 months
Schizophrenia
Post ROSC cardiac arrest
Cardiogenic shock
Traumatic brain injury
Increased ICP
Aortic dissection, MI
Hypertension

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10
Q

Ketamine complications

A

Laryngospams
Increased muscle tone with tonic clinic like movement

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11
Q

How to treat laryngospasms after giving ketamine

A

Apply a tight fitting mask and ventilate with BVM. While simultaneously performing the Larsen maneuver.

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12
Q

How to treat tonic clonic movements after receiving ketamine

A

Treatment is really needed, but consider use of benzodiazepines.

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13
Q

Induction agent if ketamine contraindicated

A

Versed

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14
Q

Adult versed induction dose

A

0.2 mg/kg. IV or IM. Max 20.
If hypotensive use 0.1 MG/KG.

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15
Q

Pediatric versed induction dose

A

0.1 MG/KG IV.
Premedicate with fentanyl 2 MCG/KG

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16
Q

Etomidate dose for induction

A

0.3 mg/kg IV
May repeat times two

17
Q

Paralytic options

A

Succinylcholine and rocuronium

18
Q

Succinylcholine dose in adults

A

1.5 MG/KG.

19
Q

Paralytic use in children <10

A

Rocuronium

20
Q

Succinylcholine contraindications

A

Hyper kalemia, Renal, failure, neuromuscular disorders, crush injury

21
Q

Rocuronium does

A

Peds and adults: 1mg/kg

22
Q

IM medications for emergencies (aircraft safety) and no IV

A

Succ: 3-5mg/kg IM (max 150) PLUS
Ketamine: 4mg/kg or Versed: 0.1-0.2mg/kg

23
Q

Rocuronium dose

A

1 MG/KG.

24
Q

What to do, if O2 sats drop during intubation?

A

Stop intubation invented late for 30 to 60 seconds before trying again.

25
Q

Bradycardia during intubation

A

Stopintubation, attempts and ventilate with peep of 5 to 10.
If bradycardia persist consider atropine.
Adult: 1MG q3m max of 3
Peds: 0.02mg/kg

26
Q

Tube depth

A

Patients ≥ 5 feet (60 inches): (height in inches/4) + 4
Patients < 5 feet tall: 3 X ETT size

27
Q

Normal cuff pressure

A

20-30

28
Q

Ongoing paralysis

A

Rocuronium
Adult and pediatric: 0.5 MG/KG.
May repeat every 30 minutes PRN

Life Flight (16 decks)

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