Preparation

Prior to undertaking a RSI, all necessary tools and materials should be prepared. A well-functioning intravenous line must be in place, and all drugs to be used for the RSI should be predrawn in syringes and labeled. Laryngoscopes with blades of the appropriate sizes, with lights checked and working, should be within reach, as should suction equipment and a bag-mask-ventilation apparatus connected to oxygen. Any materials for rescue maneuvers following failed intubation, such as LMAs, jet ventilation devices, and cricothyrotomy trays, should be immediately available. An endotracheal tube of the estimated size should be styletted, with tubes a size larger and a size smaller present. At least one additional experienced provider should be present to apply cricoid pressure and provide assistance as needed. Continuous pulse oximetric monitoring is mandatory.

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