RSI & Airway

Question 1

Standing order for adult RSI

Answer 1

GCS = 8 w/ RR 8 or >35 OR SpO2 less than 90% on NRB.

Question 2

Medical Control criteria for adult RSI

Answer 2

• GCS less than or equal to 8 with clenched jaw and inability to suction
• Respiratory extremis with CPAP cont.
• Inhalation burns, indication of airway compromise
• Critically ill/severely injured patient with imminent compromise.

Question 3

Standing orders pediatric RSI

Answer 3

GCS = 8, respiratory insufficiency, O2 sat less than 90% on NRB, RR less than 8 or greater than (45 less than 1 year), (40 1-5 yrs), (35 age 6-9)

Question 4

Medical control criteria for ped. RSI

Answer 4

Same as adult + identified difficult airway patient, and cannot tolerate laryngoscopy but can be bagged above 90%

Question 5

NTI Indications

Answer 5

• Primarily COPD and CHF, allowed for CLOSED head injuries with clenched teeth
• SpO2 less than 90% on Pt. who is on 100% O2 by face mask
• RR less than 8 or more than 35
• GCS less than 8 or loss of gag reflex.

Question 6

NTI Contraindications

Answer 6

• Anticoagulants
• Upper airway hemorrhage
• Significant mid-face trauma or laryngeal trauma
• CSF leakage or evidence