Rapid Sequence Intubation

On the next page, a patient will present to you. Do they need an advanced airway? Are they a difficult airway? What to use for induction and paralysis? You decide the Rapid Sequence Intubation.

You can find an advanced airway cheat sheet on fpnotebook.com.

The LEMON mnemonic and specific induction and paralytic agent indications are derived from the Difficult Airway Course.

Get Started

Assign a Glasgow Coma Scale (GCS)

Eyes open to pain. Oriented to person, place and time. Localizes to pain.

Choose at least 3 of the following:


Next

Is Intubation Indicated?

80 year old male. Eyes open to pain. Oriented to person, place and time. Localizes to pain. Persistent and profuse upper airway bleeding. Severe maxillofacial injury. ABG: pO2=31 pCO2=50 on non-rebreather mask.

Choose at least 1 of the following:


Next

Evaluate neck proportions

Which of these criteria imply a more difficult airway?

Mallampati image
Choose at least 1 of the following:


Next

Name that Mallampati Class

With the mouth open at rest, upper half of tonsillar fossa is visible.

Mallampati image
Choose at least 1 of the following:


Next

Why is this a Difficult Airway (LEMON)?

80 year old male. Severe maxillofacial injury. With the mouth open at rest, upper half of tonsillar fossa is visible. Mouth opens to a width of two finger(s). The distance between the mentum (chin) and hyoid bone is two finger width(s). The distance from the hyoid bone to the thyroid notch is one finger widths. Cervical spine immobilization. Long mandible.

Choose at least 1 of the following:


Next

Is Pretreatment Indicated?

80 year old male. Septic Shock.

Choose at least 1 of the following:


Next

Is Sedative Induction Indicated?

80 year old male. Septic Shock.

Choose at least 1 of the following:


Next

Is Paralysis Indicated?

80 year old male. Septic Shock. Appendectomy 1 week ago.

Choose at least 1 of the following:


Next

How did I do?

Here are the results for this quiz:
  • Number Correct:
  • Number Tried:
  • Percentage Correct:

Restart

All detailed answers: