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)

No eye opening response. No verbal response. Extends extremities in response to pain.

Choose at least 3 of the following:


Next

Is Intubation Indicated?

66 year old female. No eye opening response. No verbal response. Extends extremities in response to pain. Persistent and profuse upper airway bleeding. Tracheal injury. ABG: pO2=29 pCO2=70 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, soft and hard palate are clearly visible.

Mallampati image
Choose at least 1 of the following:


Next

Why is this a Difficult Airway (LEMON)?

66 year old female. Tracheal injury. With the mouth open at rest, soft and hard palate are clearly visible. Mouth opens to a width of one 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 two finger widths. Cervical spine immobilization. High-arched palate.

Choose at least 1 of the following:


Next

Is Pretreatment Indicated?

66 year old female. COPD exacerbation.

Choose at least 1 of the following:


Next

Is Sedative Induction Indicated?

66 year old female. COPD exacerbation.

Choose at least 1 of the following:


Next

Is Paralysis Indicated?

66 year old female. COPD exacerbation. Spine injury yesterday

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: