RSI
is
the
preferred
method
of
endotracheal
tube
intubation
(
ETTI
)
in
the
____________________
department
(
ED
)
.
This
is
because
it
results
in
rapid
unconsciousness
(
induction
)
____________________
neuromuscular
blockade
(
paralysis
)
.
This
is
important
in
patients
who
have
not
____________________
and
because
of
this
are
at
much
greater
risk
for
vomiting
and
aspiration
.
To
this
end
,
the
goal
of
RSI
is
to
____________________
the
trachea
without
having
to
use
bag
-
valve
-
mask
(
BVM
)
ventilation
,
which
____________________
often
necessary
when
attempting
to
achieve
intubating
conditions
____________________
sedative
agents
alone
(
eg
,
ketamine
,
etomidate
,
propofol
)
.
Instead
of
titrating
to
effect
,
RSI
____________________
administration
of
weight
-
based
doses
of
an
induction
agent
(
eg
,
ketamine
,
etomidate
)
immediately
____________________
by
a
paralytic
agent
(
eg
,
rocuronium
,
succinylcholine
)
to
render
the
patient
____________________
and
paralyzed
within
1
minute
.
These
medications
share
commonality
in
short
onset
/
offset
times
and
potent
efficacies
.
This
method
has
been
proven
safe
and
effective
in
EDs
over
the
past
4
decades
,
and
____________________
is
considered
the
standard
of
care
.
When
administered
by
____________________
,
well
-
trained
emergency
physicians
,
use
of
neuromuscular
blocking
agents
in
patients
undergoing
emergent
tracheal
intubation
is
____________________
with
a
significant
decrease
in
procedure
-
related
complications
.
RSI
is
not
____________________
in
a
patient
who
is
unconscious
and
apneic
.
This
situation
is
considered
a
"
crash
"
airway
,
and
immediate
BVM
ventilation
and
endotracheal
intubation
without
pretreatment
,
induction
,
or
paralysis
is
indicated
.
