RSI Review

Question 1

RSI is :

Answer 1

A method of intubating patients that have an intact gag reflex who would be otherwise difficult to intubate

Question 2

Situations that could require RSI:

Answer 2

-Altered LOC
-Burns with airway involvement
CVA/Head injury with posturing
-Respiratory exhaustion
-Facial trauma with poor airway control
-GCS less than 9 with intact gag reflex

Question 3

Patient must be ____ years old or older

Answer 3

12

Question 4

Contraindications for RSI

Answer 4

There are no ABSOLUTE contraindications

Question 5

Relative contraindications for RSI

Answer 5

• Anticipated difficult airway
• Anticipated difficult ventilation
• Beyond the skill of the present crew

Question 6

Lidocaine

Answer 6

Blunts transient increases in ICP and IOP that result from intubation

Question 7

What is the RSI dose for lidocaine?

Answer 7

1.5 mg/kg

Question 8

Atropine can be given as pre-medication to blunt bradycardia. What is the dosage?

Answer 8

0.02 mg/kg

Question 9

Midazolam is a benzodiazepine with short duration of action. What is the induction dosage?

Answer 9

0.2 mg/kg

Question 10

Etomidate

Answer 10

• hypnotic agent
• most well tolerated of induction agents
• onset of action 20-30 seconds

Question 11

What is the induction dose of Etomidate?

Answer 11

0.3 mg / kg

Question 12

BURP

Answer 12

Backwards
Upwards
Right Pressure

Question 13

Succinylcholine is a depolarizing paralytic. The depolarization is seen as fasciculations. What is the dosage ?

Answer 13

1.5 mg/kg with a max dose 150 mg
Onset 1 minute
Duration 4-6 minutes

Question 14

Contraindications to Succinylcholine

Answer 14

• hypersensitivity
• malignant hyperthermia
• • 3 days crush injury
• burns over 24 hours old
• known neuromuscular disease

Question 15

Vecuronium is a _________ agent

Answer 15

Non-depolarizing agent

Question 16

Lemon Rule

Answer 16

Look externally 
Evaluate 3-3-2 rule 
Mallampati scale 
Obstructions ?
Neck mobility

Question 17

3-3-2 Rule

Answer 17

Three fingers in the mouth opening
Three fingers under the chin
Two fingers floor of mouth to thyroid cartilage

Question 18

Premedicate….

Answer 18

Etomidate 0.3 mg/kg
And for head injury patients
Lidocaine 1.5 mg/kg

Question 19

Pre-Oxygenate…….

Answer 19

4-5 minutes with NRM @ 15 lpm
Or
3-5 full deep breaths 100% O2 via BVM

Question 20

Prophylaxis…..

Answer 20

Atropine 0.02 mg/kg

Bradycardia only

Question 21

Pressure on Cricoid…..

Answer 21

Sellick Maneuver

Question 22

Paralyze……

Answer 22

Succinylcholine 1.5 mg/kg

Question 23

Gold Standard for ET placement

Answer 23

Continuous Waveform Capnography

Question 24

Patient Comfort…..

Answer 24

Vecuronium 0.1 mg/kg
Or
Rocuronium 1.0 mg/kg
And 
Versed 2.5 - 5 mg